HomeMy WebLinkAboutGrant Related - BOCC (004)I
GRANT COUNTY
BOARD OF COUNTY COMMISSIONERS
To: Board of County Commissioners
From: Janice Flynn, Administrative Services Coordinator
Data June 23, 2022
Re: Authorization for Release of BOCC Approved Funds, Dept of Commerce,
CHG Grant #22-46108-10, Hotel Leasing Amendment, Reimbursement #2,
New Hope, Request #1
New Hope has requested reimbursement for the above -referenced grant, per the
contracted guidelines in the amount of $12,983.11. The invoice and supporting
documentation is attached for review.
I am requesting the release of funds for payment to New Hope in the amount of
$127983.11.
Thank you.
Mom= ON
a
Grantee Name: Grant County Lead Grantee List Sub Grantee Names Below
Report Month/Year: Jan 2022 Grant County
Naw Hnna BUDGET
Admin
CHG-Other Rent/Fac Supp Lease &Housing
.Costs
CHG-Rent & Fac support/Lease Costs $0.00
vF . 4.. ,
,...,.�t,. s ;.:.... ,.._,..x -.a .,..., z ,, a,. ? .• st:<.. .:.�, ...... F 2 .,s w
1 ',,�,.�
..'! ��Sl„ D,:,a'w_.
PSH CHFFcl� esu ort tiLeaseKCosts �r �$�;� Ef y
_,;:,...i. .+: .-u., .. =.,'_q. <.: ;. s-s,� _.. r' ..:.r . .e 3-,- - >_ r ,:.. .. ....,. _s. =FFA... - 4, ...._....� L`,•_ ..�{+ :5... .. A-. t. ">a Sv' ',:&`�.".`^'.
PSH CHF OthervRent fac� Ski Leases&Hous �° .� � �. �9 r� ��-0R� 000 `�
�. 'P f ... ..r?nss�e .:�.x`+Y. n.:3,s; .t., � pp......_3`e• •s ${� ,::-.; ., n.i z.. .a.,a � � .. .+:. � . .�&YC� c.. ,+ t ..a c...,,�., .�.-h -��,� . .at �' ::,\ z. ez,:.. �'�" .F
PSH CHF D erations a.d a3�to s jr �� :�.$Ot �0�_
_ 3 E�� -b E �
t � E
Hotel�Leasiri RRHi4 min �� �``�F��s�� a
$12,000.00
r YKt� \ ��'��a " ,* t vt ` k
HotelL'eas�n /RRH; 0 erafi,�aons���,���k,�K?; ,4��� $9,000.00
5�kRq�1�`4 X;n�°i�r,k Yb v a 2>S a " r, $15,300.00
Hofiel Leasin• tio��'��i���As
a.4ta_.,�_ � Via, as � z� nJ� . a.,x vfa�r„4„ .��l
Yip � si�' \H i• -.,j r\ \t t ii ; t � '� < t
Rent f $45,000.00 $1,222.00
Invoice Tota $1,222.00
Jan -22 Feb -22 Mar -22 Apr -22 May -22 Jun -22 TOTAL OF BALANCE
$81,300.00
$0.00 $0.00 $0.00 $0.00
$0.00 $1,222.00 $80,078.00
REMAINING
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$12,000.00
$0.00
$9,000.00
$0.00
$15,300.00
$1,222.00
$43,778.00
$0.00 $1,222.00 $80,078.00
Grantee Name: Grant County
Report Month/Year: Jan 2022
Lead Grantee
Grant County
New Hoae
List Sub Grantee Names Below
Total
Admin
0.00.
GHG Other Rent .Fac Su pp Lease_& Hou
0.00
.Coss -
t
, 0
0.0
CHG-Rent & Fac support/Lease Costs
$0.00
$0.00
, �-m: ..... 4
t,. v. l 5" w'W-4
tT' i.,�y�{- �.YYy, Y?'
$ �.�_
..l" r .'A.. .<'4 . ^.i -
.�
t. .�. x.. sem. at'.�'.a+'& tF
{� V+ , y
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a
. .,, k MEMO
KHS.
00
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: .. '� ..._. a:• ,a -
,.. Lease �&�H: us , r 1..w
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_... :�+",..:
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�- n .. :ost. .,�atT'S_A- .i�i=%^a,-gS:.t Ei4t�•1t�7',-e. ai,n. '�'\�i,S'2s�,+Yv`p:: sw.aY,.,a :.�. :v�aS.�.a.i,. i. �f' .
ti� :
..,. .a > \�...,.. .,V'.Y�vF- ., f�''��ff�:e5�K5v`.k.,'v...[ yn.d..�. .... �i��f,ra,. . .Ya.4-:•e �.�-..i�YS. )t _,�.a�a,.7._.-".Y. F- ,. ,.i.{r-��a..te>.4.� �... t�'t �S'A '.h�._,CR !..' , C. n:,�t T� �... y!y.�L
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�-
.ZYL
nv LANE
Z ON 011-0 �60"'�=,-
:Mv
0.00
$0.00
$0.00
$0.00
F �.SiY r• \ ' ; ', Y{S „ik .\,.. d'iY�idlt Ix 4c4 h �? tKM F YX a �� �t`at O �F
Hotel Leasing/RRHr�dC�n����a,�Fk� a°t
0.00
i\C� �.�X� J3�,? -0'�F1 \ � \ \ 3y\.R,S � ! \�; •
OWN .it �T�,� �� CS,\ i 1.�5, ,1 1 � f ��:'
Hotel Leasing/�RR�H Operat��ons O�.����4�
$0.00
i t�P�;3A.a$,24kP,t}
�,
WIN,, 1"
0.00
b 1't�'t, ✓tikY L",",.NA X, 1?Ya%,lw 'ti \.p ➢k �i' Tt `TPl'\V'F"IC N Y��fkY` atha<�'t a17Sifiiy \f \ai,
Re'ntfor�Rap�d Re k�HausinAGt��a��j;X��w���tE;
.V.:. .nel�
1222
$1,222.00
Invoice Total
$1,222.00
January 1-31, 2022
128-170-00-7611-565504580 1 $1,222.001 Client Rent
Total $1,,222.00
County of Grant
35 C ST NW
P.O. Box 37
Ephrata WA 98823
Vendor, NEW HOPE REVOLVING FUND
Document Number Purchase Order Number VendorlD
1840-0G NHRFD
Description:
client EFA
Page 111
Invoice 0356232
Date 1/19/2022
Shipping Method Payment Terns ID
Amount
$1,222.00
Subtotal
$1 �222.00
Misc
$0.00
Tax
$0.00
Freight
$0.00
Trade Discount
$0.00
Payment
$0.00
Total Due
$1 ,222.00
Grantee Name: Grant County Lead Grantee List Sub Grantee Names Below
Report Month/Year: 022 Grant County
New Hone BUDGET
Admin $0.00
CHG Other Rent/Fac Supp Lease &Housing $0 OQ
Costs
CHG-Rent & Fac support/Lease Costs $0.00
mom ANKM1
ort/°.;.L.ease.Costs}.�.. i�0;..
r
,.�... $_.
_.. .....�_. .-::. .....!:. ., +•s �. . _,.. .. _ � .,- .�: .. .a.... :.tom.'; .. :.. - �:r x � 'n:. ,.r
. �..,.: .•: :,n "....a.r,,S ..- ,al �,. .�1..y, lnf. r..+.;x ,St Y,.<"t C h .. ..:f' '.. G'.'.n. .e 4 ! t 'A� �
,, ,=`-'s �-*�,•,�-� �� E h ,szr a s'� � � L 7 `�. , �, •'�, "� � g �;�'.x ro � �-,�,�.Y�v� x:
PSH/,CHF�Other�Rent/.Fac.Su � ,/Lease &,Houses �„i� �;.` .�� .�.a ��,�
c ,+ .,rte,,.. a..�•r.,,..,•^„'�.:
,� 7'^l -w ,��. 3 ?�i -- ^l }'' y?.i"iF f�3' :�a£s�f'. •, , { t `�R a9`<F a"�•: .,� y .-.G. Tt'Gs'"'' ``
PSH :CHF>.0 erations � WNP,' S
......./.... . s: .... .......r.x.7t..it.•..C,....!.,,.a<.�3:,i5�k.!t,wae„+�v k'?ak. ,.L.A ,'�".�-� �..Ns�i. rA^zZ•,., v.. �.e �,t �� i.. r. w .�ke�
Hotel,Leasin /RRH�Admin,, n,��4<<,_�{,. $12,000.00 $0.00
-t v
Hotel: Leasing/RRH ,O erationss.�k ,�
$9,000.00 $0.00
0C
$15,300.00 $15 300.00 $0.00
Rerit forRa id Re Housing at° N , .,r `,t;t` , $45,000.00 $1,222.00
Jan -22 Feb -22 Mar -22 Apr -22 May -22 Jun -22 TOTAL OF BALANCE
Invoice Tota $1,222.00
$81,300.00
$0.00 $0.00
$0.00
$0.00 $399.26
$0.00 $2,820.67
$0.00 $3,219.93
$0.00 $0.00
$0.00 $4,441.93 $76,858.07
REMAINING
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00 00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$12,000.00
$0.00
$9,000.00
$399.26
$14,900.74
$4,042.67
$40,957.33
$0.00 $4,441.93 $76,858.07
Grantee Name: Grant CoLead Grantee List Sub Grantee Names Below
n
Report Month/Year:-46m2022 Grant CountyFT-1
Naw Hnne BUDGET
Admin
$0.00
CHG Other Rent/Fac Supp. Lease & `Housing
$0 00
Costs: ,. .
CHG-Rent & Fac support/Lease Costs
$0.00
3
..e :.:' :•:a -. .:.. -: '.w.: .. H .::� .: 1 a ..i4 Sv.. V' ` , .' . :q yi'.. �, b•'.. '� t1 X;w
-t i -
t 1 S ry 4 a
5 f s
CHFA\• F? H
rFciR� ��n�tn C? � �• a,, s� �.�-�`e'l�yry+,'�.'�
i,� <J
.�n,�,.�vG�•�-�' �.�+ � YI`^°c`k.Y a t�',. .�
:. �. ,. � � S, �. 1�. `�_. t'f \% �5,,.f � k, `�'�%'a. � ��i`}":` �ty �K. _
C �_v� ,: �._. mom � )E:'. Moo"
4. 5„�..'H. kw9. >A _.,, ,-Y. .r,�r.:'C..: ...V.2r+�:'+_.�'_>i g}}'.t� #rtH.,., i. � .P �1 MMR
PSH CHFFOt1ner:Rent ,acSu. Lease &K,Hous�` ks..: tike ��������Q,:oA
...... .:.,n./.. .-,_.. r........ •;f... _f ....._.., ._ ../..x ..... ....... .. /.. .-...�.._. ....... ........, .,. .._ six. .��t�.f -.
..:,:,.... .. �..-;.. ... ;,.; .. ,.
: 7,`,� 1r. p '�. ':•� �. 3. i' I
gip t, .se :x�� -}. _ .i Y;.�^
' M �' ,i;3 7'i oaf o_O': "3 . S.:.
s,
PSS/CHF O erations�,,�1-10,.,A. .���$ _ r_ .a
Y f
Y'?Zt `tt 4,1 Y \a: ��Sri } k t•\: k 1`.. ) \b �w� \\ ��^ ` : �%,U
HotelLeasin :RRH4'drninw�?,;
P=
$12,000.00
HoteG :' Y
lLeas.ineratlons,.�;;;1�c}���,p'}
$9,000.00
s,
c^� , \ �'"�y„'1` t y \ U
HotelPaLeasin
$15,300.00
i?ent for Ra idrRe
$45,000.00
$81,300.00
Jan -22 Feb -22 Mar -22 Apr -22 May -22 Jun -22 TOTAL OF BALANCE
$0.00
$0.00
$0.00
$1,222.00
Invoice Tota $1,222.00
REMAINING
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$12,000.00
$0.00
$0.00
$9,000.00
$0.00
$399.26
$399.26
$14,900.74
$0.00
$2,820.67
$4,042.67
$40,957.33
$0.00
$3,219.93 $0.00
$0.00 $0.00 $4,441.93
$76,858.07
Page I /I
Invoice 0358920
Date 312/2022
COLInty of Grant
35 C ST NW
Misc
P.O. 130)137
Tax
Ephrata WA
98823
Vendor:
BEST WESTERN RAMA INN
$0.00
1818 BASIN ST SW
$0.00
EPHRATA WA 98823.
Invoice
Document Number Purchase Order Njjmber
Vendo'r ID Shipping. Method
Payment Terms ID
124 -CA SPIN"
Description:
Emergency Shelter Amount
$196.52
Subtotad
$196.52
Misc
$0.00
Tax
$0,00
Freight
$0.00
Trade Discount
$0.00
Payment
$0.00
Total Due
$1,'96.52
144.5a
aa3.l 4
oil 1�
�l
Page I /I
Invoice 0358924
Date 312/2022
County of Grant
35 C ST NW
Misc
P.O. Box 37
Tax
Ephrata WA
98823
Vendor:
MELVA LANE LLC
$0.00
DBA: QUAILITY
$0,00
449 MELVA LANE
$202.74
MOSES LAKE WA 98837
Document NuMber Purchase Ordor Number Venddril) Shipping Method Payment Terms ID
-5,3-MH QUALI NET 30
Description :
Emergency Shelter Amount
$202.74
Subtotal
$202.74
Misc
$0.00
Tax
$0.00
Freight
$0.00
Trade Discount
$0.00
Payment
$0,00
Tota I Due
$202.74
County of Grant
35 C ST NW
PA Box 37
Ephrata WA 98823
Vendor: Capehart-Wherry
1234 Moses St
Moses Lake WA 98837
FDocument N,umber Purchase Order Number VendorlD
— '—
103092022 -DEP- UPHW
Description:
Client EFA - Deposit
Invoice
Page 1/1
Invoice 0359589
Date 3/10/2022
IhIppIng Aethod I
PaYment Terms ID
3=0
Amount
$350.00
subtotal
$350.00
MISC
$0.00
Tax
$0.00
Freight
$0.00
Trade Discount
$0.00
Payment
00.
Total Due
iii�roice
Page pit
Invoice 0359590
Date 3/10/2022
County of Grant
35 C s,r iqw
P.O. Box 37
Ephrata WA 98823
Vendor: Ca pehar't -Wherry
1234 Moses St
Moses Lake WA 98837
Dbcument Number Purchbse Order Number Vendor 0D Shipping Method PaYment Terms ID
1030922 -RENT -RS CPHWR �' .
Description: " [KE _T3 _0
Client EFA - Rent Amount
$465.00
Subtotal $465.00
Mix $0.00
Tax $0.00
Freight $0.00
Trade Discount $0.00
Payment I.,
Total Due 0.6m,19 -i-17
APNPQ��__
_0
CoLinty of Grant
35 C ST NW
P.O. Box 37
Ephrata WA 98823
Vendor: NEW HOPE REVOLVING FUND
Document Number Purthase O*rder Number Vender ED
1852 -PG NHRFD
Description:
Client EFA
Invoice
Page 111
Invoice 0358573
Date 2/23/2022
Shipping Method Payment Terms. (D
NET 30
Amount
$1,259.00
Subtotal
$1;259.00
Mix
$0.00
Tax
$0.00
Freight
$0.00
Trade Discount
$0.00
Payment
$0.00
Total Due
: gsrr�,i
Date Sl b# i P iftW d R2/1-312,022
.
yy`{{��77..``��ee rlrl
Int requested 626.00 1st mo7
rr'
r , y/ ..n. n r ttoc� tl W M
$200.00frit dp"t
■
TOTALR 'r!"
OFi,,.L...aa•. �..; ...
41
Typoof�oR l A.:9olr n t:#
0 EIS, .E ^�'
� D
r :R ■ �. �. � d %still
of..,ray q
2
Client ID: GML261351634436
'Clionfs HomoCity: Moses fake
f.
.. . ..: ., i.. .. ...: ... .. :. .:.: . :,. :1
_ w
nan
ei a ani
c (EF-, t f or-
f
�C Moses
Lake to G r J a t got � u� l+i p L: � die. �� 1 ��.. i -.:� � � � �a R l ** I .
7.-J.i nt ordered via c r (faMIJ lr$7M ':� 8IO) to
r t rn to ones Lake if lF *th. hil .r n' C. lief'' .. has
Background check for housing
Children's needs
Mortgage
connected with a. -rear est t_pht who;
s� �(�+r e��yy p
�yh'assistance
DrIN r - se
+: ervsc 1~}r�+C.�►►
Utilities bilisgraciouslyt#�fin
this house to client t rent.,
-
.# �ducat�on training
f socuntY Assist
Remail Assisi
Client 1 hau c a funds had for
Bus fere to: return home
Gell phone to seek work/housingr
„ Q& payments
� Boodl�lecessities
V i + t rn to o L ke h r�
Family wo(i being
she does not. have a network of t;'p rt. ,�( .I�t.
m. currentlY emmployed at Wal"Mart and has
bra n s fe rr d to Wal Ma ft in- Wl b L i ke, Here;a rt
date.is March 5,2022.
,. t I•_ r
t
.:1 ,S,
•t M
Updated: 2111/2024
Grantee Name: Grant County Lead Grantee List Sub Grantee Names Below
Report Month/Year: April 2022 Grant County
New Hope BUDGET
$81,300.00
Jan -22 Feb -22 Mar -22 Apr -22 May -22 Jun -22 TOTAL OF BALANCE
$0.00
$0.00
$0.00
$1,222.00
Invoice Tota $1,222.00
$0.00 $0.00 $0.00
$0.00 $0.00 $0.00
$0.00 $399.26 $1,170.24
$0.00 $2,820.67 $4,714.66
$0.00 $3,219.93 $5,884.90
$0.00 $0.00 $10,326.83 $70,973.17
REMAINING
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$12,000.00
$0.00
$9,000.00
$1,569.50
$13,730.50
$8,757.33
$36,242.67
$0.00 $0.00 $10,326.83 $70,973.17
Grantee Name: Grant County Lead Grantee List Sub Grantee Names Below Total
Report Month/Year: April 2022 Grant County
New Hope
Ad ai W I W..
; ,
\ 0:00
0:00
L ase & o u
n F Su e
h r Re t ac
HG Ot e pp _
0:00 ;
.Costs.
00 0
CHG-Rent & Fac support/Lease Costs
$0.00
$0:00
,.. . .. ... .. .. ... .._ <. .. .... , ,
r: sAy r
C� n` 3 e Y
t
1 �Q R 3... a
+'2� F3
4v�
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Ii u rort� �
:H CHF aFc t; S
PS � �
n.:. ... �: _,.. Y,-.. .. .ars. .4
� r
r Y
�
, .� .:}
$ . >., .
- ..� ,
T 0 00
.N _
4 r•4.F F -.1 yu i J. a rS. ,i+ }
,.. .+Th '4 J^ 'J%i
,.kt.
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a0he �Oeo�u ti?+S S r; . , ; . , sed& H:o�u s.
� _ . r : � + � .� y� ,:µ
n FaSu Lea e t c
OR
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. ' -.o.- S,u•i,.: A,a+F0
x,
WI It
.
a
WON
00
f
x$0.00
$0.00
$000
:$0.00
$0:00
�t;ala M�'�se+'�'w,y �C F a�Aty�i4�
�HotelxLeasi ng/RtHAd a i n ,, pyy e' r�
Sf'MY.:a C;,F1{,.«s�aw\k.oC;.o:{\Y .•.e\ Sk,S�{M 1�..�
O
0.00
\ ]�'k�ns���a�� a' � c 3��'�� c� �'��`��n,� Z+b` � �''�°` �.s.\'c�`�a�,'F•�y'�+.Z.\a+���4\�t`$s`\'t �a 3�,��i `^k\4 `�'C ` r��'"`��M�r �3��
HotelL�eas�ng/RtRHOperations������� Axa
0
$0.00
\ .��MA_Ji l�iiN �J': •"^S}\ 0.��`a^!�\111C��1'\4i�`��` �in�./�r`�.�t{;�`1'�Y�j,Z.. �"Ol \+,Ua�A4h�s\Y4jHt C'�^4 • \ �YY >r`�%Ay J'� 14� t'2i �.kWKT}i`�ri 9,�FQ�i. 2�.:p
,Hotel�Leasing£�� , ���������T�
1170.24
$1,170.24
R11 .," SS, jtC�, ,�t�"Sa 1a+l��vlv.,�aX�'t#S
Rentfor.�Ra �d�ez
4714 .66$4,714.66
linvoiceTotal
1 1
$5,884.90
ice
Page 1/1
Invoice 0362427
Date 4/14/2022
County of Grant
,35 C ST NW
P.O. Box 37
Ephrata WA 98823
Vendor: HERON CREEK APARTMENTS
,222 EAST 9TH AVENUE
MOSES LAKE WA 98837
04112.022 --RS NRCRA
Descr� PHonw
Amount
Clion't EFA
$1 71 q4. 00
subtotal
$1,194.00
MJS- C
$0.00
Tax
$00
Freight
$0. 00
Trade Discount
$0.00,
Payment
Total Due
A P9
Page I /I
Invoice 0361769
Date 4/5/2022
County of Grant
35 C ST NW
P.0, Box 37
Ephrata WA 98823
Vendor: SUGLANI INVESTORS
DBA: SUGLANI VILLA
449 MELVA LN
MOSES LAKE WA 98837
'_ _ __.- DocumenNumber umPurchase Order Number VendorlD Shipping Method Payment Terms ID
t
SGLIV
Dascription: Amount
�Qent EFA $1500.00
Subtotal
$13500.00
Misc
$0.00
Tax
$0.00
Freight
$0.00
Trade Discount
$0.00
Payment
$0.00
Total Due
I
14.,w1
F 11
Consent -
C.1— 22.065 Potato Hill Rd. Petition to Reduce Speed Limit for ATV Use
C.2 — 22.067 Coulee City Reimbursable Work Request
Pen
• Mutual Aid Agreements
Upcoming Hearings —
June 28, 2022
• 3:15 p.m. Public Works Services — Fees Policy
July 5, 2022
• 3:15 p.m. Ordinance Amending Ch. 11.34 of the GCC
Golf Cart Usage on Blue Lake and Moore Roads
• 3:30 p.m. Franchise Hearing — Ziply Fiber Northwest LLC
Samuel Castro C.P.O./Public Works Director
"To meet current and future needs, serving together with public and private entities, while fostering a respectful and successful work environment."
Tayj Pin Inn & Suites
I *t 67 N Stratford Rd
Malsems Lake, WA 98837
Phone : +1 (509) 764-7500
Fax: + 1 (509) 764-7501
it-ifo@tenpininn.com
iii'e,l)s.//tenpininn.com/
Now Hape
.w Hope Domestic Violence
1 W 3rd Ave, -
Moses Lake, WA 98837
Phone : +15097648402
[-:rnCaiI id : tmstainmetz@grantcountywa.gov
DATE, CATEGORY
I i)41 )/2022 Room Charge
Payments
AT E
1'0-Ar/04L')022
Guest Statement
NOSES ME WhSHINGION Invoice #: 4020
T ' E N P !I Folio Name: Guest Folio
-N
INN & SUITES- Date : Mon, Apr 04, 2022
EAT. UINK, mn. stety,
Property Ten Pin Inn & Suites
Room
Double Queen :120
Arrival
Sun, Apr 03, 2022 -1 Night(s)
Departure
Mon, Apr 04, 2022
Reservation 4
21733145
# Guests
1 Adults / 0 Children
DESCRIPTION ROOM TAX
Nightly Rate Double Queen: 120 $10.45
Room Charges
Incidentals
Taxes
Total charges
CATEGORY DESCRIPTION ROOM
WWMWNM� Nuawars"
Account Account - New Hope Double Queen: 120
(Corp/Mernber) IlDomestic Violence (48)
11
.1-Ayment Information
Total Payments
Balance
I'layi-iffNew Hope Signature:
Payment Method:
Account
_:'=::pDate: Date:
THANK YOU FOR YOUR BUSINESSI
AMOUNT
$100.00
$100.00
$0.00
$10.40
$110.40
,AMOUNT
$110.40
$11 10.4 0
$0.00
Booked On: Mon, Apr 04, 202212:92 am Hooked by: Anthony Printed on: Mon, Apr 11, 2022 9-52 am
F
Ten Pin 111" & suites Account Statement
41 157 N, Strati^ rd Road
MICSn i.ake, WAR 98837
infoOteDate, 04/0212022
itpininn.corn1
Account acme: New Hppe Domestic
4F4
i
Ac t4d4.d1 E #-, 48
Statement Period: 03/0112022 - 0313 1/2022
i
ACCOUNT SUM MARY
K�
. nY �r �M tF' A. I
Beginning Balance $0.00
3 1, 1 VV 3rd QIP _ ^• n w.,. . w .
Mroses Liike, VIA 98837 New Charges $602.32
Payments $0.10
Advance Deposit Balance $0.00
Ending Balance $502.32
. r •:.. •{'r 7.•lY�' 7M.E� T[: •.• :_y.�•...•r.`•.•-•.t .ik;T�l_j' ••N �:'�. 'r1' MPtw wv.�� r-n `•'T►••_. �_..
�}�. r . � _ f •~�. Y� 1 7,7k . '.ilti r. a ir:. '� ��'.r ice. "�:.. :! ., r �:T •s`_'; y%�' � s r.•'Y �.'T �! _+► �r
.YM^s. 'a r '� •. i..� �� � y�[ li..•=YY.�.i a I T ••7 7 i;. i..r
!. ..Y �^ �.. �. 4!� t'.' ` �:.•.• 'i•w=, 1/Y` 'L•.r.7�.}. -1FJ a 4'��••T ��1,'F"� +,` *�rtt�� ° �'�-'_`-•'1' t a1r�:.
+�j iiii � �'i •fit • S�••I y. �u �+ .•. !r• = i L .iJ �� •i.r• r�'{'�;�r t�
-T, •i• �
•FJ-
03/114/22
€-
. �. a �-�Li i�j'�1L•� .•1"�T'• �= "C�t..R.T,�. l�'�•�'��; Y � ••. •���• ,ts\• ���J•rir'�.a^ ; � a.l. ;+i t `
- •'•' i ti�J r. 7- �T� �L':�•.1'� �1'Y 1'-•. ✓••-•S••' - •#•• •ii l•.i a. i -,� T.• .�>� i ♦. �r
• r.r. . m_.vr+Y r,1.;1•� ..fr .�aiL�l�S_:.'Ir�t?i.►7 ,�F•'.�.�:7 in �..�'.��l.:w�.'.:.•1'sr•G'f'.1i�i��Nt��'-1�, a• ^'� �'.-'l..,iY i�-.S''�3Y_j_.gi� 2u•L = �• •'
• r
w.hwnw.w:w �. �rr�.yr«i5 _ ' .t�ISfiC•�L• '1 S i.'1 Y•, S
- s
03/114/22 e`en Pin inns & Reservation fees #21583856 w $0.00 $93.84
•
Suites New Hope - 03/14 • �
03/15/22 1 . Ten Pin Ince & Reservation rtes #21587673 ........ ...... .
{ L,
Suites
New Hope - 03115
:�� : 2 Ten Pin Inn r=tirn, {/�} , �+
RCVS # 21631981- ,t D,00 $314,64
• Su es New Hope - 03/21
Subtotal $502,32
I Taxes
Total Charges
$502,32
l-;, ! � G SIUWAAR
.
Advonce DOW Current 1-30 31-60 -90 Over 90
r
.•t_u..y•MLrI,•1[•T'•••w.�e•oarYYA1.4w.fhf/.�1'R�1•G4i_I1f IY.IW11.�9WWiW.7f®MIM
� f 1Nn1Yh� �.JdIYIMM.MVr.n�{Mf�tNMM11��1A�1Mn1'In Altln07
�`Y-w•/�iG Av4wnvA�,c
i 144+✓•:jil4-
total
$0-00..
xx. 0; $52i3
2
7ewMtOONfah�Yr*W+r+°"na°NfnMK1.//.ap MMSNW ureu¢®e (�" ��.��•��`Si'�
i
THA• YOU pORytiUR 9USINESSI
f
e
i
i
_
1
=rFt,-c-rig t r:a Sat fpr Z,N22 09:20 Aft BY: Heidi Page of S�
County of Grant
35 C STNW
P.0, Box 37
Ephrata WA 98823
Veiidor: RUSSELL HOSPITALITY INC
DBA: TEN PIN INN It SUITES
1157 N STRATFORD RD
MOSES LAKE WA 98837
Document Number Purchase Order Number Vendor ID
3841. TENPIN
Description:
Emorgency Shelter
Page 1/1
Invoice 0361753
Date 4/5/2022
Shipping Method
Subtotal
MIX
Tax
Freight
Trade Discount
Payment
Total Due
Invoice
Payment Terms ID
Amount
$314.64
�a �� � 31N.loy
ilt,4D
$314.64
$0.00
$0.00
$0.00
$0.00
$0..00
$314,64
Invoice
Par I /i
Invoice 0362099
Date 4/13/2022
Coijol --j of Grant
3 5 (". 5i ,MFW
P.O. Vox 37
Ephrai.ai WA 98823
Vend.air: RUSSELL HOSPITALITY INC
DBA: TEN PIN INN FtSUITES
1157 N STRATFORD RD
MOSES LAKE WA 98837
I
j.kicument Number Purchise Order Ntnyiber
VendorlD Shipping Method PaYment Terms ID
TENPIN
De)Schijtion, Amount
Dent. Eir-A
$745.20
Subtotal
$745.20
Misc
$0.00
Tax
$0.00
Freight
$0.00
Trade Discount
$0.00
Payment
$0,00
Total Due
$745.20
Alyce K. Barrientoz
From: noreply@merchanttransact.com
Sent;:
Friday, March 11, 2022 11:22 AM
To: Alyce K. Barrientoz
Subject: City of Ephrata - Online Payment Receipt
Thank you for your paymentl
This is from a notification only e-mail address, If you have any questions, please contact us using the information below.
_k
Merchant: City of Ephrata
Merchant Address: 121 Alder Street SW Ephrata WA 98823
Hours: 7:30 AM to 4:30 PM
Merchant Contact: ' Phone: 509-754-4601
Email: kchornuk@ephrata.- o[ - g
Merchant Web Site. hat s: psephrata.merchanttr, nsact,xoml
Date: 3/11/2022 11,0,22:08 AM
Description: Utility Bill 006120-000
tustomer Name:
Property Location:
Amount Paid:
Payment Method: Credit Visa
Paynient Reference: ********7139
Authorization Code: CP -17985948
These are the charges you (and your roommate if applicable) may be responsible or at move in.
Rent for 10 days
$451.61
[renters lnsuronce for 10 days.
$4.84
Additional SeCUrity Deposit
$1,000.00
Security Deposit
$460.00
Total Charges
$1,856.4' ct%
MONTHLY CHARGES1,0
These are the charges you (and your roommate if applicable) vrill pray each month,
i
Rent $1,400,00
Renfiee's lnsUrance $15.60
Net Rent
w
Taxable Charge.
Grantee Name: Grant County Lead Grantee List Sub Grantee Names Below Total
Report Month/Year: May 2022 Grant County
New Hope
min
Ad .
, :0
0.0
0
... .: Housrn
n Fac Su ease
h r Re t
Ot a pp �
: _
.. :
Costs.
.. .. :., .
...
00 0
CHG-Rent & Fac support/Lease Costs
$0.00
$0.00
.. .. .. _.. .. .. ..- ... ..,.. .�.... .. ._.._, �..-,., .,. ,.•,. y, a -„<� :ice--. <. ..>t. S .b 3 •v - 1 .a'Ld •T �oa ' WE
;5�yY0
F00 a
mROOM,
r.. d
. �i 'Y
. }, +c' . C S�... ,L�. a .. .R 3 1e•r.
kpY, ..
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054b-111
• VW-111ME
n..l.uo�yw+a.�
M�w.+
.. eeS..
e s
x.
aa ,.��:O
SS.Jy+L
,'J -� _-�,�,j'.3F.��ae
i�s.
.t,. rx-.niar
,. ., .rr.raaf�_,H.r:�
: ,k 4z .ts
.:H.n_.x.�. tY°3a,l..FF a.�tt••44,
, .rt..
dN.HH. .J�.✓
Str..e.�..:.ao.^',s'!3,.n
,,:,P -P... tRy•;f.C q_ b
s!/uic .tkvS,S
� k
o t'v ;�zXn
1' a0l.
0141"Am 0.6
0..'0000s
t. �
Mimi
�
$0.00
$0.00
t
$0.00
�g, ..8'���\�, xFN,ng/RLRH�Ad ° } t `��
MF`n)'Ew �Px'�t�V w' ,%t�i1.�.':On"Now
0
0.00
HotelL�easing/55� RR\HOpe�a�ons n������,��m
.�, s .. „a, r . a Z „An, t..:, waF A2,3 f`laim '41W✓>..�'�.,. N ,r,) .tiy d... n.a, �.,u« Ste.rt.�. M1 a�s..� t,' h �.� <rb. , ,M.
0
$ 0.00
5 \^
�'��`
Hot'elLeasingws�°R,,.. �� ,�,a
867.28
$ 8 / . 8
i..r...... 'A `ax. 1 i nG s ,ay 4.,. a t �� %, �a �.t 'E , S
: r �, ����
RPnt:f'�r, Ranicl�RFPk,Housin��,f�����:.������M���m�;��E;a���,
17891$1
789.00
I I I I I Invoice Total 1 1 $2.,656.281
Grantee Name: Grant County Lead Grantee List Sub Grantee Names Below
Report Month/Year: May 2022 Grant County
NPw HnnP BUDGET
Admin:
$0.00
. ther Rent/Fac Supp Lease &Hou ung
CHG O'
$0 00
$0.00
....
CHG-Rent & Fac support/Lease Costs
$0.00
$0.00
$0.00
c«. ova g'R "^d:;` c a ,. ga .r,. - r.: t <2' ', :A'.u.' •: `.iw' � : d w ., y �.nr - vim.+y ... - . � �, ,.
3 ' � Mi� v' grt.$�F:$P �rr'k`�' ��•�e'.s{'.rl� ti,. a^t � Fl s � L 'E � � O�OOy i .
..-ty
PSH/xCHFFc�liS,u ort/LeaseCo`sts s_, �.. �$ x
m.. yR��. y, �, V .., ... ;. �'�i� ti� �� hi": Y>=6•"rv�,. R..C4; u_.: y&:i'~J�R �.wt�rT e.:ijt \tp,��}�ii '��`"�,. •y`� �,},. :ca rsw
R _.S. y�" `k93�L '.yy o '�.1•i aC�r i. ., � g y_ +�g"'
N< 1 <
P H FOt er"RenuFa Su Lease& Hos KIR $Q 00 1 k;
.�.. 4. �...�.z ..��.
'�
.•x,,s ',�e�ru� ,.r:'>».tt '�� r .:lv�,`„-k.. - .._,. ,,, �:�
PSS/CHFtO e'`rations
� s aa,�ti' �z � dame :"a �,,;
$0 .oy; .. t a
j
e ;
�...:i1 ��4.
-------- -----------
H;otelLeasin
--- $12,000.00
o' a uuEt ash i:° f �, a s` It QST u ..
HotelLeasin' /..<R.Ri.'O erat�o,ns,'ry�, V,�
$9,000.00
Hot
$15 300.00
,
.:� .• 6 , . 4 w$45
ent.fo,r'Ra id, .,_p sing
, 000.00
$81,300.00
Jan -22 Feb -22 Mar -22 Apr -22 May -22 Jun -22 TOTAL OF BALANCE
$0.00
$0.00
$0.00
$1,222.00
Invoice Tota $1,222.00
$0.00 $0.00 $0.00
$0.00 $0.00 $0.00
$0.00 $399.26 $1,170.24 $867.28
$0.00 $2,820.67 $4,714.66 $1,789.00
$0.00 $3,219.93 $5,884.90 $2,656.28
$0.00 $12,983.11 $68,316.89
REMAINING
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$12,000.00
$0.00
$9,000.00
$2,436.78
$12,863.22
$10,546.33
$34,453.67
$0.00 $12,983.11 $68,316.89
• ,� ,. :. ... t - -..� � .' .., .. a-. r. � '., � -
nvol ce,
County of Grant
35 C ST NW
misc.
P.O. Box 37
Tax
Ephrata WA
48$23
Vendor:
BEST WESTERN RAMA I RN
$0,:00
1818 BASIN ST SW
$0 00
EPHRATA WA 98823-
DocumeLnt Wh b it ^Pu' clia a Oder y 'k ,
_. __...__._..._.....__� Number'M Venct77
ar I
042522-A.T BWRIN
Description;-. --_
Emergency+ helter
Page 1 /1
Invoice 0364519
Date 5/12/2022
Pa +met ht Terms €
Arnountil
$3218-841
Subtotal
$328.8
misc.
$O:QQ
Tax
$0.00
Freight_$0.'00
Tr400 D stount
$0,:00
Payment
$0 00
Total Dui
Page 1 /1
Invoice 0363345
Date 412812022
County of Grant
35 C SY NW
P.G. Box 37
Ephrata WA 988Z3
Vendor: JaV INVESTORS LLC.._
DBA,, ECONO LODGE
316 S PIONEER WAY
MOSES LAKE WA 98837
Document Number Purc,"hase Order NUMber Vendor ID Shipping Method
PaYment Terms ID
!042222 -MH
i7
ECONL
Amount
CUlent EFA
$1,789.00
Subtotal $1,789,00
Misc $0.00
Tax $0,00
Freight $0,00
Trade Discount $0.00
Payment
Total Due
b b
nvolce
Page 1 / 1
Invoice 03639,85
Date 516/2022
County of Grant
35 C ST NW
P.O. Box .37
Ephrata WA. 98823
Vend -or: MELVA LANE LLC
DBA: QUAILITY
449 MELVA LANE
MOSES LAKE WA 9883.7
Subtotat
$538.44
mist
$0.00
'Tax
0000
Frel.9n.l.
$0-i,00
Trade Discount
$0.90
Pay'ment
$0,,00
Totat Due
$53 .44
Grantee Name: Grant County Lead Grantee
Report Month/Year: May 2022 Grant County- RENEW
Renew BUDGET
Admin
$0.00
CHG Other Rent/Fac Supp Lease & Hausing.` $0 00
Costs
CHG-Rent& Fac support/Lease Costs
$0.00
mom
.,� ..�.
c. ;\: ; .::Y: .� ,� .wA.� :� a. �1en� s .,�.. 7`�' :,rfr` * �:`'`.`�•�+"43� Ft's''Sr fi {. s ; . s.;� 't.: !: �T.fiv.� 'i L �'`''�v` �E;,.�;sa. -�-, . ���-,wayi=:� .,.. .r k is, r. .S"`'" .. "�.s.
PSH :CHF FciliSu ort Lease Costs - ; x .,F'WAS.
4a�.,r s.� �'�_.� ��`�a �„�.�.-�r���. "F 1'�� 3t` '��}"�3 ��'. �3-� �r,�.5
PSH CHF Other Rent jFa�uLease &Hous�k� . $A00 ��
� r' 'r'e ., - �'fi�€.;
r .�IS
PSH%CHFjO erations k �. , : $0 0.0
$o.00
$6,o0,
i
a�. ,� �..r�atr�i�.`"i t,�a :
HoelLeasi_�ng/RRHh;Operations A��;`�`
Rentfor RapidRe;.Housin'g}b``;s��^t
$ 1,500.00
$2,500.00
$10,000.00
$0.00
$14,000.00
Jan -22 Feb -22 Mar -22 Apr -22 May -22
$0.00 $0.00 $0.00 $0.00 $270.22
Jun -22 TOTAL OF
:BALANCE .
:REMAINING,'
$0.00
$0 .00:,
$o.00
$6,o0,
$0.00:
$0:00`;
$0 .00
o oo'
$0.00.
,, $ 00.0 ;
. 0
00
0.00'
$0.00
t
Invoice Tota $0.00 $0.00 $0.00 $0.00 $270.22 $0.00 $270.22
em -
0 Iti
N
B04L AW%L A -"A
IAel IN;Ww
Or -ant Behavloml Health 6 Wellness
Hotel Leasing Grant
CONTRACT # 22-46108-10
Date: Account
Staff
May -22 108.150.00.0000.564.00.1100
108.150.00.0000.564.00.2100
108.150.00.0000.564.00.2200
108.150.00.0000.564.00.2300
108.150.00.0000.564.00.2301
108.150.00.0000.564.00.2400
108.150.00.0000.564.00.2599
Salary & Benefits
108.150.00.0000.564.00.4502
192.95
108.150.00.0000.564.00.4502
77.27
Total Operating Exp
270.22
Total SALARY/BENEFITS-0
27012
DA*o' MaY 063 2022
ROOm Number -, 207
Ott
I agree to pay above total am011nt according to card Issuier agreernent,
(Merchant agreement if Credit Voucher)
Retain thIS Copy for your records,
Card Typo
IM11
Masked Card Number
VISA
Confirmation No
436SADeala
Entry Mode
Chin
Chip Read
Guest Name
Transaction Typs
GRIS CRISIS
Approval Code
005285
Status
CREDIT
-
Total Amount
APPROVED
$77.27
Mode: Issuer
AID
A000000003jojo
Transaction Type: Salo
TVR
8000008000
Terminal ID: 2641265001
1AD
06010AOSAW00
T81
6800
Ott
I agree to pay above total am011nt according to card Issuier agreernent,
(Merchant agreement if Credit Voucher)
Retain thIS Copy for your records,
Ir
rid.
MOTEL 6 - MOSES UkKE
F 2022 DrIggs Drive, Mc)ses Lake 98887 HU
5097660260
M64365bo@6franohlso.com
RA-1c."Welpt
Mode: Istsuor
Transactlan Type.,, Safe
Terminal ID.- 2541965001
DWO: May 20, 20^2
R00m Number: 124
I agiffi,".,wto pety above total amount accoi ding rlt ,
(Me.-WO-hallf agreement III Credit Voticher) issuer agre. ernent,
f016--tditl this copy for your records.
LEa w owt
MERCHANT ("' OPY / 0-WTOMER COPY
Oard Type
VISA
lWasked Cord Number
XXXXXXXXXXXXX147.'.i
Entry Mode
C'1plip R ea. --I
Approval Code
020878
4 a W
Mn T I PC llligillillimn -'R T Al
Mode: Istsuor
Transactlan Type.,, Safe
Terminal ID.- 2541965001
DWO: May 20, 20^2
R00m Number: 124
I agiffi,".,wto pety above total amount accoi ding rlt ,
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State Department of Commerce
COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM
CIVIL RIGHTS CERTIFICATION
For CDBG-CV Grantees and State Subrecipients
Q
GRANTEE/STATE SUBRECIPIENT NAME
CDBG-CV CONTRACT NUMBER
20-6221 C-111
Grant County, WA
GRANTEE/STATE SUBRECIPIENT ADDRESS
CERTIFICATION DATE
PO Box 37
Ephrata, WA 98823
06/28/2022
Community Development Block Grant —Coronavirus (CDBG-CV) local government grantees and state
subrecipients must meet federal and state civil rights requirements that promote equal opportunity,
nondiscrimination and accessibility with CDBG-CV funded activities. These primary laws are located in
the CDBG-CV regulations (FR -6218-N-01), CDBG regulations (24 CFR 570 Subparts I and K),
Washington State CDBG Management Handbook, and CDBG-CV contract terms &conditions.
This certification must be signed by the chief administrative official, or representative also authorized to
sign contracts on behalf of the CDBG-CV grantee/state subrecipient named above. It certifies that the
CDBG-CV grantee/state subrecipient has reviewed and complies with the following civil rights laws and
requirements.
EQUAL OPPORTUNITY AND NONDISCRIMINATION
Title VI of the Civil Rights Act of 1964
This Act requires that no person shall, on the grounds of race, color or national origin, be excluded
from participation in, be denied the benefits of, or be subjected to discrimination under any program
or activity receiving federal financial assistance.
• Restoration Act of 1987
This Act restores the broad scope of coverage and clarifies the application of the Civil Rights Act of
1964. It also.specifies that an institution, which receives Federal financial assistance, is prohibited
from discriminating based on race, color, national origin, religion, sex, disability, or age in a program
or activity which does not directly benefit from such assistance.
• Section 109 of the Housing and Community Development Act of 1974
This section prohibits exclusion from participation in (including employment), denied program
benefits, or discrimination on the basis of race, color, religion, national origin, sex, age or handicap.
ACCESSIBILITY FOR PERSONS WITH DISABILITIES
• Americans with Disabilities Act of 1990 (Public Law 101-336)
The Americans with Disabilities Act (ADA) requires certain federally funded facilities to meet
standards that insure accessibility and use by physically handicapped people, and provides
comprehensive civil rights to individuals with disabilities in the areas of employment, public
accommodations, services and telecommunications.
Section 504 of the Rehabilitation Act of 1973
Section 504 prohibits discrimination on the basis of handicap under any program or activity receiving
Federal financial assistance.
2/10/2022
FAIR HOUSING
Title VIII of the Civil Rights Act of 1968
Known as the Fair Housing Act, this Act prohibits discrimination in housing on the basis of race, color,
religion, sex and/or national origin. This law also requires actions which affirmatively promotes fair
housing.
Fair Housing Amendment Act of 1988
This Act amended the original Fair Housing Act, provides for the protection of families with children
and people with disabilities, strengthens punishment for acts of housing discrimination, expands the
Justice Department jurisdiction to bring suit on behalf of victims in Federal district courts, and creates
an exemption to the provisions barring discrimination on the basis of familial status for those housing
developments that qualify as housing for persons age 55 or older.
• Executive order 11063
This Executive Order prohibits the discrimination in the sale, leasing, rental, or other disposition of
properties and facilities owned or operated by the federal government or provided with federal funds.
CIVIL RIGHTS DOCUMENTATION
Documentation of civil rights compliance includes the CDBG-CV grantee/state subrecipient's written
policies/procedures and specific actions that ensure equal opportunity, nondiscrimination and accessibility
with programs/activities receiving federal financial assistance, employment, and communication.
Documentation also includes information and data on persons assisted with CDBG-CV funds, employed,
or requesting accommodation.
MEMO EMMENNUM MEMO MMMMMMNMMMMEMMMMM ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ Nonni
I, the undersigned chief administrative official/authorized representative for the CDBG-CV grantee/state
subrecipient named above, certify CDBG-CV funds are used in compliance with the civil rights
;requirements of the CDBG-CV program; and
I confirm documentation of this compliance will be maintained and made available upon request.
Sig nat re/Authorized Official
ate
Danny E Stone Chair
Printed Name Title
2 2/10/2022