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HomeMy WebLinkAboutGrant Related - BOCCGRANT COUNTY COMMISSIONERS AGENDA MEETING REQUEST FORM (Must be submitted to the Clerk of the Board by 12:00pm on Thursday) REQUESTING DEPARTMENT: BQCC REQUEST SUBMITTED BY: K Stockton CONTACT PERSON ATTENDING ROUNDTABLE: Kail"12 Stockton CONFIDENTIAL INFORMATION: ❑YES ® NO DATE: 7/16/2026 PHONE: 2937 lug= 122up L 1:4 91 ULM :_j L I 1111111 E��EOIIE��Mlu LU 4 M I no F.All W.Al g am] ❑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 - WN� 00 Reimbursement request from Renew on behalf of The Boys and Girls Club, on the American Rescue Plan Act (ARPA) in the amount of $5,688.29 for the month of June 2026. If necessary, was this document reviewed by accounting? ❑ YES ❑ NO � N/A If necessary, was this document reviewed by legal? ❑ YES ❑ NO R N/A DATE OF ACTION: 112.4 4zLe APPROVE: DENIED ABSTAIN D 1:,- D2: D3o psi V 0 41011P f �� MW DEFERRED OR CONTINUED TO - WITHDRAWN 4/23/24 PO Box 1057 Moses Lake, WA 98837 Phone (509) 764-2643 Fax (509) 764-4124 BILL TO Grant County Attention: barrio S, Stockton PO Box 37 Ephrata, WA 98823 DATE: July 16, 2026 INVOICE # FOR: Jun-26 DESCRIPTION Amount units Total Amount TPA . UNDS -BOYS & GIRLS CLUB ------------------------------- $ 5f688.29 $ Total $ 5,688.29/ Thank you!! II 711512026 BILL TO GonzalesAlin Reyna Renew •O Box 37 Eph(ata, WA 98823 BOYS & GIRLS CLUBS OF THE 4'25 N Paxson Or QATE OF SERVtCf JUNE 1 • 30 2026 = BfNAYit3R SUPPORT SPECIALIST #BSSj PERSONNEL SALARIES DESCRIPTION STAFF t#OURS/P1ECE WAGEtCOST TOTAL EISS Salary June I - 15, 2026 Deducted 44 hours thar were billed to • 4 2026 Deducted billed to t SUBTOTAL DATE OF i SERVICE' JUNE 1 - 3t3, 202b - BEHAVIOR SUPPORT DESCRIPTION SPECIALIST: PERSONNEL TAXES & BENEFITS STAFF TOTAL BSS .rt SUBTOT:. DATE Of SERVICE; JUNE i • 30: 20?b -BEHAVIOR DESCRIPTION _ 06 01 2026 Columbia Technology Solutions - Monthly Tech Supporl SUPPORT 5PEClAtiST PERSONNEI. EXPENSES STAFF � •��.,.� � � ,,,>.,>Y ,�:y„�. TOTAL 59 11 f., fOfficePhone 3050-0, Ia 21 2026•n - Work CellphoneMonthly SUBTOTAL. 3,929.04 TAXES BENEFITS S 1 SUBTOTAL ADMN FEE ION S17,12 JULY 25- DECEMBER 2026 BOY'S & GIRLS CLUB BUDGET Nov-25 Dec-25 Jan-26 Feb-26 Mar-26 Apr-26 May-26 Jan-n-26 TOTAL BALANCE BUDGET 70000 "� Total Sala!yffienefits, & cell phone 368731 4066.05 408&49 3423,99 43,25.19 431161 3621.6/oe 51688.29 52,865M 70,000.00 3,687.31 4,066.05 4,088.49 3,423.99 4.32519 4,313.61 3,621.6 152 5,688-29 52 1865.88 17,134A2 PAID 3687.31 4066.05 4088.49 342199 4325,19 4313-61 43,57,74", Balance - - - - (3,621.61 (9,309,90) (17,134.12), DATE payment received 1/8/2026 2/26/2026 4114/2026 4/14/2026 5/6/2026 6112/2026 Contract #—ARPA BOYS & GIRLS CLUB Submitted to GC by: Joseph Goe Request for Reimbursement No. $5688,29 Grant County's Subrecipient Checklist _j State Auditors Office Audit Procedures for Testing Activities Allowed And Not Allowed, As Published In 2007 Questions to ask before submifting a payment request Was the expenditure or cost: Made for an allowable activity under the grant guidelines? Authorized (or not prohibited) under state or local laws or regulations? X_ Approved by the federal awarding agency, if required? _X_ Allowable per Circular A-87 (June 004 version), Attachment 13, 'Items 1-43? For payroll transactions: _X_ Does the employee's time and effort documentation meet the requirements of Circular A-1227. _X_ Allocable to the program (i,e., was the dollar amount charged to the program relative to the benefits received by the program? Is the federal grantor being charged its fair share of the cost?) Based on actual costs, not budgeted or projected amounts? Applied uniformly to federal and non-federal activities (i.e., is the federal government being charged the same amount as if non-federal funds were being used to pay the cost)? Given consistent accounting treatment within and between accounting periods? 0. (Consistency in accounting requires that costs incurred for the same purpose, in like circumstances, be treated as either direct costs only or indirect costs only with respect to final cost objectives). Calculated in conformity with generally accepted accounting principles, or another comprehensive basis of accounting, when required under the applicable cost principles? _X_ Not included as a cost or used to meet cost sharing requirements) of other federally -supported activities of the current or a prior period? Net of all applicable credits"? (e.g,, volume or cash discounts, insurance recoveries, refunds, rebates, trade-ins, adjustments for checks not cashed, and scrap sales). _X_ Not included as both a direct billing and as a component of indirect costs? Properly classified (e.g., some costs may be incorrectly claimed as a direct cost instead of being incorporated as part of the indirect cost rate), Supported by appropriate documentation? (e.g., approved purchase orders, receiving reports, vendor invoices, canceled checks, and time and attendance records.) Documentation may be in an electronic form. Correctly charged to the proper account code and grant period? Page I BOYS & GIRLS CLUB OF THE COLUMBIA BASIN 138627 PO BOX 591 170 MOSES LAKE WA 98837 DO PAY TO THE ORDER == OF ** NON-NEGOTIABLE** DIRECT DEPOSIT RECEIPT ** Direct Deposit# 1075621256 Date 06/18/2026 Pay this Amount VOID ** VOID ** I DIRECT DEPOSIT $1,992.77 TO ACCOUNT# XXXXXX4943 BANK #- XXXXXX0980 NON-NEGOTIABLE THIS IS NOT A CHECK. THIS DOCUMENT IS TO BE USED FOR INFORMATIONAL PURPOSES ONLY. BOYS & GIRLS CLUB OF THE COLUMBIA BASIN paycar PO BOX 591 A Psyches' Company MOSES LAKE WA 98837 EMPLOYEE ll)481 (509)764-9694 Behavioral Support Specialist DEPARTMENT: 170 Boys & Girls Club of the FEIN- 91-1634789 FITWH S PayPeriod 06f01/2026 - 06/15f2026 WA Pay Date 06/18/2026 DD RECEIPT-1075621256 Earnings RATE HOUR/UNIT CURRENT YTD HOUR/UNIT YTD Hourly 28-8900 67.00 1,935.63 885.00 25,537.27 OT 11-50 498.36 Holiday 56.00 1,592.24 Sick 28.8900 21,00 606.69 32,50 938.93 Vac2 58,00 1,662.82 $ExpNt 27.02 Total Gross Earnings $2,542,32 $30,256,64 Total Hours/Unit 8&00 1,043,00 Total Hours Worked 617,00 896-50 Deductions CURRENT YTD Taxes CURRENT YTD Den1125 7,94 94.56 FITWH 199,97 2,36578 H125 109.84 1,322-92 MED 3 5, 14 417,58 LTD 190 SOC 150-25 1,785.47 V125 117 14.04 WAPFL 2052 244,00 WALI 6203 - 9-97 132.99 WALTC 1475 5=f 175.35 Total S 1288. 92 $1,568,41 Total $420,63, $4,988.18 Time Off (hours) ACCRUED TAKEN AVAILABLE Not Pay XXXXXX4943 $1,99237 Sick Time 87.50 Vac2 38-00 Other Amount CURRENT YTD Dental 125 -95.13 -1,147-82 LTD ER 0.39 4.68 VisER -115.43 -1,389,28 WALIER6203 'It 7.34 231.36 WAPFL@ 8,21 97.59 Time Card fora Employee 481 For., 601126-Of/15«f> Cil+entld; '138627 Home Department: 45PI - Manager: Cecily Hendricks Pay Group; B&G of Colurnbla Basin Approved By: Santiago Alba,Francisco Es. pindolai '>� A 3 06101126 S.13�t10 Rex 211-eSS- l,ar-Boys & Girls Club of the Co- -.. -.. '. sore lumbia Basin -m,en+�esn.a+w>,se„�s.naron,ne�M���4e'MM.yM�9�iYNbFF,H�.4raPHAN,WA+>44',M'+WY.M!arWa✓iJ�nf+�Va�>IWa'rb✓wiw".w(.M-P•/vh,rFYya�.Ww>w.E.w•..:,•Ihwf++r'+•ti�.v,..+.»,:.++�.�.w•emm+wM»✓xw.,.X.w{a,.iA««a✓.ia<4iF«e,+c+Ywrin�%Wn:,�M++,x'r+:Mwlf: ". .+,M✓.BPMpM"+✓Aiwr.N-ao.o:s+,H^nvV�W�W%wu..,�'-r....•+.+.Nrw.Y,wn,+viw-.+w.s+rwnnmew,ro,n Boys & Girls b� YMrtiYF+r.,'.N+T�!•%1h� ^4.� w-.oeP.�.,+c.+e..,.rea 3.0000 Reg 209-BSS Renew Club of the Co- - lurnble Basin 6.00+00 ,..,.,.,aaa,✓�w�',«w.;xurara✓,M.,,,✓xaxaaa+rr...>.ar,,,..,«..r„,ma,�r«.w.,e,,. as,✓�x,,,�Ea.,✓,�a✓r�a�,.,✓r✓,✓> . Boys & Gins ,.......«.......w,...w.....,,.,w..,H,...s.+wr,«wx.,.,,,raw+wa...Uaao,.,...+vn..e,M,...,.ar..�e,e�,..nwr..er+w.,e,.«.,.,, 06102 26 10000 Reg 209-BSB Renew Club of the Co. lu"i4le Basin Boys & Gird 5.0000 Reg 411-BSS- North Club of the Co- lumbia Basin .�,,,a.....N.�,.�,✓.✓�✓r�xr„�x✓✓��,r..re.,�.r.ra.✓��.��� . ,..�✓�,.a�„r���✓�✓,�a.,M.raw 0.0000 „� .�,..r*,�.rr�_.�>r.«..,.. Boys ,& Girls 06103126 3:ti00tf Reg 200-BS3 Renew Club rof the Co- ,�....,,.,.,.�.�.»>..�, ���.�,�,.....r,...:>*�r.r,.�.,,h.�✓.r~� ..r.«r.�;.,w,..r�...,.�r,.��,�,..���,.Y, lumbla Basin _ _ 6,0000 Reg 0"1-BSS-Mid. Boys & Girls Club of the Cow way lumba Basin r.. «....e....✓»......�...�..+.+........».»».....nw✓;+s.:n+wexxi�w+. .. ....... ..... .... .,nw,..,«,r«rsm„nx-n,.-«a..,.«�,n..+;,•on..-„r�.w.s,n+rt 810000 ._..:,w:rww'«�r:,"rrrrk'wuu'*ewlw,.wuwra:urww'� rvm,wavavw,'auwrw.alwaarwxun'warr'a.r..v'.w«rrh.++s. .r«,n,.+rn—w--+..-r«.e,.•. Boys & Girls ,.+««....«.m mr.:,..:r«.vw+.rw✓v�r.'rrrovr.✓..rcv,x✓+wrx.x+rlsur✓+varrrrwwWaw+wex✓esr✓;rcrxrwxa«'.."•ra':mniwan.'+ax;::nw'.rncx:w✓:w�-'.or.-maw-.wes' 0610412$ 3.0000 Reg 200-BSS Renew Club ofthe.co- lumbla Basin 5.0000 Reg 701.6$S- Bolts & Girls Longview Club of the Co - lumbia Basin 0.0000 - .a,.«e,w,.,.,+wrw�,.ra.wr..r✓.,,>r,,..-_.,.... .... ..,->.,_. Boys & Girls i0610=6 810000 Sick 209.43SS Renew Club.of the Co- lumbia Basin 5.0000 06106126 001t i I2fi Brays & Girls 06108126 8.0000 Sick 200-BSS Renew Club of the Co- ,'rw«n'«mvrv-r...vararF.+r,.ro,:wawa'r✓.«..a»n'w.arruvaw,uw..'nva,ar lumbla Basin ar-...wa,..?,ava.:rw.,,v»r«r.+>.o..o,d,,.,rz,.,mnw+_;,,.a,,,...,Y ...,.,.. :.Yrww,.+.�.otiw.v.:>,.r.m...w:newrr,,. $10000 .....w:+w,..>�,»>,.i..>,_........w:w.w.,....w,.,,,,,.,,.r,.,«.d.w..,�wwa,«.:�.,.w....,.r.,.>,>,..:.Y,..-�...,.>„,.,m,>'nx„�,..xn.e;.n.>,...:.n-.,_r-,.. �.,�..._.�.: Boys & Gins 06109126 6.0000 Reg 200-BSS Renew !Club of the Co. lumbia Basin 0<0000 Boys & Girls 06110t26 8.0000 Reg 209-BSS Renew Club of the Co- lumbia Basin 8.0000 Boys & Girls 06111t26 8.0000 Reg 209-BSS Renew Club of the Co- lumbia Basin 8.0000 Boys & Girls 06112t26 8.0000 Reg 209-BSS Renew Club of the Co- lumbia Basin 8.0000 06113126 06114I26 Boys & Girls 06115126 5.0000 Sick 209-BSS Renew Club of the Co- lumbia Basin Boys & Girls 3.0000 Reg 209-BSS Renew Club of the Co- lumbia Basin 8.0000 Reg Sick Allocation Hours Hours Total Hours 211 - BSS- Larson, Boys & Girls Club of the Columbia 5.0000 5.0000 Basin, Work ...m..,.- ___.__.-w......-..w.,..-.I.,.6.e,..�..r�.amw,.:o .............r 209 . BSS Renew, Bays & Girls Club of the Columbia 47,0000 �—_._... ____ ..w..ww�..,.w...m. 5.0000 52.E Basin,'l brk 411 -BSS- North, Boys &Girls Club of the Columbia 5.0000 5.0000 Basin, Work 301 -BSS- Midway, Boys &Guts Club of the Columbia 5.0000 5,0000 Basin, Work 701 - BSS- Longview, Boys & Girls Club of the Co- 5.0000 5.0000 lumbia Basin, Work 209 - BSS Raw, Boys & {3icts Club of the Columbia 16.000t#H.�.,�:. 16.0000 Basin - - - --_.-------------- ----------- ---------------- n .� Total 67.0000 21.0000 88.0000 Employee Signature ��� ,yy9II Date , Manager Initials � � �:. Gate BOYS & GIRLS CLUB OF THE COLUMBIA BASIN 138627 PO BOX 591 170 MOSES LAKE WA 98837 DD PAY TO THE 0 R DE R 0 IF ** NON-NEGOTIABLE" DIRECT DEPOSIT RECEIPT ** Direct Deposit # 1076029699 Date 071/03/2026 Pay this Amount VOID VOID DIRECT DEPOSIT $1,993.07 TO ACCOUNT # XXXXXX49,43 BANK # XXXXXX0980 NON-NEGOTIABLE THIS IS NOT A CHECK. THIS DOCUMENT IS TO BE USED FOR INFORMATIONAL PURPOSES ONLY. BOYS & GIRLS CLUB OF THE COLUMBIA BASIN pt c r PO BOX 591 A Payrhex'Com�an;.i MOSES LAKE WA 98837 EMPLOYEE ID: 481 (509)764-9694 Behavioral Support Specialist DEPARTMENT: 170 Boys & Girls Club of the FEIN: 91-1634789 FITWH S Pay` Period 0&1612026 - 06/30i2026 WA Pay Date 071103/2026 DD RECEIPT:1076029699 Earnings RATE HOURIUNIT CURRENT YTD HOURIUNIT YTD Hourly 28.8900 65.00 1 :877.85 950.00 27,415t 12 Sick 28.8900 8,00 23112 40.50 1,170,05 Vac2 28.8900 15.00 433-35 73-00 2,096.17 OT 11.50 498,36 Holiday 56.00 1,592-24 tExpNt 27.02 Total Gross Earnings 52,542.32 $32.798.96 Total Hours/Unit 88-00 1.131.00 Total Hours Worked 65.00 961.50 Deductions CURRENT YTD Taxes CURRENT YTD Dentl 25 7,94 102.50 FITWH 199.97 2,565.75 H125 109,84 1,432-76 MED 35.14 452.72 LTD 3.90 Soc 150.25 1,935.72 V125 1.17 15.21 WAPFL 20.52 264-52 WALI 6203 9.67 142.66 WALTC 14.75 190,10 Total $128.62. $1,697,03 Total $420.63: $5,408.81 Time Off (hours) ACCRUED TAKEN AVAILABLE Net Pay XXXXXX4943 $1,993.07 Sick Time 79.50 Vac2 23.00 Other Amount CURRENT YTD Dental 125 -95,13 -1,242-95 LTD ER 0.39 5.07 VisER -115.43 -1,50431 WALIER6203 16,82 248,18 WAPFL@ 8,21 105.80 Time Card for.* Employee; 481 For: 0+6/ 16126-06/30126 Ciientid, 138627 Home Department OSPl Manager. Cecily Hendricks Pay Group: B&G of Colombia Basin Approved By: Santiago AlbaFrancisco Ea- pindola G,. e � ... .....- .. x 1. ... .....: .. ,. :. .: .r, ... :. i. :.. .-.. ..... _... ... .,... ., .. - - ,,......_,- h o .r. �, ., - .-,1tt.Puht�:,., ,.. +�t�..Q'tr�'�+c __ .. , , _lu . ,_..._ .. sods - � s �N►�rk tm. , o#�. a+d 'ttet�s` �lt�! `dens Boys b Girls 06116126 6,0000 'Reg 20943SS renew Club of the Cott lurnbia Basin wI;+ti+:W'Y".'+::."nWY✓<aY:VY✓✓✓✓.+wMN�.rA'✓Y✓..,.h✓'.'mw-'µ+WNY.FM!NAM'rV✓v✓v+W✓Ki4Y..-vv#a'Y.#Y.Y.rIMv.>'�v✓xara#N.Y�v..-u'4Y,Y..#�rs,aT.v�..Y.+.>.r...r.. wewmwe«w,w«ro+,e„w,+.,w,»,w+w+.H+.wF1mf•iMvw«.:we:raweiew+M+T.hn.nwrv},!w,r,A 8.0000 Boys & Girls 061'1.7126 8.0000 Reg 209-BSS Renew Club of the Co- qu�s.wF✓Y✓.+#Ka9+4.fYA�'+'. .. lumbia Basin k+�WMYW5NN4'uq'✓#✓N'k##4AWY#MYY.M1M1Y+!k#MiM+h'.'✓✓Y'MVYMAwM'✓YYwYMw,uwa+it%,Y.,MaY-YYw,MY.w-4i:r,tvr✓-e' Y%uY4YWI44+Y✓WYM#Y+RYW✓Y✓K✓4+'N+HWH.tuRW MuwMUNeY�M,r»„K,-�-.,rr..r....+...... .� :e»Ns.Y.,?V,�mP,�, 8.0000 Boys $ Girls 06/10126 01.0000 log 209-BSS Renew Club of the Co_ lumbla Basin 8.0000 Boys '& Girls 06110126 810000 Reg 209-8$S renew Club of the Co- lumbla Basin 8.0000 06120126 .MY,.,M.�w.,, 0612V26 ».r.,,...,,.:w.,,,».,.;�,Y�,.:.,✓;�;,,�✓�.,�.,a«�:.'✓�Y,#�„�#;�w,�#�~r✓Y�«.Y✓.,,Y.YY�Y,Y✓,✓#..�,,.,,Yw,.,..�,,n..,�.#�::�,.��#.#..�.�,.✓,�,..�,:..��..�....Y,.wY:,,...✓,�✓.�;..�,✓✓##.Y.,.. Boys & Girls 06122126 8.0000 Reg 209-BSS Renew Club of the Co- lumbla Basin 8.0000 OW29126 8.00.00 Reg 206-8SS- Mc- Boys & Girls Club of the Co. Grew lumbla Basin 8.0000 Bays & Girls 061 4126 8✓0000 `vao2 00-8SS Renew Club of the Co. lumbia Basin 8.0000 Boys & Girls +06125126 4.0000 Vao2 20943SS Renew Club of the Co- lumbla Basin 4.0000 Reg 206»ISS- Mc -Bays & Gins of the CO, Grow lumbla lumbla Basin. ......•....•.._. aNs�aRiWiWMM�'w'd+4VPt4„�a-Mrtwh+�4#.YY✓YAM,��r�'.Nr:.wo;�Y#ww.. .. .. 8.0000 .w+�„w-.�..n�+n.#-✓,Y '-s'i.wr,MwaY..✓�M.a#4o4owa4aa✓a 'ro,Y✓�wMcs+Mrw++.sws> ,smar, «:.Mi&F,#,wM.r:,+:,N%:ar:ap�,fYA4✓WMIv+.b++M.��.: Bays & Girls ..�wxw,W.rr+e':,.' +oes,rns.. .r+r 06126126 5.0000 R" 209.OSS Renew Club of the Co- lumbia Basin. Boys $ Girls 5,0000 Vac2 209-SSS Renew Club of the Co- lumbia Basin 8.aoa0 06127/26 OW28126 Boys & Girls 06129126 810000 Blck 20"S3 Renew Club of the Co- lumbia Basin 0100010 205-BBS-Mc- Boys & Gins 06130/26 s-aoaa Reg Grave Club of the Co. lumbia Basin 209 -BSS Renew, Boys.& Girls Club of the Columbia 45f0000 8.0000 Basin, Work 8.0000 ------------ 53.00OO i6s = BSS- McGraw, Bays & Giris'Ciub of the Columbia, 20;4000 20,t?000. Basin; Work 209 - BS.S Renew, Buys & Girls Club of the Columbia,15.lIaQi� 15�1ltlti0 _ Basin 'Utai 65,0000 8.0000 15.0000 e8.0000 Employee Signature Date Manager Initials Date l/� Columbia Technology Solutions 4014k M a4. 3925 W. Lakeshore Drive ! OOW Moses Lake, WA 98837 `ill TO Boy s- & Girls Club of the Columbia Basin 425 N. Paxson Dr Moses Lake, WA 98837 Involice dDate In voice 6/ 1/2026 2050 P.O. u ; Terms Rep Project 1 Due on receipt ID : Qty item Code Description t fi Prjce Each Amount Managed eT'* `ices - June - 2026 1 18 Microsoft Office ory f R r a MicrosoftOffice 365 E3 (Nonprofit Staffriing .4.T 4 Microsoft Office 3.0. Microsoft Office 3E�. License - Non Profit 10. OOT 1 Online ackup for,., Online Backup for Bearers or Workstations - Monthly Service 35�0 {{ 0.00T 188 online Backup to.., Storage Charge or Online Backup Data 0.30,40T � 1 Mngd Net Alert Network Alert Managed Service 219*0012 1.00T , 1 Network Printer Network Printer Support - per each device 1 30,001 , T 20 ad d Protection t+ 2. 0 400 -00T 20 CTS Sentinel0he CTS Sent nelOne EPP 9.99 199.80T ' _ € S y y Cc V a 5'3 54r CCC !3 t f i5j { i "y xiW i °K,(I-1,V -za a 1j7 15 Subtotal Sales Tax (.. 1o) $92,,62 Z { Total $1,182.22 t�� A ft LaalT Page Number 1 %, We're All AboutYou I I pi 'I 1 11111 1 golo, Igis 0 1 11 1 -1.11 1 1 111111 1 1- .1 �d 0XIIININXIBIM Boys & Girls Club of Columbia Basin Account # 78751 PO BOX 591 Phone # (509) 764-9694 NOSES LAKE, WA 98837 PIN # 51105 Statement Date: -06/0 Summary of Account History .............. -- ............... . ... . . .. ....................... . ............ Previous Balance of Last Statement S631.94 Payment Received- 06/01/2026 Payment #- 152363254965 $0631.94 'Previous Chames Due . .......... ----------- ................................. --- $,00 New Charges ----- -------------- - -................................... Services $55388 Taxes Fees $7&06 ... . .......... . . ........... o.tail ... Ca.1), QlhlaMes. ...... . .. ........ -- .............. - - ------ .......... . ------ . . ....... -jqt4l,�[tyq Ch-ar,es .... .. ------ --- ....... $694 Total Amount Due $631 94 V Due date for new charges: 07/04/2026 A�4 Our records indicate that you have chosen to pay using direct debit, Payment will be processed three business days error to due date. Please note,, Payments received after 06.104,11U26 will not be reflected on this statement. To contact us, please call 1-800-992-21112 between the hours of 8,30 - 5-30 pm Monday - Friday. Effective July 1, 2026 Beginnuig Juiy 1. pffrted statemeNs writ include an increased paper staltemert proce ssing fee. ra enroll in paperless billjog. please contact us at 55-09-888-8888 or sales@loraft-pi.corn. Thank you, So(eons (eSI'vrvive charge. Apes --mll Ni 'tPilijad 140 <7ewunts Mof at a) cyc nr1lahe a payO)"wit by thkt OCCOUM 5 VJjadijJ0ddU0 d0lld W (W JVII I)y &Ck, :4 4,3i aflior negotw1he #islrumenr your bajok refuros unpatrl c.) for do-l"Anes, till ylxw- 31001naric, rli�ylrtojjl Nlempfe-diby rredd or dabit coe4 Noffificabon w,11 be. seant to yru W'091pfly al f#301 ostar-ce W a!"O"'v pm to xrrery rho, isuip- Por full term: vondit-olls and iool See rjtj, TiNr�ns arla r"'Orio"-from of 5,n-oce focwed 'In, �)w wooN Coon ------------- Detach ard return this portion with your payment Please remit to LocaiTel Comr-nunications, 343 Grant Road East Wenatchee WA 9880' " ) 1 - 11.11 0 0 - 9 9 2" - 2112 vomti Locaffel com Accouni. # -78751 Boys & Girls Club of Columbia Basin Phone (509), 764-910694 PO BOX 591 Due Date 070104!2020- MOSES LAKE,WA 98837 Total Due $63341 94 Amount Paid Page Number 2 Boys & Girls Club of Columbia Basin Account # 78751, PO BOX 591. Phone # (509) 764-9694 MOSES LAKE, WA 98837 PIN # 51105 Statement Date: 06/07/2026 Circuit lDs for Loication: 425 N Paxson Dr this location: Phone Regq!ated Services 06101/2026 to 0613012026 * Reflects Discounted Amount (509) 707-0284 (509) 764-9695 .pnthly Servioes Pty. Rate Ext Chrg (509) HSI-0105 DID Sin& Number LT r 10 �82 8.2 (509) RSI-0106 Call Forwarding Internet Down .00 .00 VOIP Business Une VOIP Business Line 1 1 15.54 18-95 + Data VOIP Subscriber Litie, Charge Business 2 o'�'6%50 qjor 509GFIB854 VOIP Unlimited LocAl Calling 2 .00 100 .ShoreTel Connect Dial Tone Path 3 12.26 361a Secueity ShoreTel Business Class Service I 18;00 18.0.0 $09SMS0498 Hosted Sho'retel LD500 - Minutes Plan 1 .00 00 509SMS0504 V01P Subscriber Line Charge Business rg 3 4.00 12-00 315- 509SMS0868 VOIP Business Basic Feature Pack w10 Voice.mail 1 '00 v0*0 ShoreTel 485G MontNy Rental 9 15.00 135.00 Other ShoreTel Connect Access Bundle .11 9.$4 509ER10005 GC 1 GB Fiber Access Fee 1 4,00 4.00 509ER10006 GC Fiber IGS Internet Service - Basic 1 68.43 -L:8.43 .509ER12177 Includes Premium Internet Tech Support 509SR12253 Remote Interacbve Service 1 6.00 6,00 509ER12298 5 09F.R12301 Guardian Monitoring w/ Cellular Dialing GSM Guardian Commercial Fire Alarm Monitoring Ser 1 1 29.99 29,99 50.00 0.00 4 5094RI2451 arm -corn AlFirst Door Aocess.Controf 1 9,95 9.95 509M2497 Alarm.com Addifional Doof Access Control 4 4. 095 %8 509ER12757 *Contract 2271,Expims, O&V6/27 509ER12817 *'Conttact 2297 Expires,* 09130129 thstallation agreement end bate for. 609SM.SO668 - OW7127 Taxes, Fees & Surcharges Local Sales Tax 10.30 Lr Local Utility, Users Tax 9.32 State Sales Tax at 6.5% 33,55 Federal Universal Service VOIP 16-08 Federal - FCC Regulatory V01P .21 State 988 Tax at .40 Per Une - Voip Z00 53 County E9 11 at .70 per line V01 P 160 Federal Excise Tax of 3% 1,85 State E91 I at 25 per rine VOIP 1.25 78.E Ccw 3o-so CVI IN.-O 3o•'S0 A venzon business Account, 242783542-00001 Invoice: 6146650368 Billing period: May 22 - Jun 21, 2026 Due date: 07/21/26 Explanation of Charges: Account Charges and Line Charges Usage and Purchase Charges Page Monthly Usage and Equilmietit Surcharges Taxes, Third -Marty Total Voice M59 Data Voice Mso Data Number Charges Purchase Charges Other Governmental Charges Charges Plan Usage Usage Roaming Reawng Roa"nq Charges Chortles and 64sobargos 8 Ond"des cr'6(fits Fees Tax) ..... ........ Lines Charges 509-75()..4094 Kimberly Pope 6 S43.00 $8.216 $2.4' OW. 7 20 32 2 V85G8 It 600-760.8105 Kiaberly PoPe 13 S41W C $8,26 $2.46 SV 40 1 s-s w«L 9419.400-8180 KiniN,,dy Pope 1,2 $43.00, $8.261 $2-46 $63.72 165 641 427GB 5a 0, i — i 509- 760-9710 Kimberly Pope 17 $43,00 $.8,26 $2A6 $53.72 28 71 1.031GO c v I — "'� 1 *5 — -6,09-770-5947 Kiniberly Pope 20 $2000 C, $2,60 $2-,>, 6 0 69 509:-793,5177 Kitriberly Pope 21 $43.00 V�A $ 8. ?12) 6 $2.46 S63.72 26 19 2NOGO SVC 500-707-4847 Mark DOLIrg3011 24 S00,00 --tA-jy1j S220 $4 60 $0.85 S107 84 34,705GS :500--855- W2 Kirnberly Pope 26 S67.9G a $843 $2.57 $7S.1-YJ 144 1 9,600C38 T--; 50-3-855- 2148 Kimberly Pope 31 $43-00 S821>6 $53.r2 02 155 3,7196W iW -856-.2771 Kimberly Pope 34 S67-99 -�4 S&43 $2,57 S 787 W-9 22 8 30.100GO 500-855-3032 Kimberly Pope. 40 $481)0 $843 $2,57 S501W 29 1 11165413 D 5(YO-865-3108 Kinitiariy Pope 43 $67.00 7 $8.43 $2,57 $78-99 21 1 1,(X),-)G[3 SGx,)- $60 - 324 4 Kimberly Pope 46 $43-00 VI.26 ---------------------- $2.46 --- -- $63,72 — ----- 13 .266GB ...... IS I .. . ...... Total Charges $66ZOT $0-00 " $2.39 $9f&74 $28.35 $0.00 $792.46 > n.a 1-