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Home My WebLink AboutGrant 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 DATE: $/$/OZS REQUEST SUBMITTED BY: K8f1"I@ Stockton PHONE: 2937 CONTACT PERSON ATTENDING ROUNDTABLE: Kal"I"12 Stockton CONFIDENTIAL INFORMATION: ❑YES ®NO i O DOCUMENTS • D (CHECK ALL A A IIU • ❑Agreement / Contract ❑AP Vouchers ❑Appointment / Reappointment ❑ARPA Related ❑ Bids / RFPs / Quotes Award ❑ Bid Opening Scheduled ❑ Boards / Committees ❑ Budget ❑ Computer Related ❑ County Code ❑ Emergency Purchase ❑ Employee Rel. ❑ Facilities Related ❑ Financial ❑ Funds ❑ Hearing ❑ Invoices / Purchase Orders ® Grants — Fed/State/County []Leases ❑ MOA / MOU ❑ Minutes ❑ Ordinances ❑ Out of State Travel ❑ Petty Cash ❑ Policies ❑ Proclamations ❑ Request for Purchase ❑ Resolution ❑ Recommendation ❑ Professional Serv/Consultant ❑ Support Letter ❑ Surplus Req. ❑Tax Levies ❑Thank You's ❑Tax Title Property ❑WSLCB Reimbursement request from Renew on the Community Development Block Grant (CDBG) CV2 No. 20-6221 C-1 11 in the amount of $11,153.00 for April services. If necessary, was this document reviewed by accounting? ❑ YES ❑ NO 0 N/A If necessary, was this document reviewed by legal? ❑ YES ❑ NO 0 N/A DATE OF ACTION "° DEFERRED OR CONTINUED TO: APPROVE: DENIED ABSTAIN D 1. i D2: D3- WITHDRAWN: 4/23/24 x STATE WASHINGION DEPARTMENT OF COMMERCE 10-11 Phm- Street SF- * P0 Box 42525 - lyun ra— Was htnatan 98504-2525 r 060) 725-4MO wwwxomlnercey Form 19-1A VOUCHER DISTRIBUTION AGENCY Short Code Commerce Contract Number NUMBER CMS Invoice ID: DEPARMENT OF 1030 20-6221 C-111 433848 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, kstocktonCa�tcountywa.gov (Vendor Contact Emai1 l) national origin, handicap, religion or Vietnam era or disabled veterans status. 03/27/20 - 06/30/25 (Contract Period) Karrie Stockton Kstockton2) 8/8/2025 12:14:03 PM 04/01/25 - 04/30/25 (SUBMITTED BY) (SUBMIT DATE) (REPORT PERIOD) DESCRIPTION BUDGET REQUESTED EXPENDED TO AMOUNT THIS AWARD AMOUNT DATE INVOICE REMAINING Contract Total $929,365.00 $11,153.00 $773,009.62 $.00 $156,355.38 Non - Match Total: $9299365.00 $11,153.00 $773,009.62 $.00 $156,355.38 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 64212 READY to BATCH PREPARER DATE WARRANT TOTAL CREATED BY Karrie Stockton (Kstockton2) DATE 8/8/2025 12:12:40 PM Form 19-1A VOUCHER DISTRIBUTION AGENCY NUMBER Short Code Commerce Contract Number CMS Invoice ID: DEPARMENT OF 1030 20-6221C-111 433848 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 1 Amount Type 11 Subcontractor Total Sub Subcontractor Total Grenew iss 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 VOE DATE: June 3, 2025 INVOICE 4/30/2025 FOR: Apr-25 CV-2 DCR DESCRIPTION Amount Total Amount CV-2 DCR Salary & Benefits/Oper Supplies Ricardo Gamez $ 11,153.00 $ 11,153.00 Total $ 11,153.00 THANK YOU!!! Al VOUCHER FORM Voucher#8 "�itidif :c 1tASHINGTON STATE t�. b Y. - = DEPARTMENT OF COMMERCE RtS9 ' 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, religio or Vietnam ra or isabled veterans status. VENDOR OR CLAIMANT (Warrant is to be payable to:) GRANT COUNTY PO BOX 37 EPHRATA, WA 98823-0037 (SIGN IN BLUE INK) Grant Admin Specialist 8/8/2025 REPORTING PERIOD: A r-25 (TITLE) (DATE) IDIS Activity ID DESCRIPTION ORIGINAL BUDGET PRIOR AMOUNT REQUESTED AMOUNT THIS INVOICE 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 $ 3,158.96 $ - $ 19,031.04 8311 05Q Public Services Admin. Budget (OIC) $ 96,368.00 $ 94,600.20 $ 19767.80 8311 05Q PS -Subsistence Payments (rent, mortage,utility) (01C) $ 237,073.42 $ 146,686.12 $ 907387.30 8312 05X PS- Housing Counseling and Admin. Budget (OIC) $ 110,715.59 $ 78,241.91 $ 329473.68 8313 18C - Microenterprise Assistance Admin. (01C) $ 100,263.97 $ 100,263.97 $ - 8313 18C - Microenterprise Financial Assistance. (OIC) $ 25,697.02 $ 25,697.02 $ - 8313 18C - Microenterprise Training (01C) 8706 050 - Urgent Need- Mental Health -General Public (Grant Co. $ 304,900.00 $ 292,204.44 $ 119530.00 $ 1,165.56 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 929,365.00 773,009.62 $ 11,530.00 $ 1449825.38 ,� BELOW IS LINE IS FOR DEPTARTMENT OF COMMERCE j/� TRANS CODE M 0 D MASTER INDEX SUB OBJ SUB�i SUB OBJ GL ACCT SUBSID %�j%% AMOUNT INVOICE NUMBER C1 622CO320 NZ i i SIGNATURE OF ACCOUNTING PREPARER FOR PAYMENT DATE WARRANT TOTAL CMS Invoice ID: ACCOUNTING APPROVAL FOR PAYMENT DATE renetw 0rwt B0haviaml Health 6 WNlnsas CV-2- DCR- Jail for 04/2025 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 108.150.00.7609.564.41.4152 108.150.00.7609.564.41.4200 108.150.00.7609.564.41.4202 108.150.00.7609.564.41.4302 108.150.00.7609.564.41.4902 4/21/2025 7,025.30 640.00 537.41 L025.00 18.40 257.86 %504.00 190.96 Apr-25 22.07, r 25-A rays nmiG�anG✓�/ r a r rt r ✓r� %r yiAii"n p ti�Fc'� 41.32 25-Apr 203.25�25-Mar 177.50 25-Mar Total Oper Expenses 635.10 Total Payroll/Benefits & Operating-**"j"0M$"W*10j$$W 10,139.10 10% 1,013.91 TOTAL BILLING FOR CV-2 JAIL 119153 W-01-- itt 8/7/2025 13:28 Account Transactions - GJ Report for 04/2025 Open Ye Journal Entry TRX Date Account Number Account Description Credit Amount Debit Amount Reference 2025 1014338 4/30/2025 108.150.00.7609.564411100 MH... CDBG-CV1.REGULAR SALARIES & WAGES - 7,025.30 ALLOC SALARIES 04/2025 2025 1014341 4/30/2025 108.150.00.7609.564412100 MH... CDBG-CV1.RETIREMENT - 640.00 ALLOC RETIREMENT 04/2025 2025 1014342 4/30/2025 108.150.00.7609.564412200 M .. H .CDBG-CV1.SOCIAL SECURITY - 537.43 ALLOC SOCIAL SECURITY 04/2025 2025 1014343 4/30/2025 108.150.00.7609.564412300 MH... CDBG-CV1.MED & LIFE INSURANCE - 1,025.00 ALLOC MED & LIFE INS 04/2025 2025 1014344 4/30/2025 108.150.00.7609.564412301 MH... CDBG-CV1.FMLA STATEWIDE INSURANCE - 18.40 ALLOC FMLA 04/2025 2025 1014345 4/30/2025 108.150.00.7609.564412400 MH... CDBG-CV1.INDUSTRIAL INSURANCE - 257.86 ALLOC INDUST INS 04/2025 9,503.99 2025 1007309 4/1/2025 108.150.00.7609.564414100 MENTAL HEALTH...CDBG-CV1.PROFESSIONAL SERVICES - 190.96 Renew Mar-25 2025 1011662 4/29/2025 108.150.00.7609.564414100 MENTAL HEALTH ... CDBG-CV1.PROFESSIONAL SERVICES - 190.96 Renew .0 ' Apr-25 2025 1007309 4/1/2025 108.150.00.7609.564414200 MH...CDBG-CV1.COMMUNICATION - 22.06 Renew Mar-25 2025 1008635 4/8/2025 108.150.00.7609.564414200 MH... CDBG-CV1.COMMUNICATION - 41.32 287333762696 2025 1011662 4/29/2025 108.150.00.7609.564414200 MH... CDBG-CV1.COMMUNICATION - 22.07 Renew .00� Apr-25 2025 1008668 4/8/2025 108.150.00.7609.564414302 MENTAL HEALTH ... CV-2..MEALS-TRAINING - 102.00 ALLOWANCE - MEALS--'� 2025 1011685 4/29/2025 108.150.00.7609.564414302 MENTAL HEALTH ... CV-2..MEALS-TRAINING - 101.25 ALLOWANCE - MEALS .00� 2025 1009918 4/14/2025 108.150.00.7609.564414902 MENTAL HEALTH ... MSC DUES/SUBSCRIPTIONS - 177.50 6886 - GRIS ML - MAR 2025 TOTAL APRIL 2025 10,352.11000 March 2025 expenses 213.02000 TOTAL APRIL 2025 EXPENSES 1.0,139.�9000 ADMIN COST 0.10000 1,013.90900 TOTAL INVOICED FOR APRIL 2025 11 153000 renew('.$I on'.. Bey III Aorc&l H'OA�th a U lot fwl".os' Printed Name: Pay Period: Employee ID #: Staff Signature: Supervisor Signature: - 22025 ***Leave Slips (AIL, Supervisor Initials for Non -Standard Workweek 3/16/2025 (mm/ddlyyyy) Pay Date- 414f2025 CV-2 DCR - CLINICAL 16 Mar 17 Mar 18 Sun Mon Tue Mar 19 Wed Mar 20 Mar Thu Fri Mar 22 Mar 23 Mar 24. Mar 25 Mar 26 Mar 27 Mar 28 Mar 29 TOTAL Sun Mon Tue Wed Thu Fri Sat CV-2 DCR CLINICAL BH- CLINICAL OTHER HOURS WORKED . ......... JURY DUTY M00 10,00 7.00 10,0) 1000 - 10,00 10.00 10,00 .00 77 1.06 CPHSIS BENCH ONLY (please enter hours) 10.00 10.00 10.00 10.00 77.00 Total Worked Hrs 10.00 10.00 1 7.00 1 10.001T--. 1.00 ANNUAL 3.00 3.00 SICK HOLIDAY OTHER (Bereavement/ Military) FLEX/COMP TAKEN LWOP 11 TOTAL HOURS 0.00 0.00 10.00 10,00 10.00 10.00 10,00 10.00 60.00 Total Worked Hrs 30.00 L.V taken 10-00 .GP ENTERED LEAVE i PAYROLL SPREADSHEET I .......... 40.00 .ANNLV SICK HOLIDAY OTHER/BEREAV 3.00 0'.00 0.00 o.b-o CIVE 0.00 40.00 Iwo _P SALRYE LONG 40.00 40.00 FLEX: --PAYROLL PURPOSES - DO NOT WRITE I N THIS SECTIO, N 4 A x* renew EXEMPT ***Leave Printed Name: Ricardo Game - Slips (AfL, Pay Period: "**�M.arch 30, 2025. Employee ID #: 5707 Staff Signature: Supervisor fnlitiafs for Non -Standard Workweek Supervisor Signature: Pay Period: 3/30/2025 (mm/dd/yyyy) Pay Datel 4 /1 B!"I n 2 F) Mar 30 Mar 31 Apr 01 Apr 02 CV-2 — - -- ___J___thu DCR -CLINICAL F-T Sun Mon u-e- Wed Apr 03 -_ Apr 04 Apr 05 A t --- I Fri Sat Apr06' Su n Apr O7 AprO8 Apr09 Apr10 Apr 11 1 Apr 12 J Mon Tue Wed Thu Fri Sat TOTAL 70,00 CV-2 DCR CLINICAL BH- CLINICAL MOO 10.00.1 10,00 10.00 10.00 a MOO 10.0 OTHER HOURS WORKED JURY DUTY CRISIS BENC11 ONLY (please enter hours, Total Worked Hrs 10.001 10.00 i 10,001 10.0 0 10.00 10.00 10.00 70.00 1.00 ANNUAL f 1.00 1.00 SICK 9.00 9.00 HOLIDAY OTHER (Bereavement/ Military) FLEX/COMP TAKEN i..... ................. LWOP TOTAL HOURS 10.00 10.00 1 10.00: 10.001 10.00 10.001 1 10.001 10.001 80.00 Total Worked Hrs 40-00 LVtaken GP ENTERED LEAVE IPAYROLL SPREADSHEET ANNLV 40.00 SICK HOLDAY OTHER/BER.EAV 9.00 0.00 0.00 CIVE W 4000 :00,4#0e' 30-00 i 000 40.00 Non FLEX: SALRYE LONG '"PAYROLL. PURPOSES - 00 NOT WRITE 1N'fffJS SECTION' Renew -April 2025 TS Network & Security Services $ 1,.186-19 System Administration Services $ 822.45 General Helpdesk & Asset Management $ 14,548.80 System Administration Services $ 1,265.62 Accounting Apptication- GP $ 66184 Software as a Service $ 6,146.77 Ednetics V01P Services (Phones) ACCOUNT io - i nn A 9 4; n -9; -r-, 22-08 4200 MHBG 168-00 564 3,708-67 SLID 12 566 264.90 MHBG recovery coach CV-2.DCR- Rick G. - ARPA,SUICIDE PREY `Sett€any ARPA-Psychol.- Lanny A. Moses Lake VOIP-PHONE 4,260,55 $ 24,633.67 $ 29,894.22 ACCOUNT 4152 $uo 129 $ 190-96 DCL- 108.150,00.00W564.12.4152 564 09 20,766.75 108. 150. 00.0000.566-00.4152 566 11 2,100.55 MHBG- 8053 2 381.92 Recovery Coach - Crisis - 8079 2 38192 CV-2 DCR- Rick G. - 7609,564.41 1 190.96 ARP SUICIDE PREY BET HANY- 9000 1, 190.96,/ ARPA-Psychot- Lanny A. 9000,564,41 1 190-96 Housing.- 50%- CBRA 8078 0,25 47.74 Prevention - ML SUPTRS 9097 1 190.96 Prevention- City cat Quincy 9064 1 190.96 24,633.67 20.25 2 8079- 44.15 17609-41 22.08 1 9000.566,51 22,08 1 900o.s64.41 22-08 1 9097 22.08 $ 4J50.17 3 8003 66,23 1 8002 22.08 1 8001 22.08 110.38 25 4,260.55 $ 4,260.55 W,d,MJ4.ZZ $0.00 FOR THE VOID WE CHARGED 22.07 NOT 22.08 qe r) e vy without 19CL 0- 5 (2025-C StAffled SUPPid COM ige) 129 725F17.793103% Renew SERVERS: -1 125 15.60000004b I Renew.NETWORK DEVICES 58 771 7.55,226978% Renew GP Ust-fs: A 5- 78 6.410275641it Renew Servers, 7 125 5.6000000% Netwol"5KUrtly Services-' Hfe 4 )080,001 $ 0,97 Total . - W Quarterly $ 14,234.27 $ 3,558.57 Monthly John Martin $ 189,217,60 1 1, 186. 19 $ 3,S58.57 $ 1,186.19 System Administration Services Hrs/yeat Hourly Rate Total Yearly Quarterly Monthly Keith Contey 2080.00 $ 84,131 $ 176,238,40 $ $ 2.467.34 822,45 $ 9,869.35 $ 2,467.34 822.45 Phone Services Nunitmr of Lines Rate Total YPIIIY Quarterly Monthly Ednetics VOIP Services tPhones) 193.0(,,`)I $ 22,07539 $4,260,55 $51.126.60 $12,781.65 4,260.55 Asset Management dak 6 A. Vanessa Brown HI W — !W... Hourly Rate" Total Yearly_— Monthly 2080,00 $ 56,23 $ 1-16.958A0 $ 20,810,53 $ 5,202.63 1,734.21 Ricky Gutierrez 76,81 $ '159,764.80 $ 28,427,12 $ 7,106:78 $ 2,368-93 Jeremy Hall 2080-CO $ 6 7, 79 $ 141,003.20 $ 25,088,85 $ 6,217 2.2 1 $ 2,09034 Evan Little 2080.00 $ 77,,94 $ 162,115,20 $ 28,845-33 $ 7,211.33 S 2,403,78 Seth Sampson 2080-00 $ 69.25 $ 144,040.00 $ 25.629,19 $ 6,407,30 $ 2,135.77 Alex Sukhovetskly 2080,001 $ 66.73 1 $ 138,798,40 1 $ 24,696.54 1 $ .6.174.14 $ 2,058,05 Luke Lankhaar 2080.001 $ 1,56.198 _I $ 118,518,40 1 $ 21,088-10 6mmii"m $ 5,272.03 $ 1,757-34 I Systems Administration Services fc6l 'Cost Years TotNr Yearly Quarterly Monthly fearriviewer (Year I of 3 Year Contras! 1 34,771(51 3,00 $ 11,591.20 $ 649,11 $ 162.28 $ 54.09 Ednefics/SMARTneT Maintenance $ 22,000M0 1,00 $ 22,000,00 $ 1,232.00 $ 308,00 $ 102.67 Netapp Stufdge Hardware Service $ 33,158.00 1.00 $ 33,158,00 $ 1.856.85 $ 464.21, $ 154,74 Ednetics One $ 24,978.38 1,00 $ 24,978,38 $ 1,39839 $ 349,70 $ 116.57 R,ubrik (Replaced Veeam) $ 538,428.91 3,00 $ 179.476.30 $ 10,050.67 $ 2,512,67, $ 837.56 15,187.42 3,796.85 S - Accounting Apptjcatior Total Cost Years otfyr -- Yearly Quarterly Monthly - 1,010 $1 124,2,70,,00 $ 7,96" $ Dynamms UP $ 124,270�00 i I I L Exchange Online Plan IG $ 5.01719 UOrk 5.00 Use[ Cost $ 41.81 it $ 209.05 IFF $ 52.2 $ 17,42 Office 365 GI4 $ 169,819,44 123.00 $ 280,.03 $ 34.443,69 $ 8,610,92 $ 2,87031 Aiure Active Directory Premium Plan I S 45,205,40 15LOO $ $ 9.481-29 $ 2,370,32 $ 790-11 Adobe Acrobat Pro $ '18,328.,21 $ 11.114 $ 3,167.92 $ 791.98 $ 263,99 Adobe Illustrator $ 1,785.39 1.00 $ 446.35 $ 446.35 $ 111.59 $ 37,20 Adobe Creative Cloud Ali Apps $ 14,930,93 2.00 $ 933.18 $ 1,866.36 $ 466.59 $ 155.53 Barracuda Eryi;.iltArcliaiveraiiciAnti-Spitit) $ 38,33133, 150,00 $ 159,72 $ 23,95&00 $ 5,989.50 $ 1,996.50 [311w Bearn $ 3,113.00 1.00 $ 188.62 $ 188,62 $ 47,16 $ ISJ2 LaIii-f-fiChe DMS Maintaname Cost. $ 3,70145 35.001 $ 106.81 $ 3,703.45 $ 925.86 $1 308.62 28894.22 Inciudes 3% COLA and Annual Raises TRAVEL ALLOWANCE CLAIM COUNTY AUDITOR GRANT COUNTY, WASHINGTON Claimant: [Ricarcio uamez Claimant's Dept.: Cr-i-sis CV-2 Purpose of Travel: IWA State Atintial Co -Response Conf Destination: Tac, W.A W- - - ---------- - - - --- MEALS 114, 0 C-1 MILEAGE DATE BF L D IE TOTAL if -/1 �_ 5 / 2 02).') '5 $17.25 $19,50 $21 8 a 5 0 2 $3.75 _S69.00 $0,00 $0.00 50,00 $0.00 $0.00 TOTAL 1 $101.25_____J CERTIFICATION 1, the undersigned, do hereby cert'ify under penalty o`per ury that the claim is a just, due and unpaid oblivation against the County, and that I am authorized to certi-ftr to said claim, Claimant Signature: I --- — ---- ----- - DATE* FROMjJ_-'iT-y,ST1) TO (ca-v, s�r) �Y� MILES ---------- RATE - TOTAL $0,700 'V).00 S(' 0 0 0 $0�00 I TOTAI� 1 '0.00 *TOTAL REIMBURSEMENT CLAIM L...,.$101.25 *Amount may be different due to rounding* Authorization required for Employees: ELECTED OFFICIAL. DEPARTMENT HEAD, OR DESIGNEE Name (printed)- I riature: Date: 10L Z I .-OZ C_ Date: .;t I r rf w Iff AMW "W .w A"W W AU~ .ff.&6W � 1"W AW.00W.Or "W W.Wmw WAMW TRAVEL VERIFICATION 0 0 TO BE COMPLETED UPON RELUMV QNL Y 0 o&.e undersigned. do hereby certif� under penalty of perjury that the oplanned travel referenced on this form did, in fact, occur on and for the Iduration of the dates provided on this form. Additionally, I attest that Othe allowance pro-vided prior to travel was rightfully owed to me as a fresult of this travel. 0 0 l aima.nt Name: 10aimant SignatUre: 0 I Date: 0 #V,�,W,SVW W IMWW A�,W,AWW W A�W 1W IMW Iff 'NOW Iff MW W MWW A�w 1W Asow WAWWW AVMW AV- 14 . I Departments shall maintain a copy of this form. The travel verification I 0 section must be completed, on the Department's copy, upon the 0 1 employee's return from travel. The department shall retain the fully I Ocompleted copy for six years, or in acCordance with the Washington stated Records Retention Schedule (GS2011-184 Rev. 3). A=Ws 'W=W '&WW Iff AMW Ar AMWW AMW Iff AWW ,v AMW W,0WW M'A.� IS- 40► Op A i i tho rizatio n required for County Commissioners or Elected Officials; COUNTY AUDITOR Name (printed): Sig,111,nature: Date: Authorization required for the County Auditor, Department Heads, rneals expenses outside of travel status, and out of state travel: COUNTY COMMISSIONERS Commissioner Commissioner - Chairman BOC"C: Date: FIRSTNET Stott wit-14h AT&T Service activity Page 2 of 249 Issue Date., Apr 19,2025 Aocount Number: 287333762696 Foundation Account-, 62317818 Invoice 287333762696XO4272025 Lj Wireless Activity Monthly charges Company Govsrrar*nt since fees & fees Number User Paw last bill Plan Equipment surcharges & taxes Total $09,298,0717 jo.SE FARIAZ $32.22 $2.78 $442 S _90 $41 .32 50-9-403-0807 QUINCY FRONT DESK 9 $32,22 $2�78 S4 4j $41 �32 509407.7308 EUNICE GONZALEZ 11 $32.22 $2.78 $4,42 V.90 $41.340-1 09.4071309 5 ROYAL CITY FRONT OF... 13 $3222 S2.78 $4,42 $4 32 509,431 ,0321 MICHELLE HEEN 15 $32.22 $218 $4,42 $1,90 $4132 501-_�,431.0572 H. E 10 1 P I N'C" K A-R. 0 117 $32.22 $2.78 $4,42 I 9C $ i 1 $41,32 K,9.431.2319 EDWARIDO GONZALFS 19 - $32.22 $2.78 S4,42 $1 90 $41.32 500-4313124 ALONDRA LOZANO 2f4 $12,62 $6,54 S3,461 $41,62 509-431,5064 JESUS GAR IA 23 - $32-22 S278 $4,42 $1 90 $41-32 509,431,5095 (_'ONNE GUERRERO 25 - $32.22 $2,78 $4,42 $1.90 $41.32 5M.431.5129 JiAriEiLLE SLANCAS ROD,- 27 - $32.22 $2-78 UA2 $1,90 $4132 509.431,7240 DEFFANNA SAND OVAL. 29 - $3212 $2.78 $4d42 $1,90, S41,32 S39,431,7266 HANNAH GONZALEZ 31 - S32.22 S 2,7 5 $4.42 $1,90 $41.32 509.431,8204 DELL ANDERSON 33 S32.22 S2,78 $4,42 $1.90 $41.32 609,431,8237 SHANNON DARvIWGT 0 N 35 $32-2-2 S2,78 SA.4 2 $1.90 $41,32 509.431.8315 ANGELINO SERRANO 37 $32,22 S2.78 $4,42 S"'90 S41.32 509,431.8-585 J57NAIR 1c5AN`TC0S 39 $32.22 $2,78 $4,42 $1,9C, $41.32 509,431 V34 RICARDO GAMEZ. 41 $32.22 $218 $4A2 $1,90 $41,32 ".4311789 E ',"' E L. r.A AL' ,(AR,,A ()NO 43 $32,22 S278 $4,42 $ $4 3 21 509.707-3327 CORINA CAMACHO JIMENEZ 45 $32.22 S278 $4,42 $1,90 $411,32 509.707.3475 TATIANA HERtOvNDEZ 47 $32.22 S2,78 S4.42 $ 1.9 $41.32 509.707.9095 VANESSA CORONA VALDEZ 49 - $3222 82,78 $4.42 V,90 $41,32 509.707,9109 IRENE GARZA 51 - $32,22 $2,78 S4A2 $1-090 S41.32 509307.9162 NOEMI GARCIA 53 - $32.22 S2,78 S4A2 $1,90 $4122 509.707,9264 MARISOL GONZALEZ 55 - $3222 lz2,78 w $4�42 $-1,90 $ 41,32 509,707,9266 FERNANDO GALARZA, 57 - $32,22 $2,78 $4,42 $1,90 $41,32 509307.9630 LANNY AsuNDtz 59 $32.22 $2,78 $4-42 $1a90 $41,32 509.707,97-96 LINZE GREENWALT 6 If, $3222 $2-78 $4,42 $1-90 $41.32 509.707,9873 DAWPM DAVIS 63 332.22 S2,78 $4,42 $1,190 S41.32 509,750,0380 LACEY C-R(TTENDEN 65 $4-4,99 $4_56 $ 1,95 $51,51 5 500-750-2545 ELAINA SAN 67 S44 -.99 $4, r�, 6 $1,96 $5-1.5! 5019,7&0,3006 D A 51 1E, w E AV E R, 69 S-414,99 $4 ,5655 $1.96 S5 1,5 1 509.750.4166 DI STANDBY 071 $15.00 $1 24 $1,35 $19.5-9 50 5-00-.7.4167 DCLLSO ARSON 73 S15.00 $3,24 $1 �35 V9 59 509.750,83,63 MARIELA ME-DINA-CALD... 75 y 44.9,94 $4_56 $1.96 �D V1 51 Wireless canrinues_ Anea 'ajrnOu6iS 4oploH, junc,,.�,_, .jue-a AedOIPV W41 SP30i aD�OAUI X#041 atio a&d 1qun juaw.Aed I"ns of arw4uoo -pap. aw4w ojdie dojn1V jo; sa*4:5 6uqpq Z-I, o4el pirw tU4tUjrG.AJ--0 _014,A 'jfq -4W UO P01140, !W,'Wrhj We--) JOU101s"s ot4 6julle-'I Aq.�o u=jiat4sjtj jeijuaojaujsjq,.e LV,-V 6wAjroi,_kq wqez4Cjqjne feouz) ueo I -wrww )Iueq Aw =4,44uow 6ui1aI1PaPAt, ",u04"j0 0 Zu 114 - 1044r luaw, qojua Aedc' -v R__AVEL ALLOWANCE CLAIM COUNTY AUDITOR �: �GRANT COUNTY, WASHINGTON --��.�� Claimant: Ricardo Gamez Claimant's Dept.: I -Crisis CV-2 Purpose of Travel: Co -Responder Readiness Destination.- Wenatchee, WA - - -- ---- ------ --- ---- ------------- ---------------- - - - -- - ------------------- - MEALS L4 01 MILEAGE DATE BF 11 D IE TOTAL 4 1; 14 /2 02 $12.00 $14,25 S 2- 1 - 0 0 $3.7S $51.00 4.1if 15 2 0 2 5 $12.00 $1425 $2 1,00 $ 3 5 .00 $0.00 SOV) $0.00 $0.00 S TOTAL $102�0 L 1 i CERTIFICATION 1, the undersigned. do hereby certify under penalty of perjury that the claim is a just, due and unpaid obligation against the County, and that I am authorized to certify to said Claimant inatrrea ----------- ------------------- DA'ri_-, - -------- FROM tcrrf,s-r-J To'a.l 1 1 MILES 1"'IN I 1�� T 0'1r* A L $0.700 $0.00 $0.700) S 0. 0 01 $0.700 $0.00 $0.700 $0,00 $0.700 11'0 T AL $000 $M0 *TOTAL REIMBURSEMENT CLAIM E$10 --- ... Amount may be different due to rounding Authorization required for Employees: ELECTED OFFICIAL, DEPARTMENT HEAD, OR DESIGNEE Name (printed): - J S Date: H / I I Idate: *W *SWW W AMW �W A"W AW AMW 1W AMEW 1&*,AMNW AW.�W Aff A�W Ar AMW Ar �MWAW,�WWAMNW.W 1�w 1W 1"W 1W TRAVEL VERIFICATION 'FO BE COMPLETED UPON RETURN ONLY 1, the undersigned, do hereby certi, tinder penalty of perjury that the I oplanned travel referenced on this form. did, in fact, occur on and f6i the 0 Idluration of the dates provided on this form, Additionally, I attest that I "the allowance provided prior to travel was rightfully owed to me as a 0 !result of thistravel. 10airnant Name: 0 lClaimant Signature: Tate: 0 OAF ANWAVANWAF MOW AV AMW W ..W 4WAWW.W'=WAffWW'W'4 Departments shall maintain a copy of this form. The travel verification I 0 section must be completed, on the Department's copy, upon the 0 1 employeets return from travel. The department shall retain the fully I Ocompleted copy for six years or in accordance with the Washington Stateo 00 Records Retention Schedule (GS2011-184 Rev. 3). AV MW.,W "W W AMW W AMW AVMW " ANW AW AMW tW AMW AV AMW Ar "W AV j�W W AMW Ar AMW W "W AF A Authorization required for County Commissioners or Elected Officials: COUNTY AUDITOR INaine (printed): Sio0n,atu re: Date: Authorization required for the County Auditor, Departrnent Heads, meals expenses outside of travel status, and out of state travel: COUNTY COMMISSIONERS Commissioner Commissioner: Chairrrian BOCC: Date: AA i6s., thepayplace.com Credible Mail - Ricardo— Online Service... WVJIW.00Ui-ISr2ljI)... Payment Review Address Billing Address: Gris ML Grant County RO Box 37 Moses Lake, WA 98823 rrgamez@grantcountywa.gov Payment Method Credit Card Gris IVIL Grant County x6886 11/27 Payment Amount Amount: 175.00 USID Convenience Fee: 2.50 USID Total; 177.50 USD + E Columbia Basin — Online a service Once you select'Pay Now" please wait for confirmation of your payment, If you leave this page, the processing of your payment and renewal or application may not be completed. Customer Service 8arn-5pm (Pacific Time) M-F 360-236-4700 !isqa.cscCQ)_doh.wa.cjov All trademarks, service marks and trade names LISed in this material. Powered by PayPointr�� are the property oT' their respective owners, PayPoint Privacy Policy Grant Integrated Services Supply Order Form Name. Date, 3�� Item(s) Requested (include a photo if you need a specific item): (',;ro��,e�l Y�e�QencA_hV�-�FNi'1cal-eC�l Approximate Cost,* I I'E Funding Source, if known: Reason for Request: Date Needed By: . Supervisor's Signaiurc 3�25 Date Please have your supervisor sign the form and then return it to Tristyn. GG Y-t L9 QJC9