HomeMy WebLinkAboutGrant Related - BOCC (005)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 I29/2026
REQUEST SUBMITTED BY: Kal"1'I@ Stockton PHONE: 2g37
CONTACT PERSON ATTENDING ROUNDTABLE: Kal'fIe Stockton
CONFIDENTIAL INFORMATION: ❑YES BNO
❑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 American Rescue Plan Act (ARPA)
for the Boys and Girls Club in the amount of $4,066.05, December 2025 services.
If necessary, was this document reviewed by accounting? ❑ YES ❑ NO N/A
LEGAL REVIEW:
If this dopument_Tq
_q lew, route to leq-al for review prior to submis�pion,,
If necessary, was this document reviewed by legal? ❑ YES ❑ NO R N/A
DATE OF ACTION: P 3."J'.(a
APPROVE: DENIED ABSTAIN
D1:
D2:
D3:
DEFERRED OR CONTINUED TO:
WITHDRAWN:
4/23/24
!s:
0
% renew
Grant Behavioral Health & Wellness
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: January 27, 2026
INVOICE #
FOR: Dec-25
DESCRIPTION
Amount
units
Total Amount
ARPA FUNDS -BOYS & GIRLS CLUB
$ 4,066.05
1
$ 4,066.05
Total
$ 4,066.05
Thank you!!
BOYS & GIRLS CLUBS OF THE
COLUMBIA BASIN
425 N. Paxson Dr.
Moses Lake, WA 98837
Info@BNGCIub.org
(509) 764 - 9694
1 /7i2026
#DEC25
Payment Due Upon Receipt
BILL TO
Attn: Reyna Gonzales
Renew Grant Behavioral Health & Wellness
PO Box 37 Ephrata, WA 98823
BSS Salary: December 1 -15, 2025 *Deducted 32 hours that were
billed to MLSD
Santiago Alba
56.00 $
28.09 $
1,573.04 F
BSS Salary: December 16/'.31, 2025 *Deducted 52 hours that
Santiago Alba I
34.00 $
28.09 $
955.06
were billed to MLSD
i
I
SUBTOTAL $
2,528.1
DATE OF SERVICE: DECEMBER 1 - 31, 2025 - BEHAVIOR SUPPORT SPECIALIST:
PERSONNEL
TAXES & BENEFITS
133.62
BSS Benefits: Dec. 1 -15, 2025
Santiago Alba
_
- $
BSS Taxes: Dec. 16 - 31, 2025
Santiago Alba
-
- $
407.63
BSS Benefits: Dec. 16 - 31, 2025
Santiago Alba
.�.,�....�.�.tiati„ti,,,,.,,,.�..��.,.�.�.HH,�„�H,�,..�.H„H��.,titi,,.....�ti��..�„�.w..,,,..�,,,..,.,�,�.,�.,ti.�.�,H.�,.
- $
126.68
BSS Taxes: Dec 16 - 31, 2025
Santiago Alba
- H$
393.58
SUBTOTAL' $
1,061.51
STAFF TIME $ 2,528.10
TAXES & BENEFITS $ 11061 .51
EXPENSES $ 106.80
SUBTOTAL $ 3,696.41
ADMIN FEE 10% $ 369.64
Balance Due $ 4,066.05
BOYS & GIRLS CLUB OF THE COLUMBIA BASIN SANTIAGO ALBA
PO BOX 591 Pa c:Q r
MOSES LAKE WA 98837 A Paychex" Company
(509)764-9694
Pay Period 12/01/2025 - 12/15/2025
Pay Date 12/19/2025
WA
Earnings RATE
HOUR/UNIT CURRENT YTD HOUR/UNIT
YTD
Hourly 28.09
88.00 2,471.92 1,889.75
53,019.51
1,199.67
Holiday
2,421.04
Sick
18.25
512.65
Vacation
tReimburse
624.32
Total 88.00 $2,471'.92 2,084.50 $59,778.09
Total Hours Worked 88.00 1,918.25
Deductions CURRENT YTD Taxes CURRENT YTD
Dentl 25
7.58
179.20
4.48
----- ----
—9.-3-6
Total $133.62 $2,807.57
Time Off (hours) ACCRUED TAKEN AVAILABLE
Sick Time 101.75
Other Amount CURRENT YTD
Dental 125
-98.26
-1,994.20
0.39
9.36
-117.49
-822.43
WALIER6203
21.30
463.75
FITWH
197.17
4)727.41
MED
34.09
816.33
SOC
145.76
3,490.59
WAPFL
16.27
387.13
WALTC
14.34
341.24
Total
$407.63
THIS IS NOT A CHECK. THIS DOCUMENT,I,S'TO BE USED FOR INFORMATIONAL PURPOSES ONLY.
$9,762.70
$1,930.67
BOYS & GIRLS CLUB OF THE COLUMBIA BASIN
PO BOX 591
MOSES LAKE WA 98837 Direct Deposit # 1070292374
Date 12/19/2025
Pay this Amount
1** NON-NEGOTIABLE** DIRECT DEPOSIT RECEIPT VOID ** VOID
170 DD
Pay to the
Order of SANTIAGO ALBA
1329 W VIRGINIA ST
MOSES LAKE WA 98837-1471
Time Card for: Santiago Alba
Employee: 481 For: 12/16/25-12/31/25 Clientld: 138627
Home Department: OSPI
Manager: Cecily Hendricks Pay Group: B&G of Columbia Basin Approved By: Cecily Hendricks,Santiago
. Alba
r _ ,� ..per? ... _"',x�=sr;-s;..-. z'• z•.
... . -s..,f . ..,- ..... �,.. .... _ s f<ri i r,� �.. .• < , ... R'... .1�� •. tom. /s"i'. _.� :d,'%` ..f"": `S�i '=f' £ "� ' . �. dam,-. 'ky v - r^ .. .. _ .• � } �....,- -, . _ . < � .r .. : -'.., ,-. ..:.. r-:.. .A' .,- -,:..
: ,. � .- . r { �:. .. ,. .. yam. .. .. . • .. � j- .. � s -f .o _. ,." .✓'. '"�:. 'P .. �. ..c <.-fs,' � U x..r z.✓ti .... .� ..F... .,:.� /.. ..c./. l .% „r. /-. .^�. .%f ui`. d .,Ynz�li .i, v:,a'h�
..c /,r .. �s, ,: ,-, -.r •<r+i • ..,.. .,: -i J a-n . ri ,.. ,. ,s. - ., ., :.+ ., .r .. , ... G.1 ': ..'a-. .. �-%+j. z� .. !, � -
�i ... h� ., .. i ♦ : i l Rai
.- , .,... ,.. :u . � s s. s �., L:, . _ . ,. ..uf .. <. .r-.. .. .: ".. -,.: � .. .. •<., <. �'; ? �rrs`�.�:4 r.. Y...�.Y,� of
.. r � .r ,. .. . .. .. .. ....- :� -.. ..•.<. �. ... _... � -..' i „ :, x. ..:� -.�- S:`•`•T � D�.f>-_.ate
._. ,-. r.:•r .. � :.,v, ....... F may. .. .. r<. "=�. �" .,m. ..v.
W rke D a r..:. ,,;, .,,.. ... ....,...: ....... ... . r- ., .�... •. � >.. m.. d. .e rt. .... .. .. ... -.s . :may ,>� rs �,�
,. -� � � .,
�`
... .. ... _ .. ... ....�. ..
...r. ... .. .<. :.... _.r ,. N... ..-.. >'4 .. <... ✓. .... ..J ... , .i .. S i :.. S :� ^£r' ,.,<!� . ✓! £. it-.-
•
.. > ...- _ - Not x_ . •. ,.. v ,..D d .. � , r:.. ,;:�
n. ... '. , ✓ .i { .: , i ..ice _.. i .-.. �, .v :. .,. - .. .. ,...y. ...<.. �.. .. , . . - , .. _ .. ,. .. .. >_ . • . , . _ s . �x -,a terns -�- � ->�'
< .. .<. - -. yr>Y..� u,.S r.-:.:_... ._.::, ... ,. ... .-r.y. ,.. .. „.,Y",. ,1 �::-_.Se:". 'G. 1-`?,. c^£r.Y � ,.. 'tLr" -4 '• .:n >. �, �. �<ti.- 4.>9 '� i�r: ;ram^r:.
�. .. � ., -�.. / , •: -7: .. ...,. ... ,. ,. r. .: ..� .. .. ems. � f ./ v.. „W�✓s ..y
.r ... i..: ., .. �..- , r. - i .. ... .. .-. Y .>, z .� ,•, S > x t ..� -i,- ..� f . .J' ^:93.' ..G ,_,c�ir 1 , r'c. s:..cGs .i.-; ,. „ :, s S .. .. .:.... .-. ., :. r . -. .> .. ..-. ..: , .i - ... .<.. ,.. . ✓,:i /' / . nf�.> -i:� .!
b Hk.,.a..�cd.s2>iM...cv.'.cr.�c{.t2.,•..e.,..r:✓dnrw,.✓....iis^...�..,u�'.�2�.[.z...wi.o..-zv>�v...,G...C{isuv.L.o1"..C:v�z...u...v.G-+,.c�iar-..: .:a.x.�.oa.urxc�i✓ :cGG.C..,h.c �u<Xc6[K. �'Z'- L,� .�r ..... ..,.,-,..,<...�.,•r-.�. -.,� ..rurfiw.��r.c_..o,...�.r�.ufa;�.....,.�,..,wr...,<...v,..fr .�.�.�,c�e..{�,:<:r,�.<c.r�, ,...Ce.�. ir�.x..r:� �!� o-F-r�.r, �.z-rw�Eay.�-..reaSP,'��'�-:�oa.,<w,.�...d:�.fxa,try.r.�._..<.k''v�<.i-.�,u..,.x?.•.�a<:` �L°z�.�<w�..%.� ..,.rn:'�. .�, � .,a..w.�-..:'�
501-BSS-Van-
12/16/25
4.0000 Reg guard Teen
Center
4.0000 Reg 411-BSS- North
8.0000
12/17I25
4.0000 Reg 211-BSS- Larson
4.0000 Reg 411-BSS- North
8.0000
----------------
501-BSS-Van-
12/18/25
8.0000 Reg guard Teen
Center
8.0000
12/19/25
8.0000 Reg 206-BSS- Mc-
Graw
8.0000
12/20/25
12/21/25
12/22/25
6.0000 Reg 206-BSS- Mc-
Graw
6.0000
12/23/25
12/24/25
8.0000 Holiday 701-BSS-
Longview
8.0000
501-BSS-Van-
12/25/25 .
8.0000
Holiday
guard Teen
Center
8.0000
12/26/25
8.0000
Holiday
411-BSS- North
8.0000
12/27/25
12/28/25
12/29/25
8.0000
Vac2
411-BSS- North
8.0000
12/30/25
8.0000
Vac2
211-BSS- Larson
8.0000
12/31/25
8.0000
Holiday
301-BSS- Midway
8.0000
501 - BSS-Vanguard Teen Center, Work
12.0000
12.0000
411 - BSS- North, Work
-----------------
8.0000
8.0000 16.0000
211 - BSS- Larson, Work
4.0000
4.0000
206 - BSS- McGraw, Work
14.0000
14.0000
701 - BSS- Longview, Work
8.0000
8.0000
501 - BSS-Vanguard Teen Center, Work-----------------
8.0000
$.0000
411 - BSS- North, Work
8.0000
8.0000
211 - BSS- Larson
8.0000 8.0000
301 - BSS- Midway, Work
8.0000
8.0000
Total
38.0000
32.0000
16.0000 86.0000
Employee Signature
Date Manager Initials Date
BOYS & GIRLS CLUB OF THE COLUMBIA BASIN SANTIAGO ALBA
PO BOX 591 Pa cQ r
MOSES LAKE WA 98837 A Paychex' Company
(509)764-9694
Pay Period 12/16/2025 12/31/2025
Pay Date 01/05/2026
WA
Earnings
RATE
HOUR/UNIT
CURRENT
YTD HOUR/UNIT
YTD
Hourly
28.09
38.00
1,067.42
38.00
1,067.42
Holiday
28.09
32.00
898.88
32.00
898.88
0
449.44
16.00
449.44
Total
86.00
Total Hours Worked
38.00
Deductions
CURRENT
YTD
Dentl 25
7.58
7.58
LTD
0.39
0.39
1.17
1.17
Total
$126.68
$126.68
Time Off (hours)
ACCRUED TAKEN
AVAILABLE
Sick Time
101.75
Other Amount
CURRENT
YTD
Dental 125
-98.26
-98.26
LTD ER
0.39
0.39
it
$2,415.74
86.00
$2,415.74
38.00
Taxes
CURRENT
YTD
FITWH
184.53
184.53
MED
33.27
33.27
SOC
142.27
142.27
WAPFL
19.50
19.50
WALTC
14.01
14.01
Total
$393.58
$393.58
Net Pay XXXXXX4943 $1,895.48
THIS IS NOT ACHECK. THIS DOCUMENT IS TO BE USED FOR INFORMATIONAL PURPOSES ONLY.
BOYS & GIRLS CLUB OF THE COLUMBIA BASIN
PO BOX 591
MOSES LAKE WA 98837
Direct Deposit # 1070743692
Date 01/05/2026
Pay this Amount
I** NON-NEGOTIABLE** DIRECT DEPOSIT RECEIPT VOID ** VOID
170 DD
Pay to the
Order of SANTIAGO ALBA
NON-NEGOTIABLE
Time Card for: Santiago Alba
Employee: 481 For: 12/01/25-12115125 Clientid: 138627
Home Department: OSPI
Manager: Cecily Hendricks Pay Group: B&G of Columbia Basin Approved By: Santiago Alba,Cecily Hen-
dricks
'Y �f >' .er-" !_ y'x ,a Lh ..:.s«>• ., ^3'. ...• ,.u-.3rr.^ .. ri rr-r-.e-rsri. .:! .•ems: !. ..
« .,J"' .. ,v ....c .. s 9` S��<. "3.Y .a---r9/.>„n:Y. �.�:�. M'_ '.. _✓=' xr..rl,.A'fr:i✓ _ ..�. <o.... ?>..r__ _ .r . •«>"-�-., r. ' r . _ s,:r- . , .'s-e"s-"r ...... - ^� � •, _ : ._. .>r r 3.f :r .e'' =s.
r.
.:_ 3 .. <-o� _... ( .� .., � .i F . ., ^ r. _. n.4. f r�'ry .r% f . .. v . _ .. .. .. .. .✓ >.r : x _., de ., � . ^3 �-.. s,'+�< ,�"-�: ...{r '�
". i /', r s.. H ✓. � n c f. /" _< ter. > !.. �._r<a.... <cg � :=Y. - ,� �.. .. .. ::bµ F . 5-.. . �. . � ... � < _!.3_. ..z. a-,>.. /.: ..sue _ i .ems .,>>-.� . _. ..ram". z. .Y _ ,/� ... -.f! .w� . .;` ,.i/ •rC,v _ Y ,.,-:5 >- -
_- .,..,. <. ib � .4.. v/. _,.. _.. . .' _... _ � ...<: i .v. < ...et �-tf Us.. .r ,l` n^ >- > ,.1: • vy� ,.e! 4,`3 . `d`'! �' , / .lr- _..�. ..0 .r .. .. <.. r =. ..>. ,-- ,... •...+' s�.. �. .. .. .,._ �-res's _. .,>,. ...u. .t .: .<,.>;. <. :. .-/r »z�•�=,.r �s* ti t„<,. hn. n� �'<:�
.,, .. ro"c ;s. < .. : :..<, .. ,. .^R- _ � _., rv. :. ter_.• .ter... .. .i - ..: _ /!� . ' :, �. _ •,>M
_re�.3 _.. _.. ..s d< �:, <.; .,. .__ c r .•. .. r _ .. .. < s'�-. <_ 3 .. ..� Y. .r_ <ir _ »=G r � ? G, r^c-�iii s,.%�4. ... ^..•may r'.e <, r _ "" '� �2 r
<^. w s lf<c /` �>' ,. .. � ... _� fr. >` .. ..'. _. �... <z ..^ ' _. >ir; _<. .. ✓ <s- i _.f ir'. ...�' j., 3�>. 95. .. - ! ,^^. xx � fi t,� ... _ i. al. _ rs __ _.. .. _ > . . .,. .� � ^,_ ...>.. � .. . � ,- .. re.,. � . _•t" .ram rs• . _ _. s .. r._. > !. . _ ... _ � >r_,l. .S".:.r. N'.,. ,# r .s ,_..� o^" ,_<�i'+,.�'. ';as,n. �.y r✓'_r f. J.v � 1-°. >/3�< £-i
:":. .. .✓ .. _.. ,_ > :< r _ >.. .,-,� .. �. ,.�"!<.. r ...� .�R.., ,. _. ^ _ .... .. _.J -!r,•- � :£` ✓'- tea./ ,_t`'.. l -. r<._sr�uxi.�n...c4!ii.�l.>,"�rc..«.w>.<_..a...a.....�.�iS..r.>�o..u!�.YsF<c�5.,;.'ew8cerr..��_...u.,�.n'z..,,.c>axca.sa«x>I.:.:::.cta>::u_.t..fscfSl<sl.e:F��6•L.u>..,.r.ui'G..ssafr �o,arxl/". �ecr�£�w.f�aacw. ��_rv..s.....c...�...,<t..oCYvsw:sf trszsrcY�.s.u��f.:FGsc�Fv:!axusra+:�6_.�.:.rY:a:.�c:6�"....:u.... eaf Gw�^4..s�.!"..�.�.,wFercaax..w>..6✓�3X'£`.iGz`an ol«o'E2�.:vcGs u£:,{zv..:oKz.s<�ik!eN ��CL�filc'v�'�.%>�>Ettu-3�sc">�nra=u'cic��,..-''.!rd-��ea^^,
12/01/25
8.0000 Reg 206-BSS- Mc-
Graw
8.0000
12/02/25
8.0000 Reg 206-BSS- Mc-
Graw
8.0000
12/03/25
8.0000 Reg 206-BSS- Mc-
Graw
8.0000
12/04/25
8.0000 Reg 206-BSS- Mc-
Graw
8.0000
12/05/25
8.0000 Reg 206-BSS- Mc-
Graw
8.0000
12/06/25
12/07/25
12/08/25
8.0000 Reg 211-BSS- Larson
8.0000 -
501-BSS-Van-
12/09/25
8.0000 Reg guard Teen
Center
8.0000
12/10/25
8.0000 Reg 411-BSS- North
8.0000
12/11/25
8.0000 Reg 701-BSS-
Longview
8.0000
12/12/25
8.0000 Reg 206-BSS- Mc-
Graw
8.0000
12/13/25
12114/25
12/15/25
8.0000 Reg 301-BSS- Midway
8.0000
206 - BSS- McGraw, Work
48.0000
48.0000
211 - BSS- Larson, Work
8.0000
8.0000
501 - BSS-Vanguard Teen Center, Work
8.0000
8.0000
411 - BSS- North, Work
8.0000
8.0000
701 - BSS- Longview, Work
8.0000
8.0000
301 - BSS- Midway, Work
8.0000
8.0000
Total
88.0000
88.0000
Employee Signature Date Manager Initials Date
-- -------------
ve-..,..- rizon
business
PO BOX 489
NEB, ARK, NJ 07101-0489
KEYLINE
III II Ill 1111111
BOYS AND GIRLS CLUB OF THE CB
425 N PAXSON DR
MOSES LAKE, WA 98837-1472
We appreciate your business with this account since 04/22/2025.
Snapshot of your built
(details on page:5)
Balance from last bill $79 -08
Payment - Thank You -$793.08
Balance Forward $0.00
This month's charges due by Dec 21, 2025 $793.08
Total due $793.08
Auto Pay is scheduled for 12/10/25 - You saved $55-00 with Auto Pay and
paper -free billing - Thank you.
p�C,14
----- - - --- - ----- ---- ------ ---- -
-...ors` d iii.a�y4R
C-
Account: 242783542-00001
Invoice: 6129049287
M-oi k,
Billing period: Oct 22 - Nov 21, 2025
Due date: 12/21/25
Manage your account at
verizon.com/mybu sine ss
We updated the design of your bill, Learn1
more about these updates at
verizon.comlbusin�ass/billupdates
Revievv your bill online
Scan OR code with your camera app
or go to verizon-corn/business/bill
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - ----
a
zon
business Bill Date November 21, 20205
Account Number 242783542-00001
Invoice Number 6129049287
BOYS AID GIRLS CLUB OF THE CB
425 N PAXSON DR
MOSES LAKE, WA 98831-1472
Total Amount Due
Deducted from bank account on 12/10/25
DO NOT MAIL PAYMENT
PO BOX 660108
DALLAS, TX 75266-0108
Il1111 1 1 11111 11111111111 111111111111 111 1Ill 11 Ill I
Kimberly Pope
509-750-4094
Samsung a23 Byod
Account: 242783542-00001
Invoice: 6129049287
Billing period: Oct 22 - Nov 21,2025
Due date: 12/21/25
$53.7
Monthly Charges $43.00
Plan
BUS UNL Plus 5G Smartphone 11/22 -12/21 $43.00
Features & Add Ons
5G Ultra Wideband Access 11/22 -12/21 $0.00
Includes -$5.00, Auto Pay and Paper -free discount for your BUS UNL Plus 5G - -
Smartphone.
Usage and Purchase Charges
$0,00
Voice Allowance
Used Billable
cost
Calling Plan (10/22 - 11/21) minutes unlimited
66
--
Total Voice
$0.00
Messaging Allowance
Used Billable
cost
Text (10/22 - 11/21) messages unlimited
13
Unlimited M 2M Text (10/22 - 11/21) messages unlimited
--
Total Messaging
$0.00
Data Allowance
Used Billable
Cost
Unbilled Usage from Previous Months
(Data usage is applied against any remaining allowance for the month in which the usage occurred.)
Gigabyte Usage (09/22 - 10/21) gigabytes
.063
Current Data Usage
- - --------- - - --1--- ......
Gigabyte Usage(10/22 - 11/21) gigabytes unlimited
1.839
Total Data
$0.00
Surcharges and Other Charges
$8.31
Surcharges
Fed Universal Service Charge
$0.74
Regulatory Charge
$0.21
Administrative Charge
$3.78
Effect of Moses Lake City Tax
$0.60
- ---- - -- - ------ Your Plan
BUS UNL Plus 5G Smartphone
Unlimited monthly minutes
Email & Web Unlimited
Unlimited monthly gigabyte
UNL Picture/Video MSG
Unlimited monthly Picture & Video
UNL Text Messaging
Unlimited monthly M2M Text
QUnlimited monthly Text Message
r- --
Usage and Purchase
Charges
Usage and Purchase Charges
consist of charges resulting from
usage outside of your plan or
feature allowance. It may also
include international charges.
6
verizon business
Explanation of Charges:
Account Charges and Line Charges
Page Monthly Usage and Equipment Surcharges & Taxes, Third -Party Total
Number Charges Purchase Charges Other Governmental Charges Charges
Charges Charges and Surcharges & (includes
Credits Fees Tax)
509-750-4094 Kimberly Pope 504*; 6
$43.00
509-760-8105 Kimberly Pope CLf V;.LU44,,�
$43.00
-T�, e, 2
$43.00
.120
Kimberly Pope CV-
$43.00
j ? 22
$20.00
509-793-5177 Kiniberly Pope
$43.00
509-797-4,847 Mark Bourgault Vlvf*o�-
$90-00
509-855-1412 Kimberly Pope Vq
$67.99
509-855-214.8 Kimberly Pope
$43.00
509-855-2771 Kimberly Pope 34
$67.99
mberly Poper,V2
$48.00
509-855-3108 Kimberly Pope t,.kif &L��$67.99
Z4 �e _7
Lines Charges
Account: 242783542-00001
Invoice: 6129049287
Billing period: Oct 22 - Nov 21, 2025
Due date: 12/21/25
Data
Voice Msg Data Voice Msg
Plan Usage Usage Roaming Roaming Roaming
Usage
$8.31
$2.46
$53.77
66
--
-- $8,31
$2.46
$53.77
46
Total Charges Cje,�IAA-W' $662.97 $0.00 $2.39 $99.33 $28.39 $0.00 $793.08
14
1,839GB
-eq 5 '""" """ .
--
.572GB
26
1.919GB -- __
�' - ."' ,�
4
.395GB C
10
.055GB -- --
� �� � �.
34.643GB
2
10.389GB
4? C
87
.131GB -- --
;
2
15.784GB -- __
'� "
1
5.684GB -
-- - r.- '"
1.585GB
57
2
.128GB I /I V'�V'
V5 Y--
business
Charges by line details (continued)
Kimberly Pope
509-750-4094
Samsung a23 Byod
Other Charges and Credits
Economic Adjustment Charg-e
$2.98
Taxes, Governmental Surcharges and Fees
$2.46
WA State 911 Fee
$0.25
WA State 988 Tax
$0.40
Grant Cnty 911 Sur,,"-.hg
$0.70
WA State Sales Tax -Telecom
$0.53
WA State Sales Tax
$0,32
Moses Lake City Sales Tax-Tele
$0.16
Moses Lake City Sales Tax
$0.10
Total Current Charges for 509-750-4094
$53.77
Account: 242783542-00001
lnvoiice$ 6129049287
Billing period: Oct 22 - Nov 21, 2025
Duta. date: 12/21/25
.7
f
ecalTel
Page Numbelr 1
We're All About You
Boys & Girls Club of Columbia Basin
Account #
78751
PO BOX 591
Phone #
(509) 764-9694
MOSES LAKE, WA 98837
PIN #
5-11 C5
Statement Date: 12/07/2025
Summary of Account History
-- - - --------------
------- -- - - - ------------
Previous Balance of Last Statement
$665.45
Payment Received: 12/0112025
Payment #:335109059770
$665,45
Previous Changes Due
$.00
New Charges
Services
$583-88
Taxes & Fees
$81-15
Total Call Charges
$.00
Total New Ct"r
$665.03
Total Amount Due $6365-03
Due date for nem charges: 01/04/2020-
Our records indicate that you have chosen to pay using direct debit.
Payment will be. processed three business days prior to due date.
Please note: Payments received after 12/04/2025 will not
be reflected on this statement,.
To contact us, please call 1-800-992-2112 beNveen the hours of
8-30 - 5:30 pm Monday - Friday,
Effective January 1, 2026
cc
mice fees: eMoe charge fees will be applied to accounts that a) do not make a payment by the account's scheduled due date, b) for any check, draft or other
negotiable instrument your bank retums unpaid; c) for declines on your automatic payment attempted by creditor debit card. Notification will be sent to you promptly
in each instance to allow you to correct the issue. For full terms, conditions and fees see our Terms and Conditions of Service located on our website:
www.localtel.com
Detach and return this portion with your payment -
Please remit to LocalTel Communications
343 Grant Road
East Wenatchee, WA 98802
(509)888-8888
1-800-992-2112
www.LocalTel.com
Account # 78751
Boys & Girls Club of Columbia Basin Phone (509) 764-9694
PO BOX 591 Due Date 01/04/2026
MOSES LAKEAA 98837
Total Due $665.03
Amount Paid
Page Number 2
Boys & Girls Club of Columbia Basin Account #
PO BOX 591 Phon # (509) 764-9694
MOSES LAKE, WA 98837
Statement Date: 1 2/07/2025
Circuit IDs for Location: 426 N Paxson Dr
this location:
Phone Regulated Services 12/0112025 to 12/31/2026 * Reflects Discounted Amount
509 70. ..... -
7-0284
7 ;
( }
F.
a e,.•. Cyr
t� t 'S
ICeS•
(5 0 9 ) 7 64 - 9 6 95._...«.._.:.:::��.. _......._ ...........__•.w ...... __.._ _.._ .._.. _..,.:....__ .... _ . �,::..::v... ..«_. �....... .....
DID Single Number LT 10 .82 8.20 `
7.
(509} HS1--0105 Call Forwarding Internet Down 2 .00 e .00j�
(509) HS1-0106 VOIP Business Line 1 15.54 T\' 15.54
VOIP Business Line 1 18.95 .95J
Data VOIP Subscriber Line Charge Business 2 6.50 �i.00
VOIP Unlimited Local CalIL
ling lli gng 2 .00 N .00
D�
ShoreTel Connect Dial Tone Path 3 12.26 4j� 36.78 �
Security ShoreTel Business Class Service 1 18.00 TI) 18.00
509SMSO498 Hosted Shoretel LD500 - Minutes Plan 1 .00 .00
509SMS0504 VOIP Subscriber Line Charge Business 3 4.00 12.00
509SMS0668 VOID Business Basic Feature Pack w/o Voicemail 1 .00 .00 �P
ShoreTel 485G Monthly Rental 11 15.00 165.Ogj
Other ShoreTel Connect Access Bundle 11 9.84 A08.24�
50 9ER10005 GC 1 GB Fiber Access Fee 1 4.00 VON i\4 4.00
509ER10006 GC Fiber 1GB Internet Service - Basic 1 68.43 'h 68A � +
509ER1.2177 Includes Premium Internet Tech Support
509ER12253 Remote Interactive Service 1 6.00 6.00
Monitoring w/ Cellular Dialing 1 29.99 29.99
509ER12298 Guardian g 9
509ER12301 GSM Guardian Commercial Fire Alarm Monitoring Ser 1 50.00 50.00
509ER12446 Alarm.com First Door Access Control 1 9.95 9.95
�►
1
Alarm.com Additional Door Access Control 4 4.95 19.80
509 ER1245 :-�•_
a 3.8 8•.
.� al• t . .
509ER12497- .::.....�.. •::.:._ _ - .•.�. : .:«...::�_.«............ .. : ••.�..._......�,_r..........n_..,......w-:...::.......-.............__.�......„.....-...:.......:.«.._«........_..a.:c..::.:s.... ...,.. o... r.'
509ER12673 * Contract 2279~Expires: 06/06127
�` Contract 2297 ;Expires: 09/30/29 ,...
509ER12678 Installation agreement end date for.
509ER12757 509SMS0668- 06/07/27
509ER12817
Taxes, Fees & Surcharges
County E911 at .70 per line VOIP 3.50C'W'
3
State Sales Tax at 6.5% 35.52
Local Sales Tax 10.90 3
Local Utility Users Tax 9.34
Federal Excise Tax of 3% 1.85 �``
State E911 at .25 per line VOIP 1.25a
Federal - FCC Regulatory VOIP .21
Federal Universal Service VOIP 16.58
State 988 Tax at .40 Per Line Voip 2.00
t
Call Charges
You have accumulated 379.19 rollover minutes.
'T'rrie Nurir bee:ailed
�i'.'-..f..: .. ��.� ... :s:......'
a
fit. -`Ca f Descn 'tiorl :-MEn. Arnt.
••. .. ..... .. ..... .. v. ...._.... ... _:., .r.r«.«.. . wa•4... .., ..r....: a..1.+c.i.�... ... u. .... .... .... _.. .....--... .... _.._ .... w>nw_.... ._«a. .. .... ...«....a..
........:..:...........
Originating Number: (509)707-0284
10/21/2025
10:19AM
(503)630-2032
ESTACADA
OR
DIRECT DIALED CALL
0.10
VOIP-50
...._.. ,.............._._.__«....,._..,....:..w«,•._,.�.._., .....
Total, far (5Q9707 0284.........:
_...__..,,..:._._._........y.._....•__............... _
:......... ......... _
:.� .._......�_.....►nt�tes
_ . ��,�.
%..�.. _ ......
_ . . _ ..._3►rt�
,00
Originating Number: (509)764-9694
10/01/2025
11:43AM
(832)392-7744
HOUSTON
TX
DIRECT DIALED CALL
3.93
VOIP-50
10101/2025
12:15PM
(509)899-3759
ELLENSBURG
WA
DIRECT DIALED CALL
3.45
VOIP-50
10/01/2025
12:22PM
(360)810-6302
OLYMPIA
WA
DIRECT DIALED CALL
1.55
VOIP-50
10/02/2025
01:31 PM
(406)238-7879
BILLINGS
MT
DIRECT DIALED CALL
0.48
VOIP-50
10/02/2025
02:33PM
(801)528-9258
OGDEN
UT
DIRECT DIALED CALL
21.0
VOIP-50
10/02/2025
03:42PM
(509)433-4941
LEAVENVITH
WA
DIRECT DIALED CALL
0.62
VOIP-50
10/02/2025
06:14PM
(470)620-2728
ATLANTA
GA
DIRECT DIALED CALL
0.07
VOIP-50
10/03/2025
01:58PM
(406)238-7879
BILLINGS
MT
DIRECT DIALED CALL
0.13
VOIP-50
10/03/2025
08:21AM
(406)238-7879
BILLINGS
MT
DIRECT DIALED CALL
0.41
VOIP-50
BOYS & GUIIS CIAMS Purchase Expense Form
OF THE COLUMBIA BASIN
Charge to: Program E-Check KP Card RD Card
Vendor: Amazon Date: December 3_. 2025
Employee: Jennifer- Gutierrez Approved By:
Description of Items/Explanation of Charge Code:
Office: 2026 Erasable Calendar (K.P), 2026 Disney Calendar (Kim S. Rikki), Wall Calendar (K.P) 2026 Front Desk
Calendar, 2026 Calendar, Calendar Stickers (Heather),. 2026 Calendar (Heather), 100 Filing Tab folders (Cabinet),
2026 Calendar (Estrella), Large Monthly Calendar (Office)
Cie Elum/Kittitas- Blue Tab Folder (Cabinet) Janitorial Supplies: Tissue McGraw/Office
Grant Nutrition: 2026 Calendar Grant BSS: 2026 Calendar
Class
Coding
Code
Purchase
Amount
shipping
Taxes
TQTAL
Program Materials & Supplies
McGraw Community Room
5311
1A
McGraw Art Room
5312
1A
McGraw Homework- Room
5313 133
1A
McGraw Game Room
5314
1A
Larson Elementary
5310
1C
Longview Elementary
53) 10
1 D
Midway ElernentarT
5310
1E
North Elementary
5310
1--F
Vanguard/ Teen Center
1
5310
mmww�
11
Kittitas Elementary - County
5700
1K
$21.84
$1.86
-- ----- --------
$23.7
Cle Elum School District
5310
IL
-----
Summer Food/Snacks16
------ - -- ---------------
1A ----
$27.99
$2.38
$30.37
Summer Program
5317
Re -pairs & Maintenance
5506
-- ------------
Janitorial Supplies
5507
IA
$55.38
$4.71
$60.09
Technology
In
5508
Office Supplies
5700
1A
$160.18
$13.61.
$173.79
Fuel
5903
I
I
I
Grants ----------
Grant: BSS-Santiago
5315 1A
$17.99
$ -- t 5
--
$19.52
Auction
Auction Expenses
Expense:
Fundraising
Fundraising Expenses
----------- -
Ex erase: ---
- ----- Other
Other Expenses
Expense:
Total Across:
$283.38 -------
$24.09
$307.47
e-000
rtu I I W11M
Details for Order #114-4193214-4530606
Order Placed: December 3, 2025
Amazon.com order number: 114-4193214-4530606
Order Total: $307.47
Items Ordered
1 Of: Amazon Basics File Folders with Tabs for Filing, 1/3-Cut Tab, Assorted Positions., 8.5x1I inches! Letter Size, Manila, Pa
ck of 100
Said by: Amazon (s!&IeL profile)
Condition: New
1 Of: Carousel Calendars, National Day 2026 Wall Calendar, 12" X 12", 16-Month Calendar with Stapled Bin
ding
Sold by: Go! Calendars (seller profile)
Business Price
Condition: New
1 Of: 2026 Calendar, 21-Month Calendar from October 2025 to June 2027, 11.5" x 14.7", Spiral Binding Hanging Monthly
Wall Calendar, Perfect for Home or Office., Midnight Garden
Sold by: Lucy Bamboo (seller, profile)
Condition: N--.,,w
1 Of: SUNEE 2026 Wall Calendar Extra Large 17"x27", 21 Month Calendar front October 2025 to June 202T Vertical Large
Monthly Calendar 2026-2027 for Wall, Seasons Color
Sold by: Sunee Nlerchants, (seller profile)
Business Price
Condition: New
1 Of: Disney Classic Posters Calendar 2026 - Deluxe 2026 Classic Disney Wall Calendar Bundle with Over 100 Reminder Stickers
F
eaturing Cindereila, Mickey Mouse, Dumbo (Animation Gifts, Office Supplies)
Sold by: Crenstone (seller profile)
Condition: New
1 Of: A T-A-GLANCE 2026 Erasable Calendar, Dry Erase Wall Planner, 24" x 36", Large, Vertical, Reversible (PM2102826)
Sold by: Amazon (seller profile.)
Business Price
Condition: New
1 Of: 21 pilots 2026 calendar , tT?O-UtiOS, Vijoud
Sold by: Arnazon.com
Condition: New
1 of: Planner Stickers - 12 Monthly Celebrations Planner Stickers,, Daily Planners Accessories for Calendar Decorating, Journal
s - Holiday, Seasonal, Festival Events (14 Sheets, 1, 200+ Sticker per Pack-)
Sold by: Shoparr (seller profile)
Business Price
Condition: New
Price
$10.73
$25.64
$30.22
$12.89
$5.99
1 Of: AT -A -GLANCE 2026 Wall Calendar, 24" x 12". Large, Horizontal., 3-Month Deference (PM142826,) $1335
Sold by: Amazon (seller profile)
Business Price
Condition: New
1 Of: Large Desk Calendar 2026 with Desktop Mat, Cabbrix Desk Pad Calendar 22 x 17 Inch Covering January 2026 to December
2026
Desk Blotter Calendar 2026 for Home School and Office
Sold by: Pikaon(seller profile)
Business Price
Condition: New
1 Of'. 2026 Wall Calendar - 12" x 15" Rose Gold Foil Lettering Monthly Planning Hanging Pee/ Off Large Print Wall,"Des
k Calendar on Pastel Multi -Color Paper - January 2026 to December 2026 (6-ColOrl
Sold by: Partay Shenanigans (seller profile)
Business Price
Condition: New
1 Of: Georgia-Pacific Angel Soft Professional Series 2-Ply Facial Tissue (48550), 50 Sheets Per Box. 60 Tissue Flat Boxes Per
Bulk Case
Sold by: Amazon (seller L)rQhle)
Business Price
Condition: New
1 Of: 100 Packs Blue File Folder, 113-Cut Tabs, File Folders Letter Size, 8. 5x 11 Inch File Folders for Office, School and Home, Ora
anizer Documents
Sold by: Folder -Direct (seller prQfiLe)
Business Price
Condition: New
1 Of: Desk Calendar 2025-2026, Dec 2025-Dec 2026, Large Desk Calendar with To -Do Lists, 13 Months Leather Desk Pad Wall
Calend
ar with PVC Cover for Work Office School Home Women Men, 17 x 12, Brown
Sold by: US eagle (seller profile)
Condition: New
Shipping Address:
Office Assistant
BOYS & GIRLS CLUB OF THE COLUMBIA BASIN
425 N PAXSON DR
MOSES LAKE, WA 98837-1472
United States
Shipping Speed:
FREE Shipping
Payment information
Payment Method:
Visa I Last digits: 6552
Billing address
Office Assistant
BOYS & GIRLS CLUB OF THE COLUMBIA BASIN
425 N PAXSON DR
MOSES LAKE, WA 98837-1472
United States
$27.99
$12.73
$55.38
$23.95
Item(s) Subtotal: $283.38
Shipping & Handling: $6.99
Promotion applied: -$6.99
Total before tax: $283.38
Estimated Tax: $24.09
Grand Total: $307.47