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Accounts Payable Batch - Accounting
by RcW 42.24.080 and those and certified by the auditing officer as required batches audited. a required . by RcW 42.24.0901 have been recorded on a payable rtified as I expense reimbursement claims ce Listing g -ch has been Made availabie to the Board,- *stin which 23 the Board, by a majority vote, does approve for payment those payable. batches As of this date, 01106/20- payable Total'. 460.00 Rev and. dertified by. s sionn" , Com mIssi 0one the Board of commissioners Chairman Date: te: 1/6- /2023 vo-ces/13gtches not approved in 1 Doubts Checked by; AP BATCH IIS: GCEMG1/6/2023 Grant County Claims Clearing Account 9201 Name FUND AMOUNT CURRENT EXPENSE 001 .000. COUNTY ROADS 101 CARES ACT - ELECTIONS 102 VETS ASSISTANCE 104 HAVA 3 ELECTIONS 106 FEDERAL DRUG 107 MENTAL HEALTH 108 460.00 ST DRUG SEIZURE 109 LAW LIBRARY 110 TREASURER O/M 111 JAIL CONCESSION. 112 ECON ENHANCMNT 113 TOURIST ADVERT 114 COUNTY FAIR 116 INET INVESTIGATION 118 PROS CRIME VICT 120 LAW & JUSTICE 121 TURNKEY LIGHT 122 AUDITOR ON 124 j DD RESIDENT PROD 125 R.E.E.T. 1st 1/4% 126 TRIAL COURT IMPROV 12.7 DOM VIOL SRVCS 128 AFF HOUSING 12.9 HMLS HS LOC 130 REST 2nd 114% 132 Econ Enh. Rural Co 133 Dispute Resolution 136 Building 138 REET Admin 130 SHERIFF SURPLUS 140 SHB 1406 141 GC.ABATEMENT 150 HILLCREST GRID 161 GRANTS ADMIN. 190 ARPA 191 AIOC BLAKE DECISION 192 MUSEUM CONTRUCTION 304 MACC Bond 307 MCKINSTRY ESSENTION 308 COUNTY FAIR SEWER 309 PROP 1 SALES TAX: 311. ERP RESERVE 312 SOLID WASTE 401 DATA PROCESSING 501 INSURANCE 503 INTFUND BENEFITS 505 UNEMPLOY COMP 506 DENTAL INS. 507 OTHER PR BEN. 508 VISION BENEFITS 509 EQUIP RENTAL 510 COMMUNICATIONS 511 PITS & QUARRIES 560 TOTAL TRANSFER: $ 4 AP COMPLETED BY: N.YANEZ JOURNAL ENTRY: TREASURER NOTIFIED: POSTING COMPLETED BY: CHECKS: VOIDED: BATCH PMCHK CREDITS PMTRX 920.00 RENEW010123RG $ 460.00 $ 920.00 $ - $ 920.00 RENEW010123RG $ _ $ _ $ $ - $ $ _ $ $ - $ $ 460.00 $ 920.00 $ - $ 920.00 $ 460.00 $ 920.00 $ - $ 920.00 $ 460.00 $ 920.00 $ - $ 920.00 System: 1/6/2023 2:17:43 PM County of Grant User Date: 1/6/2023 CASH REQUIREMENTS REPORT Payables Management Ranges: Page: I User ID: nayanez Vendor ID: I - zzzzzzzzzzzzzz Payment Priority: First - Last Vendor blame: First Last Due Date: First - Last Vendor Class: First Last Discount Date: First - Last User -Defined 1: First - Last Payment Date,. 1/31/2023 Sorted By: Vendor ID Vendor ID Vendor Name Document Document GL Account Amount On Hold Total Number Date ----------------------------------------------------------------------------------------------------------------------------------------------------- MO I S M ISM L MORENO 12542257 01.01.23 1/6,/2023 108.150.00.0000,564004502 $460.00 $0.00 $460.00 -------------- ------------- _-_____--_____ TOTAL FOR FUND 108 $460.00 $0.00 $460.00 ------------- --------------- --------------- GRAND TOTAL $460.00 $0.00 $460.00 System: 1/6/2023 2:22:06 PM County of Grant Page- 1 User Date: 1/6/2023 COMPUTER CHECK REGISTER User ID: nayanez Payables Management Batch ID: GCEMEG-01.06.22 Batch Comment: Checkbook ID: U. S. BANK * Voided Checks Audit Trail Code: PMCHKO0003128 Posting Date: 1/6/2023 Check Number Date Payment, Number Vendor ID Check Name Amount --------------------------------------------------------------------------------------------------------------------------------- 9201605397 1/6/2023 0208247 MOISM ISMAEL MORENO $460.00 --------------------- Total Checks; 1 Checks Total: $460.00 System: 116/2023 User Date: 116/2023 Batch ID: Batch Comment: Trx Total Actual: Batch Total Actual; Batch Error Messages: 2:04:10 PM County of Grant PAYABLES TRANSACTION EDIT LIST Payables, Management RENEW01 01 23RG TAP EMERGENCY HOUSING I Trx Total Control: $460.00 Batch Total Control: $460.00 Page: I User ID: rgonzales Batch Frequency: Single.Use Audit Trail Code, Posting Date: 1/1/2023 lilt olsm 12542257 01.01.23 116/2023 0380245 $460.00 $460.00 ISMAEL MORENO Description 12542257- TAP EMERG, Payment Information Checkbook/Card Payment Number DOCLIMent Date Amount Check 0/0/0000 $0.00 Distribution Messages: Work Messages: 1- - General Ledger Distributions Account Account Description Account Type Debit Amount Credit Amount 108,150,00,0000.564004502 MENTAL HEALTH, . a EMERGEt PURCH 460,00 0100 692,001,00,0000.21111000000 WARRANTS PAYABLE PAY 0.00 460.00 460.00 480.00 System: 1/6/2023 2:04:10 PM County of Grant Page: 2 User Date: 1/6/2023 PAYABLES TRANSACTION EDIT LIST User ID; rgonzales Batch ID Payables Management Purchases Amount Terms Disc Avail Document Total. ........... ---- -- — — ----- ------------------ $460.00 $0.00 $460.00 State of Washington -County of Grant 1, the undersigned, do hereby certify under penalty of perjury that the materials have been furnished, the servlces rendered or the labor perfon-ned as described herein, that any advance payment is due and payable pursuant to a contract or Is available as an option for full or partial fulfillment of a contractural obligation, and that the claim is a just, due and unpaid obligation against the county, and that I am authorized to authenticate and certify to said claim. Subscribed td ay Of (Signed) For -ANT.-, % Department Approved and Authorized By Vd- Date Allowed Commissioner Commissioner Commissioner Grant Sehmiaral Hecilth 6 Wellness RECEIVED JAN Llukl-1 CC NVr IQ Name: Date: �'/J.�0�.3 Item(s) Requested (include a photo if you need a specific item): i��r� S7 �" �- C�t.� �n'I��- nog Approximate Cost, �..�. Funding Source, if known: 1 I Reason for.�eaestK A, ri I Date Needed By: /'/-��� �`iSP7� Supervisor's Signature �� �, ���!!� �-' DatejZf �L/Z�-- Please have your supervisor sign the form and then return it to the Finance Department, .1 m Request Form for Taxpayer (Rev. October 2018) Identification Number and Certification RepartmenE ev©of the Treasury Internal R5nue service Go to WWW-1rs,gov/F`armW9 for instruction and the latest information, 1 Name (as shown on your Income tax return). Name Is required on this One; do not [aar;s this line blank. ..-L 6 M , _ J6. Z, 0 le,-lv U 4 2 Businoss rtame/dlsregarded entity name, if different from above i Give Form to the . requester, Do not send to the ills, Taxpayer Identification Nur be_ Enter your TIN in the appropriate box The TIN provided rot st mach the name given on line 1 to avoid Sociat socuritynuxnber backup wlthhoiding. For Individuals, this Is generally, your social security number (SSM, However, for a resident alien, sale proprietor, or disregarded entity, see the Instructions for Part 1, later, For rather entities, It Is your employer identification .number (EIEC). if you do not have a number, see 14ow to eta TIN, [star. or Dote,, If the account Is in more than one name, see the Instructions for line 1. Also see What Nettie and Employer identification number ,Number 7o Give the Regtfester for guidelines on whose number: to enter. ' Oertifxcation Under penalties of perjury, I certify that: 1. The number showy~ on this form is my correct taxpayer identification number (or I lm waiting for a number to be issued to me); and 2. l ram not subject to backup withholding because; (a) I am exempt from backup withholding, or (b) I have not been notified b' the e Internal Revenue SeMps (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that no longer subject to backup withholding; and I am. S. 1 am a U,S. citizen or other U.S, person (ddflned below); and 4, The FjATCA code(s) entered on this form (if any) Indicating that r am exempt from FATCA reporting is correct. Certification Instruations. You gust cross out item 2 above if you have been notified by the IRS that yatl are currently subject to backup withho d you have failed to report to ! lite because y . ab Art all interest and dividends on your tax return. For real estate trsnsactlons, item 2 dries not apply. For mortgage interest aid acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generall , other than Interest and dividends, ,you are not required fo sign the certification, but you must provide your correct TIN. Seethe lnstructio for ypayments ns r Part li, later,, Signature of " r Here ti's, Person 10. Date 0- ,//2 F1.21 General lnstructiohs Section references are to the Internal Revenue Code unless otherwise noted. Future developments. For the latest Information about developments related to Form W-9 and Its instructions, such as legislation enacted after they were published, gra to I+ vww.1rs.gov/FormW9. Purpose of Form An individual or entity (Form W,9 requester) who Is required to file an information return with the IRS must obtain your correct taxpayer identification number (CIN) which may be your social security number (SSN), individual taxpayer identification number (IM), adoption taxpayer Identification number (ATIN), or enipioyer identification number (IE�iN), to report on an Information return the amount paid to you, or other amount reportable on an information return. Examples of information returns inciude, but arek not limited to, the following. • Form 1099 -INT (interest earned or paid) For; rt 1099 -DIV (dividends, Including those from stocks or rnutual funds) , Form 1099-MISC NarlouS types of Income, prizes, awards, or gross proceeds) • Form 1099-8 (stock or mutual fund sales and certain other transactions by brokers) • Form 1099-S (proceeds from real estats transactions) .�, Form 1999-K (merchant card and thtrdaparty network transactions) • Form 1098 (home mortgage interest), 1098-E (student loan Interest), 1098-�T (tuition) . Form 1099-0 (canceled debt) o Form 1099-A (acquisition or abandonment of secured property) Use Forrn W-9 only If you are a U.S. person (including a resident alien), to provide your correct TIN. lfyou do not return Form VV_9 to the requester With a Tlly, you might be sublect to backrfn rv1thhn1r1fnn find IAihmt cn c..._ ..-- 0 6 later. /..%j I " 3 Check appropriate box for federal tax classification of the person whose name Is entered on line 1. Check only one of the fallowing sovon boxes. Y r 4 Exemptions {cedes apply only to t]. o eindIvIdual/soie prapr`ietor or +� Qrporaiion S Corporation ❑ Partnership rt ership Trust estate certain entities, not lndivIduais; see instructions art pais ��: 0 t single -member LLG D Limited liability company, Enter the tax classification (C=0 corporation, 8=8 corisoratin, P=Partnershl Exempf payee cads (if any) v p) Note: Cheep the approprlato box In the line above for the tax classification of the single -member owner. Do not check LLC If the LLG Is classffled as a single member LLG that Is disregarded frorn the Owner unless the owner of the LLC is ICL LC E<em tlon from p FATC�4 reporting LLC that Is not disregarded from the owner for U.S. federal tax Lir oseg, m�rn�er LLC that is disregarded from the owner should check theappropriate box far the tax classification �of Its cods (if any} ' owner. [� other (sae Instr�.tctlon ) l► 5 Address (number, street, and apt. or suite no.) See instructions. Requester's name and ��n+rte t accounts malntarned autsrde rho U.S,) add resanal) (M. ostia . Vf +6 Glty, state, and ZIP code y AT 7 List account number(s) here (optional) Taxpayer Identification Nur be_ Enter your TIN in the appropriate box The TIN provided rot st mach the name given on line 1 to avoid Sociat socuritynuxnber backup wlthhoiding. For Individuals, this Is generally, your social security number (SSM, However, for a resident alien, sale proprietor, or disregarded entity, see the Instructions for Part 1, later, For rather entities, It Is your employer identification .number (EIEC). if you do not have a number, see 14ow to eta TIN, [star. or Dote,, If the account Is in more than one name, see the Instructions for line 1. Also see What Nettie and Employer identification number ,Number 7o Give the Regtfester for guidelines on whose number: to enter. ' Oertifxcation Under penalties of perjury, I certify that: 1. The number showy~ on this form is my correct taxpayer identification number (or I lm waiting for a number to be issued to me); and 2. l ram not subject to backup withholding because; (a) I am exempt from backup withholding, or (b) I have not been notified b' the e Internal Revenue SeMps (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that no longer subject to backup withholding; and I am. S. 1 am a U,S. citizen or other U.S, person (ddflned below); and 4, The FjATCA code(s) entered on this form (if any) Indicating that r am exempt from FATCA reporting is correct. Certification Instruations. You gust cross out item 2 above if you have been notified by the IRS that yatl are currently subject to backup withho d you have failed to report to ! lite because y . ab Art all interest and dividends on your tax return. For real estate trsnsactlons, item 2 dries not apply. For mortgage interest aid acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generall , other than Interest and dividends, ,you are not required fo sign the certification, but you must provide your correct TIN. Seethe lnstructio for ypayments ns r Part li, later,, Signature of " r Here ti's, Person 10. Date 0- ,//2 F1.21 General lnstructiohs Section references are to the Internal Revenue Code unless otherwise noted. Future developments. For the latest Information about developments related to Form W-9 and Its instructions, such as legislation enacted after they were published, gra to I+ vww.1rs.gov/FormW9. Purpose of Form An individual or entity (Form W,9 requester) who Is required to file an information return with the IRS must obtain your correct taxpayer identification number (CIN) which may be your social security number (SSN), individual taxpayer identification number (IM), adoption taxpayer Identification number (ATIN), or enipioyer identification number (IE�iN), to report on an Information return the amount paid to you, or other amount reportable on an information return. Examples of information returns inciude, but arek not limited to, the following. • Form 1099 -INT (interest earned or paid) For; rt 1099 -DIV (dividends, Including those from stocks or rnutual funds) , Form 1099-MISC NarlouS types of Income, prizes, awards, or gross proceeds) • Form 1099-8 (stock or mutual fund sales and certain other transactions by brokers) • Form 1099-S (proceeds from real estats transactions) .�, Form 1999-K (merchant card and thtrdaparty network transactions) • Form 1098 (home mortgage interest), 1098-E (student loan Interest), 1098-�T (tuition) . Form 1099-0 (canceled debt) o Form 1099-A (acquisition or abandonment of secured property) Use Forrn W-9 only If you are a U.S. person (including a resident alien), to provide your correct TIN. lfyou do not return Form VV_9 to the requester With a Tlly, you might be sublect to backrfn rv1thhn1r1fnn find IAihmt cn c..._ ..-- 0 6 later. meri groux im Foundational Community Supports Transition Assistance F'rogra,m Participant Agreement The Foundational COMM Unity SLIpports 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 toyour transition will be paid by your FCS supportive housing provider. Then, your FCS supportive housing •provider will be reimbursed by AmerigrOLIP 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 deposlit,, other costs related to betting or keeping a a n d 9 ffordable housing. FCS TAP does not pay ongoing rents. Speak with your provider to explore longer-term rental subsidies that ma' be •avallable to you. y All FCS 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 intendedpurpose. Itis optional to take part In FCS TAP, If You decide not to takepart in the program, you W-111 not be penalized in any way. Nor will YOU lose the FCS services you are eligible to receive as an FCS enrollee4 Eligibility and other considerations: 1) To be eligible for FCS TAP,you must: Be actively receiving FCS -eligible Medicaid • Be enrolled in FCS supportive housing services, and Identify as having a behavioral health need. FCS TAP fends w1il be paid directly to your landlord or an -other 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. Yourprovider will deliver all F P CS TA 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) FCS TAP payments won't alter, change, or affect any financial responsibility or obligation for Medicaid benefits. 3) This agreement does not give YOLI the right to request an administrative hearing, If funding is not approved or is stopped, you have the right to follow your provider's grievance process, Ask your FCS provider for more Information about thisprocess. 0 1041147WAM E NABS 04/22