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Grant Related - BOCC (004)
GRANT COUNTY COMMISSIONERS AGENDA MEETING REQUEST FORM (Must be submitted to the Clerk of the Board by 12:00pm on Thursday) REQUESTING DEPARTMENT: BOCC DATE: 1 0/27/2025 REQUEST SUBMITTED BY: Kaft"I@ StocktonPHONE: 2937 CONTACT PERSON ATTENDING ROUNDTABLE: Kafl'12 Stockton CONFIDENTIAL INFORMATION: ❑YES *NO ❑Agreement / Contract ❑AP Vouchers ❑Appointment / Reappointment RARPA Related ❑ Bids / RFPs / Quotes Award ❑ Bid Opening Scheduled ❑ Boards / Committees []Budget ❑Computer Related ❑County Code ❑Emergency Purchase El 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 - ------------------------- I WA lei :4 N 19 101 MM4 k, I am 1, M N!&*�- I Reimbursement request from Renew on the American Rescue Plan Act (ARPA) in the amount of $1..2,596.66 for August 2025 Suicide Prevention services. riedbe ccJnLa4t dtA;UUri«ri v c tin iee a rinanuiai rye uesi rorm nor w suumisslon, If necessary, was this document reviewed by accounting? 1:1 YES 1:1 NO N/A If necessary, was this document reviewed by legal? ❑YES ❑ NO 0 N/A DATE OF ACTION: DEFERRED OR CONTINUED TO: WITHDRAWN: APPROVE: DENIED ABSTAIN 9.6, D2: D3: 4/23/24 � Grenew iss PO Box 1057 Moses Lake, WA 98837 Phone (509) 764-2643 Fax (509) 764-4124 BILL TO: Grant County Attention: Karrie S. Stockton PO Box 37 Ephrata, WA 98823 DATE: October 22,2025 INVOICE # 8/31/2025 FOR: Aug-25 DESCRIPTION Amount units Total Amount ARPA FUNDS - SUICIDE PREVENTION $ 12,596.66 1 $ 12,596.66 Total $ 12, 596.66 Thank you!! ACCOUNT TRANSACTIONS- GJ REPORT FOR AUGUST 2025 ARPA SUICIDE PREVENTION Open Year "uIffut TRX Date Account Number Account Description uevirAmounr KeTerence 2025 1032534 8/31/2025 108.150.00.9000.566511100 MH... ARPA.REG SALARIES & WAGES - 5,881.74 ALLOC SALARY AUG 2025 2025 1032537 8/31/2025 108.150.00.9000.566512100 MH... ARPA.RETIREMENT - 328.20 ALLOC RETIREMENT AUG 2025 2025 1032538 8/31/2025 108.150.00.9000.566512200 MH... ARPA.SOCIAL SECURITY - 412.76 ALLOC SOC SECURITY AUG 2025 2025 1032539 8/31/2025 108.150.00.9000.566512300 MH... ARPA.MEDICAL & LIFE INSURANCE - 1,422.20 ALLOC MED & LIFE INS AUG 2025 2025 1032540 8/31/2025 108.150.00.9000.566512301 MH... ARPA.STATEWIDE FMLA INSURANCE - 15.42 ALLOC FMLA AUG 2025 2025 1032541 8/31/2025 108.150.00.9000.566512400 MH... ARPA.INDUSTRIAL INSURANCE - 20.10 ALLOC INDUST INS AUG 2025 8,080.42 2025 1028936 8/19/2025 108.150.00.9000.566513200 MENTAL HEALTH ... ARPA.FUEL - 19.63 510-130323 2025 1030351 8/26/2025 108.150.00.9000.566513564 MENTAL HEALTH. ..ARPA.M INOR EQUIP >$550 - 1,471.93 Renew 2025 1030337 8/26/2025 108.150.00.9000.566514100 MENTAL HEALTH... ARPA.PROFESSIONAL SERVICES - 190.96 Renew 2025 1030351 8/26/2025 108.150.00.9000.566514100 MENTAL HEALTH... ARPA.PROFESSIONAL SERVICES - 145.49 Renew 2025 1030337 8/26/2025 108.150.00.9000.566514200 MH... ARPA.COMMUNICATIONS - 22.07 Renew 2025 1026741 8/5/2025 108.150.00.9000.566514202 MH... ARPA.COMMUNICATIONS-CELLULAR - 41.32 287333762696 2025 1030151 8/22/2025 108.150.00.9000.566514302 MH...ARPA.TRAVEL-MEALS 96.75 - Treasurer GL Import: 08/22/25 2025 1030587 8/22/2025 108.150.00.9000.566514302 MH... ARPA.TRAVEL-MEALS - 96.75 Back Out Journal Entry 1030151 2025 1028221 8/12/2025 108.150.00.9000.566514400 MH... ARPA.ADVERTISING - 500.00 56008 - 2025 1028604 8/13/2025 108.150.00.9000.566514917 MH... ARPA.MISC-TRAINING - 270.99 7348 - PREVENTION JULY 2025 2025 1028604 8/13/2025 108.150.00.9000.566514917 MH... ARPA.MISC-TRAINING - 611.95 7348 - PREVENTION JULY 2025 3,371.09 SALARY & BENEFITS 8,080.42 OPER EXPENSES 3,371.09 TOTAL SALARY/BENEFITS & OPER EXP, 11,451.51 ADMIN FEE 10% 1,145.15 TOTAL INVOICES FOR 0812025 ARPA SUICIDE PREV IZ596.66 E Must attach training information IncLuding agenda, start and end times and meat information. Forms missing any of the required information will be returned for compLetion. A[Lfietds must beTilted in compLetely. El In -State Training 11 Out -of -State Training (Must be received 30-days in advance) (Must be received 90-days in advance) EmpLoyee Name: Bethany Avey Today's Date. 7/17125 Training Name, The Ultimate Grief Treatment Toolbox Location-, Virtual August13,2025 ing. Dates of train- Departing Date.: N/A Returning Date- ........... Departing TiMeA N/A ReturningTire e.- NIA R00 egistration Cost: $249- Hotel: 0 Yes LAI No Are there any room blocks fort i training at a specific hotet?, Transportation: 0 Personal Car 0 Company Car (if requesting to take personal car, direct supervisor signature is required below) A 't rfa re: 0 Yes IN No Ffight / airport preferences? JUL 1 7 2025 11 .NEW How wilt this training add at to the organization?. Engaging in this training will provide me the knowledge and skills needed to support individuals of all ages ... .. ......... .. who are grieving a loss. This training will improve my skills to assist clients individually and a group setting, 11 1 pi figm- MX-A ME Estimated Cost: Training Approved: Yes 0 No Direct Supervisor Signature: ---- -- ki, Personal Car Approval: 0 Yes 0 No Direct Supervisor Signature: Executive Staff Approval.- E01 It Executive Staff Signature: . . . . ............... Funding Source:— o a ...... Date: Date Date: � _2 Media Item Type Qty Price Total Certification Course: The Ultimate Grief Treatment Toolbox: Over 60 Interventions to Promote Heating & Hope Among Grieving Children, Digital Adolescents & Adults Seminar 1 $2,49.99f $24999 Relgistrant(s): Bethany Avey (bmavevLa,,grantcounh!N%--a.izov) Additional Discount: $0.00 Sub total $249-99 Shipping -woo_ $0.00 Tax-, $21.00 (Alt Prices are shown in USD ) Order Total $270.99 4 Visa-7348* -ew------ -- - 0�99) ($27 Batance Due $0.00 GST/HST.- 85190 5281 RT9999 QST: NRO01 13794 D-igi-tat-S i n o --- ommm-a0m How do I test my system? To test your system please tog in at "t s_'Wk i. om/ acieer do click on the Lunh Vw button for the purchased seminar. How do I access the course materials? I - To dowmoad course materials and seminar manuals, tog into your account at !zc,ount and click on the course Handouts button. Additional Questions and Support You can find corm-norty asked questions,, additional CE information and disr.3-Losures at Naus;_11 Contact Us I @1 2025 PEST - All rights reserved American Rescue Plan (Cares Act — ARPA) Today's Date, 7/22/25 Vendor: QPR Institute El Received Supervisor Approval Cl Scanned supporting documents Cl File into binder El Item(s) received Receipt Date: 7/21/25 Detailed Description: QPR Gatekeeper Instructor Self Study Course for Santiago Alba Behavioral Support Specialist at Boys & Girls Club of the Columbia Basin 'Charge to A19'Month. El July 2024 El January, 2025 10 AUgUSt 2024 ED February 202- El September 2024 0 March 2025 1 October 2024 El April 2025 0 November 2024 El May 2025 El December 2024 E3 June 2025 V July 2025 Defiverables-. 0 General Taskforce supplies 0 Goal i: MH Literacy & BH Promotion © Goal 2- Post-vention 0 Goal 3: Perception/attitudes 0 Staff Travel / Professional Development Requested by: Form of Pament 2 VISA 7348 El Invoice (paid) 71 Invoice (needs paid) F71 Other: Charge Account, 0 ARPA (g000) 0 Other: S 611.95 Date: 7/22/25 A- 7/22/2025 Supervisor Signature: Date - Prevention Requisition Form Revised 07-2024 R Institute F'.. Lincoln Rd. Suite 10 Spokane, WA 99208 1-314Mifi Boys and Girls Club oFf"he Columbia BaslY Santiago Alba 425 Paxson Dr. Moses Lake, WA 98837 TITTSIM:1 DATE INVOICE # 7 fti1/2 02'� 47-11 -87 PLEASE MAKE CHECKS PAY ABI--[,;'-I-(') QPR INSTrrUTE. THANNK YOU. -F..AX ID 91-19-")-7678 Please remit within 30 days of date of this invoice. A 1.5% service charge will be added to all pa---,t due accounts. .. renew Name■ s Bethany y Date ■ 7/2 1 /2 5 Item(s) Requested (include a photo if you need a specific item),14 Q P R Certified Gatekeeper Instructor's Self Study Course - For Santiago Alba, Behavioral Support Specialist, Boys & Girls Club of the Columbia Basin a Approximate Costs $ 6 6 1 in Funding Source, if known, AR PA 9 Reason for Request: Santiago will become a certified Q PR Instructor so h e can provide Q P R trains n g s to the teens who attend mom Boys & Girls Club as well as other community members Date N eed e YO ASAP Supervisor's Signature 7/21/25 Date Please have your superyisor sign the form and then return it to the Finance Department, Printed Name: Bethany Avey ✓ Pay Period: July 20, 2025 Employee ID #: 5630 AWA Staff Signature: Supervisor Signature: *"Leave Slips (A/L, ----- - -- - ----- Supervisor Initials for Non -Standard Workweek Pay Period: 7/20/2025 (mmlddfyyyy) Pay Date: 81812025 CLINICAL Jul 20 Sun Jul 21 Mon Jul 22 Tue Jul 23 Wed Jul 24 Thu Jul 25 Fri Jul 26 Sat Jul 27 Sun Jul 28 Mon Jul 29 flue Jul 30 Wed Jul 31 Thu Aug 01 Fri Aug 02 Sat TOTAL .ARPA 9000 9.00 9�00 9M 9,00 9.00 9.00 54.00 MAD% OTHER HOURS WORKED omm JURY DUTY - - -------- -- ----- Total, Worked Hrs 9.00 9X0 9100 9.00 9.00 9.00 b 54.00 1.00 ANNUAL SICK 8.00 5.00 8.00 5.00 26,00 HOLIDAY OTHER (Bereavement I Military) FLEXICOMP TAKEN LWOP Z TOTAL HOURS 1 9.001 9.001 8.001 6.001 - I 1 0.001 6.001 S. 9.001, 80.001 Total Worked Hrs .0.00 32.00 40.00 40.00 27.00 .LV taken longne all nine sickne snect holne milpayl bervne civil salyne 13.00 40.00 GP ENTERED LEAVE 0.00 0.00 _21" 00 0.00 0.00 0.00 6 00 0.00 0 LWOP LW, PAYROLL SPREADSHEET tau I�C�.�= Gt.0 1 Q.0 k*A PAYROLL PURPOSES - DO NOT WRIT, E IN THIS SECTION " - 0 00%� e Printed Name: Bethany Avey Pay Period: August 3, 2025 Employee ID #: 5630 Staff Signature:, Supervisor Signature.: NON-EXEMPT *"Leave Slips (AIL. - ------ ------ I Supervisor Initials for Non -Standard Workweek Pay Period: 8/3/2025 (MM/ddlyyyy) Pay Date: 812212025 CLINICAL Aug 03 Sun Aug 04 Mon Aug 05 Tue Aug 06 Wed Aug 07 Thu Aug 08 Fri Aug 09 Sat Aug 10 Aug 11 Aug 12 Aug 13 Aug 14 Aug 15 Aug 16 Sun Mon Tue Wed Thu Fri Sat TOTA L ARPA 9000 800 900 8.00 9,00 9,00 9.00 8.00 800 600 7400 OTHER HOURS WORKED JURY DUTY I J Total Worked Hrs 8.00 9.00 8.00 9.00 - - - 9.00 9.00 8.00 8.00 6.00 74.00 1.001 6.00 6.00 'ANNUAL SICK HOLIDAY OTHER (Bereavement Military) FLEXICOMP TAKEN LWOP TOTAL HOURS 8.00 9.00 8.00 9.00 6.00 9.00 9.00, 8.00 8.00 6 80.00 Total Worked Hrs 27.00 LVtaken 13,00 GP ENTERED 40.00 40.00 LWOP 40.00 0.00 40,00 longne annfne sickne snect holne milpay/ civil salyne bervne 80.00 6.00 0.00 0.00 0.00 0.00 0.00 74.00 ---------- LEAVE IPAYROLL SPREADSHEET ***PAYROLL PURPOSES - DO NOT WRITE IN THIS SECTION ... Columbia Basin Herald PO BOX 910 ME S LAKE, WA 98837 (509) 7654561 ADVERTISING INVOICE AIVIERICAN RESCUE PLAN SUICIDE PREVEN BETHANY AVEY 840 E PLUM S MOSS S LAKE, WA 98837 Invoice Number 00002-25056-C,6272025 Customer AMERICAN RESCUE PL--AN SUICIDE PRE VENT110N Account Number 1 56-008 Billing Date M27/2025 Description Coulee Comid-or lkllagazlne 2025 13411-LING DATE 811LIED ACCOU'is 04UM-BER 56008 ADVER _RSER NUMMER L 56018 - --- - ---------- I --- REMMANCE ADDRESS Coliumbia Basin Herald PO BOX 701-00 C OEUR D ALENE, ID 83816 MAKE CHECKS PAYABLE TO. Columbia Basin Herald PLEASE DETACH AND RETURN UPPER PORTION WITH YOUR REMITTANCOE C;olumbia Basiln Her -aid Adveartiser Information PaSt due accounts are subject to finance chfarges of 1 -112% per month't, which jz an annual percentage, of 18% appliVead to the previous lbaiance, `P'['= Per Column Irch, 'FL' = 171-.at Pate. CR'= ContractRate 1 08/05/2025 09-07*58 ADVERTISING STATEMENT INVOICE ICCt..UMBIA BASIN HERALD PO BOX 7000 COEUR D�ALENE, ID 83816 (208) 664-8176 ADVERTISING ACCOUNT AMERICAN RESCUE PLAN SUICIDE PREVENTION 840 E PLUlk-'ll ST SES LAKE, VIA 98837 56008 BILLING DATE Al'?Af9rl--)'; LL BILLING PERIOD ADVERTISER NAME AMERICAN RESCUE PLAN FlINGB SUICIDE PREVENTION TOTAL AMOUNT DUE TERMS OF PAYMENT $ 1,500.00 NET + 15 REMITTANCE ADDRESS Ir ,OLUMBIA BASIN HERALD PO BOX 7000 COEUR D'ALENE, ID 838'16 MAKE CHECKS PAYABLE TO: COEUR DLENE: PRESS PLEASE DETAC H AND RETURN UPPER PORTION WITH YOUR REMITTANCE DATE AD NUMBER 04/18/25 1381S 04/30/25 13816 06/30/25 TBD DESCRIPTION AMOUNT Quincy Chamber Magazine $ Ephrata Chamber Magazine Grand Coultee Magazine TOTAL AMOUNT DUE We appreciate, your business- 9 500.00 500.00 500-00 American Rescue Flan Cares Act — A R PA T Date, 2 r-i V"endor: Coeur d'Alene Press .Ite Scanned supporting, docuirrients El File into binders El Item(s) received 0 � Mental, HealthAwareness€ d €=..ter Ch-amb Magazines s,,,,, p ''�` a Grand ran Coulee, � ��.""`.s & 01 n c t ,s' ,>. Full '3` page, age advertisement "Chargetoy A 9. Month: EE saf 'nit obe 2O 2 4 April 02 11 November 2024 El Ma a 202.E Li General Ta4 lee supplies Goal is NNIII Literal - & BI-BI-I Promotion 0 Goal : o t'vration Goal 4 rep ion att-ti des 01 Staff Travel / Professional Development Requested by: � ti �s f Super-N,isor Signature. r Inwice(paid) s In-volee (needs paid) El Other: Charge a.ns. -41 00.00 Date: 4/25/25 4 / /2025 Date: El Food Renew without DCL- August2025 TS Netw,q k & &,-c- Services S IJB6 19 System Ad mm. is tr at Ion Fr-o eces- I ' MHBG Geg-wral He-lpdli-sk J& Asset Mariagefflen-It Wj iSUD System AdrillmsvatforServtces 62 ------------------------ Acc-QuotingApplication- Gfl i 663.84 t'. .5 a Senn e G� 46 7-1 D; U L M 00 JU: CRISIS QU I H MOBH CRISIS DISIGNATED GO-R1SPONDF PIS' GU;;SUP RKovery Coach - Ctisis - VOW PHONE ARPA SUICIVA PREV OPHANY- $ 24,633.67 '11,633.67 Prevention - ML PFS ACCOUNT 4152 $0.00 Pr".f" ntion - City of Quillry 108. 1 50,00.MM.564.00.4152 564 104 19A59 70 DFSIGNVi (:D CRISIS (F)CR-S) 8052 6 1.145,75 MHUG- 80S.) I .381 92 At DULT MOBUF CRISIS 8081 5 9!A. 79 YOUTH MOBLE CRISiS WI62 4 76333 -:)ISiGWLD CO -RESPONDERS SO-83 2 38192 COSSUP i 9318 IL 11*m 96 crm-i 80 79 2, ARPA SUICIDE PREN BETHAA NY - 9-010) 96 - M.- PFS W-158 190-96 190 96 4,77-13 Q-7 I 25 -24,633-6) Ednetics VOIP Services ^cnes) ACC-OUNT 4-25B.84 22,07 4200 170 00 53.7 5 1: 15 -- - ------------------ 6 8052 1, 2, 40 6053 44 13 8081 110 33 4 80812 Be 2-7 0 808-3� 1 9318 22.O7 80 79 44.13 1 C-1000 2-2,01,00 1 9058 22.070 1 9064 22.07 507.53 507,53 23 4,258 8.4 4,14,18.84 28,89161 S-l4,892-51 $ 0 a 0 -4 a n o g , .r �A t �jI t/f w V W 0 vi Lq O v LU G to di 41 cr cr cc w a u x C. co III t v! 40 N 44p N N 0 44 V► E LA f�- G: ri =n Nil i ! I anwr «+wrN�NV►v► t � 44 iA er! eh 44 N E W+ sa r+ M i tR c►� t CO E 40 w!► N N N 1A +Vt +ypf E E E ! ' vi #V�40 44 m cx C C1.. CL10 v «tea CF►. un eu C c m w J Grant County Technology Services 35 C St NW Ephrata, WA 98823-1685 USA gcts0grantcountywa.gov BILL TO Renew 840 E Plum Moses Lake, WA 98837 SERVICE Site Maintenance- NOE SHIP TO Renew 840 E Plum Moses Lake, WA 98837 D E s I P T 10 N Site Maintenance August 2025 BALANCE DUE INVOICE# TS263-25 DATE 08/14/2025 DUE DATE 09/01/2025 TERMS Due on receipt OTY RATE AMOUNT 1 28892,51 28,892.51 $287892*51 American Rescue Plan (Cares Act — ARPA) MIMEM Vendor: CDW Government 0 Received Supervisor Approval 0 Scanned supporting documents 0 File into binder 0 Item(s) received * Recet Date*, 8/14/25 P DetaRed Desm"ption, Laptop & Docking Station for Bethany Avey 'Charge to Aig' 4 Month ,, 11 JUIV 2024 1:1 JanuarV 2025 10 AugUSt 2024 El FebrUal')72025 01 Septen�ber 2-024 1] March 2o25 L'--J October 2024 0 April. 2025 011 November 2024 E-] MaV- 20P-5 0 December 2024 0 June 2025 V August 2025 Deli'verables,# 0 General Taskforce supplies * Goal i: MH Literacy & BH Promotion * Goal 2: Postviention * Goal 3. Percept lion/ attitudes * Staff Travel / Professional Development Requested by: -17 Supen?,Isor Signature: Form -rnient 0 VISA ****- 0 ln-,voice (paid) SZ Invoice (needs paid) Other: 11 Food Charge Account, 13 ARPA (g000) 0 Other: $- 1,617-42 Date: 8/19/25 8/19/2025 Date: ' PrCVentlOn ReqU1.31tion Form Revised 07.2,0274 renew INVOICE Grant unty Te ctl o o y C St '� _� Ec)h rat . AA 9 n 168 Bill to Rn 840 E Plum Invoice details Tessa, Net 3 Due e: 09 3025 Product or CpNCE Description Ship t Re 840 E Pt m Moses Lake, V11A 98837 / , _-" 4-.,_. t date 145:4 tir"f T1 6 {3 U 7-1 s;U 51 1 1—w 14 11 TOUC e r o RENIM PAYMENT TO: C77-677 7 Z =0 CDW Government 75 RemIttance Drive, Suite 1515 Chicago, IL 6067b-I 515 RETURN SE-RIVICE RBI UEMO ACH INFORMATION., INVOICE THE NORrFtF-PN TRUST 50 SOUTH LA ALL STREET CHICAW, IL 60076 E-marl Remimnea To: aachre-mftnce&dwx,-om ROUTING NO.; 071000152 ACCOUNT NA iE: CD W GOVERNMENT ACCOVNT NO-* "Q57 jwot6g NUM�ER.1� -- ------------ - ---------- - E NUMPER. AF34Z7G 06/07/25 OBCP7430 `---:-6UBT0TAL'1 $134.2U 2 $0.00 $11,27 'D EtDATE ul 009106/25 $145-49 COW Govemment GRANT COUNTY 75 Remittance Drive AT T el IN FO R MAT I ON smite 1515 PO BOX 37 Chicago, IL 60676-15315 F-PHRA7A %1VA 988224-0037 Ul SA PLEASE RETURN THIS PORTION WITH YOUR PAYMENT ........... ..................... --------------- ------- ...... ------------------ --------------- ----------- UE.tWE PAYyyA ENT.TERMS T E. 4NVOICE DATE .".1%4VOICE NUMBEft. 08/07125 AF34Z7%3 Net 3-0 flays ------ - ----- ......ORDER DA7F. ""SHIP VIA' -,Tomarl NUMBER PUR014A$E 0116SR NUMBER q*100410. -- 1- - PS 08104125 UPS Ground 51840,3101 RENEW BETHANY PREY. 0,6D74,30 Ty DE P SER, UNIT _R j E, AV; , -- -------------- - - 2D898O7 LVO 3YR ONSITE NB D 134.22 13422 Man ufwturer Part. Number: 5W$0A1 408r;) Elea-tronic distribution - NO N41101A State Contract Number: 14922-02 This order is non -cancelable, non-rotumable unless warranted by tie mantufacturer eSigned by Dario Ber-tocchl Sr Prori 11,1gr on: 0810712025 -------------------- ------ - GO GREEN! CI W is hap to announce that paperless billing is now available! If YOB, would like to start receiving your invloices as an m eailed PP. Wease email CDW at papeilessbilling@rdw.com, Please include your Cus4omer number or an Invoice number III your ernall for Faster processing, REDUCE PROCESSING COSTS AND ELIMINATE THE HASSLE OF PAPER CHECKS1 Begin transmi'tng your payments electronically via ACH using COWs bank and remittance, information located St the top of the attached payment coupon. EmaiTcredit@cdw.com with any questions. ------ 11 11 11 N1 loll, W 1 00 1 0 i9i NON15 Igloo Ill 0 of I ACCOU'NT 1 Af4A' 8HJPFtN.7ar#.3"d0D. ESS, $134,22 DAN KRIMER GRANT COUNTY TECH. SERVICES 847-465-6000 ATTN,,jEREMY HALL SHIPPING...,.. $0,00 35 0 ST NW SUITE 308 j dan.krimer@cdwgxorn ' EPHRATA WA 988213 SA ES- STAX., - $11.27 ALE ORDER NuMgElk... I C H NZ42 AMOUNT DUE — $145,4 91000� Cage Code N umber 1 KH72 HAVE QUESTIONS ABOUT YOUR ACCOUNT? DUNS Number 02-615-7235 PLEASE EMAIL US AT crodtt@cdw.com Uniquo Entfty 1D (SAF,4)- PHZDZ8SJ60M1 ISO 9001 and ISO 1*4001 Certified VISIT US ON THE INTERNET AT vNmcdwg.eom C01111 GOVERNMENT FEIN 36-4230110 page I of r 1 REMIT PAYMENT TO: 77--:3 INVOICE CDW Govornment 75 Remittance Drive, Suite 1115 r".".hicag.o, IL 60675-1515 RETUP-j4 SERVICE R-EQUIESTED GJR;W� �02.JJ%`f A T-M;`�ORMA7iCN PO BOX 37 EP511RATA WA 99-823-CC37 USA ACH INFORMATION'. E-marl Raitt"res To, pchremmanm§r�u.tw co I rHE NORTHERN TRUST ROUTINGNO., V100052 COW GOVERNMENT !W LASALLE STRE-E7 ACCOU14T NAmr: CHI CA00f IL SWIS ACCOUNT NO.: SiGS? NUMBER 'IRVPjp�.[ATE - 'CUSTOVIER IINYof NUMBER' AFSiV1,.J4H 0 8,10 5 12 5 430 0607 Er L I OT -SHIPPING -E "tu S'l 357.87 buz- AMOUNT DUE 0 9 10 4 12 $1,471,93 CDW Govemment 75 RJQ erniitftance Drive Suite 1515) Cfta,go, IL 606'"-151" PLEASE RETURN THIS PORT ]ON WtTH YOUR PAYMENT ....................... ss.s.... . ....................... W... .. .....................a....... .s.... ANVOICE DATE - INVOICE NUM -SE ro- - ----------------- F YM ENT-TERNIS W E DATE AFTIA.; 4 A ----------- ------ Net 30 Days O�P-134125 ORDER DATE ------------------- SHIP VIA PURCHASE ORDER NUMBER CUSTOMER NUMBER UPS Gmund 51840-3101 RE:112141i5—THANYPREV. - 0 E 07 4 3 Cj ffem NUMBER ----------- -OTY IQTY Ty --i DE$CRIP 110N PRtCE UNIT TOTAL RD IP 7 923 4 5) 7 0 LVO T1 6 G 3 U 7-1 51531U 512116 W t 1 P TOU'-3H 0 1,357,8 tr 1,357.F Man datcturer Part Numb-9- 21MN00AH'J8 Serial, 11o: I S21 N N00AHUSRF")LH '15J This order is non-mriceflable, non -returnable ur-iiles-s warran-'ad by the manufacturer eSigned by Dann Bartoxhl Sr 3 rogrvP -gr or- 08 512025 oar', t'j GO GREEN! CDW is happy to announce that papperiess bill'Ing is now auafl'ablel If you would tke to Marl. re0e.'virIg your involces as an i I , ber o emiai'led PD, , Please emaill CDW at parjarle, &cdw.comr, Please include your Custome, --p r a nj ol ce num nurnber in y'our emals' for faster processing-, REDUCE PROCESSING COSTS AND ELIMINATE THE HASSLE OF PAPER CHECKS! Begin trans r-,1'.t-*ng your pcay,�-nents electoronically via ACH uiain rmation %"."JIDW's bank, and rernittanse inro located at the top Hrached payment, co,, Juv,com with ariy questions, of the W., upon. Erna credit@ccl -----------W- iT &I A N A (31 E R ACCOUIN -- - - ----------------------- SHIPPING ADDRESS, 0—SUBTOTAL - - ---- -- ---- .8T DAj'-.,* KRIMER GRANT COUNTY TE--.',"H, SF-RVIC�eSj SHIPPING 847-165-6000 Ar1TN:JEREN1Y4,ALL danAri@7/-,dwg.com, 3-5 C S? �P,,V� SUITE 30z f` 8 PH -RA E TA ljA4A 98'()23 T" --------------- SALES ORDER NUMBER 1 %C"A H N 7 4 2 AMOUNT'64t $1,471.93 Coage Code Nwrr.bor IKH72 HAVE QUESTIONS ABOUT YOUR AC'COU NT? DUNS Ntirnber 02-615-7235 PLEASE EMAIL JS AT cradit(i��cdvv,corp Unique Entity PHZ--W'Z8SJ5CM1 Wil ISO 9001 and ISO 14-001 Certified VISIT US ON THE INTER ET AT vPw�v,cdwg.,-.om CDW GOVERNIWENT FEfN 36-42301111 Page 1 of I MH - 44 5094317266 MH - 44 5094318565 MH .. 44 5094318-1189 NIH -44 509-11073327 ------ -- MH - 44 5097079109 M11 - 44 .......... - 5097500380 MH - 44 5097508363 MFI-44 5097610077 MH - 44 5097610593 MH - 44 .......... 5097611097 MH � 44 5097611351 MH - 44 . ......... . 5097611636 MH - 44 5097611743 MH - 44 5097611775 NIH - 44 5097611890 MH - 44 5097703010 MH - 44 S097703046 MH - 44 5097703157 MH-44 ...................................... 5047 977040 ... 1. ..... MH - 44 5G97704754 MH - 44 5097705442 MH - 44 5097706546 ...... .... MH -44 5097709154 MH - 44 S097715043 POH - 44 5097715207 MH - 44 5097715530 MH - 44 . . .. .................. --- ----------------- --- - S097717105 "VI H -44 5097717374 MH-44 5097717661 MH-" 5097930640 MH - 44 5097935794 MH - 44 5097938959 MH - 44 ................................... S098550383 1A H - 445099893186 ............ ...................... . ........................ ..... PA - 8053 5097079264 MOT - 8053 5097079266 MOT - 9053 5099891048 MOT - 8053 5099893764 .......................................... Prevention - 90005097714324 Prevention - 9097 . . ......... ...... S097717634 Prevention - 9096 5097975242 Rec Coach - 8079 5097/715038 Rec Coach - 8079 5097930005 SUD SO94310572 SUD 5097079095 SUCH 5097079162 SUD 5097502545 SUD 5097503006 SUD 5097509926 SUD ---------- -- 5097703387 SLID 5097705969 SUD 5098553215 SUD 5098553276 S U D 5098553281 wise - 8059 5094317240 wise-8059 5097073475 WISe - 8059 5097602528 WISe - 8059 5097604004 w1se - 8059 S097611074 HANNAH GONZALEZ ........................ �5094317266 $41-32 JENAIR SAN-FOS .. . ..... 5094318565 $41.32 EMELDA ALVARADO ------------------ . . . ....................................... 5094318789 $41-32 CORINA CAMACHO JIMENEZ . ...... .. ..... ...... 5097073327 $41-32 IRENE GARZA 5097079109 $41.32 MARIELA MEDINA-CALDERON 5097508363 . .-D.AYA.N.A ... RU IZ .. ........... ... .... JESSICA RANGEL 5097610593 .................. ....... $41-32 RENEW CM PHONE ................ ...... 5097611097 $41.32 MARY CONKLIN 5097611351 .......... ........... REINA ESCAMILLA 5097611636 -------- ....... $41-32 .. .... ... - KYLEIGH SANCHEZ 5097611743 .......... - -1. $41,32 .................. -.1.11 1 TINA MORA ................................ 5097611775 (Mled Team) .............. $41,32 MARIA HALLATT ..................... - ....... ...... . 5C07611890 ... ..... $63.52 .CARRY ROBEY ..................... 1- ........ - ....... .5097703010 ................ . . $41-32 ........... LAVYONNE BARNES ' ------- - - ........ . .... ......... $41.32 BROOKE RICHARDSON ............ 5097703157 ------ ............... $4132 AUDY MILLER ..................................... 5097704047 $41-32 SANDRA DRAPIEAU 5097704754 $63-55 MELODY DAVIS 5097705442 $41,32 JUAN PADILLA ............................. ..... I ........... 5097706546 ............. ------ $41.32 TANNER LONG 5097709154 $ 4 1, 3t 2 KIMBERLY BAILEY 5097715043 $4132 TANYA NUNEZ ............. ....................... 5097715207 ........ $63.55 ............................................... FERNANDEZ 5097715530 $41-32 INDELISA SALINAS 5097717105 $41.32 LISA HAMILTON ---- -_---- 5097717374 .. . . ..... _.- ........ $41,32 SCOTT DERTING 1-111-111.1-- . ...... . .... -1-111.1 .... 1- ------ 500,7717661 $41,32 RYAN HARDY 5097930640 ........... - $41-32 JASMINE ARROYO ................................. - ...... . I ............ .......... 5097935794 ........... $51-50 ZUILEMA GLITIERREZ-CONTRERAS S097938959 ZACHERY NYGREN .5098550383 .................. $51-50 ...... PATRICK-D-R.APEALI 5099893186 $51.50 ....... ................... ....... ................. ....... ...... ........................ ........ .................. ......... - Total MH - 44 $188&00 ................................. MARISOL GONZALEZ ............ ..... . ... 5097079264 (8053) $41,32 FERNANDO GALARZA 5097079266 (8053) $41-32 FERNANDO GALARZA ............... 50999910-1118 $4004 MARISOL GONZALES 5099893764 $40.04 . . ....................... - Total 8053 ............. .. $16232, ............ BETHANY ESCAMILLA 5097714324 $4132 MEGAN WATSON .............. 5097717634 ...... $4132 CRYSTAL CRUZ 500,79751442 $4132 . ...... ........... .................... ELEISER PANDO ....... ...S097715038 ........ ....... $41,32 JAMIE MULLENIX 5097930005 $41-32 .................................... . ............... ...... .. . .... ...... Total 8079 $82.64 ........... HEIDt PINCKARD . I I . ...... ... ...... 5094310572 ....... ........... $2 38 . ....................................... 1 1. EDDY DEHERRERA S097079095 (SUD Professional 1) $41-32 NOEMi GARCIA . ..... . ..... 5097079162 (SUD) ....... - $41.32 ...... ...... ELAINA SANTACRUZ 5097502545 .. . ....... .......... $51,50 DALE WEANIFIR 50,97503006 $51.50 ........ . . 1,.,,______ KATHY VERTREES 5097509926 $51-50 DARCI ALAMOS .5097703387 (SUD) $41,32 MEGAN CLOYD 5097705969 $41,32 ARASELI VERDUZCO ............ __ . ....... 5098553215 ...... ___ .... 1-11.1 ..... I ....... .......... $51.50 MALEENA LOPE ............I ................ ........ 5098553276 .....I.......-..... .......... ....... .11 ------ — . $51.50 ........................ ............ ...— IZABELLA VALDEZ ........... 5098553281 .. . ....... . ....... .............. - Total SLID $477.06 .............. .......... ................ DEEANNA SANDOVAL .. . ..... - 5094317240(8059) .... .. ................ ...... $41.32 TATIANA HERNANDEZ 5097073475 $41.32 TYLER NAPIONTEK 5097602S28 $ 4 1.32 SELENE ACOSTA . . . . ........ 5097604004 ........... ........... $51.50 TAYLOR SCHRODT 5097611014 $41,32 GPANT COUNTY PUBLIC WORKS 124 ENTERPRISE STR&t�.ET EPHRATA, WA 98823 (509) 754-C60"'32 RENEW 840 E. PLUM ST MOS LAKE, W-A 98823 July Fuel - RENEW F I VIE AUG 0 6 2ti2J By 9 Date:07/21/2025 Customer No.- 510-130323 Invoice No: Z-950719 Total Due: $2 r 839. 60 P a g g: _�-- t 1 0 - i f 1 Description Quantity Unit Cost Unit of Meas Total Cost Fuel - Unleaded i 2,706.91 21 7 0 6.9i Facilities Fe_-7. 132.69 1327.69 - - --------- qqq gj ( pa C4 1(417 I,, Le of jqq Z P 44 dw q f,14,3,- L- jje (t q q 4 0 0-F q 1 01.1 5 we. .... - 7 4: - - - ---------- ------ - - --- ------- On Receipt GRANT COUNTY PUBLIC WORKS 124 ENTERPRISE STREET SE EPHRATA, WA 98823 (5091754-6082 TOtal R tAEEN �* A E W Customer No: 510-130323 lnvl-'.�_'ce No: Z250719 TOTAL DUE $2,839.60 Amount of Remittance EL USAGE ju-1-25 PUEENEW 83 INVOICE # Z25 0719 Equip # VebicleDescription Gal. Unl. Gal. Dies. Facility Fee Total Gal --------- - - Unl. Diesel Fuel Tot -at Total 8002 2025 Tovota Rav --- 622, 2- - -- ---- ----- HUI 0.15 3.94 --- -$-- 3 $35 - $87.36 8003 20125 Tovota Rav 0.15 4.12 $3.06 $3.59 1 $84.09 $88.21 8004 20'.2-5 TovotaRav- 79 0.1 5 3-54 $3.06 $ 3,S 9 22 $ 7 2 -22 2 $75. 1 8Ot6 2011 Ford Trans Van 1 ---- ----------- -9 0.1" 9.01 $3.06 $3.59 Q�Q (M71 $183-88 19 -2 8 9 803 t 20-41.2 Ford Bronco 4 T 0) 1 cl.O 0 NN, N .. 015 708 --$106 -- - $3 59 t, $144,,40 1, *5 t A Z M)3 2022 Ford Bronco 32. 0.0 0 - 1 4 .89 3-06 $3.59 qj $99.83 $104.74 8 054 20422 Ford Bronco 27- E36 0.lNNN,5 4.15 $3.06 $3.59 $84.64 $88397i 8055 2022 Ford Bronco ------ -- 3 -15, �66 0.15 5.35 $3.06 $159 $109,,12 $114-47 8058 2023 ' vota Rai- 13. 1 0;0q 0.15 1.98 $3.06 $339 �U $40-45 $42.44 8059 2023 ) Ford Bronco :27.1 3 0,0 0.15 4.05 $3.06 $3-59 1 $817 1 $86.71 8060 2023 f 'ord Bronco 38.73 0.0 0.15 5.81 $3.06 --V159 -$118.51 $124 - 32 8061 202' ) Ford Bronco 1 - 0.15 6.04 $3.06 9, $33im- $123.20 t 29,23 8064 2023 Toyota Rav- 10,7 fj.01 E I 0.15 1.61 $3.06 $3.59 $32.,93 $34.54, 806:5) 20,23 TaYotj, Rav -Y 18.E= ON 15 2.73 $3.06 $159 90 $55-66 $58-39 8066 2-023 Toyota Rqv --- --- 2- 471 ---31 0.15 3.51 $1 06 $$3.59$ M44 - ---------- 1 7- -71.63 $ 7 5, v3 8068 2023 To-, to Rav 10. 0.15 0.00 $3.06 $3.59 ika $0.00 $0.00 8069 i 80'70 2023 Toyota Rav 202-3 ' Tovota Rav 0.15 3.98 $3.06 $3.59 $81.24 $85.23 73 25 0.15 3.87 $3.06 $3.5-9 -18,89 $1 $ 82. 7 5) 80-171 8072 20213 Toyota Rav��� 2023 R Toyota 2v -----6100 0A 0.15 2.66 $3.06 $3.59 - ------------ - $54.214 $56M 0.15 9.46 $3.06 $3.59 $192.96 $202-42 8073 8074 2023 Toyota Rav- Toyota Rai 0 . Lo 0.15 0.00 $3.06 $3.59 $0.00 $0.001 0,15 0.00 $3.06 - $3,59 $0M $0.00 4 8078- 2025 Ford Bronco 15. 0.15 2.36 $3.06 $3.59 C, $48.07, $50.43 8080 2025 Ford Bronco 4.4 0.15 2.17 $3.06 $3.59 $44.25 $46-42 8081 025 Ford Bronco 2'INN, 'r- 0.15 3.98 $3.06 $3-59 - - -- -- ------ A, $81.18 $85-16 8082 2025 Ford Bronco ----- ---------- 0.15 4.89 $3.06 $3.59 t7-- $99.79 $104-68 8083 202-5- Ford Bronco 23N,381 0.15 - - - 3.51 -------$3.06 $3.59 -54 $71 $75.05 8084 2025 Ford Bronco 38-9 7 0.0 0.15 5-85 $3.06 $3,59 $119.25 $1257 - - -- - - --- -------- 8085 2025 Ford Bronco 8:0 0.15 1.20 $3.06 $3.59 $24.54 $ 2 5, 74 9331 2011 Ford Escape 0-13" 0.00 $M6 $3-59 $0.00 $0.00 9341 2013 Ford Explorer 0.15 6.46 $ 3 -0- 6 $339 $131.70 $138-16 9342 2012 Dodge Ram 4 0.15 6.96 3.0 6 $3.59 $141 .8 9 9343 2012 Chew N-fahbu 0.15 4.25 $3.06 $3.59 SLD3 186-78 $91-04 9349 2015 jeep Patriot EJ3 0.15 0.00 $3 ), 0 6 $3.59 R,IC- so,00 $0.00 95- 0 1 2024 Tovota Rav 2 0.15 3.28 $3.06$66-89 $70. 1 "t 9502 2013 Toyota Rav 0.15 0.00 $3,06 $ 3.59 $0.00 $0.00 1 88-4-611 0.00 132.69 $2.7706-91 $2)839.6( For Public Works information on1v 510-0()0-0()--0000-")48-50-00-00 Fuel $2706.91 0 0 - 0 WO 00 0000-344-50-00-00 F 1 132". 6 9 10-w-)-00-000 $2)839*60 Raquel Fike C rfikeggrwit tcounjMa,gov 1"Cludc Mh(wftix infi) '` .- 1 0 U-CA Lj 4 Motor Vehicle Spri". Jul-25 calf Prog Total I otal Miles Isfol; Frog Uw mgmtfow -SE ------------ Admin User info svrjeatiN Crisis IHO Otrief Ou"ent MS. SH (Ilka BEST-) wise MOT DC L SLID ARPA - ML ARPA - Litt of ML 12 31 32 41 44 44 44 44 44 W53 8001 9055 90M 910D C9*33 JYQ (A) 0.00 000 000 2. C6 8051 w 0 (0 104 tKL 710 MI .1 104.W 4Y? (A241.00 0 or; 7,99%1 00MI 0 M% 0-00%1 0-01%1 4726%] ID 00%1 42.06%] 0,61%1 304% O.c*%] 141%] omid —0.00%1 r—$i 10,92 SO-00 Woo $0AIA S0.16 $655.64 $0.00 $847 58 47 - — --- - ---------- - - so-,57 SO-00 $1963 $11, 00 $000 108.15046.1XIMS9SOMOD 313,311 X-00-5643132 MG 564323200 RENEW (Spht) $1.38734 crisis 109-IS0M SD52.561443200 MD $184.49 WS-1150,00.0000.564"32120 RC $32,93 10SAS0.00.1)DO0.564443200 GC $164,78 109J50.D0.0W-5-""3Z00 Eph VIA, 13 10ILM1,00,0000364443200 Q 109.150.W 000,564441200 Matt $1129,25 V 1.63 109,150.00,WS9.564443200 WtSv 10& ISO.W.WS3,564443M MOT S183-88 MA 41 DCL5Vft DCL C1101 Wu VxEf 21847 V') 53 TatA DU r 125 1167.1110,3002.56860-3200 0,110 1.3e.150,00. 106.150.00. 108 1w, 00 108A1.5000 108 1 00 1 uvi M-00 108-150-00. 125 167 00 108 ISO 00, 10 150.00, 138 1150 W. 108 150.00. 805 2. 55-�,* 13200 8052 %44A3200 0CM-t 9-6444320+1 W62,564"3200 8IX-3 -%444322W 8059 %"43MO 8053 A-CA"3200 8001.,%61432-30 9000 %5651320-0 9100.^665132W 9rJ33 2,461, 4b RENE% 4P , Fitihneg Fre,, I 4� C2u�wv