HomeMy WebLinkAboutInvoices - BOCC (002)GRANT COUNTY
COMMISSIONERS AGENDA MEETING REQUEST FORM
(Must be submitted to the Clerk of the Board by 12:00pm on Thursday)
REQUESTING DEPARTMET: COI111111SSIOIl2fS Office
. B Vasquez
REQUEST SUBMITTED BY:
CONTACT PERSON ATTENDING ROUNDTABLE: B VaSgU2Z
CONFIDENTIAL INFORMATION: ❑YES ®NO
DATE: 2/4/25
PHONE:2g2$
iTYPE(S) OF DOCUMENTS
�§U�ITTED.
(CHECK ALL
THAT APPLY)J
❑Agreement / Contract
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❑WSLCB
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Washington Counties Risk Group Inv# INV-01484 in the amount of $10,000.00
for the deductible in the Ross Claim# W1567.
If necessary, was this document reviewed by accounting? ❑ YES ❑ NO 0 N/A
If necessary, was this document reviewed by legal? ❑ YES ❑ NO W N/A
DATE OF ACTION: 07- // DEFERRED OR CONTINUED TO:
APPROVE: DENIED ABSTAIN
D2:
D3:
WITHDRAWN:
4/23/24
•TVWCR. G
Washington Counties Risk Group
BILL Grant County
TO: PO Box 37
Ephrata, WA 98823
INVOICE #: INV-01484
DATE: 01 /24/2025
DUE DATE: 02/23/2025
TOTAL AMOUNT: $10,000.00
TOTAL DUE: $10,000.00
DESCRIPTION / MEMO AMOUNT
Deductible -Grant Co/7-26-21 /Ross*W1567 $10,000.00
TOTAL AMOUNT: $10,000.00
Washington Counties Risk Group
159 Basin Street SW PMB #206
Ephrata, WA 98823
Phone 509-754-2027 Fax
Accounting@choosectear.com
Customer ID - Name: GRANT - Grant County
Invoice #: INV-01484
BILL Grant County
TO: PO Box 37
Ephrata; WA 98823
TOTAL DUE: $10,000.00
AMOUNT ENCLOSED:
REMI ' Washington Counties Risk Group
TO: 159 Basin Street SW PMB #206
Ephrata, WA 98823
1
GRANT COUNTY COMMISSIONERS
Invoice Date: 01 /24/2025 Terms: Due Date: 02/23/2025 Customer ID: GRANT