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Home My WebLink AboutAccounts Payable Batch - AccountingPayable batches audited and certified by the auditing officer as required by RCW 42.24.080 and those expense reimbursement claims certified as required by RCW 42.24.090, have been recorded on a listing which has been made available to the Board: As of this date, 11/1512022 the Board, by a majority vote, does approve for payment those payable batches Payable Total- 817.97 Reviewed and certified by:-, -. Commissioner Commissioner Chairman of the B " of Commissioners ......... Date: 11/15/2022 Invoices/Batches not approved: Double Checked by: Date; Ali BATCH 1D.- GGEMG 11/1512022 Grant County Claims Clearing Account - 9291 Name FUND AMOUNT CURRENT EXPENSE 991.409. COUNTY ROADS 101 CARES AOT - ELECTIONS 102 VETS ASSISTANCE 194 NAVA 3 ELECTIONS 144 FEDERAL DRUG 147 $ 817.97 $ w $ _ - ' $ MENTAL HEALTH 148 81 ST DRUG SEIZURE 109 LAW LIBRARY 110 TREASURER O/M 111 JAIL CONCESSION 11 ECON ENHANCMNT 113 TOURIST ADVERT 114 COUNT`( FAIL 114 [NET INVESTIGATION 118 PROS CRIME VICT 120 LAW & JUSTICE 121 TURNKEY LIGHT 122 AUDITOR O/M 124 $ 1,635.94 $ - $ 1,635.94 $ 1,635.94 $ $ 1,535.94 DD RESIDENT PROD 125 $17.97 R.E.E.T. 'Ist 114% 126 TRIAL COURT IMPROV. 127 DOM VIOL SRVCS 128 AFF HOUSING 129 HMLS HS LOC 130 IEEE i' 2nd 114% 1 Econ Etch. Rural Co 133 Dispute Resolution 136 Building 138 REST Admit, 139 SHERIFF SURPLUS 140 'SHB 1406 141 GC ABATEMENT 150 HILLCREST CRIB? 151 GRANTS ADMIN. 190 ARRA 191 AOC✓ BLAKE DECISION 192 MUSEUM CONTRUCTION 344 MACC Bond 347 MCKINSTR.Y ESSE( TION 348 COUNTY .FAIR SEWER 309 PROP 'I SALES TAX 311 ERP RESERVE 31 SOLID WASTE 441 DATA PROCESSING 541 INSURANCE 543 INTFUND BENEFITS 545 UNEMPLOY COI►+/1P 544 DENTAL INS. 547 OTHER PR BEN. 548 VISION BENEFITS EQUIP RENTAL 549 514 COMMUNICATIONS .511 PITS & QUARRIES 544 TOTAL. TRANSFER. 81 Z .PYAUEZ RENEW111022RG CHECKS: VOIDED. BATCH JOURNAL ENTRY: TREASURER NOTIFIED: POSTING COMPLETED BY, 604030 PMCHK CREDITS PMTRX 7.97 $ 817.97 $ w $ _ - ' $ $ 1,$35.94 $ r $ 1,635.94 $ .w $ w. $ w $ - $ - - $ $ ^ $ - $ $ 817.97 $ 817.97 $ 1,635.94 $ - $ 1,635.94 $ 1,635.94 $ $ 1,535.94 $17.97 $ 1,635.94 $ $ 1,535.94 7.97 RENEW111022RG System: 11/15/2022 8:33:41 AIM County of Grant Page: 1 User Date: 11/15/2022 CASH REQUIRE14ENTS REPORT User ID: nayanez Payables Management Ranges: Vendor !D: 1 - zzzzzzzzzzzzzz Vendor Name: First - Last Vendor Class: First - Last User -Defined 1,, First - Last Sorted By: Vendor B Payment Priority: First - Last Due Date; First - Last Discount Date: First - Last Payment Date: 11/30/2022 L I - Vendor ID Vendor Name Document Document GL Account AdounL On Hold Total Number Date ---------------------------------------------------------------------------------------------------------------------------------------------------- GMT Ptvl :FILERS KITOX -1-1c 12533429-1 11110/2022 108-150,00-0000,564004502 $817.fl $0.00 $817.97 -------------- ------------- -------------- TOTAL SDR FUND 108 $817.97 $0.00 $817.97 ------------- --------------- -------------- GRMID TOTAL $817.97 X0.00 $817,97 System: 11/15/2022 8:354-10 AH County of Grant Page: 1 User Date: 11/15/2022 COINIPUTER CHECK R' EGISTER User ID: nayanez., Payables Management Batch ID: RENEW111022RG Batch Comment: ClIrleckbook ID: U. S. BANK " Voided CIlecks Audit Trail Code: PMiCHKO0003088 Posting Dat -e: 11/15/2022 Check Number Date Paynent Number Vendor ID Check are Amount ---------------------------------------------------------------------------------------------- ----------------------------------- 92,01604030 11/15/2022 0206874 GMT -RM EILERS KNOX.11c $817.97 ----------------- Totcal Checks: 1 Checks Total: �817.97 System: 11/1012022 3:06,40 PM County of Grant Page: User Date: 111/1012022 PAYABLES TRANSACTION EDIT LIST User ID: rgonzales Payables Management Batch ID: REN EW1110 RG Batch Comment: TAP Housing Batch FreqLienGy: Single Use Trx Total Actual: Trx Total Control-, 1 Audit Trail Code: hatch Total ACWal: $817-97 Batch Total Control: $817.97 Batch Error Messages: Posting Date., 11/10/2022 D' ..odurnen -Vendor t Number". '.'D0'cU.m6nt Datb, V&uch& -Num'ber'": _Pur0a' s',, ment Totd.1 ocu' 1. 0111-1,1111.1 err T -pq. Di cAvaiI_.-. GMTPM 12533429-1 11/10/2022 0376752 $817.97 $817-97 ElLr=RS KNOX Ila Description Tap Housing- 12533429 Payment Information Checkbook/Card Payment Number Document Date Amount Check 0/010000 $0.00 Distribution Messages: Work Messages: . General Ledger Distributions Account Account Description AccountType 108.150.00,,0000.564004502 MENTAL HEALTH,.. EMERGEt PURCH 692.001.00.0000.211000000 �J\IARRANTS PAYABLE PAY Debit Amount 817.97 0.00 817.97 Credit Amount 0.00 817.97 817W Go( 12- 0 e n , -I" - es r -, w OronL, Behavloral U Wellness, -4 1 g!" /_7 Namer, DatexSrr a Xtem(�s) Requested (include a photo if you need a specific item),ll It 00 Funaing Source., If known: ........... LI -A Supervisor"s Signature t Date �2 CO - Amerigroup Foundational Community Supports Tranon Assistance Prograirl Participant Agreement I The Foundational Community Supports Transition Assistance Program (FCS TAP) gives funding assistance to FCS supportive housing enrollees. This time-limited support covers costs tied to your person -centered supportive housing plan. Costs linked to your transition will be paid by your FCS supportive housing provider. Then,, your F supportive housing provider will be reimbursed by Arnerigroup Washington, Inc., the program's third -party administrator. All FCS TAP approvals depend on available program funding, FCS TAP offers move -in assistance by paying first and last month's rent, security deposit, and other costs related to getting or keeping affordable housing. FCS TAP does not pay on i goi . ng rents.. Speak with your provider to exp .lore lore longer-term rental subsidies that may be available to you, All FC5 TAP disbursements are sent to your FCS supportive housing provider and delivered by the provider to recipients (i.e., a landlord, property manager, local retailer, and others). All items purchased with FCS TAP funding can only be used for their intended purpose. It Is optional to take part in FCS TAP. If you decide not to take part In the program, you will not be penalized in any way. Nor will you lose the FCS services YOU, are eligible to receive as an Fs enrollee. EligibUity and other considerations: 1) Tobe eligible for F TAP, you must* Be actively receiving FG -eligible Medicaid, Be enrolled In FCS supportive housing services., and Identify as having a behavioral health need. FCS TAP funds will be paid directly to your landlord or another entity giving you housing - related goods or services. Neither YOU nor Your provider will receive compensation from the FCS TAP fund for taking part in the program. Your provider will deliver all FCS TAP payments directly to the recipient. Note: If you need to sign documents upon payment, consider joining your FCS provider as they deliver FCS TAP funding. 2) FC5 TAP payments won't alter, change, or affect any financial responsibility or obligation for Medicaid benefits. 3) This agreement does not give you the right to request an administrative hearing. If fundlingis not approved or is stopped, you have the right to follow your provider's grievance process,. Ask your FCS provider for more information about this process. 1041147WAMENABS 04/22 4) Receiving FCS TAP assistance will not affect your right to request an administrative hearing related to Medicaid programs, Including FCS services, Review I . then sign: I understand if I am no longer receiving FCS -eligible Medicaid benefits, then I am no longer approved to receive FCS supportive housing services. or, if I choose nOt to takepart in FCS TAP, then I will not have access to FCS TAP funding. I understand FCS TAP funding help is linked to the eligible FCS supportive housing enrollee and any co -applicant I Icant for an apartment does not have rights to FCS TAP funding unless they are also eligible to take part in the program. I also Understand my FCS provider will deliver all FCS TAP payments to the rightful recipient, As the FCS supportive housing enrollee, I am responsible fort e entire costo my housing unless I am approved to recelve longer-lerm,rental help from another entity. Enrollee name (Print) Enrollee signature Date Legal guardian/Durable Power of Attorney or client representative Date - - - -- ---------- ff FCS provider p�Ugram sta 9I nature Date Note. This document does not need to be sent to Arnerigroup but should be kept in the FCS supportive housIng enrollee's treatment record, Tenant Ledger Tenants: Brenda Hemandez Phone: (509) 237-1486 Unit: 6 Property: 42 G St SW Ephrata, WA 98823 Status: Current Move in date: 02103/2021 Move out date: - Leese Expir-aflon: 05/01/2021 Rent: 695.00 Deposit Paid: 575.00 DatePayer Description Charges Payments Balance Starfing Balance 11/01/2020 Security Deposits - Move In Charge: Security Deposj7ts 575. 00 0. 00 575.D0 02/0112021 Rental Incomel 0 1 - Febwary 2021 595.00 1,1170.00 02/03/2021 Brenda Hernandez Payment (Reference #1:373) FES 595.00575-00 02123/2021 Brenda Hernandez Payment (Reference 9625 x74) S from Summers 575-00 0-00 0310,112021 Rental, Incornel 01 - March 2021 595.00 595.00 04101/2021 Rental In rel 01 - April 2021 595.00 10190.00 04/0512021 Brenda Hemandez Payment (Reference *cash) March/ April 920.00 270.00 0A/0812021 Brenda Hernandez Payment (Reference trash) April 20-00 250.00 05/01/2021 Rental Inconel 01 - May 2,021 595-00 8A.&OO 06/01/2021 Rental f ncomel 01- June 2021 595.00 11440.00 0710112021 Rental Inco mel 0 1 - JUly 202*1 595.00 2,035.00 0710212021 Brenda Hernandez Payment (Reference #1006) Ap d) Rent 300.00 1 t735.00 08101/2021 Electricity & Gas - Utility charge for Electric from 05/2112021 to 0612112021 16.10 1,751.10 0810112021 Rental Incomel0l -AugList2021 595.00 2,346.10 0910112021 Electridity & Gas - Utility charge for Electric ftom 0612112021 to 0712112021 14.47 2,360.57 09101/2021 Rental Incornel 01 - September 2021 625.00 2,98&57 1010112021 Electricity & Gas - Utility charge for r1ectric, from 07122/2021 to 0812012021 14.74 31000.31 1010149-021 Rental Incomel 01 - October 2021 6175.00 3,625.31 1012012-021 Brenda Hernandez Payment (Reference #27594108832) May Rent 200.00 31425.31 11101/2021 Rental Incomel 01- November 2021 625.00 4"X050.31 11101/2021 Electricity & Gas - Uflity charge for Electric from 08121/2G21 to 09121)2021 9.27 41059-68 1112912021 Brenda Hernandez Payment (Reference #27594110935) May June Rent 521 .00 3,539.58 12/0112021 FlectficRy & Gas - U1111ty charge for Elemic' from 091211202-1 to 10/22112021 7.79 31547.37 Created on 11107/2022 Page I Tenant Ledger Date Payer Desorliption, -1111. ., . Charges I -_ 1 1-11- Payrolants', __1. _ Balance 12101/2021 Rental Incomel 01 - December 2021 625.00 4,172.37 1212W2021 Brenda Hernandez Payment (Reference. #169396) Jure -October rent (Houdin g Authority) .2,830.00 1,342..37 12/270.021 Brenda Hernandez Payment (Reference #169396) Nov 2021 -March 2022 Rent (Housing 31125.00 -11782.63 Authority) 12127120.91 Brenda Hernandez Payment (Reference #169396) May 2021-8ept 2021 UbIffies (Housing 62.37 -11848,00 Authority) 01101/2022 Eleddcfty & Gas - Uti[Ity charge for Electric from 1012212021 to 1111912021 7.97 -1,837.0$ 0110112022 Rental Income] 01'- January. 2022 625.00 -1,;212.03 02/01/2022 Electricity & Gets - Utill fy charge for Electric from 1112012021 to 1212112021 9.44 -11202.59 02/0112022 Rental Incomel 01 - February 2022 625-00 -677.59 0310V2022 Electicity & Gas - Utility charge for Efactdc from 12IW2021 to 4112112022 9.12 568.47 0310112022 Rental Incomel 01 -March 2022 6^25.00 56.53 03/1612022 'Brenda Hemandez Payment (Reference #19-348480349) March Rent & Uti 111fles 75.00 -18.47 04/01/2022 ElectrIcIty & Gas - Utility charge for Electric from 01/22120422 to 0212112022 8.39 -1 0.08 04%0112022 Rental Incomel 01 - April 2022 625.00 614.92 04/1312022 Late Fees - 411-4/12 100,00 714.92 04PI 812022 Brenda Heman& Payment (Reference #28008204658) April Rent 400,00 314,92 05101/2022 Efectrfc1ty & Gas - Utility charge for Electric from 0212112022 to 0312112022 8.42 323.34 05101/2022 Rental Incomel0l - May 2022 625.00 948.34 06/0112022 Electricity & Gas - Utility charge. for Electric from 0312112022 to 0412112022 9.07 957..41 06/0112022 Rental Incornel 01 -June 2022 695.00 11652,41 0610912099 Brenda Hernandez Payment (Reference #171086) Housing Authority Assistance 3,478.81 -1)826,40 0710112022 Electricity & Gas - Wit charge for Electifir, from 0412112022 to 05120/2022 ry 8.27 -1,818.13 07/01/2022 Rental Incomel0l -July 2022 695.00 -11123.13 0810IL7022 Electric/Gas Pass Thru Income - Utility charge, for Electric from 05120120022 to 7.32 -1,115.8`I 06121.12022 08/0112022 Dental Incornel 0 1 - August 2022 695.00 -4290-81 09/01/2022 Electritc/Gas Pass Thru Income - Utility charge for Efect6c from 06122/2022 to 6.49 -414,32 07121/2022 09/01/2022 Rental Incomel 01 -September 2022 695.00 280.68 0910612022 Late Fees -tate Fee for Sep 2022 50.00 330.68 09115/2022 Late Fees - Late Fee of 10.00 per day: 0910712-022 - 091'1612022 90.00 420.68 0911512022 Brenda Hernandez Payment (Reference #2.8008218946) September Rent 365.00 55.68 1010112022 EleetrfcfGas Pass Thru Income - Utility charge for Electn'o torn 07/2112022 -to 6.42 62-10 0811912022 10101 12022 Rental Incomes 01 -October 2022 695,00 757.10 Created on 1110712022 Page 2 Tenant Ledger Date Payer - Description .. .1 . -1 11 . . - 11 -1 - - . I. - . I—— .... , . . , I 1010312022 Brenda Hernandez Payment (Reference #28008219565) October Rent Charges Payments Balcance 11101 1,92022 710.00 47.10 Electilc/Gas Pass Thru Income - Utiffity charge for Eflectric from GB/2012022 to &25 56.35 0912112022 1110112022 Rental Incomel 01 -November 2022 69 5.00 750.35 11106/2022 Late Fees - Late Fee for Nov 2022 50.00 800-35 1110712022 Late Fees - Late Fee of $10.00 per day.- 1110712022 _..1110712022 10.00 810.35 12101120.22 ElectriclGas Pass Thru Income - Utiffty charge for Efedric from 09/22/2022 -to 7.62 8174,037 10/21L2022 Total 817.97 Created on 1110712022 Page 3 Form w_=9 Request for Ta a: . er (Rev. October 2:01 !J183) Identification Number and Certuffication. =merit of the Treasury n !n Treasury 1 Revenue-�S'mice tO" GO W Wv/V`/"`*/�"'.z�.gov/Foi7ni4�9 for Fq the fatejr,,,,vo M-,, ;6otic,,n. struoUons ai I Name (as shown an your income t'aftx �retum)5, Name is required ort lthis llin�o_Fl�eave_ f�hls� e; do n 1416 blanK7 P) 2 SuAsiness name cilsr, MY, name, I -diffe—re—ri I "rom above Give Form to the reAuesWr. S%id to the IRS. r -Z 3 Check SPP 0 riate bDX for federal taX ClaS' C' sff 1 ation of the pe on wh Q anarneisery nllnel� ori cat the M following se en boxes. ne - 4 Exemptions M codes apply only to CL FC certain antro es, not individuals; see r- .0 IndividuaYsole proprietor or El C Corporation El S Corporation El Partnership 0 Trust/esta Instructions on fee). 0 single -member LLG E)(emPt Payee code (if any) Limited liability company, Enter the tax classification((Ia=C corporation, S_ ii corparation,P=PartnershIp)R. Note: Check the appropriate box In the fine above for the tax clagsific ation of the single -member owner. Do not check Exe(if ion from FATCA re orting -is LLG if thae LLO is classified as a single -member LLC that is disregarded from the owner unless the owner of the LLC codany) P another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single -member LL that Is disregarded from the owner should check the appropriate box for the tax,. classification of its owner. El Other (see instructions) 10- (*Allam 10 Pc --0099; matntalhad autside 6 Address (number,,, street, and apt. or sulte no.) See InstcUons.--------- 0 Requester's name and address (optional] A-v.L 6 Guy,, state, and ZIP code 7 List account n-umbii(s) here '(Optional] I axpayeer Idenfificafl I ='B"Nowo lon", Number (TIN) Enter your TIN in the appropriats box. The TIN provided must match thh-e name given on line 1 to avoid backup withholding. For individuals tthis Is generally your social security number (GSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions tar Part 1, later. For other entities, it is your employer Identification number (EIN). If you do not have a number, see How to get a TIN, Inter. Note: If the account is in more than one name, see the instructions for line 1, Also see What Afame and Number To Give the Requester for guidelines on whose number to enter, -- ---------- __ Social secutribi nur-414tor Mi cation nurnber Under penalties ot perjury-------- I certify that: 1. The number shown on this formIs mY correct taxpayer identification number (or I am wafting for a number to be issued to me), and 2. 1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Intemal Revenue Service (IRS) that.( aM subject to backup withholding as a result of a fallure to report all interest or dividends, cerci the IRS has notified me that I am no longer subject to backup withholding; and S. I am a U.S. citizen or other U.S. person (defined below); and 4. The FAT -CA code(s) entered on this form (if any) indicating that I am exempt. from FATCA reporting' correct. Certification instructions. You must cross out item 2 above if you have baen notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dMidends on your tax return. For real estate transactions, Item 2 does not apply. For mortgage interest paid, acquisition,or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (18A), and generally, payments other than interest and dividends, you are not required to -sign the certification, but you must provide your correct TIN, See the instructions for Part 11, la - ------- ter. Kull Signature Here U.S. Person Ueneral Insotructions ID Form 1099 -DIV (dividends, Including those from stocks or mutual Section references are to the I Memal Rcevenu6 bode unless otheNlise funds) noted. Form 1099-1 ISO (Various types of income, Prizes, awards, or gross Future developments, For the latest information about developments proceeds) related to Form W-9 and its instructions, such as legislation enacted Form 1099-B (stock or mutual fund sales and certain other after they were published, go to wWw,1rsgov1FormW9. transactions by brokers) Purpose of Form Form 1099-S (proceeds from real estate transactions) An individual or entity (Form W-9 requester) who is required to file an information For 1099-K (merchant card and third party network transactions) Form 1098 ((tome mortgage interest), 1098-E (stude return with the IRS must obtain yourcorrect taxpayer Identification number (TIN) which may be your social security 109B -T (tuition) nt loan interest), number (M), individual taxpayer Identification number (ITIN), adoption Form 1099-C (canceled debt) taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount to A ,DFaun 1099 - (acquisition or abandonment of secured property) Use paid you, or other amount reportable on an Information return. Examples of information Form W-9 only if you are a U.$. person (including a resident alien), to provide your correct TIN. returns include, but are not limited to, the following, Form 1999w11 T (interest earned or paid) Ifyou do not return Form W-9 to the requester with a TIN, you might Cee subject to backup withholding. See What is backup withholding, layer. Cat. No. 10231X Form '01-9 (Rev. 10-2G1 B)