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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: Karrl@ Stockton CONTACT PERSON ATTENDING ROUNDTABLE: Kaffl2 Stockton CONFIDENTIAL INFORMATION: ❑YES ® NO DATE: 1 /2'4'/2025 PHONE:2937 bug m2all P-1 PER M ❑Agreement / Contract ❑AP Vouchers ❑Appointment / Reappointment ❑ARPA Related ❑ Bids / RFPs / Quotes Award ❑ Bid Opening Scheduled ❑ Boards / Committees ❑ Budget ❑Computer Related ❑County Code El 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 WE! W Reimbursement request from Opportunities Industrialization Center (01C) on the Community Development Block Grant (CDBG) No. 20-6221 C-1 11 in the amount of $43,478.90 for services in January 2024-April 2024. If necessary, was this document reviewed by accounting? ❑ YES DATE OF ACTION: APPROVE: DENIED ABSTAIN D2: D3: 4/23/24 ❑NO *N/A DEFERRED OR CONTINUED TO: WITHDRAWN: W N/A DEPARTMENT OF COMMERCE 10 11 P ; € S IT eer SE - F0 Box 4?-525 & Olympvar Was hirgfur 5 p25 11) 7 0100 Form 19-1A VOUCHER DISTRIBUTION AGENCY Short Code Commerce Contract Number NUMBER CMS Invoice ID: DEPARMENT OF 1030 20-6221C-111 412810 COMMERCE VENDOR OR CLAIMANT (Warrant payable to:) INSTRUCTION TO VENDOR OR CLAIMANT: Grant County DBA BOARD OF COMMISSIONERS Submit this form to claim payment for materials, merchandise or 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 of the entity identified in the Vendor/Claimant section. The individual signing below certifies under penalty of perjury that the items and totals listed herein are 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 discrimination because of age, sex, marital status, race, creed, color, Karrie Stockton -------- ------------------------- = - - -- ------------ti --------------v------------- (Vendor Contact Person) (509) 754-2011 �--H--------- -- ---- ---- - - - ---- (Vendor Contact Phone) kstockton@qrantcountywa.gov (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) 1 /21 /2025 11:32:10 AM 01 /01 /24 - 01 /31 /24 (SUBMITTED BY) (SUBMIT DATE) (REPORT PERIOD) DESCRIPTION BUDGET REQUESTED EXPENDED TO AMOUNT THIS AWARD AMOUNT DATE INVOICE REMAINING Contract Total $929,365.00 $6,977.81 $645,434.49 $.00 $283,930.51 Non - Match Total: $92%365.00 $6,977.81 $645,434.49 $.00 $283,930.51 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 REV MASTER SUB SUB MG MS GL ACCT SUB AMOUNT PROGRAM CODE CODE INDEX OBJ SUB SID INDEX OBJ 622CO320 NZ 6221 C READY to BATCH PREPARER DATE WARRANT TOTAL CREATED BY Karrie Stockton (Kstockton2) DATE 1 /21 /2025 11:28:33 AM Form 19-1A VOUCHER DISTRIBUTION AGENCY NUMBER Short Code Commerce Contract Number CMS Invoice ID: DEPARMENT OF 1030 20-6221 C-111 412810 COMMERCE 0 All Expenses under $1,000 Paid by UBI Paid by Organization Name Paid to Contractor Paid to UBI Paid to Organization Name Paid to Or9 Type Expense Type Amount Type Subcontractor Total Sub Subcontractor Total A19 VOUCHER FORM Voucher #8 STA7�•aA WASHINGTON STATE C DEPARTMENT OF COMMERCE AGENCY NUMBER IDIS PROJECT NUMBER COMMERCE CONTRACT NUMBER A19 VOUCHER DISTRIBUTION 1030 107 20-6221 C-111 AGENCY NAME INSTRUCTION DEPARTMENT OF COMMERCE ATTN: CDBG-CV PO BOX 42525 OLYMPIA, WA 98504-2525 TO VENDOR OR CLAIMANT: Submit this form to claim payment for materials, merchandise or services. Vendor's Certificate: I hereby certify under perjury that the items and totals listed herein are 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 discrimination because of age, sex, marital status, race, creed, color, national origin, handicap, religion or Vietnam era or disabled veterans status. VENDOR OR CLAIMANT (Warrant is to be payable to:) GRANT COUNTY PO BOX 37 By: vav"rofi"ktaft (SIGN IN BLUE INK) REPORTING PERIOD: Jan-24 (TITLE) (DATE) IDIS Activity ID %��%����% DESCRIPTION ORIGINAL BUDGET PRIOR AMOUNT REQUESTED AMOUNT THIS INVOICE REMAINING BALANCE Add or delete budget line items as needed. Includes CV9 and CV2 as applicable. 8310 21A General Admin (Grant County Expenses Only) $ 22,190.00 $ 1,917.94 $ 20,272.06 8311 05Q Public Services Admin. Budget (OIC) $ 96,367.84 $ 78,901.85 $ 29453.99 $ 15,012.00 8311 05Q PS -Subsistence Payments (rent, mortage,utility) (CC) $ 175,000.00 $ 125,693.99 $ 49,306.01 8312 05X PS- Housing Counseling and Admin. Budget (OIC) $ 110,715.59 $ 54,229.25 $ 4,523.82 $ 519962.52 8313 18C - Microenterprise Assistance Admin. (OIC) $ 126,034.57 $ 100,211.80 $ 257822.77 8313 18C - Microenterprise Financial Assistance. (OIC) $ 50,000.00 $ 25,697.02 $ 24,302.98 8313 18C - Microenterprise Training (0IC) $ 12,000.00 $ - $ 12,000.00 8706 050 - Urgent Need- Mental Health -General Public (Grant Co. $ 304,900.00 $ 226,625.67 $ 789274.33 8706 050 - Urgent Need- Mental Health -Tele-Health (Grant Co.) $ 32,157.00 $ 32,157.00 $ - 8706 050 - Urgent Need- Mental Health -County Jail (Grant Co.) $ - $ - $ - Balances $ 9299365.00 $ 645,434.52 $ 6,977.81 $ 276,952.67 BELOW THIS LINE IS FOR DEPTARTMENT OF COMMERCE TRANS CODE M 0 D MASTER INDEX SUB OBJ SUB SUB OBJ GLi��i,% ACCT SUBSID AMOUNT INVOICE NUMBER CI 622CO320 NZ SIGNATURE OF ACCOUNTING PREPARER FOR PAYMENT DATE WARRANT TOTAL CMS Invoice ID: s � ��/- �� /�f ACCOUNTING APPROVAL FOR PAYMENT DATE Al 9 VOUCHER FORM Voucher#8 WASHINGTON STATE DEPARTMENT OF COMMERCE AGENCY NUMBER 3, . a r IDIS PRO.IEtT (NUMBER ���� � COMMERCE CgNl'RACT NUMBER T, --- . . . . . .... ----- V ------ A19 VIO UCHER DISTRIBUTION --------- . 1030 107 20-6221 C-1 11 R _ IN ST hlpVENDOR ORCLAINIAiT..",- DEPARTNI ENT OF COMNIERCE Submit this form to claim payment for materials, merchandise or services, ATTN: CDBG-CV ---------------------- Vendor's Certificate; I hereby certify under perjury that the items and totals listed herein are PO BOX 42525 01,YMP1A, 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 discrimination because of age, sex, marital status, race, creed, color, national origin, handicap, religion or Vietnam era or disabled veterans status. VENDOR �:�i N OR CLAIMW., P-h-, x."Yaw ti � �-7, - -- ------ -- -- -- --- GRANT COUNTY PO BOX 37 - (SIGN IN BLUE INK) EPHRATA, WA 98823-0037 -Wit % k2� 'k � R REPORTING Jan-24 (TITLE) {MATE) -Ni �n 5,,REMAINING --- -------------- VAL:, 1-4-FRIOK A N ------ ------------ ' .. .... . . . . . . . . fed 41� 3 06-IT ft Z;11` .. ..... 8310 0 iY C 'Y 2x. -f:�7p-- 777,-37-f7 Fv 7p,. zlm lit ----- 1-846 - 43 5 --------- ------- ---- ,3 8311 M; M d k 7- g .0 M 81,901'.&1 ----S. --- - 00; 831. Vrg 5QFS7-i V1 M: 10 A FEW uh-am 7 11P 2-T 23AW-1m, M ;3 4 34 -,i, r ibr"p 107 A �IKI*4- 193'r 5,1141 42Z Rg,p n ... ..... .. ssis nseA. _U R.4 ti.3 OtRUK I M 118CRMimente =,,r, W& VMS"( L -!v.- 0, q .0, . Ix % �.12c ;j =-Ad ... ........ § 31 It, %irl. r -?MAi7i Y ,*.i W r -k- Sim 12 Q ■00. I'M li, 05U. U I 706!% 1 1611 igm g, -------- ---- -- - ------ - �J Y gar Z.4 -- ----------- - I xg� yy.�.. , .:'. ::4,. .e� ....,e, .. t. ..� .'a�i j� .. . .. . ....... x.� ,ems s'@�•s. '��i7�. F 1*9 1**% Jr — -------- -- ----------- SUB -.0 ag C1 622CO320 NZ ------------------- ---------- ........ - - - - ------------- -------------- SIGNATURE QF OUNTING,PREPARER FOR PAYMEN Jennifer Lewis, Program Manager D ATE�` WARKA14T TOTAL -,-CMInvoice ID: S- ACCOUNTING APPROVAL-Y, PR P�kYMENT.`� ............ ....... DATE Billing Period: Jan-24 Billing Requested Indirect Admin Per Indirect Admin Indirect Admin Variance Category Amount (a) GL (b) Per NICRA (c) indicates Unbilled Amt. (d) 2 1A General Admin (Grant County) $ 05Q PS Admin Admin - Indirect $ 337.39 356.63 5 Admin - Direct $ - Salary $ 1,162.29 Taxes & Benefits $ 589.22 Operations Costs $ 365.09 05Q PS Admin Budget 101C) 05Q Admin & Operations Total $ 2,453.99 05Q PS Subsistence Pyrnts, $ 05Q PS TOTAL $ 2j,4 S-3-99 18C Microenterprise Admin Direct Micro Assistance $ Admin - Indirect $ Admin - Direct $ Salary $ Taxes & Benefits $ Overations Costs $ 18C MICRO TOTAL 05X PS Housing Counseling sup "-- T Admin - Indirect $ 621.95 657.56 621-95 $ Admin - Direct $ Salary $ 21S72,19 Taxes & Benefits $ 1,085.94 Operations Costs $ 243.74 Direct Payments on upper section of Expenditure Report. All Admin and Operations in lower section Direct Payments and technical assistance for beneficiary workshops on upper section of Expenditure Report. All Admin and Operations In lower section Salary, benefits, payroll expenses for direct beneficiary work in upper section of Expenditure Report. Ail other 0.00 admin and operations in lower setion. 05X PS Total $ 41,523.82 jCV1T0TAL $ 6,977.81 $ 1014.19 959.341 ALL CORRECT FUND STATEMENT Total Expenses (a) $ 6o977.81 Reimbursement Received $ - Amount Due Grantee (if Actual Costs are higher than Total Funds Received) 6,977.81 Excess Funds Received (if Total Funds Received is higher than Actual Costs) 1 01C of Washington CDBG CV1 Billing Summary - 500 Grant Period: 10101/2020 - 06/30/2025 Grant Number: Billing Month Program Operations Client Services Admin Billed General Admin (Grant Countv) Total 25% Inclusion on Client Service IDC Base Admin Calculation 20% -- - ----- -------- Admin Calculation: -on- 2021,18.79%; 2022,15.94%; 2023, 20% and 2024,15.94% Admin Variance Indicates Unbilled Admin ---- - -- a b ow--- C --- --ijow - 0 1 d e=(a+b+c+d) e=b'25% F=a+e -- F*20% Jan-21 -------- I -------- 265.54 wM S 6,892M $ 1,098, S ----- - -- -- 8#256.19 $ $ $ $ $ $ $ $ $ $ $ 1,723-00 3,829.82 6,383.27 2,646,97 692.13 1,886.25 1,154.20 AD 1,122.20 2,031.25 3,346.39 239.05 $ 1,988.54 $ 10,543.87 $ 7,625.99 $ 4,739.83 $ 1,218.68 $ 2,432.53 $ 4,249-20 $ 2,490.39 $ 3,698.30 $ 6,329.36 $ 6,530.61 $ 2,529,.91 397.71 $ 2,108.77 1,525.20 947.97 $ 243.74 486.51 849.84 $ 498.08 $ 739.66 $ 1,265.87 $ 1,306.12 $ 505-98 W-1747- . 1,981 $ 1432 $ 990. 6 5 27,8.9., S S 45 5 791. $ -161f 4 694.91 S 1,18E.19 $ 1,227.10 6 S 5 475.1b 725.00: (24.29) (55438) (118-72) (83.27) (4191) (26,19) (51.15) (38,75) (41.75) 589.30 141.16 Feb-21 6,714.05 5 15,319.27 S 1,956.91 _$ 23,990.23 Mar-21 1,242,72$ 25,53106 S878.54 --'---F$---27,654,32 Apr-21 $ 2,092,866 S 10,587.89 76189 13,442-64 May-21 $ 526-55 $ 2,768,50 S 145.72 3,440.77 Jun-21 $ 546,28 $ 7,54439 5 415-16 S 8,506.43 Jul-21 S 3,095.00 $ 4,616.81 772,24 $ 8,484X-5 Aug-21 $ 2,490.39 $ 416.79 $ 2,907*18 Sep-21 $ 2,576.10 $ 4,48831 65616 5 7,721.07 Oct-21 4,298.11 $ 8,125M 1,147-54 $ 13,570.65 Nov-21 3,184g22 $ 13,385,54 S 1.816.40 18,386.16 Dec-21 $ 2,290.86 $ 956.19 $ 616.53 $ 3,863.58 Jan-22 $ 1,151.16 173-13 $ 1,324-29 $ $ $ $ $ $ $ $ $ 750.00 507.51 122,21 - 199.50 255.50 750.00 2,67437 325-25 857.75 $ 1,151.16 $ 2,13033 $ 650.30 $ 2,085.13 2,585.77 $ 214,28 $ 2,327.04 $ 5,553.99 $ 6,668A4 $ 11,736.16 $ 7,897.14 $ 3,77&66 230.23 $ 426.19 $ 130.06 $ 417.03 $ 517.15 42.86 465.41 $ 1,110.80 $ 1,333.69 $ 2,347.23 1,579.43 755.33 $ 18349 $ 33967 103.66 $ 33237 $ 412.17 $ 42.86 $ 370.93 $ 885.31 $ 1,06295 $ 1,87074 $ 1,258.80 $ 602.00 $ 1,10-36) Feb-22 S 1,380.93 S 3,000-00 $ 247.03 $ 4,1627.96 (92,64) Mar-22 $ 142.79 2,030.04 2,172.83 (10166) Apr-22 $ 1,962.92 488-83 91.39 5 2,543.14 S (240-98) May-22 2,58537 $ $ 2,585,77 $ (412J7) Jun-22 $ 214.28 <- 3,813.16 4,027,44 3,770.30 Jul-22 5 2,127.54 S 793-00 $ 61787 $ 3,543.41 24634 Aug-22 $ 5,2198.49 $ 1,022.00 6,320.49 S 1885,31) Sep-22 5,918A4 3,000-00 5 I S 8,918.44 S (3,062.95) Oct-22 5 9,06L39 $ 10,699.08 $ 1-19 a 20,211;66 S (1.419,55) Nov-22 7,571.89 $ 1,301.00 5 608.03 $ 9,480A2 ......... $ (650.77) Oec-22 $ 2,918-91 $ 3,431.00 $ 6,349.91 $ (602.00) Jan-23 $ 6,037.9115 5 635.01 --$ 6,672.92 $ $ $ $ $ $ $ $ $ MOM 1,080,25 - 620.00 1,073.75 3,226.75 - $ 6,037.91 $ 6,195.19 $30,916-31 $ 38,15139 $ 726.71 $ 3,02-179 $ 8,588.25 $ 9,042.16 $ 6,268,92 $ 6,045,90 $ 2,059.24 $ 2,471.33 $ 1,207.58 $ 1,239,04 $ 6,183.26 $ 7,632.28 $ 1,45.34 $ 604.76 $ 1,717,65 $ 1,808.43 $ 1,253.78 $ 1,209.18 $ 411.85 $ 494.27 $ 1,207.58 1,239.04 6,183.26 $ 7,632.28 $ 145.34 604.76 1,717.65 S 1,808.43 $ 1,253.78 S 1,209.18 $ 411.85 $ 494.27 $ (57157) Feb-23 6,195-19 $ 512,989.38 5 19,184457 S 11.750.34 Mar-23 30,566,31 $ 1,400.00 6,113.26 5 38,079t57 $ (70.00) Apr-23 S 38,161,39 S S 7,632.27 $ 45,793166 S (o,m.) 'May-23 726.71 $ S 145 3,a $ 872-05 FS ("0) Jun-23 -- - -------- S 1,943.54 4,321.00 $ 388 71 5,400.00 $ 12,053.2-5 (216-05) Jul-23 8,588.25 $ S 1.717.65 S 10,305.90 S 5 (124,00) Aug-23 8,422,16 $ 2,480.00 1,684.43 I $ 12,586,59 Sep-23 5,195,17 $ 4,295.00 1.039.03 $14,529.20 5 75li Oct-23 8 2,819.15 $ 12,907-00 563.83 $ 16,289.98 5 (645.15) Nov-23 $ 2,059.24 $ - 5 411.85 $ 2,471.09 S 0.00 5 0.00 Dec-23 $ 2,471.33 $ 494-27 $ 2,965.60 Jan-24 Feb-24 5 6,018,47 S 959.34 i $ 64977.81 $ $ $ $ 6,018.47 $ $ $ $ $ $ $ $ $ 1,203.69 $ $ $ $ 959.34 $ S (0100) Mar-24 Apr-24 May-24 Jun-24 Jul-24 Aug-24 :Sep-24 Oct-24 Nov-24 Dec-24 Jan-25 Feb-25 Mar-25 Apr-25 May-25 Jun-25 Billing Total $ 188,"2.01 $ 151,391.Ot $ 61,458-70 3 5.400.00 $ 307,111.72 1 $ 37,847.751 226.709.76 $ 46.341.95 S 42,649.19 8,909-511 E .5,94 15.9. Indirect Admin Per GL Admin Variance Indicates Unbilled Admin $ $ 87&54 $ 761,89 S 14532 $ 415-16 $ 772.24 $ 416.79 $ 656.16 $ 1,147.54 $ 1,816.40 $ 616-53 17.3.13 S 247.03 $ 91,39 S (91.39) $ 3,76734 (3,675.95) $ 652,33 $ (652.33) $ 11.36 $ 3,801,80 451.19 $ 166-68 608.03 S (608,03) 635.01 $ (635M) $ 4,531,66 (4,080A7) 1,j639.47 S (1,03L44) $ 1,757,28 $ (1,757.28) $ 931.21 $ (346-20) 4,648.89 9,340.49 8,479 (2,366.38) $ 3,558,79 $ 4,073A8_ S L678,06 $ (1,532.71) $ 102.66 $ 286.05 5 354-58 $ 1,363.07 1,327.01 $ 357.42 396.72 $ 642.31 204.46 $ 359.37 287,41 $ 124.44 $ 492-95 $ 1-32 (54.85) - ------------ . . ......... 48,774,31 $ 2,684.39 0-0 0C 030-5 0,30-5 0304 030-C 030_E 030-E 030-E 010 1! 030A 01*04 030 i 030J 030-1 030 d 030-i 030-1 ox-- 030,62. 030•62a 030,62- oia _62- 030-62, 03042 030-62. 030 030 030 030 030 030 *30 ALI OIC of Washington CDBG CV1 Expense Tracking Summary - 500 Grant Period: 10/01/2020 - 06130/25 20-6221 C-1 11 BILLING PERIOD- JANUARY 2024 YTD EX PEN SED YTD BILLEBD BUDGET BALANCE ACCOUNT BUDGET DESCRIPTION ACCOUNT BUDGET (as of 01/31/24) (as of 12/31123) DIFFERENCE (as of 01131/24) it LC SERVICES-S .& ki IILC S PUBLIC SERVICES ADMIN (030-62, 30-62-501 PUBLIC SERVICES TOTAL PUBLIC SERVICE ADMIN BUDGET �,367.84 $96,367.84 JADMINISTRATION - INDIRECT (009) - Public Services $26.173.49 $25,83610 $337,39 26,173.49) ADMINISTRATION - DIRECT_ 2M - Public Services $317.831 - $317.83 --il, $0,00- ($317.83 Salary 5311 $29,650 -37 $29,650X $28,488.08 2 6 7 11.162.29 ($29.650.37) 9' 0 ' FICA. 01C Exp 5351 68 89 $2168 89 $2,099.75 $69.14 ($2,168.89 $2, ' 68 - 89 L AND 1, OIC Share 53,52 L A*" $172.12 $166.93 A53 $1 . 72 . 1 2 $5.19 ($172.12 State UCI,01C 5353 State �L $466,35 $454.03 $466 . 35 $12.32, 466.3N i PFML 5355 $178.91 $170311 $1 78 .91 $8,601 $178.91 Disability, OIC 5360 $353.11 $338,5_5 $14.561 L$353.1 11' icall Insurance. OIC Eq ry 5361 Medical $4,387.16 $4,117.05 ---- $270.11 ($4,387.161 Life Insurance, OIC ExR 5362 $140.61 $134-.65 $5.96 ($140.61 Pension, OIC Exp 5363 $2,134;90 $2,053.54 $81.36 1$2,1_34.90) !Accrued PTO Exp--,, 5364 $2,067.39 $1,945.41 $121.98 1$2,067.391 i Audit Costs 5402 $105.21 $1105.21. WOO jjj q5�.21 ? Website design & Hosting 5403 $2.264.99 $2.264.99 �ym$0.00 ($2.264.99)1 z MileN f�/Perdiem:-In state 5500 $1,306.63 $1,306.63 $0.00 1$11,306.63ji qe rp eclat�an Exp._ Equip 5602 $ 2 2,5 3 $2232 $0.21 $22.53) ? Consurnables 5700 $1,138,72 $11.13832 $0.00 1$1.138.72)1 2 Reproduction Supplies 5712 $,86.26 $86.26 $0.00 ($86.26) 2 Equi2ment-added 5800 $738 98 $738.98 $0,00 ($738.98 zlnsurance 59101 11 $120,06 $118.55 $1.51 120-061 i Liability Insurance 5912 $0,38 $0.00 $0.38 $0.38 2 Advertis*nq5945 $2,250.00 $2,250.00 $0.00 ($2,250.00D 2 Communication (Telephone/Cell & ISP) 5960 $1.193.24 $1,183,86 $9.38 ($1,193.214 2 Postage 5970 $64.84 $64.84 $0.00 ($64.84) 0kDe reciation Ex Bid 5601 $64.60 $64,60 s0.0,0 ($64.601 Exp Equip 5602$0.05 $0,05 s0-00 ($0.05), -Depreciation 5611 $592.45 $592.45 $0,00 1 fir 92.45) i) Rent 5612 - $2,973,55 $2,619.94 $35361 ($2,973.55) Utilities 5630 $91-78 $91,78 $0,00 $91.78) j 5640 $101.27 $101.27 $ Build Repair/Maint - ------ - ---- -_ 0.00 ($101.27)1 is Insurance 5910 ----------------------------- $0.53_j ... ... ........ $0,53 $0.00 ($0.531 10 Liabilitv Insurance 5912 $28.64 $28-64 $000 ($28.64) SUBTOTAL $96,367.84 $81,355-84 $78,901.85 $2,453.99 SUBSISTENCE PUBLIC SERVICES PAYMENTS (030-62, 030-62-50)-.-- TOTAL SUBSISTENCE PS PAYMENTS BUDGET $17,5010.010 $17,500.00 �2 Client Mort e Payment i 5618 $23,019,85 $23,019-85 $0,00 ($23,019.85) 52 Housing sst/Rent 5619 $42,711 , 10 $42,711 , 10 $0400 ($42,711.10) 52 Security Deposits 5737 $2,00000 $2,000.00 $&00 ($2.000.00) -.2 Services 5959 $7,392.13 $7,392.13 $0.00 ($7,392.13) 32 Late Fee 5990 $923.00 $923,00 $0,00 $92 (3.00) �L2 g - e Payment �4 Client Mortgage 5618 1 $7,573.46 $7,573.46 $0.00 J$7,573.46) �41 Housing _Asst/Rent - 5619 1 $42,074.45 $42.074.45 $0.00 J$42.074.151 SUBTOTAL $17,500.00 $125,693.99 $125,693.99 $0.00 ($108,193.99) 05X - HOUSING INFORMATION AND REFERRAL SERVICES (030-641030-64-50) _T TOTAL PS, HOUSING COUNSELING BUDGET $110,715.59 i $11071559 og ADMINISTRATION - INDIRECT (009) - Housing $5,867.46 $5,245�511 $621.95 ($51867.46 e4 Salary 5311 $27,013.23 1 $24,441.04 $2,57219, ($27,013.23)1 '&B )1P COSTS htips,floicofwashington sharepoint corn/sites/Fiscal/Shared DocumentsiGrants-ConLracts_Billings/Grants-ContracLs-CurrL-nt/500-1-CCBG COVID 19 fund (EB)/2- Billing s/U pd ated-1 1-27-24/CDBG (500)_ExpenseTrackirig 03-2023 thru Current -Revised 11-27-24 117/2025 030-6 030--1s 030-6 03" 030-s CF304 03U 030,03=: 030 4 03"3-! t1.s0•63=' 030-63-1 030-63 030-63 030-63-' 03 03 , a0- 030- 034 OX DESCRIPTION ACCOUNT BUDGET YTD EXPENSED (as of 01131124) YTD BILLED (as of 12131/23) DIFFERENCE BUDGET BALANCE (as of 01131124) Insurance 5910 $126,70 $126.70 $0.00 ($126.70) Liability Insurance 5912 $3.28 $3.28 $0.00 $3.28 Dues/Me mberships 5941 $41.67 $41.67 $0,00 $41.67 Advertising Staff Training 5945 5949 $1,566.67 $100.00 $1,566.67 $100.00 $0.00 $100 $11,566.67 $100.00 Communication (Telephone/Cell & iSP) 5960 $2,288,44 $2,288.44 $0-00 $2,288.44 t Meeting Expense 5994 $133.33 $133.33 $0.00 $133.33 i Depreciation Ex2,_Bldg 5601 $4.24 $4.24 $0.00 $4.24 I De reciation Exp Equip 5602 $021 $0.-21 $0=00 $0.21) i S ace 5611 $751.57 $751.57 S0.00 $751.57 Rent Payments 5612 $1,421,89 $1,421.89 WOO $1,421.89) Utilities 5630 $246.39 $246.39 $0,00 $246.39 ) Build Re air/Maint, 5640 $221.32 $221,32 $0,00 $221.32) ) Insurance 5910 $1.37 $1.37 S0.00 $1.37 Liabilit Insurance _ 5912 _ $77.75 $77.7_5 50-00 $77.75 BTOTAI, $126.034.57 , 5100, $1 00 0 MICRGENTERP- RISE..F{NANCJAL ASSISTANCE 030-63, 030.63-501. - -- -: TOTAL MICRO FINANCIAL ASSIST BUDGET $50,000.00 $50,000.00 3 Client Mortoa a Payment 3 Housin Asst/Rent 5618 5619 $0.00 WOO $U0 $U0 $0.00 $0.00 $0.00 $0.00 3 Services 5959 S25.697.02 $25,697.02 S0.00 ($25,697.02 _ _SUBTOTAL __- - -- '-----`-S501000.9Q ':-r... $25,697.02 $25,697 so 00 :: S24,302.9 --- $12,000.00 Eta, : R.ISE TR ININ -----= TOTAL MICRO TRAINING BUDGET $12,000.00 ,3 Consultant / Contract Services 5400 $0.00 $0,00 $0.00 $0.00 3 Training Materials 5730 $0,00 $0.00 $0.00 $0.00 a Client Training5965 TAT $0.00 $0.00 $0.00 $0.00 TOTAL MICROENTERPRISE $188 o34�5' '} �'it 21A GENERAL ADMIN Contract Recipient 5415 $5,400.00 $5,400.00 $5,400.00 $0.00 $0.00 SUBTOTAL $5,400.00 6. $5,400.00 $59400.00 $0.00 $0.00 SUMMARY DESCRIPTION BUDGET YTD EXPENSED YTD BALLED Current Montt Billing Total BUDGET BALANCE 050 PS Admit- - PUBLIC SERVICES ADMIN INDIRECT S26 491 32 $26,153 93 $337 39 f$26.491 32:} 050 PS Admin - PUBLIC SERVICES ADMIN $54 864 52 $52.747 92 $2 116 60 l$54-864 521. SubTotal S".367.e4 s81.368.d4 sn,90t, s S2.463 S9 $13,012.00 050 Payments - PUBLIC SERVICES PAYMENTS $175,000.00 1 $125,693.99 $125,693 99 $0 00 $49;306 01 05X PS -HOUSING COUNSELING 1 ! $52.885 61 $48 983 74 $3.901 87 ($52 885.61 ) 05X PS - HOU$IN,G COUNSELING ADMIN INDIRECT S5 867 46 $5 245 51 $621 95 l$5 867 4F)) $110.715.69 $58.763.07 $64.229.25 $4.523.82 $61,962.52 16C Admin - MICROENTERPRISE ASSISTANCE ADMIN INDIRECT $19-099.92 $19 099 92 S0 00 ($19.099 92) 18C Admin - MICROENTERPRISE ASSISTANCE ADMIN S81 111 88 S81.111 88 $0.00 1S81 .111 881 S'ubTotal I $128,034M $100.211" $10G.211.a0 :0.00 sn,1322.77 16C >=inan - MICROENTERPRISE FINANCIAL ASSISTANCE $5Q_000'00 $25:,697 02 $25 697 02 $0 00 S24.302 98 18C Training - MICROENTERPRISE TRAINING SIZ000-00 $0.00 $Q_00 $0,00 $12,000.00 121 a General Admin Grant Count) $5.40Q.00 $5,400 00 $5A00.00 I S0 00 $0 00 TOTAL $575,518.00 $397,111.72 $390,133.91 $6,977.81 $178,406.28 YTD Expenditures Per GL $400,427 33 Difference - Duplicate payment adjustment, voucher Ws 209719 & 209720 (S6,000 00) Difference Unbilled Admin s2,684 39 htips3loicofwashinglon sharepoint com/sites/Fiscal/Shared Documents/Grants_Contracts_Billings/Grants_Contracts Current/500 CDBG COVID 19 fund (EB)2- Billings/Updated-11-27-241C08G (500)_Expense Tracking 03-2023 thru Current revised 11-27-24 1 /17/2025 )ER1 R T Ni ENT 0 F C0 M M E R.CE Form 19-1A VOUCHER DISTRIBUTION AGENCY Short Code Commerce Contract Number NUMBER CMS Invoice ID: DEPARMENT OF 1030 20-6221 C-111 412814 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 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 services furnished to the State of Washington, and that all goods (Vendor Contact Phone) furnished and/or services rendered have been provided without discrimination because of age, sex, marital status, race, creed, color, kstockton@grantcountywa.gov / (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) 1 /21 /2025 11:37:50 AM 02/01 /24 - 02/29/24 (SUBMITTED BY) (SUBMIT DATE) (REPORT PERIOD) DESCRIPTION BUDGET REQUESTED EXPENDED TO AMOUNT THIS AWARD AMOUNT DATE INVOICE REMAINING Contract Total $929,365.00 $10,554.04 $6457434.49 $.00 $283,930.51 Non - Match Total: $929,365.00 $107554.04 $645,434.49 $.00 $283,930.51 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 REV MASTER SUB SUB MG MS GL ACCT SUB AMOUNT PROGRAM CODE CODE INDEX OBJ SUB SID INDEX OBJ 622CO320 NZ 6221 C READY to BATCH PREPARER DATE WARRANT TOTAL CREATED BY I Karrie Stockton (Kstockton2) DATE 1/21/2025 11:34:23 AM Form 19-1A VOUCHER DISTRIBUTION AGENCY NUMBER Short Code Commerce Contract Number CMS Invoice ID: DEPARMENT OF 1030 20-6221 C-111 412814 COMMERCE 0 All Expenses under $1,000 Paid by UBl Paid by Paid to Contractor Paid to UBI Paid to Paid to Expense Amount Organization Name Type Organization Name Org Type Type - Subcontractor Total Sub Subcontractor Total Al VOUCHER FORM Voucher #8 WASHINGTON STATE DEPARTMENT OF COMMERCE AGENCY NUMBER IDIS PROJECT NUMBER COMMERCE CONTRACT NUMBER A19 VOUCHER DISTRIBUTION 1030 107 20-6221 C-111 AGENCY NAME INSTRUCTION DEPARTMENT OF COMMERCE ATTN: CDBG-CV PO BOX 42525 OLYMPIA, WA 98504-2525 TO VENDOR OR CLAIMANT: Submit this form to claim payment for materials, merchandise or services. Vendor's Certificate: I hereby certify under perjury that the items and totals listed herein are 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 discrimination because of age, sex, marital status, race, creed, color, national origin, handicap, religion or Vietnam era or disabled veterans status. VENDOR OR CLAIMANT (Warrant is to be payable to:) GRANT COUNTY PO BOX 37 EPHRATA WA 98823-0037 By: KOM"rat@cklaf (SIGN IN BLUE INK) REPORTING PERIOD: Feb-24 (TITLE) (DATE) : IDIS ActivityID -,,,- .. � � //��� -�.- �� DESCRIPTION „-� , -�- ; -/��� ORIGINAL BUDGET PRIOR AMOUNT REQUESTED AMOUNT THIS INVOICE REMAINI / NG BALANCE '= Add or delete budget line items as needed. Includes CV1 and CV2 as applicable. 8310 21 A General Admin (Grant County Expenses Only) $ 22,190.00 $ 1,917.94 $ 20,272.06 8311 05Q Public Services Admin. Budget (OIC) $ 96,367.84 $ 81,355.84 $ 39876.96 $ 11,135.04 8311 05Q PS -Subsistence Payments (rent, mortage,utility) (OIC) $ 175,000.00 $ 125,693.99 $ 2,059.00 $ 47,247.01 8312 05X PS- Housing Counseling and Admin. Budget (OIC) $ 110,715.59 $ 58,753.07 $ 4,618.08 $ 47,344.44 8313 18C - Microenterprise Assistance Admin. (OIC) $ 126,034.57 $ 100,211.80 $ 25,822.77 8313 18C - Microenterprise Financial Assistance. (OIC) $ 50,000.00 $ 25,697.02 $ 24,302.98 8313 18C - Microenterprise Training (OIC) $ 12,000.00 $ - $ 12,000.00 8706 050 - Urgent Need- Mental Health -General Public (Grant Co.'$ 304,900.00 $ 226,625.67 $ 78,274.33 8706 050 - Urgent Need- Mental Health -Tele-Health (Grant Co.) $ 32,157.00 $ 32,157.00 $ - 8706 050 - Urgent Need- Mental Health -County Jail (Grant Co.) $ _ $ _ $ _ Balances $ 929,365.00 $ 652,412.33 $ 109554.04 1 $ 266,398.63 BELOW THIS LINE IS FOR DEPTARTMENT OF COMMERCE TRANS CODE M 0 D MASTER INDEX SUB OBJ SUB SUB OBJ GL ACCT SUBSID AMOUNT INVOICE NUMBER CI 622CO320 NZ SIGNATURE OF ACCOUNTING PREPARER FOR PAYMENT DATE WARRANT TOTAL CMS Invoice ID: ACCOUNTING APPROVAL FOR PAYMENT DATE Al 9 VOUCHER FORM Voucher#8 -------------- WASHINGTON STATE DEPARTMENT OF COMMERCE TAGENCYNUIMER4., IDIS PROJECT NUMBER COMMERCE E CONTRACT NUMBER A19 VOUCHER DISTRIBUTION 107 20-6221 C-1 11 'AGENCY _N_ � 4W E DEPARTMENT OF COMMERCE ArI'N: CDBG-CV PO BOX 42525 OLYNIPIA, WA 98504-2525 TO VENDOR 0 R R CLAIMANT: Submit this form to claim payment for materials, merchandise or services. Vendor's Certificate: I hereby certify under perjury that the items and totals listed herein are 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 discrimination because of age, sex, marital status, race, creed, color, national origin, handicap, religion or Vietnam era or disabled veterans status. ------ - . VENDOR 77.7. 7 .011-CLAIMANT (W t ft t GR>AN7, COUNTY PO BOX 37 E P I I RikTA, WA 98823-0037 BV: (SIGN IN BLUE INK) REPORTING,- NO- PE R Feb -24 (TITLE) (DATE) iDiS -. -, Act ib.. - g :... PESCRIPT 9 N 0 ET -PRIOR AMOUNT REQUE "A AMOUNT 0 N KREf t d 'd Ad or delete as needed as, A qet_-� 2L Z 1`11'_�1_'11"`, . .......... g0z 2', 1 A. General �k --- - ------- G S ".1 -4 ------------ - - -- -------- - r, 0 Public, A inRUd L" 5. j�k ' - t.J 3,4 . 6T 5Pk ti 1',� 4355 05, b� t zl Q 75' 0.,k ii 4" -5 9 9 12 0 X� R I an niz-, Aunse ingt i-llqum C 46F '-'j. IJ A 359 IL2L�t;7$9. '6 0 1 , 12&034-57 4. - --------------- mi ido CZYM enterph ......... S7.06-7,ot - - -----------M. M. QftW11'ft6&ffir;, Genem,26 IiMranmw ZA, S.A N 4M 0 -ICU a T R -00 -7 zx 071 1 WWI ,f:w: .',{,:. _�.. •yy� (i/�'a -�.: ,. ?k: .. Y ,x. .; .,o.,L.. .� ..i a yam„ , .: :_ d'�. f�,.:a•� rt:: 'f�l jl� ... {' ':: r.,. ��'�'��.:'_'��y* �, ... .':,. ... ` '` ,r) ,.... V �.IO �:_:.�:�i :�. �fVY:. •' �4iiL".l.i�� �A��t.�.y �:; ../y���,: �■�}��(t►■ >. �'' 7 ..�4Y ,ti 4 S -cv: 7: `� �zs".: 1 %. 0! �,-.7 t � '^r�x PYjt .:.^q. , f1. "1:5# _ .%. ++�� �fy' Y< 4'K' 'w Y,"� i:� at% 't.), "4 1.,�3t ,7 r1 :'�t r '02 6W RB bi dh 91J '14L W _0 J 11 M I --------- =in No— --- ----- -- -- TRANS 'COOIE M �Olt _a iN- MASTER INDEX,..::;1.. SUB OBJ, _171 ti 6; MoIjNT Mii�aCE NUMBER" C1 622CO320 NZ --- - - ------------ -- -------- - .................. J DATE, MARRANT O'CVS I DATE SIGNATURE OF ACCOUNTING PREPARER FOR PAYMENT Jennifer Lewis, Pro .gram Manager ACCOUNTING'APPROVAL FCII~t PAYMENr'r 01C Billing Period: Feb-24 Billing Requested Indirect Admin Per Indirect Admin Indirect Admin Variance Cateeory Amount (a) u GL(b) Per NICRA (c) Indicates Unbilled Amt. (d) 21A General Admin (Grant County) $ - Direct Payments on upper section of Expenditure 05Q PS Admin Report. All Admin and Operations in lower section Admin - Indirect $ 533.02 267.41 $ 533.02 $ (0.00) Admin - Direct $ - Salary $ 1,970.41 Taxes & Benefits 910.71 Operations Costs 462.82 05G PS Admin Budget (01C) 05Q Admin & Operations Total 05Q PS Subsistence Pyrnts 05Q PS TOTAL 18C Microenterprise Admin Direct Micro Assistance Admin - Indirect Admin - Direct Salary Taxes & Benefits Operations Costs 3,876-96 2..059.00 $ 5,.93S.96 Direct Payments and technical assistance for . . . . . . . . beneficiary workshops on upper section of Expenditure Report. All Admin and Operations in $ lower section. 18C MICRO TOTAL Salary, benefits, payroll expenses for direct beneficiary 05X PS HousinCounseling g. work In upper section of Expenditure Report. All other Admin - Indirect 634.92 3118.52 6 3 4.9 2 $, ().00 admin and operations in lower setion. Admit) - Direct Salary 2JV445-95 Taxes & Benefits 1,281.87 Operations Costs $ 255.34 05X PS Tota I $ 4,618.08 JCV1 TOTAL $ 10,554.04j 585-931 1,167.941 ALL CORRECT FUND STATEMENT "oral Expenses (a) $ 10,554.04 reimbursement Received $ amount Due Grantee (if Actual Costs are higher than Total Funds Received) $ 10,554.04 .xcess Funds Received (if Total Funds Received is higher than Actual Costs) OIC of Washington CDBG CV1 Billing Summary - 500 Grant Period: 10/0112020 - 06/30/2026 Grant Number: Billing Month Program Operations Client Services Admin Billed General Admin (Grant fount) Total 2b�o Inclusion on Client Service IDC Base _.... Admin Calculation o 20 /c Admin Calculation: 2021, 18.79%; 1594 /o; a 2022,. 2023, 20% and 2024, 15,94% Admin Variance Indicates Unbilled Admin a b c d e=(a+b+c+d) a=b"25% F=a+e €*20% Jan-21 S 265:54 $ 6,892M $ 1,098.65 $ 8,256-19 $ 1,723:00 $ 3,829,82 $ 6,383.27 $ 2,646.97 $ 692,13 $ 1,886.25 $ 1,154,20 $ $ 1,122-,20 $ 2,03125 $ 3,346.39 $ 239.05 $ 1,988,54 $ 10,543,87 $ 7,625,99 $ 4,739,83 $ 1,218,68 $ 2,432,53 $ 4,249,20 $ 2,4C9p0.39 $ 3,698.30 $ 6,329,36 $ 6,530,61 $ 2,52931 $ 397.71 $ 2,108.77 $ 1,525.20pr-21 $ 947.97 $ 243.74 $ 48651 $ 849.84 $ 498708 $ 739.66 $ 1,26587 $ 1,30612 $ 505.98 $ 725.00 $ - (.4.2) $ (128,72) $ (83,27) $ (41-91) $ . 694. $ (38,75) 89. 9 $ 41-75) 3 7.10r S 589.30 :" 475.37 $ 141.16 $ 6,714.05 $ 15,319X S 1,956,91 $ 23,990,23 [FFeb-21 Mar-21 $ 1,242,72 $ 25,533406 S 878.54 S 27,654,32 $ 2,092,86 $ 10,587,89 $ 76189 $ 13,442,64 May-21 S 526M $ 2,768450 S 14572 5 3,440,,77 Jun-21 $ 546,28 $ 7,544<99 $ 415.16 $ 8,506,43 _ Jul-Zi S 3,095.00 S 4,616,81 S 772.24 $ 8,484,05 Aug-21 $ 2,490.39 $ $$ 416.79 $ 2,907.18 Sep-21 $ 2,576.10 $ 4,488,81 S 656.16 $ 7,721407 Oct-21 $ 4,298.11 $ 8,125.00 S 1.147.54 S 13,570.65 Nov-21 $ 3,184.22 $ 13,385-54 $ 1,816.40 $ 18,386.16 Dec-21 $ 2,290 86 $ 956,19 $ 616.53 $ 3,863.58 Jan-22 $ 1,151.16 $ $ 173.13 $ 1,324.29 $ Y $ 750,00 $ 507.51 $ 12221 $ - $ ry $ 19950 $ 255,50 $ 75U0 $ 2,67437 $ 325.25 $ 857,75 $ 1,151,16 $ 2,130.93 $ 650-30 $ 2,085,13 $ 2,585 77 $ 214,28 $ 2.,327L4 $ 5,553--.99 $ 6,668 44 $ 11,736,16 $ 7,897 14 $ 3 776.66 $ 230.23 $ 42.6.19 $ 13006 $ 417,03 $ 517.15 $ 42.86 $ 465.41 $ 1,110.80 $ 1,33369 $ 2,347.2-3 $ 1,57943 $ 755.33 $ 183.49 $ 339,67 $ 10166 $ 332.37 $ 412,17 $ 42.86 $ 370.93 $ 88531 $ 1,062.95 $ 1,870.74 $ 1,258.80 $ 602.00 $ (10.36) i5.gw Feb-22 S 1,38033 $ 3,000M S 247 03 $ 4,627,96 $ (92,64) Mar-22 $ 142,79 $ 2,030.04 S - $ 2,172M $ (103.66) Apr-22 $ 1,962.92 ; 488„83 5 91.39 $ 2,54314 $ (240,981 May-22 $ 2,585 77 $ S 2.585.77 S t412,17) Jun-22 $ 214,28 $ - $ 3,81.3,16 $ 4,027A4 'S 3,770,30 :Jul-22 S 2,127,54 $ 798.00 $ 617.87 $ 3,543441 $ 246-94 Aug-22 $ 5,298.49 $ 1,022,00 $ 6,320A9 S 885,31) Sep-22 $ 5,918.44 $ 3,000.00 $ $ 8,918.44 $ (1,062,95) Oct-22 $ 9,06139 $ 10,699M . 5 451.19 $ 20,211.66 S (1,41 .55 Nov-22 $ 7,571,89 S 1,301.00 S 608:03 $ 9,480-92 5 (650.77) Dec-22 $ 2,918-91 $ 3,431,00 $ - $ 6,349 91 $ (602.00) Jan-23 $ 6,037,91 $ - S 635.01 $ 6,672-92 5 - $ � $ 350.00 $ $ _ $ 1,080,25 $ - $ 620.00 $ 1,07175 $ 3,226,75 $ - S S 6,037..91 S 6,195,19 $ 30,916.31 $ 38,16139 $ 726.71 $ 3,023,79 $ 8,588 25 S 9,042,16 $ 6,268.,92 $ 6,045,90 $ 2,059,24 S 2,471-33 $ 1,207.58 $ 1,239 04 $ 6,18326 $ 7,632.28 $ 145.34 $ 604.76 $ 1,71765 $ 1,808.43 $ 1,253,78 $ 1,209.1.8 $ 411.85 5 494.27 $ 1,207.58 $ 1,239.04 $ 6,183.26 S 7,632,28 S 145.34 $ 604.76 $ 1,717.65 S 1,808.43 $ 1.253.78 S 1,209.18 S 411.85 $ 494.27 $ (572.57) 20 Feb-23 6,195.19 S $ 12,989.38 $ 19,184.57 $ 1,1, 75034 Mar-23 $ 30,566,31 $ 1,400.00 $ 6,11326 $ 38,079,57 5 ROM) Aor-23 5 38,161339 $ - $ 7,632.27 $ 45,79166 S Jul May-23 $ 726.71 $ - $ 145.34 $ 872.05 $ 0,00 Jun-23 $ 1,943,54 $ 4,321.00 $ 388.71 $ 5,400-00 $ 12,053.25 S (216.05) Jut-23 $ 8.588.,25 5 x S 1.717.65 $ 10,30530 5 u Aug-23 $ 8,422.16 $ 2,480.00 $ 1,684.43 $ 12,586,59 $ (124,001 S (214,75) Seo-23 $ 5,195.17 $ 4,295,00 $ 1,03903 $ 10,529,20 Oct-23 S 2,819,15 S 12,907,00 $ 563.83 $ 16,289.98 $ (645.35) Nov-23 $ 2t05924 $ - S 41185 $ 2,471.09 $ 0..00 Dec-23 $ 2,471.33 $ - $ 494.27 $ 2,965,60 $ 0.00 Jan-24 $ 6,018,47 $ 5 994.95 S 7,013.42 $ $ 514,.75 $ - $ i S h $ Y $ 6,018,47 $ 7,841.85 $ $ x $ $ x $ 1,203.69 $ 1,568.37 $ $ - $ - $ $ 959.34 $ 1,249.99 $ - $ $ $ $ 35.61 Feb-24 $ 7,327.10 $ 2,059,00 $ 1,16794 $ 10,554.04 $ (82.05) Mar-24 $ y. Apr-24 -------------------------- $ - May-24 $ - Jun-24- Jul-24 $ Au4-24 $- Sep-74 Oct-24 $ S x Nov-24 Dec-24 Jan-25 Feb-25 Mar-25 Apr-25- May-25 Jun-25- 81111ing Total $ 196,199.11 $ 1 S3,460.01 $ 52 662.25 S 5,400.00, $ 407,701.37 S 38,362.50 S 234,551.61 s 46 010.321 S 43,795.18 $ 8,863.07 . Indirect Admin Per GI- Admin Variance Indicates Unbilled Admin $ 1,098.65 $ 1.956,91 $ - 878,54 $ $ 761,89 $ 145.72 $ 415,16 $ 77224 $ - 416.79 S ; 656.16 $ 1,147,54 S 1,916.40 $ A $ 616,53 $ - 17113 $ - 247M S 91..9 $ (91.39) 3,767,34 $ (3,675:,95) 652,33 $ (652.33) $ 1136 $ 3,801.80 451,19 $ 166<6$ 608,03 S (608.03) $ 635.01 $ (635-,01) $ 4,S3L66 $ (4,080,47) S $ (1,031.44) �1JJ,639A7 1 $ ,7572.8 $ (1,757.281 $ 981,21 $ (346,20) 4,648M 5 8,340A9 $ 8,479.64 -$ (2,366.38). $ 3.558.79 $ 4,073,48 $ 1,678,05 $ (1,532,71) 4 $ 102.66 $ 286,05 S 354.58 $ 1,363.07 $ 1,327,01 $ 357.42 396.72 $ 642.31 204.46 $ 359.37 287..41 $ 492.95 S $ 1.2444 L32 $ 1,014,19 $ (19,24) S 585.93 $ 582,01 $ S - ------------- $ 49,360,24 IS 3,302.01 00 00 030-6 0nas Al 030-t 030-E 030-f 030-E 030-f 0SO � 030-i 03111 0 3-1) 0,I-0-1 030-A 0,40-1 03W 030 OX- 0310-62, al -82- ox-Al2. 01-3-62- 03042. 0-3M62- 0.33-82- 0 3- 0 - 6 2, 030. 030. 030 030 030 030 030 F4& OIC of Washington CDBG CV1 Expense Tracking Summary - 500 Grant Period: 1010112020 - 06/30125 20-6221 C-1 11 R111 I Mr. PFRIM- FI=RRIIARV 7n7A YTD EXPENSED YTO BILLED BUDGET BALANCE DESCRIPTION ACCOUNTI BUDGET (as of 02129124) (as of 01131124) DIFFERENCE (as of 02129/24) PUBLIC SERVICES ADMIN (030-62, 030-62-50) -'F-$9,6.367.84 L TOTAL PUR IC SERVICE ADMW BUDGET $96,367.8 ADMINISTRATION I ADMINISTRATION - INDIRECT 009) - Public U Services $26,706,51 $26.173.49 $533.02 ($26,706.51 -V1 ADMINISTRATION - DIRECT08) - Publi Services $317.83 $317.83 $0.00 ($317.83) Salarly 5311 $31.620.78 $29,650.37 $1.970.41 .620.78). IFICA, OIC Ep 5351 $2.299.38 $-2.168,89 $130.49 $2,299.38) LAND I. OIC Share 5352 $184.36 $172.12 $12.24 J$184.36) State UCI.OiC ExE $487:24 $466-35 $20,89 L$487.24) �Hy5353 PFML 5355 $195.51 $178.91 $--1660 ($195.511 Disability, OIg Exp__ 5360 $381.94 $3,53.11 $28.83 Medical Insurance. OIC ExD 5361 $4,708.24 $4387. 16 $321.08 ($4,708.24 Life Insurance, OIC Exp 5362 $152-30 $140.61 $11.69 ($152.30) Pension, OIC Exp 5363 tiH„Has$2,291.96 $2,134,90 $157.06 ($2.291.96) il,Accrued PTO 5364 $2.279,22�ry $2,067.39 $211:83 Audit Costs 5402 $105,21 $105.21 __t$2,279.22) $0.00 ($105.21) t Website design & Hostinq 5403 $2,264,99 $2.264.99 $0.00 _L$2 1264.991 Mileaqe/Perdiem:-In state 5500 $1,306.63 $1,306,63 $0.00 ($1,306.63) Depreciation Exp E uip 5602 $23.06 $22.53 $0.53 1$23.06 Consumables 5700 $1,138.72 $1,138,72 $0.00 ($1,138.72) 2 Re reduction 5712 $86-26 S86.26 $0.00 ($86.26) z Equipment -added 5800 $738.98 $738.98 $0.00 ($738.981 ?L.'Insurance 5910 $123.91 $120.06 $3.85 $123.91 z Liability Insurance 5912 $143 $0.38 $1.05 $1-43 2 Advertising 5945 $2,250,,00 $2:2%00 p y $000 �$2,250.0 2 Communication (Telephone/Cell & ISP) 5960 $1,226.75 $1,193.24 $33.51 $1,226.751 ,ZLEostaqe 5970 $64.841 $64: 84 $0,00 $64.84 o Depreciation Exp q!gR 5601 $64.60 $64,60 $0.00 ($64.60), o Depreciation E�Equip 5602 $0.05 $0.05 $OZO 0-05 43 Space5611 $592.45 $592.45 $0.00 ($592.45) OlRent 5612 - - ---- $3,397.43 $2.973.55 $423.88 ($39397.431 o Utilities LBOI�d 5630 $91.78 $91.78 $0.00 78 ...... . ($91.78) Repair/Maint. 5640 ---$101,27 $101,27 $0.00 ($1 27 ,a [Insurance 5910 $0,53 $0.53 $0.00 ($0.53 $0 . 53 ra Liability Insurance 5912 $28,64 $28.64 $0-00 ($128.64) SUBTOTAL $96,367.84 $85,232.80 $81,355.84 $3,876.96 $11,135.04 . SUBSISTENCE PUBLIC SERVICES PAYMENTS (0 0-62 030-62-50) TOTAL SUBSISTENCE iPS PAYMENTS BUDGET 1 7i.-O 0 0. 0�$175,000.00 ,:2 Client Mort g2aq_Ea ment 5618 $23,019.85 $23,019.85 $0,00 12 Housinq Asst/Rent 5619 $43.336.10 $42,711.10 ... $625.00 ........ _(!23'019.85) ($430336.10) i2 5737 ---------- - $2,000,00 $2,000.00 $0.00 ($2,000.00) -2 Services 5959 $7,392.13 $7,392.13 $0.00 J$7o392.13% 52 Late Fee 5990 $923,00 $923.00 $&00 .00 54CIient Mort gagePay ent 5618 ... $7,573.46 $7,573.46 KOO ($7,573.46) 54 Housing Asst/Rent 5619 1,46 �U" 4 *'1 $43,508.45 $42,074.45 $1,43400 ($43.508.45) SUBTOTAL $175,000.00 $121.752.99 $ .99 $125,693.99 $2,059.00 $47,247.01 05X - HOUSING INFORMATION AND REFERRAL SERVICES 1930-641030-64-501 TOTAL PS HOUSING COUNSELING BUDGET $110.715.59 $110,715.59 of ADMINISTRATION - INDIRECT (009) - Housing $6.537.99 $5.903.07 $634.92 ($6.537.99) .54 Salary 5311 T 1 $29,459.18 $27.01123 $2,445.95 1$29,459.1811 Tax/Benef $91 Of7l Op Cost $462,82 Subsistence $2,059 020-61 IM-el 030-6, 030-6 030-6 030-6 034-6 03" 03" OM 0-3010 03ort 030-C 0301f Voi� 0304 02 0 - � 030-f 0304 030-f 03014A.! 030- 030, 030- 030. 030. 030. 030 030 c3a. CT) M YTD EXPENSED YTD BILLED BUDGET BALANCE DESCRIPTION ACCOUNT BUDGET (as of 02/29124) (as of 01/31/24) DIFFERENCE (as of 02129/24) FICA, OIC Exp 5351 -$2,187.05 $2,008.29 $178.76 ($2,187.051, L AND 1, OIC Share 5352 $178.07 $162.91 - $1516 ($178.07) State UCI.01C Ex A M 5353 $331.76 $305.83 $2.55.93 ($331.76) PFML 5355 $243.19 $223.65 $1954 $243.19 Disability. 01C Exp 5360 $346-62 $35-48 Medical Insurance. OIC Ex_ 5361 _$382.10 $3,133.82 $2.530.06 $603 76 _($382.10) ($3,133.82) Life Insurance, OIC Exo 5362 $152,26 $138.09 $14 17 _jw 152.26)1 Pension, OIC Ex 5363 $2.291.96 $2.10721 $18475 JII.291.961 Accrued PTO 5364 $2,379,69 $2,175,37 $20432 Audit Costs 5402 $45-46 $45.46 $0.00 _($2-,379.69) ($45.461 Credit Rep rts 5411 $490-50 $490.50 $0,00 ($490.50) Milleage/Perdien-In state 5500 $1.473.39 $1,473.39 $0.00 1$1,473.39) De2reciation Exp Equip 5602 _T $15,84 $14.98 $0861 S. 84 Consumables 5700 $1,209.81 $1,209.81 $000 ($1,209.81I ) Reproduction SuEalies 5712 $219.26 $212.67 $6 59 9.261 5800 $2.568.42 $2,568.42 $0.00 ($2,568.42) n a i Insurance s u n 5910 $96.69 $90.42 $627 __A$96.69 I c' i Liability Insurance ia i i 5912 --------- $6.15 $4.44 $1.71 .... ........ ($6.1 d e il Advertising v rtis 5945 $6,220.00 $6,220.00 $0-00 (!§,220.001 t � f T�a i Staff i Staff Training 5949--__ $200,00 $200.00 $0.00 -ALO-0.00) Communication t Communication tLelephone/Cell & ISP) 5960 $2.202.55 $2.139.78 $6277 _J$2,202.551 Posta e s Postage 5970 $169.01 $169-01. $0.00 ($169.01) De Er 2 p ci 601 $89.22 $89.22 $0.00 _(M9.221 L D _Le a L - i 5602 $0.05 $0,05 $0.00 ($0.05) De2reciation Exp Equi2 [Sp ace 5611 $208.59 $208.59 $0.00 ($208.59) Rent Payments 5612 $789.54 $612.40 $177.14 ($789.541 3 Utilities 5630 $52.35 $52-35 $0,00 ...... _1$52.35) 3 Build Repair/Maint. 5640 $55.53 $55-53 MOO ($55.53) ,3 Insurance 5910 $0.20 $0.20 __$0_00($0.2 1, Liability Insurance- 5912 $17.13 $17.13 $0.00 ($17.13)1 SUBTOTAL $110,715.59 $63 406.76 $58,788.68 $40618.08 $47.308.83 TOT' 554.%ijamp 05.690.88" TOTAL SUBSISTENCE I HOUSING m] $38_;O $276o392.55 J.&N,8, I ROENTERPRISE ASSISTANCE ADMIN (030-61 030-63-50) TOTAL o TOTAL MICRO ASSIST ADMIN BUDGET $126,034.57 $126,0q34.57 ADMINISTRATION - INDIRECT (009-i $19,050.42 $19.050.42 $0.00 ($19,050.42) ADMINISTRATION - DIRECT (008) - ra�$49.50 $49.50 a $0,00 L$49.501 Salary �ry- 5311 $45.644.51 $45.644,51 $0.00 ($45,644._511 a FICA. OIC 5351 $3,357.03 $3.357.03 $0.00 ($3,357.03 a L AND 1, OIC Share 5352 j $303,17 $30317 $0.00 $303.17 a State IJCI.0IC Exp j 5353 $49148 $491,48 $0,00 ($491.48) ,3 PFML y 5355 $367,07 $367.07 $0.00 (;367.07) i3 Disability, OIC Exp 5360 $584.98 $584.98 $100 %W584.98) i3 Medical Insurance, OIC Exp 5361 $7,826.35 $7,826.35 $000 5 ($7,826.11 i3 Life Insurance. OIC Exp_ 5362 $232.45 $232.45 $0.00 _j$232.45) i3 Pension, OIC 5363 $3.316.72 $3,316.72 $0,00 ($3,316.72 i3 Accrued PTO Exp 5364 $3.593.15---- $3.593.15 $0,00 ($3,593.15) M Audit Costs 5402 $105-21 $105,21 $000 ($105.21), �3 Website -Design & Hosting 54031 ------ $2.265.01 $2.265,011 $0:00 1$2,_265.011 i3 Mileage/Perdiem:-In state 5500 $1.171.87 $1,171,87 $0.00 ($1,1_71 .87 i3 De2reciation Ex 2 Equip 5602 $24.63 $24.63 $0,00 J$24.63) w Consumables 5700 ---- $637V $637.67 $0-00- ($637.67) 11. Reproduction Supplies 5712 $237,07 $237.07 $0.00 ($237.07 t3lEguipment-added 5800 $3.968.6+ 8 $3,968,68 $0.00 ($3,968.681 Hous,ng Tax I Benef $1281.87 Op Costs $255.34 STATE M, WASHINGTON DEPARTMENT OF COMMERCE 1011 Rum Streef SE • P-0 Box 4 - 01yM041, -hingsr � 4- : 2 . ) 7« Form 19-1A VOUCHER DISTRIBUTION AGENCY Short Code Commerce Contract Number NUMBER CMS Invoice ID: DEPARMENT OF 1030 20-6221 C-111 412815 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 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, kstocktonCgb-arantcountywa.gov (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) 1 /21 /2025 11:42:43 AM 03/01/24 - 03/31/24 (SUBMITTED BY) (SUBMIT DATE) (REPORT PERIOD) DESCRIPTION BUDGET REQUESTED EXPENDED TO AMOUNT THIS AWARD AMOUNT DATE INVOICE REMAINING Contract Total $929,365.00 $17,245.77 $645,434.49 $.00 $283,930.51 Non - Match Total: $9293365.00 $17,245.77 $6459434.49 $.00 $283,930.51 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 REV MASTER SUB SUB MG MS GL ACCT SUB AMOUNT PROGRAM CODE CODE INDEX OBJ SUB SID INDEX OBJ 622CO320 NZ 6221 C READY to BATCH PREPARER DATE WARRANT TOTAL CREATED BY Karrie Stockton (Kstockton2) DATE 1/21/2025 11:39:31 AM Form 19-1A VOUCHER DISTRIBUTION AGENCY NUMBER Short Code Commerce Contract Number CMS Invoice ID: DEPARMENT OF 1030 20-6221 C-111 412815 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 A19 VOUCHER FORM Voucher #8 ✓�4. IT A G.G WASHINGTON STATE DEPARTMENT OF COMMERCE ��iRtl9 y1Y AGENCY NUMBER IDIS PROJECT NUMBER COMMERCE CONTRACT NUMBER A19 VOUCHER DISTRIBUTION 1030 107 20-6221 C-111 AGENCY NAME INSTRUCTION DEPARTMENT OF COMMERCE ATTN: CDBG-CV PO BOX 42525 OLYMPIA, WA 98504-2525 TO VENDOR OR CLAIMANT yy�,������y����������y� Submit this form to claim payment for materials, merchandise or services. Vendor's Certificate: I hereby certify under perjury that the items and totals listed herein are 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 discrimination because of age, sex, marital status, race, creed, color, national origin, handicap, religion or Vietnam era or disabled veterans status. VENDOR OR CLAIMANT (Warrant is to be payable to:) GRANT COUNTY���o��%�y���,� PO BOX 37 EPHRATA WA 98823-0037 By: iGNtif.,Gi"kts, ., I % (SIGN IN BLUE INK) --'-'-- - - Grant Admin S eclalist 1/21/2025 REPORTING PERIOD: Mar-24 (TITLE) (DATE) IDIS Activity ID %���%��-%%%�� %%'����--J��y��y���� DESCRIPTION -,.�!.;-�: ORIGINAL BUDGET PRIOR AMOUNT REQUESTED AMOUNT THIS INVOICE may- REMAINING BALANCE Add or delete budget tine items as needed. Includes CV1 and CV2 as applicable. 8310 21 A General Admin (Grant County Expenses Only) $ 22,190.00 $ 1,917.94 $ 20,272.06 8311 05Q Public Services Admin. Budget (0IC) $ 96,367.84 $ 85,232.80 $ 491.45 $ 10,643.59 8311 05Q PS -Subsistence Payments (rent, mortage,utility) (0IC) $ 175,000.00 $ 127,752.99 $ 139603.13 $ 33,643.88 8312 05X PS- Housing Counseling and Admin. Budget (OIC) $ 110,715.59 $ 63,371.15 $ 3,099.02 $ 449245.42 8313 18C - Microenterprise Assistance Admin. (01C) $ 126,034.57 $ 100,211.80 $ 52.17 $ 25,770.60 8313 18C - Microenterprise Financial Assistance. (OIC) $ 50,000.00 $ 25,697.02 $ 24,302.98 8313 18C - Microenterprise Training (OIC) $ 12,000.00 $ - $ 12,000.00 8706 050 - Urgent Need- Mental Health -General Public (Grant Co. $ 304,900.00 $ 226,625.67 $ 78,274.33 8706 050 - Urgent Need- Mental Health -Tele-Health (Grant Co.) $ 32,157.00 $ 32,157.00 $ - 8706 050 - Urgent Need- Mental Health -County Jail (Grant Co.) $ - $ - $ - Balances $ 929,365.00 $ 662,966.37 179245.77 $ 249,152.86 BELOW THIS LINE IS FOR DEPTARTMENT OF COMMERCE Ift- TRANS CODE M 0 D �� i �y .ice,, MASTER INDEX �� i�e�� SUB OBJ SUB SUB OBJ GL ACCT SUBSID / yy �' AMOUNT i_0 INVOICE NUMBER CI 622CO320 NZ SIGNATURE OF ACCOUNTING PREPARER FOR PAYMENT DATE WARRANT TOTAL CMS Invoice ID -..�.� ACCOUNTING APPROVAL FOR PAYMENT DATE------------------ Voucher ##6 . .Y .. ; ��' TAT AGENCY NUMER ' IDIS PROJECT NUMBER COMMERCE CONTRACT NUMBER K 6 s DEPARTMENT OF COMMERCE A19 VOUCHER. DISTRIBUTION 1030 107 0-6 1 -111 AGENCY NAME _ INSTRUCTION TO 1lENIJOR OR'CLAIMANT*. DEPAR.TNI E NT OF CO!'UNI ERCE Submit this form to claim payment for materials, merchandise or services. ATTN: {CDBG_CV PO BOX 41525 Vendor's Certificate: I hereby certify under perjury that the items and totals listed herein are OLVNIPIA, WA 9850-4-2:+25 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 discrimination because of age, sex, marital status, race, creed, color, national origin, VENDOR OR CLAIMANT (Warrant is to be payable to:) handicap, religion or Vietnam era or disabled veterans status. GRANT COUNTY PCB BOX 37 CPI [ RA'I'A, WA 98823-003'7 (SIGN �� IN � INK) (TITLE) _ (PATE) REPORTING PERIOD: Mar-24 �DIS DESCRIPTION ORIGINAL PRIO AMOUNT AMOUNT THIS REMAINING Activity ID BUDGET REQUESTED INVUICE BALANCE ,odd or delete budget tine item as needed. trctudes CVi and CY2 as cpp.1kabte. 831 21A etrW Ada rant Ceq E es Only), $ .. _ 21,343.85 ►::. 22, 8,% ia 83�11 0 Pu�1ie , ekes Admin. . Budget (��).... 7�84" .," .-. 8 3248 / ... ,"4 4 .; ,...:_.. 10,64159.1 g311 0 VS-'SIzb i t � ' n rent; el e,t tili ) ( 1 _!� l''DflQ.t 127,72:° 3�13,643.88 12 � % I ng +Counsel. ►g a , Admin. Budget (OIC � �.1Q � 1 �, � �3 3�` 1.1 � : � Qgg.Q�= 44 245,42 8e iCre wt se Assistance Adman. (0IC.) 12b,a34.5? . 100,211.8Q :- '. s ... 25,770,60 8313 'Mieroerit se Financial .Assistance. (OTC lG _.. _., . � SQxUQQ.QQ � " 2� �97.42 �. ... s, 24,302.98 18C - "h�izcro ntt7r rr se Trairo (OI .:, .83 1. 12,QQ.QQ . .: ;, „/.- 12,OOQ.00 87�6, ' QS - L7�r extx Need-1lrientai Hea[t11 :General Pub iC Grant Cc�s 8706 050 -. Urgcnt Need Meizta� Health -Te1e-Heal {Grant Ca.} 325-157.00 32 1570 � 8706 050 -Urgent Need- Mentat Health -CgW4 Jail (Grant CO.) � s . _ Balances S iA9�.R�_ . j;�w. .&mow S ",.. ._:,_. -... ------------ :, ..z.. ... ..ice., ✓X.. :i..: .....3 .. r .,. ... ... _ �.:. ...... .. L j / s X --------------- -. ..._ - .. ....... SUB TRANS Q SUB GIB CODE Ili _ MASTER INDEX SUB OBJ CI ,I i DDT SUBSID AMOUNT I.NVOIDB NUMBER 622 C 0_3'20 NZ ------------ SIGNATURE OF ACCOUNTING PREPARER FOR PAYMENT DATE WARRANT TOTAL GIBS invoice ICI; Jennifer Lewis, Program, Manager :ACCOUNTING APPROVAL FOR PAYMENT DATE OIC of Washington CDBG CV1 Billing Summary - 500 Grant Period- 1010112020 - 06/30/2025 Grant Number: Billing Month Program operations - - -- - -------------- Client Services b - - Admin Billed c General Admin (Grant County) d Total e=(a+b+,c-+d)] 25% Inclusion on Client Service e=b,25% IDC Base F=a+e Admin Calculation 20% F*20% Admin - Calculation, 20212022, 1,158,79%;; .94% 2023, 20% and 2024,15.9410 - - - - - — - - - r - - Admin Variance Indicates Unbilled Admin Jan-21 $ 265,54 $ 6t892= S 1-098.65 S 8z256.19 1,723,00 3,82%82 6,383.27 2,646.97 $ 692.13 $ 1,88615 $ 1,154-20 $ 1,12220 $ 2,03115 3,346,39 $ 239,05 $ 1,988.54 $ 10,543.87 7,625.99 4,739,83 S 1,218.-68 S 2,432.53 4,249,20 2,490,39 $ 3,698,30 6,329.36 6,530.61 2,529.91 397.71 2,108.77 1,525.20 947.97 S 243,74 S 486,51 S 84984 S 498.08 5 739,66 $ 1,265-87 $ 1,306,12 $ 505,98 S 725M Feb-21 5 6,714.05 8 15.319.27 S 1.956,91 23,990,23 $ (24-29) $ (554-39) S $ $ (41,91) Mar-21 5 1,24232 25,533.06 5 878.54 27,65432 Aw-21 S 2,092.86 10,587.89 76199 $ 13,442,64 May-21, YXY9 526,55 2,768.50 S 145.72 $ 3,440,77 Jun-2 I $ 546.28 $ 7,544,99 $ 415.16 5 8,506,,43 Jul-21 S 3,095.00 4,616.81 S 772 24 S 8,484,05 $ (26-19) S i5115) 5 (38,75) S (41.75) $ 589.30 $ 141.16 Au,-241 S 2_490-39 S 416.79 2307AS Sep-21 S 2,57610 5 4,488.81 5 65616 7,721.07 Oct-21 $ 4,298,11 8,125,00 $ 1,147.54 $ 13,57065 $ 3,,18422 13,385.54 S 1.816.40 S 18,386, 16 -Nov-21, Dec-21 2,290,86 956,19 S 616.53 3,863.58 Jan-22 $ 1,151,16 S 173.13 $ 1,324.29 S $ 750.00 5 50751 5 122,21 S - 199, 50 S 255,50 S 750,00 S 2,674,77 S 325.25 S 857.75 1,151A6 2,130.93 650,30 2,085.13 S 2,58537 S 214.28 $ 2,327�04 S 5,553499 S 6,668-44 5 11,736.16 5 7,89714 S 3,776.66 $ 230,23 S 426.19 S 130-06 $ 41T03 $ 5.17J5 S 42,86 $ 46.5-41 $ 1,110-80 $ 1,333.69 $ 2,347-23 $ 1,579.43 $ 755.33 5 18149' S 339,67 $ 103.66 S 332.37 $ 412.17 $ 42.86 S 370.93 $ 885.31 $ 1,062.95 $ 1,870,74 5 1,258.80 S 602.00 ------------- - ----- $ (10-36) 15 94 Feb-22 1,380.,93 3,00000 247.03 $ 4,627,96 S (92A4) Mar-22 Apr-22 142.79 1,962.92 $ 2,030.04 S 488,83 S 91.39 2,172 23 2,543,14 S (10346) 8 J240.981 May-22 2,585,77 2,58537 S (412.17) 214-28 31.813.16 4,027,44 S 3.770.30 [Jun-22 Jul-22 2,127,54 5 798.00 617.87 .3,.543,41 246,94 Aug-22 $ 5,298-49 S 1,022= 6,320,49 S (985-31) Sep-22 5,918,44 $ 3,000.00 8,918,44 S (1.062,95) Oct-22 S 9,06.139 S 10,699�08 5 45.1.19 5 20,211.66 $ (1,419-55) $ (65017) Nov-22 7,571.89 S 1,301,00 S 608-03 5 91,480,92 Dec-22 2,918.91 3,431.00 $ 6,349,91 $ (602:00) Jan-23 5 6,037,91 S 635.01, $ 6,67232 $ -- -------- $ $ 350,00 $ - $ $ 1,080.25 $ 620.00 1,073.75 3,22635 $ - 6,03731 6,195.19 30,916,31 $ 38,161.39 72631 3,023.79 $ 8,588,25 $ 9,042,16 6,26&92 6,045,90 5 2,059.24 2,471.33 $ 1,207,58 5 1,239.04 6,183-26 7,632,28 145.34 604.76 S 1,717.65 $ 1,808,43 S 1,253.78 S 1, 209, 18 S 411-85 S 49 A 27 5 1,20758 $ 1,239.04 S 6,18326 S 7,63228 5 145,34 5 60476 S 1,717.65 5 1,90843 5 1,253 78 S 1,209.19 5 41185 $ 494.7-7 5 (572,57) $ 1 1,1504 20 Feb-23 S 6,195-19 12,989.38 19,184.57 -Mar-23 DO $ 6,113.26 $ 38,079.57 5 (70.00) Apr-23 38,161,39 S S 3,5S8.79 5 41,720.18 5 (4,073.49) M.ay-23 $ 726.71 S 5 145.34 5 872.05 (0.00) Jun-23 S 1,943.54 5 4,321.00 S 102.66 S 5,400.00 S 11,767.20 (5 021, 10) Jul-23 $ 8,588,25 $ $ 354.58 8,942.83 $ (481.42) 5 4. Au -23 $ 8.42216 S 2,480= S 1,327.01 12,229.17 Seo-23 S 5,195,17 S 4,295= S 396.72 S 9,886-89 $ (857,06) Oct-23 2,919,15 $ 12, - 907.00 $ 204.46 015,93,61 S (1,004,72) Nov-23 Z059-24 28741 2,346-65 S (124.44) Dec-23 $ 2,471.33 S S 49295 $ 2,964:28 $ (132) Jan-24 S 6,018,47 $ - 5 959.34 S 6,977,81 S $ 514.75 $ 3,400,78 $ 6,018,47 $ 7,841.85 S 6,542,61 $ - $ S 1,203,69 $ 1.569.37 $ 1,30&,52 $ S $ 959.34 3 1,249.99 S 1,042.89 - $ (0.00) Feb-24 7.327JO 2.059,00 S 585.93 $ 9,972M $ (664,06) Mar-24 Apr.24 3,141.83 $ 13.60313 S 500.81 $ 17,245,77 $ - 5 (542M) S May-24 Jun-24 .Jul-24 .Aug-24 Sep-24 $ Oct-24 Nov-24 Dec-24 5 an-25 Feb-25 Mar-25 Apr-25 'May-25 rjun-25 Billing Total S 199,330.94 6 167,05314 $ 45,337.99 S 5,400.00 S 4117.1122.06 41,763.29 S 241,094.23 S 48,213.85 $ 44,842.08 495.90 Indirect Admin Per Gt. Admin Variance Indicates Unbilled Admin $ 1,0M65 $ 878.54 761.89 145.72- $ 41516 $ S S 772.24 416,79 1.91,6.40 $ 616-53 $ 17113 91-39 (91,39) 3,76734 $ (3.675.95) 652.33 S (652,33) 11,36 S 3S01 80 $ 45119 166,68 608-03 635-01 $ (608.03). S (63SL1) 4,531,66 $ (4,080,47) S L639,47 S (1,031A4) $ 1,757.28 $ (1,757.28) 5 981.21 $ (346,20) $ 4,648,89 S 8,340,49 8,479:64 S LL-166 3811 1,679;05 S (1,532 -71) $ 102.66 5 S 354,58 S 39672 204,46 287,41 492-95 (5485) 58593 576 C2 15 (75,21) $ 49,936,26 (4,599-28), 01C Billing Period: Mar-24 Billing Requested Indirect Admin Per Indirect Admin Indirect Admin Variance H Catppory Amount (a) GL(b) Per NICRA W Indicates Unbilled Amt. (d) 21A General Admin (Grant County) $ - 05Q PS Admin Admin - Indirect 67.57 77.71 $ 67.57 Admin - Direct Sa la ry Taxes K Benefits Or)erations Costs 423.88 050 PS Admin Budget (010 05Q Admin & Operations Total 05Q PS Subsistence Pymts 05Q PS TOTAL 18C Microenterprise Admin Direct Micro Assistance Admin - Indirect Admin - Direct Salary Taxes & Benefits Operations Costs 18C MICRO TOTAL QSX PS Housing Counseling Admin - Indirect Admin - Direct Salary Taxes & Benefits Operations Costs 491.45 13/603.13 140094.58 7.17 .25 $ 45.00 52.17 426.07 1,465.42 $ 797.25 $ 410.28 Direct Payments on upper section of Expenditure Report, All Admin and Operations in lower section 0.00 Direct Payments and technical assistance for beneficiary workshops on upper section of Expenditure Report. All Admin and Operations in 7,17 $ (0.00) lower section. 490.06 $ 426.07 $ Salary, benefits, payroll expenses for direct beneficiary work in upper section of Expenditure Report. All other 0.00 admin and operations in lower setion. 05X PS Tota 1 3,099.02 CV1 TnTAL 15 17.245.77 5 576.02 500.81] ALL GOOD FUND STATEMENT Total Expenses (a) $ 17,0245.77 Reirnbursernent Received $ Amount Due Grantee (if Actual Costs are higher than Total Funds Received) $ 17,245.77 lExcess Funds Received (if Total Funds Received is higher than Actual Costs) 1 00. (It 050-6 0301is 030-16 MIC 030=e 030-A 0304 03" 0304 Ma A 030-1 030-4 030� 030-+ 030-j 030= 03"2- 030-62- 030-62- 030-62- 030-62- 030-62- 03"2- 030-62- 030- 030- 030 030- 030- 030 030- OIC of Washington CDBG CV1 Expense Tracking Summary - 500 Grant Period: 110101/2020 - 06130/25 20-6221 C-1 11 RILt ING PFIRIon. MARCH 202A I YTD EXPENSED YTD BILLED I BUDGET BALANCE 62 64 DESCRIPTION ACCOUNT BUDGET (as of 03131124) (f 02120124) (as of 03f311/24) ------ as oP1FfERENrE 05Q PUBLIC SERVICES -SUBSISTENCE PAYMENTS 105X HOUSING ASSISTANCE PUBLIC SERVICES ADMIN (03 0-62,030.6g�O TOTAL PUBLIC SERVICE ADMIN 'BUDGET $�iS,367.84 $96,367.84 ADMINISTRATION - INDIRECT (009) - Public Services $25,269,56 $25,201.99 $67 57 ($25,269.56) ADMINISTRATION - DIRECT��ublic Services $317.83 $317,83 $0,00 3 Salar5311 v $31,620.78 $31,620,78 T--�3117.8 N ME i315620.78) FICA, OIC Ex p $2299.38 $2,299.38 $0.00 ($2,299.38) L AND 1, OIC Share ......... .. 5352 $184.36 $184,36 $0.00 $184.36) ..... J_ State IJCI,0IC Ex p T-5353 $487.24 S487-24 $0.00 01 A*YA ($487.Acl PFML 5355 $195.51 $195.51 WOO ($195.51) Disability _ _,.,OIC Ex2------ ------------ 5360 $381,94 $381 �94 $0.00 ......... _ ..... t;381&941 Medical Insurance, 01C ES 5361 $4,708.24 $4,708.24 $0.00 ($4.,708.24 Life Insurance, 01g Ex 5362 $152.30 $152.30 $0,00 J$152.30) Pension, 2! g Ex 5363 $2,291.96 $2,291.96 $0-0_0 [$2.291.961 Accrued PTO En 5364 $2.272.22J $2.279.22 $0.00 ($2.279.22) t Audit Costs 5402 - $105.21 $105.21 MOO ($105.21) Website T� 540�L $2,264.99 $2,264.99 $0.00 (NIMI-M. Mileage/Perdiem:-In state 5500 $1,306.63 $1.306.63 $0,00 ($11,306-6311 Depreciation Exp, Equip 5602 $23.06 $23,06 $0.00 3.06 z Consumables 5700 $1.138.72 $1,138.72 WOO ($1,113L.72 j ? Reproduction Supplies 5712 $86.26 $86.26 $0.00 (S86.261, z EquiRmeet-added 5800 $738.98 $738.98 $0.00 098 z Insurance 5910 $123.91 $123.91 $0.00 2 Liabili!y Insurance 5912 $1 A3 $1.43 $0.00 -,($123.91) ($1.431 2 Advertisin 5945 $2,250.00 $2,250.00 $0..00.1 1$2.250.0011, 2 Communication (Telephone/Cell & ISP) 5960 S1,226.75 $1,226,75 s0-00 ...... 75 2 Postage 5970 $64�84 $64.84 $0.00 _f$1,226 $64-8 n Depreciation Exp Bldg - ---------- 5601 $64.60 $64.60 0 5602 $0.05 $0.05- $0.00 ($O.ON, 0 Space 5611 $592.45 ----------------------- $592.45 so.00 L!L592.45) o Rent 5612 $3,821.31 $3,397.43 $423.881 3,8211.31) 0 Utilities 5630 $91.78 $91.78 $0.00 ($91.781 o Build Repair/Maint. 9 5640 $101.27 $101,27 $0.00 L$101.271 oinsurance 5910 $0.53 $0,53 $0.00 0 5 3 ($0.531 o Liability Insurance 5912 $28-64 $28.64 $0.00 2 8 6 SUBTOTAL L96,,367-84 A.28, $491.45 $12,1148.11 4 8 1 SUBSISTENCE PUBLIC SERVICES PAYMENTS (030-62, 030-62-5 TOTAL SUBSISTENCE PS PAYMENTS BUDGET $175.000.00 $175,000.00 ,2 Client Mortgage Payment 5618 $23,019.85 $23,019.85 S0.00- 2]3,,019.85, 019 85 ,2 Housinq Asst/Rent 5619 $43.336.10 $43,336.10 $0.00 ($43,#336.10), Security Deposits 5737F$2,000.00 : $2,000,00 $0.00 j$2,g000.00j a Services i 5959 $7,392.13 i $7,39213 $0,00 . ........... ($7�392.1131 _ a Late Fee T 5990 1 $923.00 $923-00 $0.00 $923. 0) -4 Client Mortgage Payment$7,573.46 �5618 1 $7,57146 $0,00 ($7,1573.4 Housing Asst/Rent 5619 i $56,787.45 $43,50845 $13,279.00 ($56t787.4 030-641-ate Fee 5990$324.13 $0.00 $324.13 SUBTOTAL 4s,75,00O.OD $1141.356.112 $127,762.99 $13.603-13 05X - HOUSING INFORMATION AND REFERRAL SERVICES (030-64, 030-64-50) TOTAL PS HOUSING COUNSELING BUDGET $110.715.59 $110,715.59 oog ADMINISTRATION - INDIRECT (009) - Housing $4,627.27 $4,201.201 $426.07 ($4,627.27 $1,465.42 ($30,924.60 o3o-;;A Salary --------------- ------------ ------------ --- - --------- - ---------------------------------------- -- - 5311 $30,924.60 $29,459.181 DP COSTS htips-i/oicotwashington sharepoint com/sites/Fiscal/Shared Documents/Grants-Contracts-Billings/Grants-Contracts-CurrenV500.-CCBG COVID 19 fund (EB)/2- BillingsiCI)BG (500)_Expense Tracking 03-2023 Lhru Current -Revised 8-26-24 9/3/2024 03"j 030-Gj 030-6, 030-64 030.61 030-6a 0304 03D-6 010-6 030-6 030-15 OU 4 =14 030.6 030-6 00-6 ox-e OxAf 030-4 Volt 1334-f 030-f 030-644 OX-644 030-C-At-' 030-W 030,64-! 0134-, 030.6A-! 030-fW FICA, 01C Exp 5351 $2,294.03 $2,187,05 S106 W I$U94.03) L AND 1, 01C Share 5352 $189.58 $178.07 $11 5 1 State UCI,OIC Exp 5353 $347.29 i $331.76 S15.53 ($347.29) PFML 5355 $255.98 $24319 $12.79r J!255-98) Disability, 01C Exp 5360, . ......... $403.56 $382.10 $21.46 ($403.5q Medical Insurance, OIC Ex Life Insurance, OIC Ex 5361 5362 $3,517.84 $160,82 $3,133.82 $152,26 $38402 $8�56 517.84 ($160.82) Pension, OIC Exp 5363 $2,412,96 $2,291.96 $12100 (52-41-2-96) Accrued PTO Exp 5364 S2,495.09 $2,379.69 $11 5.40 1 ($2,495.09) Audit Costs T Credit Reports Mileage/Perdiem:-In state 54-02 5411 5500 4 $45.46 $490.50 $1,610.07 $45.46 $490.50 $1,473,39 $0,00 $no $136,68 ($45A fit $490.50) Y ($1,614.07 ..Depreciation Exp Equip 5602 $16,41 $15.84 $0.57 J$16.41) Consumables 5700 $1,209,81 $1,209.81 WOO ($1,209. RepLoduption Supplies 5712 F $224,54 $219,26 1 $5.28 1 1&- M _tq mlent-adde 5800 $2.568-42 $2,568.42 $0-00 1 21568.42) Insurance Liability Insurance 5910 5912 $100.86 $6,99 $96.69 $6.15 $4.17 ($100.861 $0.84 $6.99 l, Advertisinq 5945 $6,220.00 $6,220-00 S0-00 ($6,220.00) Staff Training 5949 $200.00 $200,00 $0.00 $200.00) Communication elephone/Cell & ISP) 5960 $2,240,49 $2,202,55 $37.94 $2,240.49) Postage i Depreciation Ext) Blda 5970 5601 A $172-37 $106.49 $169V $89.22 $3.36 $1727 ($172.37) -($106A9) ) e reciat on xo ell Fi 1) n y,,, i ) Space r 5 6 0=2 5611 $0.05 $218.91 M05 $208.59 S&00 ($O.ON $10.32 ) 5612 $966.68 $789.54 $177-14.1 t$966-68) -Rent .-Paymenu ) Utilities 5630 $60,04 $52-35 $7.69 it ($60.04) ) Build Repair/Maint, 5640 $63.07 $55-53 $7.54 1 l Insurance 5910 $0,20 $0.20 $o 007 o Liabilitv Insurance 5912 $148 1 $18.61 $17.13 _($18-611 - ------ SUBTOTAL --- --- $110,715.59 $64,168.99 $61,069.97 $31099-02_j ''$46,546.60 7 - TOTAL SUBSISTENCE I HOUSING $382p083.43 $2890744.84 $272,551.241$17tj 93.60 1 $92,3,30.5%L MICROENTERPRISE ASSISTANCE M1CR0ENTERPRISE ASSISTAhtCE AD1lriitV �034-63, a30-63- �, AN TOTAL MICRO ASSIST ADMIN BUDGET' S1 26.034.57 I $126,034.57 q ADMINISTRATION - INDIRECT (009) $15,073-82 $15.066.65 $7.17 a ADMINISTRATION - DIRECT (008) $49-50 $49,50 w $0.00 _4111073,82 - . . .... aSalary 5311 $45,644,51 $45,644,51 $0.00 ---- --------- --- 644.61) aFICA, OIC Exp 5351 $3357,03 $3.357,03 $0.00 ($3,357-03) a L AND 1, OIC Share a State UCI,OIC Exp 5352 5353 i S303.17 $491-48 $303.17 $49148 $0.00 $0. ($303.1 %491.48) a PFIVIL a Disability. OIC Exp aMedical Insurance, OIC Exp 53551 5360 53fi1 $367,07 $584 98 $7,826.35 $367,07 $584.98 $7,826,35 $0 $0.00 $0,00 __($367,07) $584.98) ($7,826.35 a Life Insurance, OIC Exp 5362 $232.45 $232.45 $0-00 * Pension, OIC Exp 5363 $3,316,72 $3,316,72 $0.00 .,.(1232.45) ($3,316.721 * Accrued �x �3 Audit Costs 5364 5402 $3,593.15 $105,21 93.1 $3.5 5 $105.21 $0.00 y $0.00 ($3,593.15) a Website Desiqn & Hosting � Mileage/Perdiem:-In state �3 Dep�reciatio �3 Consumables 5403 5500 5602 5700 $2,265,01 $1,171,87 $637.67 $2,265.01 $1171.87 $24.63 $637.67 i ry $0.00 $0-00 $0,00 $0 �00 A$2465401) ($I,171.871 ($24.63) ($637.67) n Reproduction Supplies n Equipmeat-added 53 Insurance 5712 800 5910 $237.07 $3,968:68 $126,70 $237-07 $3,968.68 $126.70 $0.00 $0,00 $0.00 ($237.07) .... j$3,968.68) )P COSTS haps:flaicofwashington sharepoint corn/siteslFiscal/S h a red Docu men ts/Gra n ts-Co ntra c ts_ Billing wGra nts-Contracts-C U rren V500-COB G COVID 19 fund (E8)t2- Billings/CDEIG (500)_E-xpense Tracking 03-2023 thfu Current -Revised 8-26-24 9/312024 030-61 030-6: W 0-Fi. ON-6 030-51 030-5, 03a-614 03"115 03043.5 030-63--5 03016-115 0304 030-f 030-E 030-0 030-( 00.1 Liability Insurance 5912 $3.28 $3.28 WOO $3.28) Dues/Memberships 5941 $41.67 $41.67 $0,00 ($41.67) Advertisinq 5945 $1,611.67 $1,566,67 $45.00 __J$1,611.67) Staff Training 5949 $100,00 $100.00 MOO ($100.09 Communication hone/Cell & ISP) 5960 $2,288,44 $2,288.44 $0.00 ($2w288.44) Meeting Expense 5994 $133-33 $133,33 WOO ($133-33) Depreciation Ex p Bldcl. 5601 $4.24 $4-24- $0.00 ($4.24) Depreciation Ex p Equip 5602 $021 S0.21 $0.00 Space 5611 $751.57 $751.57 $0.00 �_.($0.21) ($751.571 Rent Payments 5612 $1,421.89 $1,421.89 $0.00 1$11.4211.891 Utilities 5630 $246.39 $246.39 $0,00 ($246-39) Build Repair/Maint. 5640 $221,32 $221 -32 $0.00 ($221.321 Insurance 5910 $1.37 $1,37 $0.00 7 ($1.37 Liability Insurance 5912 $126, 34-57 MICMIENs:-RISE FINANMAL A SISTANCE (030-63, 030- TOTAL MICRO FINANCIAL ASSIST BUDGET $50,000.00 $77,75 $7775 $0.00 ($77.75 j $96,280.20 L $96t228,03]__ $52.17 754.3 low $50,000.00 f Client Mortgage Payment 5618 $0.00 $0.00 $0.00 $0.00 � Housing Asst/Rent 5619 -------- --- ---- -- --- $0.00 1 $0,00 $0.00 $0.00 i Services 5959 $25.697.02 $25,697.02 $0.00 ($25,697.02) SUBTOTAL $50,000.00 125,697.07 '9 .00 $14"302.48j !ALPROENTERPRISE-TRAINING: Al TOTAL MICRO TRAINING BUDGET $12.000.00 $12,000.00 3 Consultant / Contract Services 5400 $0,00 $0.00 $0.00 $0.00 3 Training Materials 5730 $OZO $0.00 $0.00 $0.00 3 Client Training 5965 S000 $0-00 ....$0.00 SUBTOTAL $12000.0 .0 T-9=06,A0.100 so TOTAL MICROENTERMSE $188,034.57 .$129,977.22 $121 p926.05 L $52.17 $0.00 7 �-Is z $66.057.35 21A GENERAL ADMIN ---------4. - Contract Recipient 5415 $5,400.00 $5,400-00 t5$500,00 $0.00 $0.00 SUBTOTAL 400.00 $5,40 .00 $0.00 $0.00 TOTAL GRANT $575x518-00 8417912-2--0-6T $399,876-72-97- $17.245.77 $"158,395.94 SUMMARY ------------- - 11---,--"-,---.-,--, ------ Current Month DESCRIPTION BUDGET YTD EXPENSED YTD BILLED Billing Total D BUDGET BALANCE 50 PS Admih - PUBLIC SERVICES ADMIN INDIRECT ---------------------- - $257587,39 -ED ------ - $25 519 82 $6757 j$25-587-39)i 050 PS Admin - PUBLIC SERVICES ADMIN S5863234 $58 200 46 $42388 ($58.632 34) Subtotal $96,367.84 $84,219.73 mram $491.46 $12,148.11 05Q Payments - PUBLIC SERVICES PAYMENTS $175,00000 $141,356 12 $127,75299 $13-603--13 $31643-88 05X PS - HOUSING COUNSELING 05X PS - HOUSING COUNSELING ADMIN INDIRECT $59,541,72 $4.62T27 $64,168.99 $56,868.77 $420120 $61,069.97 $2.672.95 $42607 $3.099.02 L$595d1 721 ($4.62727) SubTatal 3110,715.59 54 s".60 I 8C Admin - MICROENTERPRISE ASSISTANCE ADMIN INDIRECT 18C Admin - MICROENTERPRISE ASSISTANCE ADMIN $15,123321 $al 15588 $15 116 15 $81 11188 $717 $4500 ($15,123-,32) ($81-156 881 5§5-iow SubTotall $126,034.57 $96-280.20 $96.22IL03 SSZ17 Sn.754.37 1 8C Financial - M iGROENTERPRISE FINANCIAL ASSISTANCE $50;000 00 $25697 02 $25 697 02 $000 $24 302 98 1 8C Trainin 4 - MICROENTERPRISE TRAINING 121 a General Admin (Grant, County) -T- $12:000,00 $5..400.00 $00 $5,40000 $000 $5,400-00 $0-00 E- $0,00 $12,0x'00 $0(i01 TOTAL $576,518.00 $417,122.06 $3991876.29 $17,246.77 $168,396.94 YTD Expenditures Per GL 5427,72034 Difference - Duplicate payment adjustment, voucher #'s 209719 & 209720 (SO,00000) Difference (Unbilled Admin) (S.4,598 28) OP COSTS https.-Poicofwashington sharepoint corn/sites/Fiscal/Shared Documents/Grants-Contracts-Billings/Grants-Contracts-CurrenV500-CDBG COMD 19 fund (ES)/2- Billingsicoac (500)_F-xpense Tracking 03-2023 thru Current-Rev'tsed 8-26-24 91312024 cif ' STATE OF WIO DEPARTMENT OF COERCE 1011 Nim, Step( E . PO, Bor4 5 # 1y: a, Wa .4 ( m 9 504-2 5 4 0 w.0 om ftl ofC w .f ps'' Form 19-1A VOUCHER DISTRIBUTION AGENCY Short Code Commerce Contract Number NUMBER CMS Invoice ID: DEPARMENT OF 1030 20-6221 C-111 413200 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 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 services furnished to the State of Washington, and that all goods (Vendor Contact Phone) furnished and/or services rendered have been provided without discrimination because of age, sex, marital status, race, creed, color, kstockton(@-grantcountywa.gov (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) 1 /24/2025 3:16:28 PM 04/01 /24 - 04/30/24 (SUBMITTED BY) (SUBMIT DATE) (REPORT PERIOD) DESCRIPTION BUDGET REQUESTED EXPENDED TO AMOUNT THIS AWARD AMOUNT DATE INVOICE REMAINING Contract Total $929,365.00 $8,701.28 $680,212.11 $.00 $249,152.89 Non - Match Total: $9299365.00 $85701.28 $680,212.11 $.00 $2495152.89 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 REV MASTER SUB SUB MG MS GL ACCT SUB AMOUNT PROGRAM CODE CODE INDEX OBJ SUB SID INDEX OBJ 622CO320 NZ 6221 C READY to BATCH PREPARER DATE WARRANT TOTAL CREATED BY Karrie Stockton (Kstockton2) DATE 11/24/2025 3:14:16 PM Form 19-1A VOUCHER DISTRIBUTION AGENCY NUMBER Short Code Commerce Contract Number CMS Invoice ID: DEPARMENT OF 1030 20-6221 C-111 413200 COMMERCE 0 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 Al VOUCHER FORM Voucher #8 STA Tg WASHIN i,/TON STATE Jam. fit`` x DEPARTMENT OF COMMERCE AGENCY NUMBER 100 "RWIN T wlm� IDIS PROJECT NUMBER COMMERCE CONTRACT NUMBER A19 VOUCHER DISTRIBUTION 1030 107 20-6221 C-111 AGENCY NAME INSTRUCTION DEPARTMENT OF COMMERCE ATTN: CDBG-CV PO BOX 42525 OLYMPIA, WA 98504-2525 TO VENDOR OR CLAIMANT: Submit this form to claim payment for materials, merchandise or services. Vendor's Certificate: I hereby certify under perjury that the items and totals listed herein are 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 discrimination because of age, sex, marital status, race, creed, color, national origin, handicap, religion or Vietnam era or disabled veterans status. VENDOR OR CLAIMANT (Warrant is to be payable to:) GRANT COUNTY PO BOX 37 EPHRATA WA 98823-0037 By: I401vubSt"Auft (SIGN IN BLUE INK) J Grant Admin Specialist 1/21/2025 REPORTING PERIOD: A r-24 (TITLE) (DATE) IDIS Activity ID DESCRIPTION ORIGINAL BUDGET PRIOR AMOUNT REQUESTED AMOUNT THIS INVOICE REMAINING BALANCE Add or delete budget line items as needed. Includes CV1 and CV2 as applicable. 8310 21A General Admin (Grant County Expenses Only) $ 22,190.00 $ 1,917.94 $ 20,272.06 8311 05Q Public Services Admin. Budget (01C) $ 96,367.84 $ 85,724.25 $ 2,525.44 $ 8,118.15 8311 05Q PS -Subsistence Payments (rent, mortage,utility) (OIC) $ 175,000.00 $ 141,356.12 $ 5,330.00 $ 28,313.88 8312 05X PS- Housing Counseling and Admin. Budget (OIC) $ 110,715.59 $ 66,470.17 $ 845.84 $ 43,399.58 8313 18C - Microenterprise Assistance Admin. (01C) $ 126,034.57 $ 100,263.97 $ - $ 25,770.60 8313 18C - Microenterprise Financial Assistance. (OIC) $ 50,000.00 $ 25,697.02 $ 24,302.98 8313 18C - Microenterprise Training (OIC) $ 12,000.00 $ - $ 12,000.00 8706 050 - Urgent Need- Mental Health -General Public (Grant Co. $ 304,900.00 $ 226,625.67 $ 78,274.33 8706 050 - Urgent Need- Mental Health -Tele-Health (Grant Co.) $ 321J157.00 $ 32,157.00 $ - 8706 050 - Urgent Need- Mental Health -County Jail (Grant Co.) $ _ $ _ $ _ Balances $ 929,365.00 680,212.14 $ 8,701.28 $ 240,451.58 BELOW THIS LINE IS FOR DEPTARTMENT OF COMMERCE TRANS CODE M 0 D MASTER INDEX SUB OBJ SUB SUB OBJ GL ACCT SUBSID AMOUNT INVOICE NUMBER CI 622CO320 NZ SIGNATURE OF ACCOUNTING PREPARER FOR PAYMENT DATE WARRANT TOTAL CMS Invoice ID: ACCOUNTING APPROVAL FOR PAYMENT DATE A19 VOUCHER FORM Vouchor 48 Billing Peeiod Apr-24 Billing Request Indirect Admin Per indirect Admin indirect Admin Variance Category Amount a G (b) Per NICRA Indicates Unbiiled Amt. � 21A General Admin (grant Countay),. 05Q PS Admin Adnwi - Indirect 347.21 $ 418.86 347.21 $ 0.00 Admin - Direct Salary $ 1,201.98 Taxes & Benefits 531.21 operations Costs $ 445•04 05D PS Adviin Budge. (CIC) 05Q Admiat & OpeidUio %) ToWl 2,525.44 05Q PS Subsistence Pyrnts $ _ 5,330.00 05 PS TOTAL � $ 7,855.44�;� _.. 13C M;t- oenterpris! Ac.�`r 16 OiroC Micro A;sistan-? � Admin - Indirect 5 Admire-17Ire:t S 40 - S,=-IarV $ - raxes & Benefits $ • nnpr:WonS [ .nsir. $ - - -- - 1SC +:tiCRO TOTAL � 05X PS Housing Counseling Admen - Indirect 5 116.29 Admen -Direct S - Salary 5 385.22 Taxes & Benefits 5 278.68 Operations Costs $ 65.65 5 01400.29 S 116.19 $ Direct Payments on upper section of Expenciture Report. All Adrrnin and operations in lower section Di.�Ct Ft�yrnr�rts any i to:hnic�t %SSfSta nc:.e for here ilia:). %wori►5hops on upper se -Von of iYGenditure Rep.-drL /J1 Admin and OrieratiMs In lower section. Salary, benefits, payroll expenses for direct beneficiary work in upper section of Expenditure Report. All other (U.UQ) admin and operations in lower seticn 05X PS Total 845.84 - --- �1 TOTALP-1. 01*n .1 46.50 ALL GOOD Ff FUND STATEMENT Total Fxpenses (a ,70.8 Reimbursement Received Arnount Due Grantee if Actual Costs are higher than TotaI Funds Received) 8,701.28 Excess Funds Received (if 'rotal I ends Received is higher than Actual Costs OIC of Washington CDBG CV1 Billing Summary - 500 Grant Period. 10/01/2020 - 06,130/2025 Grant Number: Billing Month ProgrArn Operations clitnt Services b Admin Billed C I Goporal Admin (Grant County) d Total tz(a+b+c+d) 26% Inefusion on Client Service ezb*25% IOC Rase Fza+e Admin Calculation 20% F"20%- Admin Calculation, 20211, 11119%; 2 0 2 2, 1 S. S4 3%; 2023, 20% and 2024,15.94% Admin I Vart I a nce Indicates Unbilled Admin Jan-21 Feb-21 Mar-21 S 265.54 S 6,714,05 1,242.72 $ 6,892,00 S 1531917 5 25,533-06 -'.(-)98.65 S 1.956,91 S 878.54 S 3,2 56,19 S 2 3,990, 23 S 27,65432 1,72300 3,829,82 6,38127 2,646,97 $, 69243 1,886.4i 1,154,20 $ $ 1,122,20 2,031-25 S 3,346.39 S 239.05 $ 1,988, 54 S 10,543.87 $ 7,62599 S 4,73983 1,218-68 2,432,53 S 4 249 20 2,49039 $ 3,693,30 $ 6,32936 $ 6,53061 $ 2'529.91 397,71 2,108.17 $Iil 1,525,20 $ 947,97► S 24-4,74 - 4 8 6, '5 -1 849.84 498,08 739-66 1,265.87 S 1,30612 $ �o".Qx 725,00 > '28) A.. 0, (128.72) 2 (83-27) 1 f 2,6 - I S 467. $ 694.91 . (39.7501 17.1 121 589,30 4 "' 5.3 7 14116 Apr-21 S 2,092.86 $ 10,587.89 5 761.99 $ 13,44-2,64 May-21 Jun-21 Jut-21 Aug 21 1" 526.55 Si,'. 6.2, 8 — — - - ----- - --------- 51 3,095-001 2,400Q39 S 76,QS0 $ 7,544:99 5 4,6616;81 S 145 7' S 4i5.16 S 772.24 5 416.79 S 3,440,77 5 Q,1�06.43 8,484.05 S 2,907',18 Sep-21 2-57G, IC, S 4,438.81 65616 S 7,721.07 Oct-21 4,2 98 . I I S .5,010 12 1 S 1,14-7.54 .3,57165 Nov 21 Dec-21 S 42C,0,961 -116.54 11"N 956:19 5 1,816.40 $ 616.53 -S I 8.386v 16 $ 3,863.58 Jan-22 5 1,151.16 5 5 173.13 1,32419 750.00 $ 507,51 122.21 $ - $ $ 25S.SO 750-,00 2,674,77 325.25 5 8,57-75 S 1,151.16 2,130,93 650.30 2,08i.13 2,58'5.77 S 214-28 ,4 5,53119 5,663,44 $ 11, 7 316A 6 S 7,897.14 3,776.66 230,23 0& 19 $ 130,06 $ 417,03 $ 517,15 4?.86 .41 1,1.LD.80 1,333.69 $ 2,34723 $ 1,57943 t 75533 5 18349 -1-1 339-57 > 103 6G S 332-37 5 412.17 42.86 . 5* 885.3' 5 1,0662,95 1,87074 1,258.80 5 60200 1 S (10-315-1 Feb-22 5 1,38003 3,C00-00 $ 247.03 5 4,627,96 S 192.64) Mar-22 Apr-22 May-22 5 ,Q 71,; 1,962-9-2 5 2.585,77 $ 2.030-04 $ 438,83 $ - S - S 91.39 5 2,172 93 S 2,543-A 1, 0 6 5 (2140,98-11) 3 2,58--5 77 $ 2 --13) Jun 22 2 -* 4 a 2 8 r, �5 3.813 16 - T 44 4,02- 3,770.30 1 Jul-22 ALg 22 Sep-22 Oct-22 Nov-22 Dec-22 iJan-23 S 21.54 S 5,298A9 S .15,918.44 5 9.061,39 5 7,5'i 1 $9, 5 2;918-91. $1SU0 $ 1,022,00 5 3,000.00 S 1C,699,03 1,301,00 5 3,43 1 -00 9 5 5 4,1, 14 $ 605.03 S - S 5 S 6,120.49 5 8.918.44 5 20,21.1.,66 $ 9,480t 92 6,349,91 246-94 5 (985-31) S 11,062-9151 5 J!L419,55j 6 0.771 S =2,00) S 635.01, 5 6'672.92 $ S i^ S 350.00- 5 $ $ 1,080,25 $ - S 620.00 $ 1,073,75 1 S 3,226.75 $ w j v 6,037,91 $ 6,195. 14 $ 30.91631 $ 38,161,39 $ 726.71 S 3,023,79 $ 8,588,25 5 9,042,16 S 6,268,92 S 6,045,90 $ 2,059.24 5 2,471-13 S 1,20".58 1,239,04 $ 6,183.25 7,632.28 145.34 $ 604.76 $ 1,717,65 S 1,808.43 1,253.78 $ 1,209 18 411.85 S 494.27 5 1,207.58 1,239.04 5 6,183.26 7.632.28 $ 145.34 604.76 $ 1,717.65 s 1,908.43 1,253.78 S 1,209.18 s 411.85 s 494.27 (572-,57) Feb-23 Ma,-23 5 6,195,19 30.5663-� S sS $ 1,400-00 12,989 38 $ 5,113 26 S "19,184-37 A, --, 5 33,079,57 --------------------- S 11-750.34 $ (70-00) Apr-23 May-23 39,161-39 -7 26 , -7 1 S $ 7.63127 S 145-34 5 45x793,66 S 872-05. S `0'01) S 0,00) J%.n-23 4,32-1.03 5 38871 5 5,40000 S 12E05125 (216.05) it.1-23 S 8,588-25 $ --------- - 5 1.71r.GS 5 'i C, 305-90 S (124,00' Aug 23 Sep-23 $ 8,422.16 5 5, 19 5 . 1 -7 $ 2,48CDO $ 4,295.00 5 :,634 43 S 1, 0 3 9 - '0. 3 1 1,2386-59 S la 529.20 (7 14, 7 -5 0--t-23 Nov-23 Dec-23 5 2,81915 5 2,471.33 5 12,9G-7,00 $ 5 563 83 S 411.85 g 49427 16,289-98 S 2.471-09 3 2-965,60 S ?64; S. A 51, rS kllt'00 S UO Jan-24 I S 6,0,18,47 S y S 959.3,11 S 6,977.81 5M,75 3,4C0 78 S 1,332,50 S is $ 6,018,47 7, � 4 1, 35 6,542. 61 S 4,240, 28 S $ 1,203-69 $ 1,568.37 $ 1,30852 $ 849.06 5 s - S 959-34 L249.99 S 1.042 89 S 675.90 5 5 (0-00) 1 Fel-24 Var-24 7 32 7�10 3,141,83 S .4,059,00 S 13,603,131 S 1 167.94 S 500-81 5 10,5S4.114 5 1.7.245.11 1 5 L (8105) S 542.08) 5 �2 2.401 ADr-24 %lay-24 2,907,79 S 5 3 3 C. 0 0 S 463 SO 8, 70128 5 Jjrv-24 Jul-24 5 ,Aug-24 Sep-24 -------- Oct-24 Nov-24 5 Dec-24 reb-2S - ------- ------- Mar-25 A;)r 25 May-25 1-jur-25 —7 S Billing ?owl 202,238.72 S 172,383.14 53,590.95 $ 6,430.00 S 423.912.81 1 S 43.095.79 S 24S.334.551 s 49.06&93 S 45.51798 S 8,072-91 Indirect Admin Per 6L Admin Variance Indicates Unbilled Admin M NNW- -- 109&65 -S S 878 -534 1," 5 761-89 145,72 S 41516 $ 41.6. 9 65&1-6 S 1,147-154 1� 616-53 < 5 174 - 13 S 247,03 S -S 91.39 S (91.39) It -1 S 3,75734 S ZI 6-2,331 11.36 451,19 S - (3,673L951 s (65Z. 33) $ 3%802.. 90 S 166,68 608.03 635 C-1 S (603-03) 15 (63501); 5 4.531�66 S (4,08a,47) L639.47 S JLO-31.44) S 1.757-23 S (1,757.28) 981-21 4,648,89 S (345.20) S As, 3 4 -3 -4 9 $ 8,479,64 5 21366,38) 5 3.558.79 S 4,C73..48 1,678,05 S (1,532,71) % S 102,66 S 286-05 5 354,58 5 1,363-07 5 1327-M 316-72 $ 357-42 S 642-31 5204A-6 S 359,37 2 3 -7 ; 4 1 S 432.95 S 124,44 S 1,32 5 1.01.4.1.9 S, (54.85) 5 5 8 5z .9 3 S 582,01 576M S (7511) 559' 15 5 195.65) 50,.495,41 3,095,54 0-0 cc ID110-5 0"'At -G- 030-6 030-6 030-6 030-S 030-6 030-6 030-6 030's �3o-1 1104 A&M V111f 00:i 0-30L� U30-4 030- � 030-C,Z! 01,0162-! 030-62-! 010-62-4 030-62A ON, 5-2-1 0 030- OIC of Washington CDBG CV1 Expense Tracking Summary - 500 Grant Period: 10/01/2020 - 06/30/25 20-6221 C-1 11 RII I Mr. PF=Plr)r)- APP11 ?n7A VTD EXPENSED YTD BILLED 0 BUDGET BALANCE DESCRIPTION ACCOUNT BUDGET (as of 04)30124) (as of O=V31124) DIFFERENCE (as of 04130124) PUBLIC SERVICES ADMIN (030-62, 030-62-50)__ TOTAL PUBLIC SERVICE ADMIN 'BUDGET $96.367.84 $961367.8-4--- ADMINISTRATION - INDIRECT (0091 -Public Services $27.121,29 $26,774.08 %17 I $347.21 ($27t121.29) ADMINISTRATION - DIRECT 008 - Public Services $317,83 $317,83 $0'.00 ($317.83) ,Salary 5311 $32.822.76 $31.620.78 $1,201.98 ($32,822.76) FICA. OIC Exp 5351 $2.388.77 $2.299.38 $89.39 -1..---...'..($2,388.77) L AND 1, OIC Share 5352 ----- $191,72 $184,36 $7.36 L$191.721 State _.,gCI,OIC Ex e 5353 T. $499.98 $487.24 $12.74 1 ($499.98 PFML - ----- 5355 $205.23 $195.51 $972 -- 205.23 ($205.2 31 Disability, OIC E 2 X 536o $398,71 $381.94 $16.77 J!398.71) Medical Insurance. 01C Ex 5361 $4,907.48 $4,708,24 $199.24 ($4,907.48) Life Insurance, OIC Exp 5362 $159.00 $152.30. $6.70 $159.00 Pension, OIC Exp 5363 $2,383.99 $2,291.96 $9203 ($21383.99) Accrued PTO Ex 5364 $2.376.48 $2,279.22 $97.26 ($29376.48) Audit Costs 5402 $105.21 $105.21 $0.00 ($105.21) Website desi n & Hostin Mileage/Perdiem:-In state 5403 5500 $2,264.99 $2.264.99 $1,306.63 $1,30&63 $0.0-0 $0.00 ($2,264-99 ($1,306.§J3 Depreciation Exp Equip 5602 y - ------------ $23.42 $23.06 $0�36 ($23.42) Consurnables 5700 $1,138.72 $1.138.72 $0,00 . ..... ($1.138.72 Re roduction Sues li 2E�.- 5712 $8626 $86.26 MOO ($86.26) e nt-adde 5800 . . . ............ . $738,98 $738.98 $0.00 ($73.8.981 �Insurance 5910 $128.11 $123,91 $420 ($128.11 ? Liability Insurance N 5912 $2,27 ri�w$1.43 $0.84 ! Advertisinq 5945 $2.250,00 $2,250.00 $1,259.36 $1,226-75 $0.00 $32.6-1 $2.250.00 ($1,259.36) ! Communication (Telephone/Cell & ISPh_. 5960 ! Postage 5970 $73;64 $64:84 $8.80 ) ($73.64 - i Depreciation Ex 2 Bldg 5601 $64.60 $64,60 $0.00 ($64.691 Depreciation Exp Equip 5602 $0.05 $0.05 $0.00 ($0.05) Space 5611 $592.45 $592.45 MOO $592-451 Rent 5612 $4,219.54 $3,821,31 $398.23 ($4,219.541 Utilities 5630 $91.78 $9138 $0.00 ($91.78) M Build Repair/Maint. 5640 -------------- --- -- $101,27- T $101,27 $0,00 ($101.27) Insurance 591= $0.53 $0,.53 $0.00 ($0.53) D Liability Insurance 5912 1 $28.64 $28.64 $0.00 ($28.64) $8,118-15 SUBTOTAL $96,367.84 L,,i8-qj-2-49.69T-$851724.25 $2,525.441 SUBSISTENCE PUBLIC SERVICES PAYMENTS (030-62,030-6 -50) TOTAL SU13SISTENCE PS PAYMENTS BUDGET $175,000.00 $175,000.00 2 Client Mortgage Payment 5618 $23,019.85 $234019 85 $0.00 ...... ... J$2,3.019-85) ' 2 Housing Asst/Rent 5619 $45,736.10 $43,33610 $2.4001.00 ($45.736.101 z SecuritDepo�sits 573*7 $2.000,00 $2,000,00 MOO ($2,000.001 2 Services 5959 $7,392.13 $7.392,13 $0.00 L$ 7 3 92 1 3 2 Late Fee 5990 $92100 $923,00 $0.00 ($9210 4 Client Mort 9age Payment 5618 $9.823.46'.1 $7.573.46 S2,2M.00 ($9,823.46) 4 Housing Asst/Rent 5619 $56,787-45 $56.787.45 $0,00 ($56,787.45 .6 Late Fee �ry5990 $1,004.13 $324.13 $680.00 ($1,004.1 SUBTOTAL M l C175,000.00 $146,686-12 $141,356.12 $5.330.00 $289313.88 05X - HOUSING INFORMATION AND REFERRAL SERVICES 03 -64,030-64-50)_ TOTAL PS HOUSING COUNSELING BUDGET $1100716.59T $110,715.59 s ADMINISTRATION - INDIRECT �009) - Housing $7.044.74 $6,928.454$116.29 ($7,044.174 ---------- $31.309,82 $30.924,60.L $385-22, ($311309. 82) r&B )p Costs YTD FEXP ENSED Y`TC BILLED BUDGET SAl ANCFE. DESCRIPTION ACCOUNT BUB I T as of 04130124) (R S of 03131r24) ]DIFFERENCE � is of 04130124) 030-" FICA., 01C Ex , 5351 S2.320.63 S2294,03 $26.60 ' $&320.63 T & B 030-fA L AND 1. CHIC Share 5352 $193,11 1 B9"58 S3,53 .5193.11 oao-FA State UG1,01C Exp 5353 w� S351.37 $347 29 $4.08 $361.37_) t4 PFML 5355 $258,88 S255.98 $2.90 A258.88) 03M4 Disability, OIC Exp 5360 $408,55 t - $403.56 -------------- 34.99 $408.55 010.45s Medical Insurance. Oi __ 5361 S3,696,15 S3.517=84 $178.31 J$31696.l5 010 64 Life Insurance, OI' 5362 S162.80 $160,82 $1.98 $162.80 . 01 Pension, 5363 $2.440.39 $2,412.96 $27.43 t___$2 440.39 ci"4 Accrued 4 O Ex 5364 $2.52 .95 +.f,2x49 .09 $28,86 ($2,523a.76 C2 rg-EA Audit Costs 54-02 S45-40" S46,46 $0 00 $45.46) L30- 4 Credit Reports 5411 S4W50 $490.50 $490.50) a-.o3o.e4 Milea e/Perdierri.-ln state 5500 $1.610:07 $1,610.07 �$0.00 S0,00 ($1,610.07) 4w" Depreciation Ex Equip 5602 $16.52 S16.41 S0.11 $16.52 OP COSTS - 4 Ocnsumables 5700 $ #.209.81 $1.209-81 S0,00 ►'1,209.81) wo- Re roducticn S--- -- 571 5226,92 S224-54 S2.38 5226.92) I��Equipment-added 5800 � S2,568.42 I S2.568 42 SQ,00 1 ($2.568.42 �-- Insurance 5910 $102.15 S100,86 $1.29 $102.1§5 03a-b� Liability Insi,.Yrance .,.���.�� 5912 � F��� 56.99..mti..,. .., $6.99 $0.00 � $6.99 b Adertisin 5945 56120-00 $6.220.00 $0.00 $6,220.00 o" Staff Trainer 5949 $200.00 $200.00 $0.00 200.00 030, om unicatien 1ele hone/Cell IS ms�ass6m4s»N 5960 a+niiiasik $2148.71 aa,�wi»»�mras»rmasw++-.,+++rsr..•:sssnsao S2.240.49 S8.22 $2 248.71 - £�w44 Postace w _ .w . 5970 $172.37 $172,37 S0,00 $172.37 Deireciaten E B°d 5601 $124 t $106.49 $17.57 ' 1 m -so Depreciation . ui , 5602 $0.05 0.05 0 $0.051 plat&. Space 5611 S241,17 S218-91 $22 26 $241.17. m4A.io Rent Payments 5612 S966-68 $966,68 $0 00 5966.68 ov, ,w utilities 5630 S65.15 $60-04 $5.11 $65.15 01164 M Build Re ainiMaint. 5640 S70.18 1 $63,07 $7.11 $70.18 wo."-so Insurance � 5910 $0,23 $0.20 $0.03 0.23 $20.18 -sa Liability lnsurance _._. _ _ . 5912 - - 520.18 $18-61 $1.57 $845.84 Z$43,_399.58 SUBTOTAL _ _ _ w $110 71 S.59 _ $67,316.01 1 966,470.17 , Al. SUB TENCE 1 HOUSING $362,Qg3.43 $302,261.82 $293,550.54 $8r701.28 $79,831.61 MMENTE iSE ASSISTANCE AOV1N (030•6, 030-63-50 TOTAL MICRO ASSIST ADMIN BUDGET; $126.034.57 I $1261034.67 3 ADMINISTRATION ATIO J INDIRECT 000` $19.057.59 S19.057.59 S0.00 $'19,057.69 a ADMINISTRATION - DIRECT 0081� $49,50i_l $49.50 � S0,00 ($49.5►0 M-63 Sala 3 1 � S45,644.51 145, . C, 4 4 -5. 1 S0,00 S45,644.5l win FICA, O10' Exp 535-1 I S1357.03 S3,357.03 S0.00 $3 357.03 om L AND 1. OIO Stare 5352 $303.17 $30317 S0,00 _ ..(.. 303,17) 030-43 State UOI.OIC E 5353 $491,48 I $491,48.E-- w00 L $491.48 ► Pi1t_ 5355 $367.0" $367.07 I $0.00 t367tT 030 e1 Disabilit . OIO Ex - -----^350 $5$4.98 $554.93 �,$0,.00 $�.. 5�`: oaq-t3 Medical Insurance, 01G Exp 5361 S € .825. 35 S7.82635 $0.00 $7.826.35) ox4,, Life Insurance, OIL L.�w �.-......H..�.�.,� -.� �. 535.2 � .� .5232 45 S232.45 .,..a$0 00 A$232.45� a _w Pension. OIO Exp, 5353 m S3,31672 S1316 72 $0,00 $3,316.721 o" Accrued PTO Ex ' ,.....�... � 5364 $3.593-15 $3.59115 S0,00 ($3,593..15' oxAs3 Audit Oasts 5402 .$105,21 $105.21 S0.00 JV05.2111 o3o Webslte Design & L-lestir~ 5403 $2.265.01 $2,265V 50:00 12,266.011 ------------- ------ 03r-x 11Jea e/Perdiern:;ln state„ 5500 � $1.171,87 S1.171 87 $0,00 fLill.71.87 o3ci. s Ike reeiation E 'Eqgj�. .r� � � _ 5602 _ . $24.63 $24.63 . , $0.00 Q3c 3 Censumables - 5700 $637.67 $637.67 $0.00 &637.67' Dare froquctio,i q lies 5 712 $237.07 $237,07 S0,00 .. 237.37; ... - _ -,.... 030,6, Uioment added , . 5800 $3 y968.68 _ $$$3,968.68 $0 00 $3.968.68 o3o-6-3 Insurance 5910 $126.70 $126.70 $0.00 ($126.70 A I..iability Insurance 5912 $3.28 $3.28 . S0,00------------ --- -----($3.28 21 A GENERAL ADMIN Contract Reopient 5415 S5,400.00 $5.400-00 S5,40000 S0-00 $0.00 SUBTOTAL 5.400.00 $5.400.00 $5,400.00 $0.00 $0.00" GRANT'"'m 1 $575,518.001 $433,612.81j—$424o9ll.63---' $8o701.,281 $141,905.19. TOTAL SsMsltoo S413.61M S424,91i-S3 S8,70118 $141,90519 YTO Exwotuies Per G! - S4M 517 21 Ouo6cwe pa-prent adjas.wwv, vouchor is 21(*719 & 200-720 00� W"A