HomeMy WebLinkAboutGrant Related - BOCC (006)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.. Kal"rl@ Stockton
CONFIDENTIAL INFORMATION: E]YES ®NO
DATE. 8/23/2024
PHONE:2937
lwd;j=
E]Agreement / Contract
❑AP Vouchers
DAppointment / Reappointment
FlARPA Related
❑ Bids / RFPs / Quotes Award
E]Bid Opening Scheduled
0 Boards / Committees
El Budget
ElComputer Related
E]County Code
E Emergency Purchase
0 Employee Rel.
ElFacilities Related
❑ Financial
7Funds
7 Hearing
El Invoices / Purchase Orders
® Grants — Fed/State/County
71-eases
El MOA / MOU
El Minutes
El Ordinances
El Out of State Travel
El Petty Cash
7Policies
7 Proclamations
El Request for Purchase
El Resolution
El Recommendation
7 Professional Serv/Consultant
E]Support Letter
ElSurplus Req.
E]Tax Levies
F]Thank You's
ElTax Title Property
0WSLCB
ELM=
Reimbursement request from Renew on the Community Development Block Grant(CDBG)
CV2, #20-6221 C-111 in the amount of $1,815.60 for July expenses.
If necessary, was this document reviewed by accounting? ❑ YES
--- - - - - ------ ----- - -- - -------------------------------------------------------------------- --------------------------------
LEGAL RE Ivi . EW:
ff this dqcument reqoires legal --- r-e-v!ew-, route to legal for r"ioW prior
If necessary, was this document reviewed by legal? F-1 YES F-1 NO
DATE OF ACTION: -AV
APPROVE: DENIED ABSTAIN
D1:
D2:
D3:
El NO 7m N /A
DEFERRED OR CONTINUED TO:
WITHDRAWN:
9 N/A
4/23/24
DEPARTMENT OF COMMERCE
,V7,1 I P?vim Sweet SE - PO, Box 42525 - 0�ynypia, Vlds hisigi-cwt; 98504.2 525 691 7254M),il
vmqvf. V, M mr e re e, wa, gov
Form 19-1A
VOUCHER DISTRIBUTION
AGENCY
Short Code
Commerce Contract Number
NUMBER
CMS Invoice ID:
DEPARMENT OF
1030
20-6221 C-1 11
401443
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, WA 98823
Vendor's Certificate: The individual signing this voucher below
warrants they have the authority to do so as authorized and on behalf
Karrie Stockton
of the entity identified in the Vendor/Claimant section. The individual
(Vendor.Contact Person)
signing below certifies under penalty of perjury that the items and
totals listed herein are proper charges for materials, merchandise or
(509) 754-2011
(Vendor Contact Phone)
services furnished to the State of Washington, and that all goods
furnished and/or services rendered have been provided without
discrimination because of age, sex, marital status, race, creed, color,
kstockton@grantcountywa.ciov
(Vendor Contact Email)
national origin, handicap, religion or Vietnam era or disabled veterans
status.
03/27/20 - 06/30/25
(Contract Period)
Karrie Stockton (Kstockton2) 8/23/2024 11:28:52 AM
07/01/24 - 07/31/24
(REPORT PERIOD)
(SUBMITTED BY) (SUBMIT DATE)
DESCRIPTION
-BUDGET
REQUESTED
EXPENDED TO
AMOUNT THIS
AWARD
AMOUNT
DATE
INVOICE
REMAINING
Contract Total
$929,365.00
$1,815.60
$468,480.59
$.00
$460,884.41
Non - Match Total:
$929,365.00
$1,815.60
$468,480.59
$.00
$460,884.41
PROGRAM APPROVAL
Date
(The individual signing this voucher warrants they have the authority to sign this voucher.)
DOC DATE,
CURRENT
REFERENCE DOC NO.
VENDOR NUMBER and SUFFIX
DOC. NO.
SWV0002426 03
ACCOUNT NO.
ASD NUMBER
VENDOR MESSAGE
39195
TRANS
1CODE1
REV
MASTER
I
SUB
SUB
MG
MS
I
GL ACCT
SUB
AMOUNT
I
PROGRAM
CODE
INDEX
OBJ
SUB,
SID
INDEX
OBJ
622CO320
NZ
6221C
READY to BATCH PREPARER
DATE
WARRANT TOTAL
CREATED BY I
Karrie Stockton (Kstockton2)
DATE
8/23/2024 10:59:04 AM
Form 19-IA
VOUCHER DISTRIBUTION
AGENCY
NUMBER
Short Code
Commerce Contract Number
CMS Invoice ID:
DEPARMENT OF
1030
20-6221 C-1 11
401443
COMMERCE
® All Expenses under $1,000
Paid by UBl
Paid b Y
Organization Name
Paid to
Contractor
Paid to UBl
Paid to
Organization Name
Paid to
Org Type
Expense
Type
Amount
Type
Subcontractor Total
Sub Subcontractor Total
Al 9 VOUCHER FORM
Voucher #8
ST
WASHINGTON STATE
:AGENCY NUMBER
IDIS PROJECT NUMBER.
COMMERCE CONTRACT NUMBER
DEPARTMENT OF COMMERCE
A19
VOUCHER DISTRIBUTION
1030
107
20-6221 C-1 11
AGENCY NAME.'
INSTRUCTION TO -VEND CLAIMANT.
DEPARTMENT OF COMMERCE
Submit this form to claim payment for materials, merchandise or services.
ATTN: CDBG-CV
PO BOX 42525
Vendor's Certificate: I hereby certify under perjury that the items and totals listed herein are
OLYMPIA, WA 98504-2525
proper charges for materials, merchandise or services furnished to the State of Washington,
and that all goods furnished and/or services rendered have been provided without
ft to. be"payable to.*) L (Warrant
.VENDOROR.0 CLAIMANT a' paya e,
'b
discrimination because of age, sex, marital status, race, creed, color, national origin,
handicap, religion or Vietnam era or disabled veterans sta us.
A
GRANT COUNTY
t V-4, 'I'l.
PO BOX 37
EPHRATA, WA 98823-0037
7k
(3rN iBLUE INK)
Grant Administrative SpedaiiSt /23/2024;
(TITLE) (DATE)
REPORTINGPERIOD:
July 1-Jul 31 209A
24
IDIS
DESCRIPTION
ORIGINAL
PRIOR AMOUNT
AMOUNT THIS
REMAINING
Activi ID
BUDGET
REQUESTED
INVOICE
BALANCE
dd
_d;1 cl -des CV1 d CV2 as applicable,-:.
delete. bqdget -line. items as. ne' ede n q an
.......
t :,q "Se 21A G6
_0
22J90. -0,
R P g-g
S -190.00-
2,
05',0f_-.-PdblkServ1ces; U
_9� 5 167 _84
-4:
-45
66: 39-6
71%-,1' ku"AgdO N
-,�_29:913 .88-
0 it
.nq age _(O
e aymen s: rent *1-#y)
$ 175 000.'00-
-100 290,99
1, W WN
I'M 01 1,1, " 910 � 4
'15
-70
9.01
$ 74,
S"ngUS61ngAdunge0 ,,t(
110 71559
22j7 6.1
0
,
r
_
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0313
12r.603-4 57.
-48,6 85
$
$ 77,348 .r 69
t--roen eronserr inancia sm
0 -000.00_
g p 7v
50000.00
313
'M* T
�'066
I sn'i
MINI*
42 000 .00
8706
eneraS
050 Ur ed Mental Health G Public
C 0.)
Co.r
$ .304 -9.00. 00
r qg ,
$ r r -13(. 7 -
ggm,
11�-mt -
1$
-10494783
__Urgen Need -;Mental Health
050 Me el& Health Grant Co.
32"157 00
1157.66,;,
z A
a., 01
"ffi
8706
U 6ilt e ant
r rent N6ed--.M dl H alth Jai (Gr Co.�1050 _g
$
ROOM,
'B diances
_:_-929.j365.00r:
$ --,: 468,480.59
60rr
'459 -068 81r
M
SUB
TRANS 0 SUB G L
CODE D MASTER INDEX
SUB OBJ OBJ ACCT SUBSID AMOUNT INVOICE NUMBER
C1 622CO320 NZ
SIGNATURE OF ACCOUNTING PREPARERr FOR PAYMENT DATE WARRANT TOTAL CMS Invoice ID:
Jennifer Lewis, Program Manager
ACCOUNTING APPROVAL FOR PAYMENT DATE
1 X:71111 flu W
Granb Behavioral Health 6 Wellnegis
PO Box 1057
Moses Lake, WA 98837
Phone (509) 764-2643 Fax (509) 764-4124
BILL TO:
Grant County - CV-2
.PO Box 37
Ephrata, WA 98823
DATE,-, August 22, 2024
INVOICE #
FOR: Jul-24
CV-2 DCR
0 Kaun
Amr.
ly I
a '"'n
"d _U
CV-2 DCR Salary & Benefits
0
1527.58
W
Oper Expenses
$ 288.02
------------
.......... NIO -01
-ZN N
AW
. . . . . . . . . . . . . . . .
Total
t �,'^t•')1 �rt.� }3 ,f. }7't
-ga
m
reneuu
Grant S*hovloral H*albhS Uj*llno#s
Invoice9/30/2023
CV-2- DCR
BAR Acct.
108.150.00.7609.564.41.1100
OPINION,
1,069.76
108.150.00.7609.564A1.2100
97,94
108.150.00.760 ' 9.564,41.2200
g1,g4
108.150,00.7609-564...41,*12300.
244.05
108.150.00.7609.564.41.2301
Z,26
108.150.00.7609.564A1.2400
31.73
1,527.58
108.1- 50.00.7609,56404t 1124
108...l50,OOo7609,,564.,41914152
108,150,00,7609.,564*4164200
108.150.00,7609,564641.,4202
8/22/2024 11:31
HEALTHBEHAVIORAL
JOU
7/31/2024
!
5 j[■■y P ,^'!.�`�., i■r/Iry/, fi �.y,A }e. w "
''h
S ` xV��e�t:v/
en
DEBIT CREDIT
08.150.00.7609.56 .51.1100
$1,069.76
103.150. V 0.76o9. 6 .51.1 01
o too
108.150.00.7609.555.51.1 02
0.00
103.150.00.7609.500.5'1. 100
$97,94
103.150.00.750.9.505.51 if.. 20
31.34
.
108.150.00.7509.555.51.2300
44.05
108.150.00.7000.006.51.2301
$24,26
1 03.1 V0.00..7 V 9.566.� •JFnr i oo
$31 C7
1 o`YR• 151I..00.00Qo1554.oY 1'100: h
$1069.76
I
L
o&. o ooeoo00:5:0 . 01`20.1 4{ .
o.00
�0s.�o0oo0oa.o4:0o12ozA$0.00
0000: 64`�,��
1 o�0 1:o. 5oaoL ::$9794
1* a$, o as oaao. 6 .�02Zoo
.
1 o8.� 5a oo: a000.564.Ro02300$244'05
108. .500Q00:00.5o4.fo020 f '$22
o
$31.73
$1.�527.58
:
a .
$0.00
RG
7131/ 024
Posted By
Posting Month
Entered
Poste'
y.
E M P T
------- ---
n'
u
CV-2 DCR CLINICAL
Sun
Mon
TueC.
Wed Thu
Fri
$at
Sun-
Mon
Tue
Wed
Fir
sat
TOTAL
k
77777-77�-r7n."" 7777�77
-.',ARPA`19000MCR,',,'C1 I
W
10,00
M061
12.00
1514- CLINICAL
r1 00
1 3.RC3
'54.00
OTHER HOURS WORKED
JURY'DUTY
CRISIS BENCH ONLY (please
enter hours)
HOLIDAY 014CALL - please enter
HOUDA E50 DAY
OFF -please enter a "I
g
Tot#I-Wdrkb' d"HIrs :J
00
&N
64
ANNUA�!---",
*. ij
Ny
,'N!
SICK
HOLIDAY
OTHER (Bereavementi Military)
FLEX/COMP TAKEN
LWOP
ITIO'AL� u
"Y�
00;
Total Worked Mrs 24,00
Waken 16,00
I �.F�v� • ; Yu '
PAYROLL SPREADSHEET''111-..
-- W A RUM SICK
0.00
- ------ --- - --- ---- ----- I ------- ......... WAR 32-00
LD-AY OTHERIBEREAV CIVE 8.00
40,00
000%i, 0.00 0.00 1wop FLEX:
SALRYE
LONG
M
Printed Name:
Pay Period:
Employee ID #.-
Staff Signature:
Supervisor Signature:
Ricardo Garnez
December 24i 2023
� W
At& LWLI
**a Leave
SHos (A/L.
p I 00sor 161tials for Non -Standard Wo'rkweek
12/2412023 (MMIddlyyyy)
Pay Date: 4:.
Dec 24
il-De6,
� 2
v
Dec 27
Dec 28
Dec 29
Dec 30
Dec 3f
.'Jan 02
-Jam 01:,
Jan,. 04:
,Jan .
Jan'06
CV-2 DCR CLINICAL
M.
on...,,.,
IT w-1,
u
Wed'
Thu
Fri.
sat
sun
M
Tue
Wed
Thu
Fri
Sat
TOTAL
Sun
1��(�!
"i
R. CK' , ..�. ($�.. .1� t�
`mil.
-. ...
.. . ..
Y .T -
'V.:
.�JL��AN�J�`���SE
'50.OG
CLINI CAL
�i. A,'i va
- H
HOTEL LEASING
OTHER HOURS WORKED
JURY DUTY
CRISIS BENCH ONLY - please
enter hours
HOLIDAY ONCALL - please enter
a
MUMrSUffEMEEIVDAMOFF
please enter a "l
Total Worked Hrs
'j
0.
io.o:
1000
10.
0
ANNUAL
4.0
2.
SICK
HOLIDAY
8.00
8.00
8.00
24.00
OTHER (BEREAVIVIENT LEAVE.....)
FLEXICOM P TAKEN
LWOP
7_0TOTAL HOURS
n
8.00.tv
.10.001
0.
10
Total Worked Hrs
24.00
L.V taken
16.00
GP ENTERED
LEAVE
PAYROLL SPREADSHEET
40.00
pAvonj f PI 1ppn�q- st nKII v*****
ANNLV
SIC
4" L` DAY
3EREAV
CIVE
UN-
0.00
2 .00
0.00
.0.00
40.00 ./
ISALRYE I
LONG
10.00
FLEX;
System: 312212D24� 19:34:21 AM
User Lute: 8/2212024
Flanges: From:
Date: 71/12024
Account: 10&160.00.7609.500000000
DETAILED TRIAL BALANCE FOR 2024
County of Grant
General Ledger
To:
7131=24 Subtotal By; No Subtotals
108.150.OQ.7609.599999999 Sorted By: Fund
lnc[ude: Posting, Unit
Page: 1
User 11): rgonaales
Account: 108.150.00.7609.664444152 Description: MENTAL HEALTH. ..CDB ,CV1.INTERG0V TECH SVC Beginning Balance: $120.93
Trx Date ,ern[ No. Orig, Audit Trail Distribution Reference Orig. Master Number brig. Master Name Debit Credit
'No transactions for this account* Net Change Ending Balance
Account: 108.150.00.7609.564444162 Totals: $120.93 $0.00 $0.00
Account: 108.150.00.7609.564444200 Description: MENTAL, HEALTH...CDBG-C I.MEDICAiD-COMMUNICATION Beginning .Balance: $23.06
Trx Date Jml No. Orig. Audit Trail Distribution Reference Orig. Master Number Orig. Master Name Debit Credit
*No transactions for this account* Met et Change! Ending Balance
Account: 108.150.00.7609.564444200 Totals: .0 $23.06 $0.00 $0.00
Accounts Be Onning Balance Net Chancre Ending Balance
Grand Totals: 2 $143.99 $0.00 $143.99
Debit Credit
$0.00 $0.00
System: 8/221" 10:35:31 AM DETAILED TRIAL B' NNCE FOR 2024 User ID. rgonz Page:
User Date: 8/221.,
C6unty
General.edgerk.)
Ranges: From: To:
Date;, ,8/1/2024--812.2.12024 Subtotal By; No Subtotals� lnclude:� Postlng, Unit
0000000 Aos.""15 - .,9,999... Sorted By: Fund
Accouhti--: -108.156,00.760.9.50 0.0 .760g.59999
Account: 108.150.00.7609.564411124 Description: MH. ,,.CDBG-CV1.HR WAGE ALLOC'. Beginning Balance: $0.00
Trx Date Jml No. Orig. Audit Trail Distribution Reference q. Master Number Ong. Master - Name ., A110% Debit Credit
8/290/2024 975,755 PMTRX00029298 CDBG CV1 HR Wages $67.74
Net Change 100rnding Balance
Account: 108,150.00.7609.564411124 Totals: $67j4 $67.74 $67.74 $0.00
Account 108.150.00.7609.564414152 Descriptiow. MH .. CDI3G-CV1.INTERQ0V TECH SVC Beginning Balance: $0.00
Trx Date Jml No. Orig. Audit Trail Distribution Reference Orig. Master Number Orig. Master Name Debit Credit
816/20,24 973,845 PMTRX00029249 CV-2 Gamez DCR Tech Services Grant County Technical Services $157.03
Net Change Ending Balance
Account: 108.150.00.760M64414152 Totals: 1 S7 Q3 $1,57.03 $157.03 $0.00
-- - ----------
Account: 108.150.00.7609.,564414200 Description: MH. . . CDBG-CVI [CATION Beginning Balance: $0.00
Trx Date Jrn1 No. Orig. Audit Trail Distribution Reference 00% Master Number Orig. Master Name Debit Credit
8/6/2024 973,845 PMTRX00029249 CV-2 Gamez Phones.
-24
Grant County Technical Services
%ow
$21.98
Net Change 40*0
Ending Balance
Account; 108.150.00.7609.564414200
Totals:
$21.98
$21.98 $0.00
Account: 108.150.00.7609,564444152
Description: MENTAL HEALTH... CDBG-CVI.INTERGOV TECH SVC Beginning Balance:
$1.20.93
Trx Date Jrnl No. Orig. Audit Trail Distribution Reference
Orig. Master Number
Orig. Master Name:
Debit Credit
*No transactions for this account`
Net Change
Ending Balance
Account: 108.150.00.7609.564444152
Totals:
$0.00
$120.93
$0.00 $0.00
Account: 108.150,00.7609.564444200 Descrip'tion: MENTAL, HEALTH.. CDBG-CV1. MEDI CAI D-COMMUN [CATION Beginning Balance: :$23-06
Trx Date JrnI No, Orig. Audit Trail Distribution Reference Orig. Master Number: ..Orig. Master Name Debit Credit
*No transactions for this account*
Account: 108.150.00.7609.564444200
Totals:
.Accounts Be, ginninq Balance
Grand Totals: 5 $1410S.
Net..Ctvange Ending Balance
$0.00 $23.06 $0.00 $0.00
Net Change 2din Balance
$246-7.5 t
Debit Credit
$246.75 $0.00
FOR
HR SERVICES
Jul-24 #EmployPer empb7 SUD
8�263.67 122. 67.74 9
MH
564
7i044-�O
SUD
566
W
60-9.62
M H B G
S053
13544�rr''
Recovery Coach
8079
13 5. 4-f'
CV-2 DCR Rick Gamez 7609.564.41,,xxxx
7609
67.74W
ARPA SUICIDE PREV. Bethany Escamilla
9000
67.74
SUPTRS- ML
909:1
67.74 Z
S U PTRS- 0
9096
67-74 r/
ARPA- SL
9100
67W74ee-
TOTAL
Sg263,57
,FOR DCL Jul- 24 #Emp[oy Per employ
HR SERVICES 1j761008 22 80.05
CMIS - Tina -8001 80,05/ 1
MH.RESIDE NTIAL 8002 80205 1
DD RESIDENTIAL 800 1,1600-98 20
TOTAL 1,761.08
8/8/2024 13:32
C-57
Grant County Fluman Resources
I I � FJ1",vj I A N cl F-_ -,Ij o I i R CNI,;
Invoice for Human Services
:a
In advance of summer grant deadlines',*"' Human Resources is
asked to use headcount reports to set a cost -sharing amount for
each non,"general fund budgets utilizing HR services.
Department Renew Invoice Date 07/01124
Contact Reyna Gonzales Invoice Amount:
Renew $8,263.67
Renew (DCL} $].,?61.08
This invoice will be used for departments to generate vouchers
for revenue payment ta Human Resources. Processing questions
should be directed to the Auditor's Office - Accounting
Department,
I rVW
Kirk Eslinger
HR Director
Renew-JULY2024
TS
Network-& Security Services
System Administration Services
General Helpdesk &Asset Management
System Administration Services
Accou rating Application- GP
Software as a Service
VOIP-PHONE
ACCOUNT
108.150.00.0000.564.12.4152
Ednetics VOIP.Services (Phones)
ACCOUNT
1-368.23
199.00
,
.4,374.S6...
0&
21.98 2_
772..26
MHBG
.182
564.:
4,000.85
14,011.19
SUEl
5
566
109.91
lt567-42
MHBQ
.2
-8053
43.97
7.01.40,
recovery each.
2
:8079
-43.97
5291-63
04
94
ARPA.S.UlCIDE PREV,
1
9000
21.98
Moses Lake
1
9097:
21,98
Q uincv
0
.9096
-
.4,374.S6
SL.
0
9100
.133
28,086.68
$4,264.64
V PE
DCL
3
8003
6S.9.5
564 126.5 19,864.80
108.ISG.00.0000.566,00.4152
566
10
1,570-34
MHBG-
8053
2
314.07
Recovery Coach -Crisis -
B27pooOw
2
314.07
C_ lck-
ARPA SUICIDE PREY BETHANY-
9000
1
157.03
Housing- 50%,,- CBRA
8078
'0.5
78,52
Prevention - MLSUPTRS
9097
1
157-03
Prevention- Quincy SUPTRS
9097
1
157*03
Prevention - SL ARPA
9100
1
IS7.03 22,926,96
D 0'.00;, CL125AV
DD RESIDENTIAL
8003
3
471.10'
MH RESIDENTIAL
8002
%
157.03 628-*14
CMIS GRANT
8001,1.57.03
0 78117
'24.5
1 8002 21.98
1 8001 21-98 109.91
$4,374.56
$0.00
20,
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1081MO
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Mcky Gutierrez
-47;784 0.
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4'1--.31;341.83:��
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-2,611.82
Jeremy Half
2108UO
s -6165;
-131,22710-
83b49,
'957
Evari Little
.72 -791�,
`20.
-'-32,109;39:
02
2,675,78
Seth Sampson
2080.00
611.168
28,294A6
:27;2O8o5O
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2080.001s
6103j:$
IM022A0
7;36110
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s $4.09
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P rogess-WhatsNetWork & Invent
403.99;
134*66
Ednetics/SMATnet Maintenance:. I
$30 A 70.36
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$ 4,374.56
$ 23,112.13
Reyna Gonzales
From: Vanessa L. Brown
Sent: Tuesday, July 30, 2024 7:13 AM
To: Accounts Payable GRIS
Cc: Reyna Gonzales
Sub W m ect: July Services Invoice 333-24 froGrant County TS
I
Attachments: Inv 33324 from Grant' County-Technology_Services 7720.pdf; Ednetics, Invoice #1 30293.pdf; GCRN - 2024 Billing Estimate REV
7-30-24.xlsx
Your invoice-333-24 for 28,086.68 is attached. Please remit payment at your
earliest convenience.
Thank you for your business - we appreciate it very much.
Sincerely,
Grant County Technology Services
509-766-3190
Page: 2 of 239
FIRSTNET
Issue Date: Jul 19, 2024
Built with ATtk*r
Account Number. 287333762,696
Foundation Account: 62317818
Invoice: 287333762696XO7272024
Service activity
ri w-troiess
Activity Monthly chargos Company Government
fees & I[BQS
User Page last bill Pla a Equfpment surcharglos taxas Total
50.9,298,0717 JOS5 FARIAZ T $32,22 $2.78 $07 $1.90 $41.27
5WA03.0807 QVtNrY FRO-NT DESK $32.22 $2.78 $4.37 0'19n. 41,27
60,407.7308 EUNICE GONZALEZ $32.22 $2.78 $4.37 $1.90 $41.27
609.407.71,300 ROYAL. CITY FRONT .0F...., $32.22 $2.70 $4.37 $1.90 $0.27
509,431.021 MICHELLE HEEN $32.22 $2.78 $4,37 $1,90 $41,27
5,09,431.0572 aONIA MAOIANA 17 $32.22 $238 $4,07 11,00 $41.21
DO GONZALES 1-0 $41,27
609.4 31,23 10 EDWAR $32,22 i$2,18 $4.37 $1,90
509,431,3124 DANIELLEOBRIEN -21 $3.5.6 $19.00 0% $6.45 $3AS $32A6
509,01.6064- JESUS GARCIA '23 $32.22 $2.30 $4,37 $1.90 $41.27
609.431,6095 CONNE. GUERRERO 25 $32,22 $2.78 $4,37 $1.90 $41.27
609.43 1 1,6129 JAI ELLE BLANCAS ROD. 27 $12,22 $2.78 $4.37 $1.190 $41,27
609.431,7240 DEEANNA sANCOVAL 29 $32.22 $2.78 $4.37 '$1.00 $41.27
509.431,7266 HANNAH GONZALEZ $32.22 $2.78 $4.31 $1,90 $41,27
09,431.8204 'DE'LLANDEASON 33 $32.22 $2.78 $4,37 0.90 01,27
609.431,8237 SHANNON PARLINGTON 36 $32.22 $2.78 $4,37 $1.90 $41.27
600.431,6316 ANGELINO SERRANO 37 $32,22, $2.7 81 $11,137 $1.90 $41,27
609.431 A5651 JENAIR SANTOS 39 $32,22 $2.78 �$4.37 41.90 $41,27
8 34
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6109,431,8789, r-Mr-LOAALVARADO 43 $32,22 $2.78 $4.37 $1.90 $017
009,707,3327 CORINA CAMACHOMMENEZ 45 $32.22 $2,78 $4,37 $1.90 $41-27
009.707.34,75 TATIANA-KKNANPEZ 47 $32,22 $2.78 :$4.3-7 :$1.90
500.70UD05 VANESSA tORONA,VALDEZ 49 $2,78 1A,37
509,707,9109 IRENEGARZA s N :32,22 $230 $4,,37 $1.00 $4,1.27
000.10,91162 NOEMI OARCI.A 63 $.32.22 $?.75 $4,37 $1.90 $41.27
609,707,9264 �34T.22,�
5T 4 27
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509.707,9266
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609101,9620 LANNY ABUNDIZ 59 $32.21 $2.78 $41,37, $1.90 W.27
509.707,9786 LIKE OREENWALT $32,22 $2.78 $4,87 41.90 $41,27
500.707,9873 DAWN DAVIS 63 1 $32.22, $12,79 $41.27
609,760,038.0 LACEY CRITI'EMPEN 65 $44,Pq -$4,61 $-1.96. WAO
569,150.,26*45 -IRENEWTECH 67 $37.06 VA0. $1'90 $43.35
609,760.3006 RENEW TECH 69 $37.06 $4.40 $1.90 ;43,36
509.750,4166 DOILSTANDBY $15,00 $3.24 $1,36 $1949
809,750.4167 DOL LARSWI T3 $16.00 w $3.24 $1.35 $19.69
509,750,0363 14AARIELA MEDINA-CALL.., 75 $44.99 $4,51 $1,06 $51.46
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AutoPay.'Set up automatlo payments that you can update whenever yoq Want. Go to
today.
Page,
I Of 239
Wtie We:
Jul 9; 2024
Aunt Numbar;
207383762896
F01thdation Account: 623117818
Involoo:
2BM3702696X07272024
Total -due
m92
Due Immediately: $4,870,46
Due Aug 14,2024: $44930.47
Acoount summary
Your last hill
Payment, Jun 24 - Thank youl
-$4o422,24
4"
Past due ., plevue pay immediately
$076,45
Service summary
$4,985.47
Total services -clue Aug 14, 2024
$4,93SA7
Total due
$%B 11.
Ways to pay and manage your accoutit:
firstnetaentralArstoetmom 01 call 611
000.6T4.7000
from RAW &Voo
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Refunj 11114 parboil V;H)► kviltcheck Ift theanclasecl m1yolopo' payalonts nlay take T(14yslopod
=141=11"N FIRSTNET6 RENW MOSES LAIT- FN
Total due: $9,811.92
CW1t%V1thAT&T AT17N: A000UNTINQ TEGN
840 E PLUM ST
Due Iminadfatoly: $4,876.45 Me Aug 14, 2024.,$4,036AT
MOMS LAM WA 960S71U74
A=utit numh,-r: 28733376269a
Floes tboludo accolultalimber oil your ch oat
Make ohookpayable to:
0 GHSCK FOR AUTOPAY
AT&-T MOBILITY
(SEE REVERSE)
PO Box 6463
Carol Stram, IL 0007-6468
9990CE8734,97k2696000000004939470flaOU9811920118