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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: gOCC REQUEST suanniTTED BY: Karrie Stockton CONTACT PERSON ATTENDING ROUNDTABLE: Kat"I"I@ Stockton CONFIDENTIAL INFORMATION: ❑YES ® NO � RAMM DIE - SATE: 4/11I2025 PHONE:2937 ❑Agreement / Contract ❑AP Vouchers ❑Appointment / Reappointment ❑ARPA Related ❑ Bids / RFPs / Quotes Award ❑ Bid Opening Scheduled ❑ Boards / Committees ❑ Budget El Computer Related El County Code ❑Emergency Purchase ❑Employee Rel. ❑ Facilities Related ❑ Financial ❑ Funds ❑ Hearing ❑ Invoices / Purchase Orders *Grants — Fed/State/County ❑ Leases ❑ MOA / MOU ❑ Minutes ❑ Ordinances ❑ Out of State Travel ❑ 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 / /may � �a-�/ / � � � � � 3 O % �'��z����9 � � � . "'• �®/ / � � � '�/�/�////�' '� 9�� � ��5 ��/� �� / / ��� Reimbursement request from Renew on the Community Development Block Grant (CDBG) CV2 #20-6221 C-1 11 in the amount of $11,918.04 for February 2025 expenses. If necessary, was this document reviewed by accounting? ❑ YES ❑ NO 0 N/A If necessary, was this document reviewed by legal? ❑ YES ❑ NO 0 NIA ................ DATE OF ACTION: �IiZ`�� DEFERRED OR CONTINUED TO: APPROVE: DENIED ABSTAIN D1: D2: D3: WITHDRAWN: 4/23/24 Grant Grant Behavioral Health 8 Wellness PO Box 1057 Moses Lake, WA 98837 Phone (509) 764-2643 BILL TO: Grant County - CV-2 PO Box 37 Ephrata, WA 98823 Fax (509) 764-4124 DATE: April 3, 2025 INVOICE 2/28/2025 FOR: Feb-25 CV-2 DCR DESCRIPTION Amount Total Amount CV-2 DCR Salary & Benefits $ 9,612.13 $ 9,612.13 Oper Expenses $ 2,305.91 $ 2,305.91 Total 11 1918.04J THANK YOU!!! M Al VOUCHER FORM Voucher #8 WASHINGTON STATE x 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: Karrie Stockton (SIGN IN BLUE INK) Grant Admin Specialist 4/11/2025 REPORTING PERIOD: Feb-25 (TITLE) (DATE) IDIS ActivityIQ DESCRIPTION � FORIGINAL / "-- 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 (OIC) $ 96,368.00 $ 94,600.20 $ 1,767.80 8311 05Q PS -Subsistence Payments (rent, mortage,utility) (01C) $ 237,073.42 $ 146,686.12 $ 90,387.30 8312 05X PS- Housing Counseling and Admin. Budget (OIC) $ 110,715.59 $ 78,241.91 $ 32,473.68 8313 18C - Microenterprise Assistance Admin. (OIC) $ 100,263.97 $ 100,263.97 $ - 8313 18C - Microenterprise Financial Assistance. (OIC) $ 25,697.02 $ 25,697.02 $ - 8313 18C - Microenterprise Training (OIC) $ _ $ - $ - 8706 050 - Urgent Need- Mental Health -General Public (Grant Co. $ 304,900.00 $ 258,212.98 $ 11,918.04 $ 34,768.98 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 $ 737,777.14 $ 11,918.04 $ 179,669.82 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 -/ %: ME, %'' Ad SIGNATURE OF ACCOUNTING PREPARER FOR PAYMENT DATE WARRANT TOTAL CMS Invoice ID: ACCOUNTING APPROVAL FOR PAYMENT DATE b �,•a t -1 t£ i STATEF WASHINGION DEPARTMENT OF COMMERCE Form 19-1A VOUCHER DISTRIBUTION AGENCY Short Code Commerce Contract Number NUMBER CMS Invoice ID: DEPARMENT OF 1030 20-6221C-111 419970 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, WA 98823 Vendor's Certificate: The individual signing this voucher below warrants they have the authority to do so as authorized and on behalf Karrie Stockton of the entity identified in the Vendor/Claimant section. The individual (Vendor Contact Person) signing below certifies under penalty of perjury that the items and totals listed herein are proper charges for materials, merchandise or (509) 754-2011 (Vendor Contact Phone) services furnished to the State of Washington, and that all goods furnished and/or services rendered have been provided without discrimination because of age, sex, marital status, race, creed, color, kstockton(@grantcountywa.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) 4/11 /2025 9:12:38 AM 02/01 /25 - 02/28/25 (SUBMITTED BY) (SUBMIT DATE) (REPORT PERIOD) DESCRIPTION BUDGET REQUESTED EXPENDED TO AMOUNT THIS AWARD AMOUNT DATE INVOICE REMAINING Contract Total $929,365.00 $11,918.04 $737,777.14 $.00 $191,587.86 Non - Match Total: $929,365.00 $11,918.04 $7379777.14 $.00 $1919587.86 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 lKarrie Stockton (Kstockton2) DATE 4/11/2025 9:05:04 AM Form 19-1A VOUCHER DISTRIBUTION AGENCY NUMBER Short Code Commerce Contract Number CMS Invoice ID: DEPARMENT OF 1030 20-6221C-111 419970 COMMERCE 0 All Expenses under $1,000 Paid by UBI - Paid 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 i� r e n euu Grant Bvhavloral Health 8 W911ness CV-2- DCR- Jail 108.150.00.7609.564.41. 1100 108.150.00.7609.564.41.2100 108.150.00.7609.564.41.2200 108.150.00.7609.564.41.2300 108.150.00.7609.564.41.2301 108.150.00.7609.564.41.2400 Total Payroll& Benefits 108.150.00.7609.564.41.1112 108.150.00.7609.564.41.4152 108.150.00.7609.564.41.4200 108.150.00.7609.564.41.4202 108.150.00.7609.564.41.2600 Total Exp. f or 02/2025 4/3/2025 7)117.70;/ 648.42/ 544.50#/ 1)025.00Z 18.65/ 257.86 � $ 91612.13� 190.96X 22.06111-1"',- 41.32,1 2051.57� 2305.91� TOTAL BILLING FOR CV-2 JAIL $ 11,918.04 � 4/4/2025 9:29 System: 311012025 2:26:23 PM DETAILED TRIAL BALANCE FOR 2025 Page: I User ID: kshand User Date: 311012025 County of Grant General Ledger Ranges* Date: From., 2/11/2025 To 2128/2025 Subtotal By: No Subtatals, Include: Posting, Unit Account: 108.160.00.7609.500000000 108.150.00.7609.599999999 Sorted By: Fund Account: 108.150.00.7609.564411100 Description: MH ... CDBG-CV1. REGULAR SALARIES & WAGES Beginning Balanco: $6,172.02 Trx Date JrnI No. Orig. Audit Trail Distribution Reference Orig. Master Number Orig. Master Name Debit Credit 2J28/2025 1,003,305 GLTRX00035211 PR ALLOC SALARIES FEB 2025 $7,117.70 Net Change Ending Balance Account: 108.150.00.7609.564411100 Totals: $7t117.70 $130289.72 $7,117.70 $0.00 Account: 108.150.00,7609.564412100 Description-. MH ... CDBG-CVI RETIREMENT Beginning Balance: $562.27 Trx Date JrnI No. Orig. Audit Trail Distribution Reference Orig. Master Number Orig. Master Name Debit Credit 2/28/2025 1,003,307 GLTRX00035211 PR ALLOC RETIREMENTFEB 2025 $648.42 Net Change Ending Balance Account: 108,150.00.7609-564412100 Totals: $648.42 $1,210.69 $649.42 $0.00 Account: 108,150.00.7609.564412200 Description: MH ... CDBG-CV1 SOCIAL SECURITY Beginning Balance: $472.16 Trx Date JrnI No. Orig. Audit Trail Distribution Reference Orig. Master Number Orig. Master Name Debit Credit 2,128/2025 1,003,308 GLTRX00035211 PR ALLOC SOCIAL SEC FEB 2025 $544.50 Net Change 000 Ending Balance Account: 108.150-00.7609.664412200 Totals: $544.60 $1,016.66 $6".50 $0.00 Account: 108.150.00,7609,564412300 Description: MH ... CDBG-CV1.MED & LIFE INSURANCE Beginning Balance: $868.86 Trt hate Jml No. Ona. Audit Trail Distribution Reference 069, Master Number Orig. Master Name Debit Credit 2/28/2025 1,003,309 GLTRX00035211 PR ALLOC MED&LIFE INS FEB 202! $1,025.00 Net Change z Ending- Balance Account: 108.150.00.7609-564412300 Totals: $1,025.00 $1,093.86 $1,025.00 $0.00 Account: 108.150.00.7609.564412301 Description: MH ... CDBG.CV1 FMLA STATEWIDE INSURANCE Beginning Balance: $16.17 Trx Date irnl No. Orig. Audit Trail Distribution Reference Orig. Master Number Orig. Master Name Debit Credit 2/28/2025 1.003,310 GLTRX00035211 PR ALLOC FMLA FEB 2025 $18.65 Account: 108.150,00,7609.56441230-1 Totals', Net Change Ending Balance $34.82 $18.65 $0.00 Account: 108.150.003609.564412400 Description: MH. . CDBG-CV1. INDUSTRIAL INSURANCE Beginning Balance: $223.93 Trx Date Jml No. Orig. Audit Trail Distribution Reference Orig. Master Number Orig, Master Name Debit Credit 2128/2025 1,003,311 GLTRX00035211 PR ALLOC INDUS INS FEB 2025 t 13 Not Change Ending Balance $257.86 \A C oe $481.79 $257.86 $0.00 Account: 108,150 7609.564412400 XO. U Totals: $2 67.86 00 Account: 108-150.00.7609.564412600 Description: MENTAL HEALTH.. UNIFORM, Beginning Balance: $0.00 Trx Date Jrnl No. Orig. Audit Trail Distribution Reference Orig. Master Number Orig, Master Name Debit Credit 2/18/2025 1,001,476 PMTRX00030,189 CDBG Garnez Safety Vest 030140120 GALLSINC $2,051 57 . ,'„' ,��»- Net Change Ending Balance Account: 108.150.00,7609.564412600 Totals: $2,051.67 $2,051.57 $2,061.67 $0.00 Account: 108.150,00,7609.564414,100 Description: MENTAL HEALTH. .. CDBG-CV1. PROFESSIONAL SERVICES Beginning Balance: Trx Date Jml No. Orig. Audit Trail Distribution Reference Orig. Master Number Orig. Master Name Debit Credit 48-25 Grant County Technical Services $190.96 2/11/2025 1,000,593 PMTRX00030136 CDBG DCR Garnez System: 311012025 2:26:23 PM DETAILED TRIAL BALANCE FOR 2025 Page: 2 User Date: 311012025 County of Grant User ID: kshand Account: 108.150,00,7609.56"14100 Not Change Ending Balance . . .... . ....... .. Totals: $190.96 $190.96 $0.00 Account: 108,150.00.7609.564414200 Description: MH, . CDBG-CV1.00MMUNlCAT10N Beginning Balance: $41.3-1 Trx Date JrniNa. Oriq.Audit Trail Distribution Reference Orig, Master Number Orig. Master Name Debit Credit 2111/2025 1,000,593 PMTRX00030136 CDBG DC R Gamen 48-25 Grant Chanty Technical Services $22,06 Net Change Ending Balance Account loa.,150.00.7609.564414200 Totals'. $22..06 $63.37 $22.06 $0.00 Account: 108,150.00.7609.564441124 Description; MH.... C06G,-CV1.HR WAGE ALLOC, Beginning Balance: $135.48 Trx Date Jrnl No. Orig. Audit Trail Distribution Reference Orig. Master Number Orig. Master Name Debit Credit *No transactions for this account* Account: 108.150.00.7609.564441124 Net ChangeEnding Balance Totals: .00 $135.48 $0.00 $0.00 Account: 108.150,00.7609.564444200 Description: MENTAL HEALTH...0CAB G-CV1.MEDICAID-COMMUNICATION Beginning Balance., $0.00 Trx Date Jrnl No. Orig. Audit Trail Distribution Reference Orig. Master Number Orig. Master Name Debit Credit 21412025 999.159 PMTRX00030104 CDeG CS Cell Phone 287333762696 JAN 25 AT&T $41.32 Net Change Ending Balance ­­­­­­­­­-­.­ . ..... ............ . ..... Account- 108.160.00.7609.564444200 Totals: $41.32 $41.32 $41.32 $0.00 Accounts Beginning Balance Net Change, Ending Balance Debit Credit Grand Totals: $8,492.20 $11,918.04 $20,410.24 $11,918.04 $0.00 45 '06 d- uv renew'.�vafNt ashavi'N'*1 Heotzhb W''Vikiwsk% Printed Name: Pay Period: Employee ID #: Staff Signature: Supervisor Signature: -----Ricardo Garnez January 19, 2025 5707 EXEMPT ***Leave Slips (AJL. \'Supervisor Initials for Non -Standard Workweek Pay Period: 1 ?`19?'2025 (rnm/dd/yyyy) Pay Date,. 21712025 CV-2 DCR -CLINICAL Jan 19 Sun Ja_n 20 Jan 21 Jan 22 Jan 23 Jan 24 Jan 25 Jan 26 Jan 27 Jan 28 1 Jan 29 Jan 30 Jan 31 Feb 01 Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat TOTAL CV-2 DCR CLINICAL 10.00 10.00 8.00 10.00 10.00 10-00 10.00 68.00 BH- CLINICAL OTHER HOURS WORKED JURY DUTY CRISIS BENCH ONLY (please enter hours) Total Worked Hrs 10.00 i 10.00 8.00 10.001 10.001 10.001 10.00 68.00 1.00 ANNUAL 2.001 2.00-1-1 4.00 SICK HOLIDAY 8.00 8.00 OTHER (Bereavement! Military) FLEXICOMP TAKEN 7 LWOP ITOTAu hO*,-'OS 8.00 2.00 10,00 10.00 8.00 2.00 j 10.00 10.00 I 10.00 11 10.00 1 80.00 i Total Worked Hrs 40.00 40.00 LV taken SICK HOLDAY OTHER/BEREAV LIVE FGP---ENTERED 4.00 .00 8.00 0.00 1 0.00 LEAVE !PAYROLL SPREADSHEET 40.00 40.00 40.00 Nor) FLEX: SALRYE LONG 'C TION Pill, R ""ILL PURPOSES - 00 NOT WRITE IN THIS SE !9 renewt�rtwit UehCsVi-Qf-VAi Hkmmh, & WtiLlwv. EXEMPT Printed Name- Ricardo Gomez ---------- -- --- -- - ------- Pay Period: February 2, 2025 Employee ID #: .__,5707 Staff SignahlrC: Supervisor Signature: _.�~ _ � . ..... ... ..... ........... - - ------ '"Leave Slips QVL, supervisor Initials for Non -Standard Workweek Pay Period: 2/2/2025 (tnmldd/yyyy) P,ay Date212112025 Feb 02-, Feb 03 Feb04 FebO5 FebO6 Feb07 Feb08 Feb09 Feb10 Feb,11 Feb12 Feb13 Feb 14 Feb 15 CV-2 DCR - CLINICAL Sun Mon Wed Thu- Tue Fri Sat Sun Mon Tue Wed Thu Fri - Sat - TOTAL CV-2 DCR CLINICAL 10.00 10.00 10,00 9.00 10.00 MOO 59,00 BH- CLINICAL OTHER HOURS WORKED JURY DUTY Gi,01154S 6ENCI i (ANLY (please enter hours) 10,00 10.00 10.00 9.00 10.00 10.00 1 59.00 1.00 Total Worked Hrs ANNUAL SICK 10.00 10.00 1.00 21.00 HOLIDAY OTHER (Bereavement/ Military) ---- - - FLEX/COMP TAKEN --i ------- LWOP TOTAL HOURS 10.00 10.00 F -10.00 10.001 10.00 10.00 lo.00 10.00 t., Total Worked Hrs "IN 40 00 ANNLV LV taken 0.00 GP ENT -ERE 6%�- LEAVE PAYROLLSPREADSHI� ------- 40.00 / SICK HOL DAY OTHERIBEREAV CIVE 21.00 0.00 0.00 40.00 29.00 11.00 40.00 von FLEX: SALRYE LONG PAYROU. PtARPOSES-, DC) Norf WRII"EEIN "I"I HS Sf,-CT10f4'**` ..... . ...... System: 3/31/2026 3:31:60 PM DETAILED TRIAL BALANCE FOR 2025 Page: 1 User Date: 3/31/2025 User ID: kshand County of Grant General Ledger Ranges: From: To: Date: 3/1/2025 3/31/2025 Subtotal By: No Subtotals Include: Posting, Unit Account: 108.160.00.7609.600000000 108.160.00.7609.699999999 Sorted By: Fund Account: 108.150.00.7609.564411100 Description: MH... CDBG-CV1.REGULAR SALARIES & WAGES Beginning Balance: $13,289.72 Trx Date Jrnl No. Orig. Audit Trail Distribution Reference Orig. Master Number Orig. Master Name Debit Credit *No transactions for this account* Net Change Ending Balance Account: 108.160.00.7609.664411100 Totals:. $0.00 $13,289.72 $0.00 $0.00 Account: 108.150.00.7609.564412100 Description: MH... CDBG-CV1.RETIREMENT Beginning Balance: $1,210.69 Trx Date Jrnl No. Orig. Audit Trail Distribution Reference Orig. Master Number Orig. Master Name Debit Credit *No transactions for this account* Net Change Ending Balance Account: 108.160.00.7609.664412100 Totals: $0.00 $1,210.69 $0.00 $0.00 Account: 108.150.00.7609.564412200 Description: MH... CDBG-CV1.SOCIAL SECURITY Beginning Balance: $1,016.66 Trx Date Jrnl No. Orig. Audit Trail Distribution Reference Orig. Master Number Orig. Master Name Debit Credit *No transactions for this account* Net Change Ending Balance Account: 108.160.00.7609.564412200 Totals: $0.00 $1,016.66 $0.00 $0.00 Account: 108.150.00.7609.564412300 Description: MH... CDBG-CV1.MED & LIFE INSURANCE Beginning Balance: $1,893.86 Trx Date Jrnl No. Orig. Audit Trail Distribution Reference Orig. Master Number Orig. Master Name Debit Credit *No transactions for this account* Net Change Ending Balance Account: 108.150.00.7609.664412300 Totals: $0.00 $1,893.86 $0.00 $0.00 Account: 108.150.00.7609.564412301 Description: MH... CDBG-CV1.FMLA STATEWIDE INSURANCE Beginning Balance: $34.82 Trx Date Jrnl No. Orig. Audit Trail Distribution Reference Orig. Master Number Orig. Master Name Debit Credit *No transactions for this account* Net Change Ending Balance Account: 108.160.00.7609.664412301 Totals: $0.00 $34.82 $0.00 $0.00 Account: 108.150.00.7609.564412400 Description: MH... CD13G-CV1.INDUSTRIAL INSURANCE Beginning Balance: $481.79 Trx Date Jrnl No. Orig. Audit Trail Distribution Reference Orig. Master Number Orig. Master Name Debit Credit Net Change Ending Balance *No transactions for this account* Totals: $0.00 $481.79 $0.00 $0.00 Account: 108.160.00.7609.664412400 Account: 108.150.00.7609.564412600 Description: MENTAL HEALTH ... UNIFORM. Beginning Balance: $2,051.57 Trx Date Jrnl No. Orig. Audit Trail Distribution Reference Orig. Master Number Orig. Master Name Debit Credit Net Change Ending Balance *No transactions for this account` Totals: $0.00 $2,051.67 $0.00 $0.00 Account: 108.160.00.7609.664412600 Account: 108.150.00.7609.564414100 Description: MENTAL HEALTH ... CDBG-CV1.PROFESSIONAL SERVICES Beginning Balance: $190.96 Trx Date Jrnl No. Orig. Audit Trail Distribution Reference Orig. Master Number Orig. Master Name Debit Credit 3/4/2025 1,003,235 PMTRX00030245 CDBG DCR Tech Services 85-25 Grant County Technical Services $190.96 System: 3/31/2026 3:31:60 PM DETAILED TRIAL BALANCE FOR 2025 Page: 2 User ID: kshand User Date: 3/31/2025 County of Grant Net Change Ending Balance Account: 108.150.00.7609.664414100 Totals: $190.96 $381.92 $190.96 $0.00 Account: 108.150.00.7609.564414200 Description: MH... CDBG-CV1.COMMUNICATION Beginning Balance: $63.37 Trx Date Jrnl No. Orig. Audit Trail Distribution Reference Orig. Master Number Orig. Master Name Debit Credit 3/4/2025 1,003,227 PMTRX00030245 CDBG Cell Phone 02272025 RENEW AT&T $41.3 3/4/2025 1,003,235 PMTRX00030245 CDBG DCR Phones 85-25 Grant County Technical Services $22...Q6 Net Change Ending Balance Account: 108.160.00.7609.664414200 Totals: $63.38 $126.75 $63.38 $0.00 Account: 108.150.00.7609.564414301 Description: MENTAL HEALTH ... CV-2...LODGING TRAINING Beginning Balance: $0.00 Trx Date Jrnl No. Orig. Audit Trail Distribution Reference Orig. Master Number Orig. Master Name Debit Credit 3/14/2025 1,005,097 PMTRX00030314 CV-2 CEDARBROOK LODGE 6613 FEB 2025 WASHINGTON TRUST BANK.. $413.50 Net Change Ending Balance Account: 108.150.00.7609.564414301 Totals: $413.50 $413.50 $413.50 $0.00 Account: 108.150.00.7609.564414917 Description: MENTAL HEALTH ... CV-2..SEMINARS, SCHOOLS,WORKSHO Beginning Balance: $0.00 Trx Date Jrnl No. Orig. Audit Trail Distribution Reference Orig. Master Number Orig. Master Name Debit Credit 3/14/2025 1,005,097 PMTRX00030314 CV-2 CROA REGISTRATION 6613 FEB 2025 WASHINGTON TRUST BANK.. $250.00 Net Change Ending Balance Account: 108.160.00.7609.664414917 Totals: $250.00 $260.00 $260.00 $0.00 Account: 108.150.00.7609.564441124 Description: MH... CDBG-CV1.HR WAGE ALLOC. Beginning Balance: $135.48 Trx Date Jrnl No. Orig. Audit Trail Distribution Reference Orig. Master Number Orig. Master Name Debit Credit *No transactions for this account* Net Change Ending Balance Account: 108.160.00.7609.664441124 Totals: $0.00 $135.48 $0.00 $0.00 Account: 108.150.00.7609.564444200 Description: MENTAL HEALTH ... CDBG-CV1.MEDICAID-COMMUNICATION Beginning Balance: $41.32 Trx Date Jrnl No. Orig. Audit Trail Distribution Reference Orig. Master Number Orig. Master Name Debit Credit *No transactions for this account* Net Change Ending Balance Account: 108.160.00.7609.664444200 Totals: $0.00 $41.32 $0.00 $0.00 Accounts Beginning Balance Net Change Ending Balance Debit Cr_ Grand Totals: 13 $20,410.24 $917.84 $21,328.08 $917.84 $0.00 February Expenses 190.96 41.32 22.06 254.34 Total: Renew -February 2025 TS Network & Security Services System Administration Services GeneraL HeLpdesk &Asset Management System Administration Services Accounting Application- GP software as a service $ 1,186-19 $ 822.45 $ 14,548.80 $ 1,265-62 $ 663.84 $ 6,146.77 r IMHRC7 VOIP-PHONE 4,258.32 _ $ 24,633.67 $ 28,891.99 ACCOUNT 4152 $0.00 129 $ 190-96 108.150.00.0000.564.12.4152 564 109 20,766.75 108.150.00.0000.566-00.4152 566 10 1,909.59/ MHBG- 8053 Recovery Coach - Crisis - 8079 CV-2 DCR- Rick G. - . IW V, 111111L 7609.564.41 ARPASUICIDE PREY BETHANY- 9c00 APPA-Psychot- LannyA. 9000.664.41 Housing- 50%- CBRA 8078 Prevention - ML SUPTRS 9097 Prevention- City of Quincy 9064 Prevention - SL ARPA 9100 2 381.92 2 381.92 1 190.96 1 190.96 1 190.96 0.25 47.74 1 24,633.67 20.25 — 24,633.67%l MHBG recovery Coach CV-2 DC R- Rick G. - ARPASUICIDF PREV -Beth ARPA-PSYChot- LannyA. Moses Lake Ednetics VOIP Services (Phones) ACCOUNT 193-00 4,258.32 22.06 4200 175.00 564 3,861,17 5 566 110.32 2 8053 44.13 2 17609-41 8079 44.13/ F q." 22.06 22.06/ 1 9000 19000-564.41 22-06/ 1 9097 22-06 l/ 4,148.00 $ 4,148.00 3 800:3 66-29 J 1 8002 22.06 1 8001 22.06/ 110.32 18 $ 4,258.321$ 4,,M-32 $ 26,89.1.99 $28,891.99 $0.00 INVOICE I BILLING INQUIRIES (866) 286-1358 1 POBox s400u Lexington, xY4osa5-4400 ammoouesuonoAR@oalls.com 5671ma0a2E0/72m10373u13852475335m2n064e2230001:0001 LMOGE8LAKE POLICE DEPT pOBOX 1b78 MO8E8LAKE VVAB8837-0244 TERMS NET 30 INVOICE NUMBER 030140120 INVOICE DATE 01/1312025 DUE DATE 02/12/2025 SHIP VIA FEDEX Ground SALES ORDER 27932625 F.O.B. Shipping Point Page I of 1 SHIP TO: OLK/IA MARITNEZ MOGE8LAKE POLICE DEPT 4O1SOUTH BALSAM MOSES LAKE WA 98837 ITEM ITEM DESCRIPTION WHS QTY PRICE TOTAL BP2357 NAV CSTM 00 OREGON CITY CARRIER, FRONT OPENING, BL3 1 315.79 315.79 2600 SUBTOTAL: 1J70.84 SHIPPING: 120.00 TAX: 160.73 CREDITS/PREPAYMENTS: TOTAL CHARGES CURRENT SHIPMENT: $2,051 .57/ ---`------------------`--------------------------------'-----`—`-------`---------`-----------------------------To ensure proper payment application, please write your account number on your check, and include the attached coupon with your payment, - UNVO|CEOATE ACCOUNTNUMBER Bill To: MOSE8LAKE POLICE DEPT pDBOX 1579 MOSES LAKE WA 98837-0244 DUE DATE 02/12/2025 01M3/2025 AMOUNTDUE UtO51.67 P.O. BOX 743626 Payable To: GALLS, LLC LooAmGELeS.oAoo0r4-3826 1 001001086571 0000030140120 0 0000205157 0000205157 7 Autopay enrollment tf I enroll in Autopay, I authorize AT&T to pay my bill monthly by etectranically deducting money from my bank account. I can cancel authorization by notifying AT&T at firstnetcentral.firstnet,com or by calling the customer care number listed on my bill. Your enrollment could take 1-2 billing cycles for Autopay to take effect. Continue to submit payment unfit page one of your invoice reflects that Autopay has been scheduled. 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