HomeMy WebLinkAboutGrant Related - BOCC (002)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 suBnnirrED BY: Karrie Stockton
CONTACT PERSON ATTENDING ROUNDTABLE: Kat'I"I@ Stockton
CONFIDENTIAL INFORMATION: ❑YES 8 NO
DATE:12/19/2024
PHONE:2937
❑Agreement / Contract
❑AP Vouchers
❑Appointment / Reappointment
❑ARPA Related
❑ Bids / RFPs / Quotes Award
❑ Bid Opening Scheduled
❑ Boards / Committees
❑ Budget
❑ Computer Related
❑ County Code
❑ Emergency Purchase
❑ Employee Rel.
❑ Facilities Related
❑ Financial
❑ Funds
❑ Hearing
❑ Invoices / Purchase Orders
® Grants — Fed/State/County
❑ Leases
❑ MOA / MOU
❑ Minutes
❑ Ordinances
[]Out of State Travel
❑ Petty Cash
❑ Policies
❑ Proclamations
❑ Request for Purchase
❑ Resolution
❑ Recommendation
❑ Professional Serv/Consultant
❑ Support Letter
❑ Surplus Req.
❑Tax Levies
❑Thank You's
❑Tax Title Property
❑WSLCB
Reimbursement request from City of Moses Lake on the Consolidated Homeless Grant
(CHG) 24-46108-10 in the amount of $52,998.57 for November 2024 services.
If necessary, was this document reviewed by accounting? ❑ YES ❑ NO R N/A
If necessary, was this document reviewed by legal? ❑ YES ❑ NO 0 N/A
DATE OF ACTION: 3� L
APPROVE: DENIED ABSTAIN
D1:
D2:
D3:
DEFERRED OR CONTINUED TO:
WITHDRAWN:
4/23/24
CHG Standard
PSH CHF
Supp CHG FY 25
HEN SFY 2024
7/1/2023-6/30/2024
HEN SFY 2025
7/1/2024-6/30/2025
Eviction Prevention
HEN FCS Bridge 2024
7/1/2023-6/30/2024
HEN FCS Bridge 2025
7/1/2024-6/30/2025
Inflation Increase
Local DRF Support
EHF FY 25
Iota I
Invoice Month/Year Grantee Name List Sub Grantee Names
Nov-241City of ML I I I I I
Total
Admin
$0.00
Rent
$0.00
Facility Support
$0.00
Operations
$0.00
CHG FY 2025 Supplemental
$0.00
PSH CHF Rent/Fac Support
$0.00
PSH CHF Operations
$0.00
Supp CHG 2025
$0.00
HEN Admin 2024
$0.00:
HEN Rent/Fac Support 2024
$0.00
HEN Operations 2024
$0.00
HEN Admin 2025
$0.00
HEN Rent/Fac Support 2025
$0.00
HEN Operations 2025
$0.00
Eviction Prevention Admin
$0.00
Eviction Prevention Rent
$0.00
Eviction Prevention Operations
$0.00
HEN FCS Bridge Admin 2024
$0.00
HEN FCS Bridge Rent 2024
$0.00
HEN FCS Bridge Ops 2024
$0.00
HEN FCS Bridge Admin 2025
$0.00
HEN FCS Bridge Rent 2025
$0.00
HEN FCS Bridge Ops 2025
$0.00
Inflation Increase 2024
$0.00
Inflation Increase 2025
$0.00
Local DRF Support 2024
$0.00
Local DRF Support 2025
$0.00
EHF Admin
$2,966.88
$2,966.881
EHF Facility
$20,362.93
$20,362.9
EHF Operations
$29,668.76
$29,668.7
,EHF Rent Assistance I
I
I
I
I
I
1
1
$ 0.00
$52f998.57 50.00 50.00 �0.00 W.00 �U.00 W-M
01#
00
1 s�Mm
et 91,
�y.
{k$'{
STAFF f WASHINGION
DEPARTMENT OF COMMERCE
1011 PAUM Street , * PO .;r 5 - i i , W -� t ' si 504- 5 m ( 7 -4000
Form 19-1A
VOUCHER DISTRIBUTION
AGENCY
Short Code
Commerce Contract Number
NUMBER
CMS Invoice ID:
DEPARMENT OF
1030
24-46108-10
410398
COMMERCE
VENDOR OR CLAIMANT (Warrant payable to:)
INSTRUCTION TO VENDOR OR CLAIMANT:
Grant County
Submit this form to claim payment for materials, merchandise or
DBA BOARD OF COMMISSIONERS
services. Show complete detail for each item.
PO BOX 37
EPHRATA, WA98823
Vendor's Certificate: The individual signing this voucher below
warrants they have the authority to do so as authorized and on behalf
Kerrie 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 ext 2937
(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@arantcountywa.gov>
(Vendor Contact Email)
national origin, handicap, religion or Vietnam era or disabled veterans
status.
07/01 /23 - 06/30/25
(Contract Period)
Karrie Stockton Kstockton2 12/19/2024 2:08:31 PM
11 /01 /24 - 11 /30/24
(REPORT PERIOD)
(SUBMITTED BY) (SUBMIT DATE)
DESCRIPTION
BUDGET
REQUESTED
EXPENDED TO
AMOUNT THIS
AWARD
AMOUNT
DATE
INVOICE
REMAINING
Unassigned - Unassigned
$.00
$.00
$.00
$.00
$.00
Admin - Unassigned
$28,680.00
$.00
$27,702.89
$.00
$977.11
Rent - Unassigned
$210,275.00
$.00
$168,972.35
$.00
$41,302.65
Facility Support - Unassigned
$27,902.27
$.00
$18,600.00
$.00
$9,302.27
Operations - Unassigned
$189,417.73
$.00
$175,452.89
$.00
$13,964.84
HEN Admin 2024 -
Unassigned
$2,000.00
$.00
$1424.04
$.00
$575.96
HEN Rent/Fac Support 2024 -
Unassigned
$224,345.00
$.00
$198,629.76
$.00
$25,715.24
HEN Operations 2024 -
Unassigned
$42,000.00
$.00
$371116.30
$.00
$4,883.70
HEN Admin 2025 -
Unassigned
$5,000.00
$.00
$17496.75
$.00
$3,503.25
HEN Rent/Fac Support 2025 -
Unassigned
$173,345.00
$.00
$41,365.00
$.00
$131,980.00
HEN Operations 2025 -
Unassigned
$50,000.00
$.00
$17,274.55
$.00
$32,725.45
Eviction Prevention Admin -
Unassigned
$10,000.00
$.00
$.00
$.00
$10,000.00
Eviction Prevention Rent -
Unassigned
$1,132,655.00
$.00
$542,857.70
$.00
$589,797.30
Eviction Prevention
Operations -Unassigned
$350,000.00
$.00
$186,047.18
$.00
$163,952.82
Inflation Increase 2024 -
Unassigned
$133,928.00
$.00
$110,242.00
$.00
$23,686.00
Inflation Increase 2025 -
Unassigned
$133,928.00
$.00
$44,642.68
$.00
$89,285.32
Local DRF Support 2024 -
Unassigned
$71,609.00
$.00
$67,784.49
$.00
$3,824.51
Local DRF Support 2025 -
Unassigned
$292,624.00
$.00
$29,170.18
$.00
$263,453.82
CHG FY 2025 Supplemental -
Unassigned
$263,243.00
$.00
$34,566.13
$.00
$228,676.87
EHF FY 25 Admin -
Unassigned
$124,537.76
$2,966.88
$36,724.73
$.00
$87,813.03
EHF FY 25 Facility -
Unassigned
$288,936.00
$20,362.93
$101,596.00
$.00
$187,340.00
EHF FY 25 Operations -
Unassigned
$736,772.24
$29,668.76
$211,878.63
$.00
$524,893.61
EHF FY 25 Rent Assistance -
Unassigned
$30,000.00
$.00
$6,376.90
$.00
$23,623.10
Non - Match Total:
$4,521,198.00
$52,998.57
$2,059,921.15
$.00
$2,461,276.85
PROGRAM APPROVAL
(The individual signing this voucher warrants they have the authority to sign this voucher.)
Date
DOC DATE
CURRENT
DOC. NO.
REFERENCE DOC NO.
VENDOR NUMBER and SUFFIX
SWV0002426 03
ACCOUNT NO.
ASD NUMBER
45705
VENDOR MESSAGE
TRANS
CODE
REV
CODE
MASTER
INDEX
SUB
OBJ
SUB
SUB
OBJ
MG
MS
GL ACCT
SUB
SID
AMOUNT
PROGRAM
INDEX
46A70111
NZ
46155
465C1211
NZ
46114
465DO250
NZ
46108
46A20212
NZ
46151
46A20111
NZ
46151
465C2212
NZ
46114
461370712
NZ
46108
46A70212
NZ
46155
46AK0210
NZ
46108
46ES0212
NZ
46150
READY to BATCH PREPARER
DATE
WARRANT TOTAL
CREATED BY
Karrie Stockton (Kstockton2)
DATE
12/19/2024 2:02:47 PM
Form19-1A
VOUCHER DISTRIBUTION
AGENCY
Short Code
Commerce Contract Number
NUMBER
CMS Invoice ID:
DEPARMENT OF
1030
24-46108-10
410398
COMMERCE
El All Expenses under $1,000
Paid by UBI
Paid by
Organization Name
Paid to
Contractor
Paid to UBI
Paid to
Organization Name
Paid to
Org Type
Expense
Type
Amount
Type
Subcontractor Total
Sub Subcontractor Total
City of Moses Lake
PO Box 1579
Moses Lake, WA 98837
TO
Grant County
Attn: Karrie Stockton
Via EMAIL
INVOICE
DATE December 16, 2024
DEPT: ADMINISTRATION
INVOICE #5 - 11-2024
EMERGENCY HOUSING FUNDS
Description - November 2024 "Open Doors" Sleep Center Operations Amount
Subcontract work for Grant County Dept of Commerce Contract 24-4619D-106
Ground Works (ground lease) -
$5,041.67/
modern (res room lease) -
$956.9
Wiliscof (office lease) -
$2645-64
Grant County PUD (ell,---.-ctricity) -
$189.87&ooA
city of MIL Utilities
$803.52 6.-A
Basin Propan e -
$80.09 &4e
General Laundry -
$232o/ -9.8 voo#
PaCifiC, Security -
$7797-88 P'
HopeSource
$3263%5. 64
.owes
$15 5,7 4 vo'
oxarc
$364.56pooe'
REFERENCE ACCOUNT NUMBER: 110-000-33321-019-1000-0896-00 ON PAYMENT TO
ENSURE A PROMPT RESPONSE
Payment is due within 30 days of invoice date.
Balance $52, 998.57
Due
Make all checks payable to City of Moses Lake or call 509-764-3715 or 3719 to pay with a credit card.
If you have any questions concerning thi,s invoice, contact Finance Department at 509.764.3732 or -
3735.
Contract #
Submitted to GC by:
Request for Reimburseme No.
S:7--
Grant County's Subrecipient Checklist:
State Auditor's Office Audit Procedures for Testing Activities Allowed
And Not Allowed, As Published In 2007
Questions to ask before submitting a payment request
Was the expenditure or cost:
1Z
Made for an allowable activity under the grant guidelines?
Authorized (or not prohibited) under state or local laws or regulations?
Approved by the federal awarding agency, if required?
Allowable per Circular A-87 (June 2004 version Attachment B items - 3?
For payroll transactions:
tl'� Does the employee I s time and effort documentation meet the requirements of
Circular A-1 22?
Allocable to the program? (i.e., was the dollar amount charged to the program
relative to the benefits received by the program? Is the federal grantor being
arged its fair share of the cost?)
tz Based on actual costs, not budgeted or projected amounts?
ZApplied uniformly to federal and non-federal activities (i.e., is the federal
government being charged the same amount as if non-federal funds were being
used to pay the cost)?
CIO
Given consistent accounting treatment within and between acco ing perio o.-
(Consistency in accounting requires that costs incurred for the same purpose, in
like circumstances, be treated as either direct costs only or indirect costs only
with respect to final cost objectives).
Calculated in conformity with generally accepted accounting principles, or
another comprehensive basis of accounting, when required under the applicable
cost principles?
Not included as a cost (or used to meet cost sharing requirements) of other
federally -supported activities of the current or a 'prior period?
�Net of all applicable credits? (e,g•, volume or cash discounts, insurance
recoveries, refunds, rebates, trade-ins, adjustments for checks not cashed, and
scrap sales).
Not included as both a direct billing and as a component of indirect costs?
Properly classified (e.g., some costs may be incorrectly claimed as a direct cost
instead of being incorporated as part of the indirect cost rate).
supported by appropriate documentation? (e.g., approved purchase orders
receiving reports, vendor invoices, canceled checks, and time and attendance
records.) Documentation maybe in an electronic form.
correctly charged to the proper account code and grant period?
NAStaff,ASC Files\JStrickler Pre Feb 2018\00 Grants\00 Subrecipient Checklist.docx Pane I
0
Ground Works Three LLC
1224 S Pioneer Way
Moses Lake, WA 98837
Bill To
City of Moses Lake
321 S Balsam St
'P,O. Box 1579
Moses Lake, WA 98837
Invoice
Date Invoice
10/112024 44
P.O. No. Terms Project
Due on receipt 1049 E Broadway Ave.
Quantity Description Rate Amount
MONTFILY RENTAL FEE
t NOVEMBER 2024 Motittily Rent for property located at 1045 &1049 E Broadway 5M1.67 53041.67
Ave.
"ALL MONTHLY LEASE PAYMENTS ARE DUE BY THE 1st OF THE MONTH
Total $5M1.67
ViiI LLSCOT
TM
4646 E VAN BUREN ST
PHOENIX, AZ 85008-6927
(800) 782-1500
customersuccess@wl 11scot.com
www.w'lllscot.com
Fed ID# 52-0665775
INVOICE
BRANCH:
CITY OF !NOSES LAKE MD SPOKANE WA
PO BOX 1579 3310 N FLORA RD
MOSES LAKE WA 98837-0244 SPOKANE WA 99216-1705
1111111 1111111111111 JONI (509) 892-6778
T*
T*
N*
N*
invoke In USD T* - Denotes taxable Item, N* - Denotes non-taxable item.
.......................... ............................ -------------------------------------------------------------------------------------- ..................... ---------
1 PLEASE REMIT WITH PAYMENT
PAYMENT OPTIONS
Welcome to the Will cot customer portal!
Register today to make online payments, sign up for
Auto -Pay, or view invoices and statements.
https:/Iportal.mobilemini.com
(800) 782-1500
You remain responsible for the tnvolco balance If there Is an Issue
with your method of payment Late fees and interest charges
may be assessed Ypayinent Is not made withth terms.
Thank you for your businessl
INVOICE TOTAL
Invoice #:
Due Date-,
Customer:
Customer #:
WILLIAMS SOOTS MAN, INC,
PO BOX 91975
CHICAGO IL 60693-1975
$s5s.ss
9022042822
10/31/2024
CITY OF MOSES LAKE
. 10452459
5246105,2024100086104.00721
W I LLSCOT
4646 E VAN BUREN ST
PHOENIX, AZ 85008-6927
(800) 782-1500
custornersuccess@wilfscot.com
www.willscot.com
Fed I D# 52-0665775
ai+4
INVOICE
BRANCH:
CITY OF MOSES LAKE MD SPOKANE WA
401 S BALSAM ST 3310 N FLORA RD
MOSES LAKE WA 98837-1764
1111111101111 Jill 111111111111 111111111 SPOKANE WA 99216-1705
(509) 892-6778
T*
T*
T*
T*
T*
N*
.............InValce in USD T* - Denotes taxable Item, N * -{denotes non-taxable item,
.................... - ..........-------- ------------- ............. ............. ............................... ------------------ ------- ........................................... ............
I PLEASE REMIT WITH PAYMENT
Download the WHIScot
Solutions Center App
Easily manage your units, view and paU
Invoices, track deliveries and pickups, request
services, or get quotes for new units —all of
this tit ang time, from anywhere,
■ N Nwnlod ofi the GeNrON
App Storey 00001C Play
800.7132.1500 U Will5catSolutionsCen ter. cam
You remain rasponsible for the Invoice balance If there Is an Issue
with pour method of payment. Late fees and Interest charges may
be assessed if payment is not made within terms.
INVOICE TOTAL $2.v645.64
Invoice #: 9022420442
Due Date: 12/15/2024
Customer: CITY OF MOSES LAKE
Customer #: 10452459
PLEAS E REMIT
WILLIAMS SCOTSMAN, INC.
PO BOX 91975
CHICAGO IL 60693-1975
6245106,2024110682304,00537
SerAce Address:, 104S sroadWaV Ate E SJ
Center, Nloses Lake WA 9BB37-0000
OEXXOS1 I OCO-939 W1 B-OG31 TGCSTWT1 13042541 Q L OC-OX
As IT of 31
trit. TN-IPLCA2
S203200000!
1112-W2024
IV2A)2024:
urm-(C!�Cmvaec Cftyof �Vmr-s Lktor-frpied)
Service Mdresv 1045 BroadwaV Ave E SleepipS Center, N10ses Lake WA 99937-OOCIO I Continue
litt DI-mrat ed 20160 Rate 2 - C-*-,- ree ra I S e raic e
ffiffir-a Periati. 10VIV220-124 - 1,12i'-0321-4
Via e �—.x� e (i r WA4
P62r Balance
Pwfmt--1!5 WCO
easi� Charge 33 Days-0 $0.75 S2475
C
10
Erg N ha rq e 'A 633. V 3 VAh @ S13, 0 4 -1-54 4
C-URRENT C14-ARGES Sty P, 7
Adiustments
r a r t z r I, S f 2 -k 2 4
CURRENT AMOUNT DUE $416.45
F'Ami Duc JAII Fut War Am %4.4# J" iu OM4 !;qp Ott 14',
=3 =4
�
.Novow-
..;jjr
1w, -Woo
CITY OF MOSES LAKE
P.O. BOX 1579
Moses Lake, WA 98837-0224
(599) 764-3719 or {50 } 764-3715
AAw.dtyofm1.corn / ub@cityofmi.com
READING DATES BILLING
PREVIOUS PRESENT DAYS
1 09/20/2024 1011811"2024 28
METER READINGS USAGE
PREVIOUS PRESENT
135744 138863 1 3100
3100
3100
Water Consumption
4000
3500
3000
2500
2000
1500
1000
500
OCT NOV DEC JAN FEB MAR APR NIAY JUN JUL AUG SEP OCT
23 23 213 24 24 24 24 24 24 24 24 24 241
REGULAR
DUE DATE ACCOUNT NO.
11130,12024 27098400
-------------- --
BILL DATE li AMOUNTDUE
...... . . ...... ...... - - ---- - - ---------
10/30/2024 $803.52
-- - --- ---------------- - SERVICE LOCATION
1049 E BROADWAY AVE ----------
CHARGE DESCRIPTION AMOUNT
WATER METERED Usage, Register 1
WATER METERED Fixed Charge
121.93
WATER METERED Tier 1
34.72)
SE` 1ER Fixed Charge
44.94
SEINER, Tier 1
6231
STORM WATER
69,56
At NIBULANCE SERVICE
17.201
COMMERCIAL DUMPSTERS
374.30
► UTILITY TAX '!WATER
17,39
UTILITY TAX SEWER
11.90
UTILITY TAX STORMWATER
7,72
UTILITY TAX SOLID WASTE
41.55
TOTAL DUE $803-52
GARBAGE COLLECTION RE INDERS * Do not block —sidewalks with
garbage carts.:{ Please have carts curbside by 6AM on collection day,
Carts must be removed from street view on non -collection days.
Remember to bag household waste, NOT recycle or yard waste.
Please do not place hot ashes or coals in your cart. * Additional charges
will be applied to your utility bill if your cart lid is elevated at time of
collection. YARD WASTE COLLECTION will continue through 11122/24,
weather permitting.
CITY OF MOSES LAKE
P.O. BOX 1579
Moses Lake, VIA 98837-0224
'509' 764-3719 or (009) 764-3715
W1AAN.CityOfMl.com / ub@cityofmi.com
T.10 ". . %_�F
This stub ensures that your payment is processed accurately
DUE DATE AMOUNT DUE
--------------
11/30/2024 $803.52
SERVICE LOCATION
1049 E BROADWAY AVE
ACCOUNT NUMBER ENTER
AMOUNT ENCLOSED
27098400
---------- _'_ - - - - - ------------- -
Please Make Check Payable To Name Below:
CITY OF ML-1 10-18628 CITY OF MOSES LAKE
C/O PROJECT OPEN DOORS P.O. BOX 1579
PO BOX 1579
MOSES LAKE WA 98837 Moses Lake, WA 98837-0224
PROPANIE INVOICE
00ADWAY A NO'k cusl W, IN . VOICe NO, INVOICE DATE
MOSES LAKE] WA 988,17
($09) 766-0068 1444 [CITMOS 38907
13/2
0 CITY OF MOS G4S LAX E LOC 1 CITY OF MOSES LAEE
PO BOX 1.5 7-9
MOSES LAKE WA 98837 Po BOX 1579
DOCK
0 MOSES LAKE WA 98837
INVOIGE AhAOUNT. $41,,13
1 .0 i N: , S11 s tIDY p SOW M.
"tT FLEAW V, I., i jkrmtvk,7A �jcr
DATtlE. t -■rmt1AWNORD88 .LY.l• 1 .. • .W ' ♦ Wi+ n.. . —� o,0DEOEIR ATE SHtA
a
MCN0IPVy"mWEO.
11/13/24-999 'SLEEP (.TNTER 30 DAY 38907
UNI . T 1, PRI'6i Ti AMOUNT
(WANTITY
ITEM NUM0114s"Y DESCRIPTION UNITS
L 50 PAO-PAWE' iqu.id 13u].k D o c 3*99000
State Sales
0\
ki A -'rA V A 1•9: --TAVA I V
$37,91,
$3.22
BASIN
PROPANE
955 E BROADWAY
MOSES LAKE, WA 98837
(509) 766-0068
s
0 CITY OF MOSES LAKE
L PO BOX 1579
D MOSES LAKE WA 98837
T
0
j
ACCT NO. I,D. INVOICE NO, tNVOC-
IE DATE
------------ - - - ---------- -------
1444 CITMOS 38822 11/05/24
LOC 1 CITY OF MOSES LAKE
PO BOX 1579
DOCK
MOSES LAKE WA 98837
INVOICE AMOUNT $38.96
AMOUNT REMITTED
iCj ;NGURE PRCPEA C,4FUNT PLEASE RgTLORN TOF HAIS W;T-4 RC-.1Al'rrA.PJCF
Ni
rR .Y P,
Statement
TO
IN A $ (F",, Ut, 11 it' III f fi
p k t H s, i
,,,...,,.,�,r,..y_ r:..,.. :6 -� _rw,,. ..a9L... x +xr�--+ks ,y4.-q ....... r,.y.•..- .r,...:�q.��... .... u � wuw....R. .r-....,.a.. - .
«a....r,.,...,.e+srse•. ..ra....w.-.:cu+�.rw-.ro.csw } r- f aad& ._ ... _..r+r....... ..._. ..w�ws:r..., of <r• - zr+. .ow.-...Fce...._.-... <a �yGK s•-
t 4 �
.'Y as
3 �g { -ii-'as�Y+ .:3.- ��,.,r� ._ .... )slur .,K..xzae^xr... •�..•<w-.<.o,-.wsr u,..,..a.. ,w,.,zw�. �<rc' ,.«........... aa:aars•,•... .
e
(;. .. C - �-7
woqo
7a,
Cie
Ago
.r_.-.a..rr,... ......_...r,,,,. ...._.. a -z. :.. ,.. .. ..__.. e...,.x...sr-, >:..-.:.-..e«,. ter,_._.... ...���.,-w... x...,n _ -. -... ... -. , .. .. ...»...$)•.., . _ ....w.... . ,.................. ...._--....,,�.�__ .. .... .. .. ,.....a,.r. ,.,., y, .. ...
....+y.�.<ree.. .<rve-�' .. .%.Y.'$�b'.--yf9+Y[rv. .vnesviieem "r..----«.e�eiYMcweut+.- �.a. Y'%.^••'•b.'YA/K:Y:. ,vrri..w...sr-r...v.Wu-ur..... ...r4 .�..o .r.. +,'?�SSY<PXA•'r.w.u- ,..ws... �s.e-4-iw�:dp'.www4k,.,•t!. ...<.'r^p�<,y� -, .+w�mr.we.a..i.Y ry .....s..... w: W#erGeeew .e-� gly.r. w
to
n
�.-+.: � ...._....rv.-_..r .e.w..-,.,.. •.. "DNA'�.u..-<-e.i'ihTbt-.wri..�.......w+.+wsM�+rnu-.h'a�-- ..ebFV.-,:-... ....ee<r v. .._.Nw�- .. ... a.<.a+vw... as <s wa- .-euw»-.zwssr s+.r.. Mrsw44.. r -w a .. v .... ....-..... .0 ..Nw!n v.� rer�.v .ei -�... _�.:
... -... ::..,iis-.• ..-�rraa.n _...> .. _.r- ... .-... y.,.. a,...w .VXwru..n._«a.�:...r.....e«.nry k4Yn. _n3'N b..--e,. '.--.--YRST>.�••.-•as-�..-....W.-..ar:.w.a.s_er. ..�.a .....,+e.... .. .rMs-»•.....sn. .- .. ... ..... .r .. -. +wsen� .-� H+w. ,p..w +.�rosi ... . . - *i,o)rie .�. t .�Aw�paoywr-... <... .. . �.-.<
r>r .....y. ..fir._..-'-.w..-...... - .:..... •r.) ....... ww.- <«.. �...... .. .. ....-. .... �.. _...,...yr.-,......w_.,Men. .e-wv' r. .....<p.rsw .._m,n-...qYs....... q... .� .<., eueo r.a�a;W.�znx_. -... ...... ..w..e e�w.'�a/.-.
.tip .......r.ua..a,<«..�— ....� .. .,.-._.„.a'.«...-.��.-'........... �<,._... -,.. «.-«.,.. »:r„.rr.,.a.,Y.. ........•«.`.!',.,..... ..era... •--+wea.
�
i
--.s..,,y,�.a.�.,,, -.,.-_..._...«„sR,,�.tisa...w,....e-...r...,.....>-..,,,..«...r �•+��••yrss�:as`-'ryr..ww..•�►..,.wyrwws��reu+.�._•,-•.r..•,s� ,,s„r,..,�...«.... «+�'�s.. ....-rsaxwnzw. ,:r ..�.+*snesw�s"u..war�l.--srr.:`-:.+earar ......,..arv-..�eRo.,aa:-s�:aaaa»r+a�.<ar...
.wRAfd-s.�-.._...erM+4.•w...:.. -.. ..2::ata .•r r .•.<¢..x-.✓.W.`..H .s .r+n9&,..+�x .eL-i9a'-%io+.-i.rsiaYMi •..•++aY•.. •� .swNerlYafiOw,.�►.... r+w.oq.-.a...._..y-.�,..•.:•.•ti/4.99t`�:i(f�aY1Li%Y ! ..w
pri-. .. .....- ,...c« -
P
EEP THIS SLIP FOR REFERENCE°t "
T-11t A
CITY* STATE, ZIP
SOLD BY CASH G,01). OAK& Or! tolOSE, RLID. PA.T OU-1
QUAN, DESCRIPTION PRICE AMOUNT
10•
flFcVLlVED By
1-SEEP THIS SLIP FOR REFERENCE
'CUSTOMER'S ORDER NO. DAf E
Vl
NAME
ADDRESS�� 0
CITY, STATE, Z41P
'I1(i rtOLOWt CAM ' ON. eft folDSE.RETD-1 I'MOUT
�..
ftT
OUAN. DESCIMPTION PRICE AMOUNT
1 114. 1+ .r w rr, A.
--Vl A* 04� far,
41 "Owe-v
12
RECEIVE-1) 13Y
-Wlk
It
GITY, STATE, ZIP
SOLD'BY
DUN*
I I !FCOVED BY
1, *(� e Itri 1
44 �*' KEEP THIS S*",,IP FOR EFERENCE
PACIFIC SECURITY
o div of Parker CorpoWe Svcs
2009 Iron meet
Solltn$hem, WA 99226-4211
UNITED STATES
J800).743-2737
MCSESLO3
City of Moses Lake
Stephanie Novak
L 4015 Balsam St
0 (Moses Lake, VITA 98837
T
C
1110773
i to -itio- 5(0sL[o 00-o4-11
PAGE 1
INVOICE DATE 1113012024
INVOICE NO 53835
H 1Moses Lake Sleep Center
1046 F. Broadway Ave
Aiwa Lake, WA 00037
T
0
TOTAL DUE 71,797.88
SI.S1 SLS2 DUE DATE
DISC [SUE DATE
ORDER NO ORDER DATE SHIP NO
114012024
1113012024
345 1113012024
TERMS DESCRIPTION
CUSTOMER PO NO
SHIP VIA
SNIP RATS
Due On PAX41pt
N/A
---m- -
-ITEM
1 1 /3012024
ID
T CI. UNITS
'"- -
ORDERED SHIPPED
UNff FREE- " - E ;"SIGN
Guard Service
0
261.7600 261 w7880
20,3300 7,41 38
Holiday N 0 040000 0.0000 42.6000 382.50
Month of Service o W 0 1.0000 1.0000 04000 04-00
November
We appracialo your business.
Federal Tax Its 01-20711$4
TAXABLE NONTAXABLE FREIGHT SALES TAX MISC TOTAL.
0.01) 7, / 5740 9 +0100 0.00 0.00 7,797 ,88
TOTAL DUE 7v797.88
b1190010
Pare Corporate Services
Rase: 48
o t1n
Bi221wry Wetailed)
12,E,0412024 08:48
� �� �t�telx3a���aaa��ss�ez�na�a�arsa��.^ssrxsszl�C�# Q � ��aa xsa �aQa �stttrttn,ets�st�g ga mar �$g�#7��a rs73�+4�����aCa �7�i�Fes1D,;. �:. L3i��l'3�S�a��s5 aaaaa�rs��z�azszsasrs���
rp��r}:a�w�rt
s����siat� �tis�=��esalagrs
as sr-ff arrl as
/('a�}aaarasaar.e.a-..r.wf.affai..r�...-y..-iaa aail.-flf�a.a
'4�ustc War 33 06 Cit'y Of Moses Lake
�f�0��l �saaaa��a �a 4i►h;aa��fs�aaW t..+��f�f liplfiiv-L.
t` its:: 1 Sleep �renteai
---a--awalla},;s*f�a+Fr
►�--�11
Stat s:
11Faia►�afiF
iaa Ira aar��r 7r
A Bill yclei i S
ii R �a�...lf laf!"�
of �t.�aaf.-ffa��f
! flff7f
! Oi i. iaaa
la! tea.! f!i
A!i'v1Y IF .r - i� a raasf.f ff f f• lw il.7ilf si a fiaaaa -- A1lI ..a.'AF
Date 8tat Employe
� w�f f�f fff !f f! f! ffff aYa � � � �! ff a•a. . � .f ! fi ri
Dept
Tf! ! i
.in
fib.
out
►
Break
a:
Total 'fie
M.F
Hours
Rate
Amount
r---f!f
w Rmiiiaa- ------ffa1------ai1ii
11./01/'2024 Luck 80567 Gutte3Yrez, Omar
r!--as-i ra---
MILL
000-00
-----a!Ww!f-a!
06:00
0.000
6.000 ndard
6.000
.28.330
1.69.98
11/411/202+4 UWJC 80640 Pearl., Daniel,
N110
21100
00:00
0.000
3.000
StaiNL )d
3.000
28..33 0
84..99
1/102/2024 Lock 00640 Pearl, Daniel
HILO
00:00
06:00
0.000
6.000
Standard
6.000
29.330
169.98
11/02jf3024 tic 80640 Peaxle Daniel
M110
21!00
00:00
0.000
3.000
Standard
3.000
28-a30
84.99
12103/2024 Lock 80640 Pearl,, Daniel
MILO
00:00
06:00
0.000
7.000
'Standard
7.000
20.330
198.31
11/0312024 LOCk 80640 marl: Daniel
M10�
21:0��0
00100
0.000
3.000
8tandawd
3.000
20-3+0 3�0
84«S9
11104/2024 ilk 80640 Pearl, i xel
X1iV
00:00
06:00
0.000
6.000
S
6.000
�
9-23
1.65.98
11/04/2024 Lock SOS67 Gutierrez, C=r
MID
21:00
W t00
0.000
3-000
standAr+d
3.000
20.330
84.99
1110S,12024 Lock SOS" Gutierrezt faux
M110
00; 00
06:00
0.000
6.#000
Standard
6.000
28.330
169.99
ll/05/2024 Irk 80S67 Gutierrez, Omar
14110
21:00
00:00
0.000
3.000
Standard
3.000
20.330
84.99
11106/2024 Lock SOS67 Gutierrez, Omar
M110
00100
06:00
0.000
6.000
Standard
6.000
28.330
1.69.98
11,/0612024 Lock $0567 Gutie=ez, 10mar
MILD
21:00
00:00
0.0.00
2.000
Standard
3.000
20.310
$4.99
13.107/2024 Lock 80567 Gutierrez., Omar
MID
00:00
06* 00
0.000
6.000
S t andard
6.000
28.330
169.98
21/07/2024 Lock 90567 Gutierrez Omar
M210
21:00
00:00
0.000
3.000
Standard
3.000
28.330
84 99
21109/2024 Lock $0567 Gutierrez, Om r
M1.30
0.0200
06:00
0.000
6-.000
Sty
6.000
28.330
3.69.93
11108/2024 Lock 90940 Pearl, Daniel
M IO
21:00
00:00
0.000
3.000
Stam xd
3.000
28.330
84.99
11/09/2024 Lock 80640 Pearls Daniel
N110
00:00
06:Oki
0.000
6.000
S
6.000
28.310
169.99
11/09/202�4 Lack 80640 Pearls Daniel
10
21.:00
00:00
0.000
3.000
Stardard
3.000
28.330
84.99
11/10/2024 Lock 60640 Pearls Da=iel
M110
00:00
06:00
0.000
6 -000
Srandaxd
6.000
28..330
169.98
11/10/2024 lack 80640 Pearl, Daniel
M3,1.0
21:00
00:00
0.000
3-000
Sty
3.000
28_330
84.99
.11111/2024 Lock 80640 Pearl, Daniel
M31.0
00100
064,00
0.000
6.000
Standard
6.000
28.330
169.98
11/1212024 Lock 00SS7 Gutierrez, Omar-
M110
21ilS
00,00
0.000
2-?SO
Stanftrd
2.750
28.330
777.91.
11/12/2024 lock 80567 Owerrez, Omar
M210
00-0 00
06:00
0.000
6 -000
Standard
6.000
28-330
169.99
11/1212024 Lek 80567 Gutierrez*Omar
M210
21 t�0
00 2-00
0.000
3.�000
St�andarrd
3.000
28,330
84.95
k 90567 Omar
11113 /2024 Gutierrez,
"Ill
00:00
06:00
0. 0ca
6 . Y 00
Standard
6.000
28 -330
21/1.312024 Lek 80567 Gutierrers Omar
M110
21:0°
00:00
0.000
3_000
standard
3,000
28.330
84.99
11/14/2024 loock 80567 Qutierrers Omar
M310
00200
0600
0.000
6.000
standard
6.000
28.330
269.98
11/3,4/2024 Lock 90640 Pearl, Daniel
M110
21: 00
00:00
0.000
3.000
Standard
3 _ 000
28.330
84.99
21/.1S/2014 Lock $0640 Pear1R Daniel
HILO
00:00
06,00
0.000
6.000
Standard
6.000
29-330
169-98
i3/IS/2024 Lack 90640 Pearl. Daniel
R114
21* 00
00:00
0.000
3.000
Standard
3.000
28.330
$4.99
11/16/2024 Irk $0640 Pearl, Daniel
M110
00:00
06;00
0.000
6.000
Standard
6.000
28.330
1.69.98
21./1612024 Look 00640 Pearl, Daniel
N.10
21100
00:00
0.000
3.000
Standard
3.000
28.330
84.99
21/17/2024 3oCk 80640 Pearl, Daniel
Milo
Cot-00
06:00
0.000
6,000
Standard
6.000
20.330
169.98
11//712024 L k $0640 Pars., Daniel
N110
21:00
DO. -GO
0.000
3.000
Standard
3.000
.28.330
84.99
1111812.024 k $0640 Pearl, Daniel.
M110
00.00
06:00
0.000
6. o00
standard
6.000
.29.3.30
169.98
1111.812024 L r.* 80567 Gutierrez, +Omr
1110
21:00
00:00
0.000
3.000
Standard
3.000
28.330
84.99
11/1912024 Lock 80567 Gutierr s Om&r
M110
00.00
06:00
D. 000
6.000
St- aAdaxd
6.000
2.8.3'30
169.98
.11/1912024 Locus 80567 Gatle=ez, Omar
Milo
21:00
00:00
0.000
3.01]0
Standard.
3.000
28.330
84.99
1.1/20/2024 Irk 8056? Gutierrez, Omar
M110
0000
06:00
0.000
6.000
Standard
9.000
28_330
1.69.98
21/2012024 Lock 00567 Gutierrez, Omar
141.1O
21 -00
00-00
0.000
3-000
Standard
3.000
29..330
84.99
11/21/2024 LoCk 00567 GUtiertezt OMB'
U110
00:00
06:00
0.000
6.000
Standard
6.000
24.330
169.98
11/2112024 .bock 80S67 Gutie=ezr 0malf
M110
21-100
Ott 9-00
0.000
3.000
St=.ndard
3,000
28.330
81.99
11/2212024 Lock 80567 Gutierrez, O r
N11.0
00-00
06-WOO
0..000
6.000
Standaxd.
6.000
29.330
169.98
21122/2024 Lock 80640 Pearl, Daniel
M110
21:00
0Oz00
0.000
3.000
Staudaxd
3.000
28.330
84.99
11./2312024 Lock 60640 Pearls Daniel
M110
00 s 00
06:00
O. 000
6,000
Staolard.
6.000
28.330
169.98
11/2312024 X4ck 80640 Pearl, D=iel
M1.10
21400
00:00
0.000
2.000
Surd
3,000
29.330
84.99
21/24/2024 LoCk 80640 Pearl,, Daniel
MILL
00:00
06:00
0.000
6.000
d
6.000
28.330
1.69..98
bi' 190010 c9400
Parker Crate, Services
Page: 49
ehristin
�i�sslCe=a��[��a=�==.a.a���as�-�`�c�nrsraaaa�;� _-_ ��-s�aess��z
Billing Summary (ZWtailed)
��� �� gs aaa�a= �*��Qa+prt��aa a=F�1 i2� a29O $'d Cb Qv�aaag��asa-ncn
�a g�est�a�a
s�aoa�
�a Qo�oo ��ss�t
�saa�ssfz�
12/0412024 08:48
g� Gxaksasaoac�a� � a � ss
ice-- r Ar'i -.w'w 4rW =i Wow
CustG . 3306 �Ci-ty O Sea Lake
Aril..-rra-r-r+:#4lS'Yip•�i rr r���ilsr�rsrrfew
Site: I Sleep Center
rsi.. ����fas.Iww4o!i
w�rr gar
WiwQI#
�i«ws11�Wi!#riAi
Status=
Wif'P#r•wW.f,T#i
��is�-rf��r:�����Tr��s-e-ar-
A Bill Cycle.PSWE
�f l+wi+r
f.iaf �ailaiif
r aA
iiii
wiiiigariTi!
f iiii#iiiwi W�+a+�a��i+.ri�Y•rlf++T++�f fia ��1�'�w�!r#
Date 'tat SnPIs
w'e�wfis rim �¢i4 TA#.� Aa
Dept In
•a 00-
out
Mrr
Break
Total Type
Asue.+a+-----
HS
Rate
Twrft
A==t
ft .*
iii �f Oir iii tr Mft NMIWM m .&
11/24/2024 Lock 410640 Pearl.. Biel
`-Waa--4#i.riyi.r-T+T+w-T---
M110
21. z 00
.WT
00: 00
0.000
3.000
Standard
3 _ 000
28.330
04.99
M'1125/2024 k 80640 Pearl, D=iel
MI'10
00: 00
06% 00
0.000
6.000
Simard
6.000
28.330
263.99
11/2512024 lock 805V Gutierrez, Omar
MID
11:00
00:00
0.000
3.000
Standard
3.0100
28.330
84.199
'11.12612424 ZoCk 80567 Gutierrez, Omar
M110
00:00
06:00
0.000
6.000
Standard
6.000
28'*330
2-69.98
11f2612024 LQck 90567 Gutierrez, Omar
M110
21000
00:00
0.000
3.000
Standard
3.000
28.330
84.99
11 /2712024 Lock 00567 GUt.ierreZ# Omar
M110
00+OO
06:00
0.000
6.000
StaZdard
6.000
28.330
269.98
11/27/2024 irk 80567 Gutierrez, Omar
M110
2100
M00
0.000
3.000
Sta=lard
3.000
28.330
04.99
k 80567 Omar
� MID
00 too
0�0y
0.000
6.000
S4trat�
6.0�0y0
4+2� .495
2� S44.97
y11/281xv24 �Gu�tierrez,
1112'8/2024 1�k 80597 Gutierrez,. Omar
M110
21t ®0
y06s
1f0: 00
0.000
3.000
Stat
3.000
42.495
22 ! .49
227.49
1.+I� /2� 9./J2 02�4 80567 GUtie.--- . O atr'
�M1+1y 1p0�
0 0 : 00
06 t 0
0.000
6.000
Standard
6.000
2.8.3y 30
269.98
�LoCk
11/29l+2yy4�+2�4� Daniel
L-M 10
y0
i/��Q:f00
0�./�i��00
�y
3►��yi00
St !
3,.0J00
99
+d�.l�Vck �0.0��6►40 Pearls, lal
30 2024 d cck Pearls,
M110
j2�/1�:0/0��
00:00
a6zoo
.�Sri00
Standard
+2�8,.�33j0�
y84y
269.98
{11 (80640
+l��i',LL
11/301`r024 Lock. 80640 Pearls, Daniel
M110
21:00
00-000
pL�.000
0.000
++6�
3.000
Stud
�6y.000
1.000
+28.330
28.330
84.99
4�
.ww
Ab r r'!•
270.750
M1Ywiiii ww M.M.
7.79 JI.04
All i% AIW=t
#
A .If'i sin ai riiir iy*�� Yii rfii•i'i a+T'T yT!'�#
sta=uw . 261.750 7o415.38
t3T 0.000 0.0+0
DOr 0.000 0.00
Stat 9.000 382.46
Unbill 0 _ 000 0.00
Other 0.000 0.00
270. 750 7,797.84
,
Anowances 0.00
Total with Allowances 7s797.84
LA
LNJ n
uasP.
its I a
r o- 3V t
g=16f'xl
LEARN NORE All
LOWS HONE LEVERS, ac
l AAA VONEZAYA BLVD.
Mi'415 LAKE, 14108817 (509'# 764-2606)
— S A L: E- —
SKESO: Si."9501,E 4093561 TRAW: 2.36419131 11 -20 24
1383 PROPANE do [Am Exclo -
2 @ 67.98
10W.-A6 WN bkjjj1/02-3/4 1
1.98 DISCOUNT EACH -0.40
stiliffil'AL: '143-54
TOTAL TAX: 12.20
KE 1169a WAL: pk 15
U A 155-74
T 04 A[ S"AVINM THIS MP: $0.40
"k: XXXXXXXXXXXX6695 hHOW: 155.74 Affkb: 00135o
WO'D RIF 10 "116960 11 /90!14 04: JO: 42
ACCOUNT NAME.' CITY OF M %i LAKE
Alffll BUYER: EMPLOYEE ANY
Q
P7141
C011tif . 8[ AL it:
f)ilft r0ft SIAX NER111hNOTSE AND NO Lorut tHAN W DAYS
F
ffiatl I'lifiliSACTION DATE Fuh SOS OR offfcf DEW ERE
HERCHAND ISE,
RNINAL', 02 44120/24 09:30.,511
"r-1 11OES FEES. SERUICES AND SPECIAL WA 10S
THANK YOU FOR sliopploo LOYE 's,
HUI( Dir-Ifirt-$ oil odil WURN POLICY, VISIT
OR11JEN COPY OF THE RVURN POLICY IS IWA[LAM
At' 011R COWMER WIVICE DESK
HY LOW E'S HEU00S CRE011' ChHDHOLDERS fff
FOR DETAILS VISIT
SHARE YOUR FEED811C
INTEL11 FOR A CHANCE fo DE
(ft OF FIVE $500 VINNERS DRAYN MONfill-wis'
0W EN Et. SOATE0 MENSUAL,
I UNO (if LOS CINCO 0ANA001IFS VE sago
EVER BY CONPLE11140 A SHORT1 80ay
U I fl f1W ONE UEEK AT*, wwu J aties. cuo/sIry ay
Y 0 U R 1 1) 0116982 295fi43 2-56962
Packing List CUSTOMER
®R LLC,
MAIN OFFICE: (509) 535-7794
4003 E BROADWAY, SPOKANE, WA
WWV4OX3rC.COM
BEND, OR BOISE, 10 COEUR d'ALENF- ID COLVILLE. WA
389-2033 (2081376-0377 (208) 765-3311, (ffM9 684-3776
Oxarc LLC. ELLENSBURG,WA HERMISTON, OR LAGRANDE, OR LEWISTON, ID
0 o0q) 925-1518 (541) 567-7,377 (541) %3-28M 1208) 743-6-57
L 1500 E Wheeler Road MOSES LAKE, WA NAMM ID OKANOGANt VIA PASCO.WA
D (509,176,5-9247 (20e)442-8910 (509) 626-3205 009) -347-2494 3295906606
Moses Lake WA 98837
POTLN, OR SNPOINT,10 SPRNGFIELD,WA SUNNYSIDEVWAB 5-6597
y Customer 65482
THE DALLES, On WALLA WALLA, WA WENATCHEE,WA YAKIMA,WA
11 5 4 1) 2 9 (0912 (509f 52a-3060 662-B-1 I, pwj 246-0827
FS Order 0012591867-01
H CITY OF MOSES LAKE ----
1 11789 ROAD 4 NE Order Date . i
P 10/21/24
T NOSES LAKE WA 98837 Page
001 OF 001
Name Ci-TY OF MOSE11 LAKE _Territory 'Ship Via
i A
OSOUTH�-VILL CALL N-0)NEE- Initials
r 1-- 1 DP
-W " ' I Other Zone CIO 'UPS Zone
Rel# Phone500-764-3731) Salesperson 10, 0 0 1
2 0 Order Type rHRG-Br
P/0 # &-`3LE-7tjP-W Cql-1 FkER Branch 01101011 Terms PREPAID 2 10 Datefrime 2 5 -NOV- 2 5 P'rl
Route
4- 0-1.
Status Ship Date Username
ahns
QTY LINE H 1 ID DESCRIPTION ITEM CITY TATTATBIN %TEIGHT I UNIT EXTENDED SHIPPEQ ;UOM M
NUMBER HAZARD CLASS NO� NUMBER ORDERED: AMOUNT
7 LOC AMOUNT
Location:
480 TK HEkT1f1A:x,, HOTEAlIDS 12 HA`01) ER 1- NSF 1E - 2 4810 0 S RC33 0
0. 0 0 'T
40/BX (2401"(2S)
FGC _'f G C 3 0 43 3
------------------------------ -------------------------
PO
1`) TQ KIS1.) RE FOR BULK 0Ic 6 INTB
S�bt 0, ta'
C'ILX 8. �j
total Saiz, 0 4. 5 6
Sul q- s
6
ftwol
NOTICEmOlp- IT IS THE RESPONS1181LITY OF THE PERSON SIGNING THIS FORM TO MAKE SURE THAT THE CYLINDER TRANSACTION SHOWN ABOVE IS CORRECT,
THIS" IS TO GERIFY THAT THE HEREIN NAMED NtATERIALS ARE PROPERLY CLASSIFIED, DESCRIBED. PACKAGED, MARKED AND LABELED. AND ARE -CONDMON FOR TRANSPOR TATION ACCORNNIG TO THE APPLICABLE REGULATIONS OF THE DEPA RTIARIT OF rRANSPOR Tr T!01 1.
CYLINDER V5PRtPICATIO -BY—
PULEED BY FILLED F3Y
CUSTOMER
A[149�oices are payable in 30 days from the date the goodsa're delivered or the services are rendered. Late charges of 1.75% FOR CHEMICAL EMERGENCY, SPILL. LEAK, FIRE,
I M PO RTANT pe�monthora minimumof $2.00 will beadded toall accounts not paid on the due date. PLEASE READ CAREFULLYTHE TERMS EXPOSURE OR ACCIDENT CALL CHEMTREC-DAY OR NIGHT
AND CONDITIONS, INCLUDING THE WARRANTY DISCLAIMER. WHICH APPEAR ON THE REVERSE SIDE. THEY ARE PART OF THIS INVOICE, - -------- 800-424-9300 9(703) 741-5000 FOR INM
606 Mest 3rd Ave-i
Ellensburg, WA 98926
Phone* 509-925-1448
Fax: 509-925-1.2-04
lCity of Moses Lake
401 S Balsam Street
Moses Lake, WA 98837
1 1
606 West 3rd Ave. Ellensburg, INA 98926 - P.O. Bo-x 680 - Phone (509) 925-1448 , Fax (509) 92S-1204
110 Pennsylvania Ave, Clc-->; Elurn, WA 918932 Phone (--' )09) 674-2375 -- Fax (504)' 674-5187
HOPESOURCE
Expanded General Ledger - BL- Sleep Center - Unposted Transactions Included In Report
652202310 - Sleep Center Operations-M L
From 11 /1 /2024 Through 11 /30/2024
Sub
GL
Divisi...
division
Code
GL Title
Session ID
Code
Division Title
Code
Debit
7000
Salaries & Wages
100
Administration
99999
0.00
7000
Salaries & Wages
JVA1662
100
Administration
99999
1,441.50
7100
FICA & Medicare
JVA1662
100
Administration
99999
126.76
Expense
7101
Employee Tax
JVA1662
100
Administration
99999
324.05
7105
Health Benefits
JVA1662
100
Administration
99999
285.15
7107
L & I tax expense
JVA1662
100
Administration
99999
12.80
7108
Other Benefits
JVA1662
100
Administration
99999
4.54
8010
Professional Fees
JVA1662
100
Administration
99999
185.91
8100
Office Supplies
JVA1662
100
Administration
99999
16.01
8200
Communication
JVA1662
100
Administration
99999
28.70
Expense
8350
Dues &
JVA1662
100
Administration
99999
42.88
Subscriptions
8400
Rent - Space
JVA1662
100
Administration
99999
53.24
Lower County
8405
Utilities - Ellensburg
JVA1662
100
Administration
99999
23.81
8420
Repairs &
JVA1662
100
Administration
99999
49.36
Maintenance -
General
8450
Insurance Expense
JVA1662
100
Administration
99999
64.75
8500
Asset/Equipment
JVA1662
100
Administration
99999
15.87
Purchase
8610
Educational
JVA1662
100
Administration
99999
3.81
Materials
8650
Photocopy Expense
JVA1662
100
Administration
99999
2.01
8660
Printing &
JVA1662
100
Administration
99999
2.84
Publications
Date: 12/12/24
03:36.03 PM
0V)eVCA\ y-t, cSviS
Effective
Credit Date
Transaction Description
Opening Balance
11/30/2024
Allocated line for Admin
Allocation
11/30/2024
Allocated line for Admin
Allocation
11/30/2024
Allocated line for Admin
Allocation
11/30/2024
Allocated line for Admin
Allocation
11/30/2024
Allocated line for Admin
Allocation
11/30/2024
Allocated line for Admin
Allocation
11/30/2024
Allocated line for Admin
Allocation
11/30/2024
Allocated line for Admin
Allocation
11/30/2024
Allocated line for Admin
Allocation
11/30/2024
Allocated line for Admin
Allocation
11/30/2024
Allocated line for Admin
Allocation
11/30/2024
Allocated line for Admin
Allocation
11/30/2024
Allocated line for Admin
Allocation
11/30/2024
Allocated line for Admin
Allocation
11/30/2024
Allocated line for Admin
Allocation
11/30/2024
Allocated line for Admin
Allocation
11/30/2024
Allocated line for Admin
Allocation
11/30/2024
Allocated line for Admin
Allocation
Page: 1
HOPESOURCE
Expanded General Ledger - BL- Sleep Center - Unposted Transactions Included In Report
652202310 - Sleep Center Operations-M L
From 11 /1 /2024 Through 11/30/2024
Sub
GL
Divisi...
division
Effective
Code
GL Title
Session ID
Code
Division Title
Code
Debit Credit
Date
Transaction Description
8700
Travel Expense
JVA1662
100
Administration
99999
75.89
11/30/2024
Allocated line for Admin
Allocation
8705
Conference Fees
JVA1662
100
Administration
99999
11.84
11/30/2024
Allocated line for Admin
Allocation
8710
Meeting Exp
JVA1662
100
Administration
99999
36.07
11/30/2024
Allocated line for Admin
Allocation
8711
Training &
JVA1662
100
Administration
99999
8.67
11/30/2024
Allocated line for Admin
Technical
Allocation
Assistance
8805
Vehicle Gas & Oil
JVA1662
100
Administration
99999
18.38
11/30/2024
Allocated line for Admin
Allocation
8992
Bank Fee
JVA1662
100
Administration
99999
0.68
11/30/2024
Allocated line for Admin
Allocation
8997
Depreciation
JVA1662
100
Administration
99999
131.36
11/30/2024
Allocated line for Admin
Expenses
Allocation
2,966.88 0.00
Transaction Total
Balan ..
Administration
2,966.88
100
7000
Salaries & Wages
612001
Personnel
99999
0.00
Opening Balance
7000
Salaries & Wages
CDSPRO1545
612001
Personnel
99999
9,002.37 1,189.38
11/15/2024
Payroll Nov 1-15, 2024
7000
Salaries & Wages
CDSPR01546
612001
Personnel
99999
598.84
11/15/2024
Payroll Nov 1-15, 2024
7000
Salaries & Wages
CDSPRO1548
612001
Personnel
99999
10,218.92 1,351.64
11/30/2024
Payroll Nov 16-30, 2024
7000
Salaries & Wages
CDSPRO1549
612001
Personnel
99999
586.88
11/30/2024
Payroll Nov 16-30, 2024
7000
Salaries & Wages
CDSPRO1551
612001
Personnel
99999
340.37
11/30/2024
Accrued Vacation Nov 2024
7000
Salaries & Wages
CDSPRO1552
612001
Personnel
99999
62.60
11/30/2024
Accrued Vacation Nov 2024
7100
FICA & Medicare
CDSPR01545
612001
Personnel
99999
706.21
11/15/2024
Payroll Nov 1-15, 2024
Expense
7100
FICA & Medicare
CDSPR01546
612001
Personnel
99999
56.73
11/15/2024
Payroll Nov 1-15, 2024
Expense
7100
FICA & Medicare
CDSPR01548
612001
Personnel
99999
801.21
11/30/2024
Payroll Nov 16-30, 2024
Expense
7100
FICA & Medicare
CDSPR01549
612001
Personnel
99999
55.45
11/30/2024
Payroll Nov 16-30, 2024
Expense
7101
Employee Tax
CDSPR01545
612001
Personnel
99999
1,189.38
11/15/2024
Payroll Nov 1-15, 2024
7101
Employee Tax
CDSPR01546
612001
Personnel
99999
131.60
11/15/2024
Payroll Nov 1-15, 2024
Date: 12/12/24
03:36:03 PM
Page: 2
HOPESOURCE
Expanded General Ledger - BL- Sleep Center - Unposted Transactions Included In Report
652202310 - Sleep Center Operations-M L
From 11 /1 /2024 Through 11/30/2024
Sub
GL
Code
GL Title
Session ID
Divisi...
Code
Division Title
division
Code
Debit Credit
Effective
Date
Transaction Description
7101
Employee Tax
CDSPR01548
612001
Personnel
99999
1,351.64
11/30/2024
Payroll Nov 16-30, 2024
7101
Employee Tax
CDSPR01549
612001
Personnel
99999
127.43
11/30/2024
Payroll Nov 16-30, 2024
7105
Health Benefits
CDSPR01545
612001
Personnel
99999
811.28
11/15/2024
Payroll Nov 1-15, 2024
7105
Health Benefits
CDSPR01546
612001
Personnel
99999
158.68
11/15/2024
Payroll Nov 1-15, 2024
7105
Health Benefits
CDSPR01548
612001
Personnel
99999
773.92
11/30/2024
Payroll Nov 16-30, 2024
7105
Health Benefits
CDSPR01549
612001
Personnel
99999
168.45
11/30/2024
Payroll Nov 16-30, 2024
7107
L & I tax expense
CDSPRO1545
612001
Personnel
99999
130.15
11/15/2024
Payroll Nov 1-15, 2024
7107
L & I tax expense
CDSPRO1546
612001
Personnel
99999
7.65
11/15/2024
Payroll Nov 1-15, 2024
7107
L & I tax expense
CDSPRO1548
612001
Personnel
99999
125.21
11/30/2024
Payroll Nov 16-30, 2024
7107
L & I tax expense
CDSPRO1549
612001
Personnel
99999
6.53
11/30/2024
Payroll Nov 16-30, 2024
7108
Other Benefits
CDSPRO1545
612001
Personnel
99999
3.87
11/15/2024
Payroll Nov 1-15, 2024
7108
Other Benefits
CDSPRO1546
612001
Personnel
99999
0.57
11/15/2024
Payroll Nov 1-15, 2024
7108
Other Benefits
CDSPRO1548
612001
Personnel
99999
3.63
11/30/2024
Payroll Nov 16-30, 2024
7108
Other Benefits
CDSPR01549
612001
Personnel
99999
0.57
11/30/2024
Payroll Nov 16-30, 2024
27,420.14 2,541.02
Transaction Total
Balan...
Personnel
(:]
24,879.12
612001
8200
Communication
613
Program Operations
99999
0.00
Opening Balance
Expense
8200
Communication
AP1054014
613
Program Operations
99999
57.95
11/29/2024
Sleep Center, Internet
Expense
Charges, 11/17/24-12/16/24
8200
Communication
AP1054088
613
Program Operations
99999
78.83
11/16/2024
Wireless expense - Sleep
Expense
Center
8510
Program supplies
AP1053899
613
Program Operations
99999
43.40
11 /1 /2024
Resource hours -Sleep
and tools
Center- Coffee -
October22,2024
8510
Program supplies
AP1053901
613
Program Operations
99999
629.50
11/6/2024
MLGO-Water-cleaning
and tools
supplies - sleep center - Oct
2024
8510
Program supplies
AP1053985
613
Program Operations
99999
1,179.34
11 /5/2024
Costco - SC Supplies - Nov
and tools
2024
8510
Program supplies
AP1053985
613
Program Operations
99999
244.02
11 /5/2024
Costco - SC Supplies- Nov
and tools
2024
Date: 12/12/24 03:36:03 PM Page: 3
GL
Code G L Title
8700 Travel Expense
8700 Travel Expense
HOPESOURCE
Expanded General Ledger - BL- Sleep Center - Unposted Transactions Included In Reporl
652202310 - Sleep Center Operations-M L
From 11/1/2024 Through 11/30/2024
Sub
Divisi... division
Session ID
Code
Division Title
Code
AP1053830
613
Program Operations
99999
AP1053936
613
Program Operations
99999
Balan..
Program Operations
613
7108
Other Benefits
613001
Program Support -
99999
Pool
7108
Other Benefits
AP1054082
613001
Program Support -
99999
Pool
7108
Other Benefits
AP1054082
613001
Program Support -
99999
Pool
8010
Professional Fees
AP1053407
613001
Program Support -
99999
Pool
8010
Professional Fees
AP1053496
613001
Program Support -
99999
Pool
8010
Professional Fees
AP1053712
613001
Program Support -
99999
Pool
8010
Professional Fees
AP1053712
613001
Program Support -
99999
Pool
8010
Professional Fees
AP1053758
613001
Program Support -
99999
Pool
8010
Professional Fees
AP1053813
613001
Program Support -
99999
Pool
8010 Professional Fees AP1054027 613001 Program Support - 99999
Pool
Date: 12/12/24 03:36:03 PM
47.17
94.34
2,374.55
2,374.55
0.00
4.15
3.90
290.82
180.54
261.09
162.08
24.39
59.87
5.26
Effective
Date Transaction Description
11/20/2024 Travel Reimb, New Employee
Orientation, Ellensburg,
11 /4/24
11/25/2024 DaNielle Miskelly, Travel
Reimb, New Employee
Orientation, Ellensburg,
11 /12/24
0.00 Transaction Total
Opening Balance
11/1/2024
First Choice Health EAR Nov
2024
11/1/2024
First Choice Health EAR Oct
2024
11/1/2024
IT Support & Backup Service
& Email Security, (Inv
#732-425222), Nov 2024
11/1/2024
Standard Security Services,
(Inv #732-425221), Nov 2024
290.82 11/1/2024
IT Support & Backup Service
& Email Security, (Inv
#732-425222), Nov 2024
180.54 11/1/2024
Standard Security Services,
(Inv #732-425221), Nov 2024
11/13/2024
ML Office, Security Services,
11 /25/24-12/24/24
11/12/2024
Microsoft Office 365,
Business Premium -
Nonprofit, (Inv #732-426350)
Oct 2024
11/29/2024
Depot, Shredding Services,
(Inv #JYKJ840),
10/23/24-11 /25/24
Page: 4
GL
Code
GL Title
Session ID
8010
Professional Fees
AP1054027
8010
Professional Fees
AP1054048
8100
Office Supplies
AP1053911
8100
Office Supplies
AP1053911
8200
Communication
AP1053821
Expense
8200
Communication
AP1053821
Expense
8200
Communication
AP1054019
Expense
8200
Communication
AP1054088
Expense
8350
Dues &
AP1053780
Subscriptions
8350
Dues &
AP1053888
Subscriptions
8350
Dues &
AP1053888
Subscriptions
8350
Dues &
AP1053888
Subscriptions
8405
Utilities - Ellensburg
AP1053754
8405
Utilities - Ellensburg
AP1053927
8405
Utilities - Ellensburg
AP1053927
8405
Utilities - Ellensburg
AP1054072
HOPESOURCE
Expanded General Ledger - BL- Sleep Center - Unposted Transactions Included In Report
652202310 - Sleep Center Operations-ML
From 11/1/2024 Through 11/30/2024
Sub
Divisi...
division
Code
Division Title
Code
613001
Program Support -
99999
Pool
613001
Program Support -
99999
Pool
613001
Program Support -
99999
Pool
613001
Program Support -
99999
Pool
613001
Program Support -
99999
Pool
613001
Program Support -
99999
Pool
613001
Program Support -
99999
Pool
613001
Program Support -
99999
Pool
613001
Program Support -
99999
Pool
613001
Program Support -
99999
Pool
613001
Program Support -
99999
Pool
613001
Program Support -
99999
Pool
613001
Program Support -
99999
Pool
613001
Program Support -
99999
Pool
613001
Program Support -
99999
Pool
613001
Program Support -
99999
Pool
Effective
Debit Credit
Date
Transaction Description
28.73
11/29/2024
Moses Lake, Shredding
Services, (Inv #JYKJ840),
10/23/24-11 /25/24
61.34
11/3/2024
SamePage HR Service:
November 2024 (Inv-0835)
0.20
11/15/2024
Jerrols Business Direct
Invoice # 6251445 (October
2024)
6.00
11/15/2024
Jerrols Business Direct
Invoice # 82486-01
November 2024)
6.07
11/15/2024
Depot, Internet Charges,
11 /16/24-12/15124
1.80
11/15/2024
Depot, Telephone Charges,
11 /16/24-12/15/24
14.67
11/29/2024
Internet Services, ML Office,
11 /l /24-11 /30/24
0.85
11/16/2024
Wireless expense - Intake Vai
11.88
11 /12/2024
Absorb LMS Subscription
(November 2024)
4.28
11/15/2024
Click Up Seat Add - Unlimited
Plan (yearly) 10/25/24 -
10/9/25
2.13
11/15/2024
CUnlimited Plan (yearly)
10/26124 - 10/9/25
2.05
11/15/2024
Unlimited Plan (yearly)
11 /8/24 - 10/9/25
8.39
11/12/2024
Depot Utilities,
10/2/24-11 /5/24
5.47
11/22/2024
WM, Depot, Garbage
Service, 10/1 /24-10/31 /24
4.22
11/22/2024
WM, Depot, Recycling
Service, 10/1 /24-10/31 /24
12.57
11/29/2024
Depot Utilities,
11 /5/24-12/3/24
Date: 12/12/24 03:36:03 PM Page: 5
GL
Code
GL Title
Session ID
8406
Utilities - Upper
AP1053828
County/Offsite
offices
8406
Utilities - Upper
AP1054020
County/Offsite
offices
8420
Repairs &
AP1053787
Maintenance -
General
8420
Repairs &
AP1053841
Maintenance -
General
8420
Repairs &
AP1053924
Maintenance -
General
8420
Repairs &
AP1054024
Maintenance -
General
8420
Repairs &
AP1054029
Maintenance -
General
8420
Repairs &
AP1054061
Maintenance -
General
8450
Insurance Expense
AP1054057
8450
Insurance Expense
AP1054057
8500
Asset/Equipment
AP1053831
Purchase
8500
Asset/Equipment
AP1053905
Purchase
8610
Educational
AP1053801
Materials
HOPESOURCE
Expanded General Ledger - BL- Sleep Center - Unposted Transactions Included In Report
652202310 - Sleep Center Operations-ML
From 11/1/2024 Through 11/30/2024
Sub
Divisi...
division
Code
Division Title
Code
613001
Program Support -
99999
Pool
613001
Program Support -
99999
Pool
613001
Program Support -
99999
Pool
613001
Program Support -
99999
Pool
613001
Program Support -
99999
Pool
613001
Program Support -
99999
Pool
613001
Program Support -
99999
Pool
613001
Program Support -
'99999
Pool
613001
Program Support -
99999
Pool
613001
Program Support -
99999
Pool
613001
Program Support -
99999
Pool
613001
Program Support -
99999
Pool
613001
Program Support -
99999
Pool
Effective
Debit Credit
Date
Transaction Description
16.99
11/12/2024
Grant County PUD, ML Office
Utilities, 9/13/24-10/14/24
27.68
11/29/2024
ML Office, W/S/G Utilities,
(10115/24-11 /15/24)
0.11
11/8/2024
Ace Hardware, Depot, Part
for Toilet Repair, 11/6/2024
97.78
11/15/2024
ML Office, Cleaning Services,
(Inv #2024-2083), Nov 2024
2.21
11/25/2024
Depot, Monthly Pest Control,
(Inv #133367), Nov 2024
45.04
11/29/2024
Depot, Cleaning Service, (Inv
#2956), Nov 2024
0.20
11/29/2024
Depot, Kohler, (Inv#322916),
11 /06/24
12.55
11/29/2024
Snow & Ice Removal, Depot,
(Inv #36209), Nov 2024
613.40
11/1/2024
Liability and Commercial
insurance- Nov 2024- Genera
26.46
11/1/2024
Liability and Commercial
insurance- Nov 2024- ML
5.69 11/19/2024
Canon: Final purchase
payment for 2JG03306 - Nov
2024
31.80
11/19/2024
Canon: Final purchase
payment for 2JG03306 - Nov
2024
36.96
11 /12/2024
Job Postings- Customer Care
Specialist (October 2024)
Date: 12/12/24 03:36:03 PM Page: 6
GL
Code GL Title Session ID
8650 Photocopy Expense AP1053920
8650 Photocopy Expense AP1054013
8650 Photocopy Expense JV003057
8660
Printing &
AP1053803
Publications
8660
Printing &
AP1053803
Publications
8660
Printing &
AP1053897
Publications
8700
Travel Expense
AP1053969
8700 Travel Expense
8805 Vehicle Gas & Oil
8990 Interest Expenses
8997 Depreciation
Expenses
8997 Depreciation
Expenses
AP1054066
JV003060
AP1054055
JV003055
JV003061
HOPESOURCE
Expanded General Ledger - BL- Sleep Center - Unposted Transactions Included In Reporl
652202310 - Sleep Center Operations-M L
From 11 /1 /2024 Through 11 /30/2024
Sub
Divisi...
divisi
Code
Division Title
Code
613001
Program Support -
99999
Pool
613001
Program Support -
99999
Pool
613001
Program Support -
99999
Pool
613001
Program Support -
99999
Pool
613001
Program Support -
99999
Pool
613001
Program Support -
99999
Pool
613001
Program Support -
99999
Pool
613001 Program Support - 99999
Pool
613001
Program Support -
99999
Pool
613001
Program Support -
99999
Pool
613001
Program Support -
99999
Pool
613001
Program Support -
99999
Pool
Balan(;;ram
Support -
61300
on
Effective
Date Transaction Description
0.98
11/25/2024
Printer Usage & Maint, ML
(#35A47197)
10/24/24-11 /23/24
0.68
11/29/2024
Printer Usage & Maint, ML
(#2WU09760),
11 /1 /24-11 /30/24
0.47
11 /1 /2024
Copier allocation - Nov 2024
3.28
11 /13/2024
General Brochures (October
2024)
2.08
11/13/2024
Kittitas Office Banner
(October 2024)
4.43
11/14/2024
2 Standing Display Signs -
Oct 2024
11.39
11/29/2024
Hotel Stay- Britt- Board
retreat and EM2 meeting
attendance for WPC planning
- 10/21- 10/23/2024
16.69
11/29/2024
Britt Smith, Travel Reimb,
Board Retreat & EM2
Meeting, Ellensburg,
10/21 /24-10/23/24
41.91
11/29/2024
Vehicle Mileage Allocation -
Nov 2024
177.12
11 /25/2024
Loan Statement for Moses
Lake Office - Nov 2024
216.09
11 /1 /2024
Depot Depreciation - Nov
2024
343.09
11/29/2024
Depreciation Nov 2024 - ML
office
2,892.14
477.05 Transaction Total
2,415.09
Date: 12/12/24 03,36:03 PM Page: 7
HOPESOURCE
Expanded General Ledger - BL- Sleep Center - Unposted Transactions Included In Report
652202310 - Sleep Center Operations-M L
From 11/1/2024 Through 11/30/2024 .
Sub
GL Divisi... division Effective
Code GL Title Session ID Code Division Title Code Debit Credit Date
Balance 652202310 -
Sleep Center
Operations-ML
32,635.64
Report 0.00 0.00
Opening/Current
Balance
Report Transaction 35,653.71 3,018.07
Totals
Report Current 35,653.71 3,018.07
Balances
Report Difference 32,635.64
Transaction Description
Date: 12/12/24 03:36:03 PM Page: 8