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HomeMy WebLinkAboutGrant Related - BOCCGRANT COUNTY BOARD OF COUNTY COMMISSIONERS To: Board of County Commissioners Date July 2, 2020 Re: CRF Reimbursement Request #1 Reimbursement No. 1 on Coronavirus Relief Funds (CRF) CARES Act Grant for the Health District for the period April 1, 2020 through April 30, 2020, with the Department of Commerce in the amount of $55,294.00. County Review Conducted By: Brittany Rang, Adrnii05firative Services,51ordinator BOARD OF COUNTY COMMISSIONERS GRANT COUNT,WASHINGTON t\ Cindy Carter, hair Tom Taylor, Vice Chair Ri ar evens,e ber _ _ ao a 0 Date. Comrevirus Relief Fund A-19 Activity Report Report Period: I Aril 2020 expenditures Eligible Expenditures 1 Medical Expenses A. Public, hospitals,,clinics, and similar facilities Reported Expenditures Expenditures this $ - $ Current Cumulative Invoice Expenditures Total DescriptionPreviously Brief B. Temporary public medical facilities & increased capacity .................................................................................................................................... C. COVID 19 testing, including seroloQ cal testing $ - $ - $ - $ - $ D. Emerge y medical response expenses E. Teleme - - . ......... ..___. .____ F. Other:----------------------------------- $ 5 $ Sub -Total: 2 Public Health Expenses A. Communication and enforcement of public health measures $ 5 $ $ $ S B. Medical and protective supplies, Including sanitation and PPE $ $ $ C. Disinfecting public areas and other facdht,es $ - $ D. Technic.alassistanceon COVID-19 threat mitigation ...... ... .............................. ......... _._......... E. Public safety.meazures undertaken F. Quaran!.n.n([individuals__.__—.._.._.___........______........._.............. - $ $ $ _ $ $ - $ G. Other: Office supplies $ - $ 1,333 $ 1,333 Thermometer, binders, erase board and markers, tab inserts, copy paper, 3 hole punch,keyboards, web camera, toner cartridges, envelopes, reference: a, b, c, d, Sub -Total: 3 Payroll expenses for public employees dedicated to COMD-19 A. Public Safety $ $ 1,333 $ 1,333 .......__........ ... .................................................................................................................. B. Public Health $ $ S C. Health Care 5 $ 165,568 $ 165,568 Indirect, salaries, benefits D. Human Services - $ $ $ - ................................................................................................................................................ E. Economic Development $ - $ _ F. Other: $ $ $ __ _ Sub -Total: 4 Expenses to facilitate compliance with COMD-19-measures A. Food access and deliveryto. residents $ 5 165,568 $ 165,568 B. Distance leaminE. tied.to. school dosmEs $ - $ - $ C. Telewo k capabilities of public employees $ - $ 2,440 $ 2,440 keyboards for remote employees, wireless phone bill for teleworkers, postage ref: b,f,g, ..............................................................._...........................................................____... __... D. Paid sick and paid.family.and_medical leave to public. employees .............. ......... ...... $ - $ - $ - E. expensesin.countyjails $ - $ - $ - ......... ........COVID-19-...........re.lated................................ F. Care and min�aHon services for homeless populations .................... _.._ __.__....— $ - $ - $ - G. $ 5 $ _Other: Sub -Total: 5 Economic Supports A. Small Business Grants for business interruptions . $ 5 $ - S 2440 $ - $ 2440 - .............................................................................................. B. PayroliSuPport Programs ............... __......__. _ $ _ $ _ $ _ C. Other: $ $ $ Sub -Total: 6 Other. COVID-19 Expenses .........._......................... $ 5 $ A. Other: C1A accounting _ ............................... ....... -.-- ...................... ......... $ 95 $ 95 Accounting service, ref: e B. Other: WSP $ $ 77 $ 77 background checks, ref: h C. Other:$ $ - $ - ....................._-...__._...__..................._..._..................'-_.__................ D. Other: E. _O__ther: Funding alrbilled $ - 5 114,219 $ 114,219) Sub -Total: • _ $ $ 114 047r, $ 1114047 1oft Grant County Health District 1038 W. Ivy Suite 1 087-401628 Moses Lake, WA 98837 509-766-7960 Bill To: Grant County Commissioners PO Box 37 Ephrata, WA 98823 United States Due Date 06/30120 INVOICE GRANT COUNTY HEALTH DISCRICT Invoice # INV -0257 Invoice Date 04/30/20 Item I Description Quantity I Price I Amount April 2020 County COVID Billing 1 $55,293.781 $55,293.78 April 2020 County COVID Billing To pay online, go to https://app.bill.com/p/grantcountyheaIthdistrict Subtotal: $55,293.78 Sales Tax: $0.00 Total: $55,293.78 Payments: 10-00, Amount Due:;: 555.293.78. Company Name: Grant County Health District 4/7/2020 4/7/2020 122838 Bill - Venron Wireless: Mar 08- April 07, 2020 Verizon Wireless COVID Technology APIA 2,042.55 4/30/2020 4/30/2020 123079 Bill - Pitney Bowes: April 2020 Postage Report Name: General Ledger Report 262.30 2,304.65 Totals For 5104046 - Communication Reporting Book: ACCRUAL 5104145 - Dues ■ Registrations (Balance Forward As of 04/01/2020) 4/24/2020 4/24/2020 123081 Bill - Washington Trust Bank: March 27 - April 212020 Credit Washington Trust Bank COVID Disease Investigation APJA 77.00 Crashed on: 5/2112020 77.00 Totals for 5104145 - Dues • Registrations Location: Pfegrsnl: 9500 --Novel Corona Virus posted DL Doc DL Doc Nemo / DaWAptlon vendor Name program Name 2NL Debit RaF. 5004000 - Indirect met rate (Balance Forward As of 04/01/2020) 4/25/2020 4/25/2020 PPE 4/15/20 Indirect Allocation COVID Business GJ 131.45 4/25/2020 4/25/2020 PPE 4/15/20 Indirect Allocation COVID Technology GJ 585.37 4/25/2020 4/25/2020 PPE 4/15/20 Indirect Allocation COVID Emergency Preparedness GI 6,387.75 4/25/2020 4/25/2020 PPE 4/15/20 Indirect Allocation COVID Disease Investigation GJ 18,618.99 4/30/2020 4/30/2020 PPE 4/30/20 Indirect Allocation COVID Business GI 210.18 4/30/2020 4/30/2020 PPE 4/30/20 Indirect Allocation COVID Technology GJ 510.64 4/30/2020 4/30/2020 PPE 4/30/20 Indirect Allocation COVID Emergency Preparedness GI 7,694.79 4/30/2020 4/30/2020 PPE 4/30/20 Indirect Allocation COVID Disease Investigation GI 16,067.28 Totals for 5004000 - Indirect cost rate 50,206.45 5101010 - Salaries (Balance Forward As of 04/01/2020) 4/25/2020 4/25/2020 PPE 4/15/20 Salaries COVID Business PyRJ 242.65 4/25/2020 4/25/2020 PPE 4/15/20 Salaries COVID Technology PYRJ 1,004.43 4/25/2020 4/25/2020 PPE 4/15/20 Salaries COVID Emergency Preparedness PYRJ 10,782.26 4/25/2020 4/25/2020 PPE 4/15/20 Salaries COVID Disease Investigation PYRI 30,719.17 4/30/2020 4/30/2020 PPE 4/30/20 Salaries COVID Business PYRJ 352.95 4/30/2020 4/30/2020 PPE 4/30/20 Salaries COVID Technology PYRJ 794.32 4/30/2020 4/30/2020 PPE 4/30/20 Salaries COVID Emergency Preparedness PYRI 12,316.28 4/30/2020 4/30/2020 PPE 4/30/20 Salaries COVID Disease Im asogation PYRJ 24,060.39 Total. for 5101010 - Salaries 80,272.45 5101020 - Benefits (Balance Forward As of 04/01/2020) 4/25/2020 4/25/2020 PPE 4/15/20 Benefits COVID Business PYR] 75.16 4/25/2020 4/25/2020 PPE 4/15/20 Benefits COVID Technology PYRJ 401.13 4/25/2020 4/25/2020 PPE 4/15/20 Benefits COVID Emergency Preparedness PM 4,532.88 4/25/2020 4/25/2020 PPE 4/15/20 Benefits COVID Disease Investigation PYRJ 13,830.93 4/30/2020 4/30/2020 PPE 4/30/20 Benefits COVID Business PYRJ 108.96 4/30/2020 4/30/2020 PPE 4/30/20 Benefits COVID Technology PyRI 327.33 4/30/2020 4/30/2020 PPE 4/30/20 Benefits COVID Emergency Preparedness PYRJ 4,588.91 4/30/2020 4/30/2020 PPE 4/30/20 Benefits COVID Disease Investigation PYRJ 11,223.82 35,089.12 Totals for $101020 -Benefits 5103031 - Office supplies (Balance Forward As of 04/01/2020) 4/1/2020 4/1/2020 122166 Bill - Grant County Health District: Grant County Health Petty Grant County Health Disth- Novel Corona Virus APIA 138.25 a 4/8/2020 4/8/2020 Cash March 122843 Bill - Staples Credit Plan: March 2020 Statement Staples Credit Plan COVID Emergency Preparedness APIA 61.45 b 4/8/2020 4/8/2020 122843 Bill - Staples Credit Plan: March 2020 Statement Staples Credit Plan COVID Technology APJA 137.04 b 4/8/2020 4/8/2020 122843 BIII - Staples Credit Plan: March 2020 Statement Staples Credit Plan COVID Disease Investigation APIA 678.77 h 4/24/2020 4/24/2020 123081 Bill - Washington Trust Bank: March 27 - April 21 2020 Credit Washington Trust Bank COVID Technology APJA 108.38 C 4/24/2020 4/24/2020 Cdrd Statement 123081 Bill - Washington Trust Bank: March 27 - April 21 2020 Credit Washington Trust Bank COVID Disease Investigation APIA 343.95 d Totals /or 5103031 •ORke supplies1,167.81 Card Statement $104041 - pro/esslonal services (Balance Forward As of 04/01/2020) 4/30/2020 4/30/2020 123067 &II - CliRonLafsonAllen LLP: February & March 2020 Services CIIRGnLarsonAllen LLP COVID Emergency Prepared—APJA 95.00 95.00 Totals for 5164041 - Professional —it - $104046 - Communi<atlon (Balance Forward As of 04/01/2020) 4/7/2020 4/7/2020 122838 Bill - Venron Wireless: Mar 08- April 07, 2020 Verizon Wireless COVID Technology APIA 2,042.55 4/30/2020 4/30/2020 123079 Bill - Pitney Bowes: April 2020 Postage Pitney Bowes COVID Disease Investigation APJA 262.30 2,304.65 Totals For 5104046 - Communication 5104145 - Dues ■ Registrations (Balance Forward As of 04/01/2020) 4/24/2020 4/24/2020 123081 Bill - Washington Trust Bank: March 27 - April 212020 Credit Washington Trust Bank COVID Disease Investigation APJA 77.00 Card Statement 77.00 Totals for 5104145 - Dues • Registrations 169,512.71 Grand Total Other funding sources already billed 114,218.93 Funding to be reimbursed by the county 55,293.78 e. f. 9. h. Petty Cash Receipt No.3301 Paid to: Walgreens Ref a. Ajr t.1)264-'200 E BROADWAY AW hiOSI:S LAKE NA 98837 509-%-1211 0134 0022 03/20/2020 2:37 F N FOREHEAD THRMMTR BFH175US � 32878500166 A 493 99 IEIURN VALUE 49.99 SUHT0IAL 49.99 ES TAX A,:8,1% 4.05 TOTAL %04 'ASH 60.00 CHANGE 5,96 F5,4ITEMS 54.04 i,A'i_ SAIANDaRX ITEMS 54,00 'JVE:D FSA f HRA AMOUNT 0,00 ( YOU FOR SHOPPING AT 4IALGREENS MORE WITH BALANCE REWARDS) r.E4 PLANTS FOR SOMETHING EXTRA FUTURE PURCHASE. RESTRI:CTIOWS t . FOIA. FUI.I. DETAILS SEE": i EER': , COM/BALANCE , F;R4 0264-7220-1347-2003-200 .Ilillllllllllillllllllllllllllllllllllll!II IIIIV�I�111 �1{I4 +i �R •fir�•�}i of �.a g.&ra?b4.s: -. Petty Cash Receipt No.3302 Paid to: Staples (509) 765-4600 Date Purchased: Amount $84.21 03/26/2020 r11 Y SKU PRTC1 Description Binders for COVID-19 investigations Paid by Reina Charged to 442131 STPLS STAN VIEW BN Program # 718103325271 7.7'' Approved by Date 03/2612020 Ref: a. r"I Staples. 815 N. Stratford Rd Suite B Moses Lake, WA 98837 (509) 765-4600 1849175 1 001 46i I; 1301 03/26/20 01;.k r11 Y SKU PRTC1 REWARDS NUMBER 2590128001 STPLS STAN VIEW BN 718103325271 STPLS STAN VIEW BN 718103325271 7.7'' STPLS STAN VIEW BN 718103325271 7 STPLS STAN VIEW BN 718103325271 7 ' STPLSSTAN VIEW BND 718103216340 7 STPLS STAN VIEW BN 718103325271 7' STPLS STAN VIEW BN 718103325271 7 STPLSSTAN VIEW BND 718103325486 7 STPLS STAN VIEW BN 718103325271 7 it STPLS STAN VIEW BN 718103325271 7 6TOTAL 77 Standard Tax 8.1000% 6 1 RL $84 -' I ,t`ail 100 Inl cheinga 15 r 1 1.11 Al I" 1 I ht;a 111 P 1 Total Bill amount $:::.:'.:;971.36 Program Exp Code $ Amt Before Tax & Coupons Allocation 9501 3031 60.51 $ 61.45 9503 3031 668.41 $ 678.77 95Q2. 3031 134.95 $ 137.04 4100 3031 51.07 $ 51.86 1000 3031 41159 $ 42.24 Total 956.53 971.36 PHEP Investigation Technology CSHCN/MCH Ref: b. Order Confirmation Page Ref: b. I—I Staples.. Page 1 of 2 Print Close ✓O Thank you for your order, Vicky A confirmation email will be sent to you at vrutherford@granthealth.org with your complete order details. Order Number: 9810273451 Shipping address Vicky Rutherford Grant County Health District 1038 W Ivy Ave Moses Lake, WA 98837-2049 Payment methods Staples card ending in 0388 - $2.15 charged. Vicky Rutherford 1038 W Ivy Ave Moses Lake, WA 988372049 2 items Expected delivery by Friday, March 13 Total: $2.15 Items (2): Coupons (2): Subtotal: Staples rewards: Shipping: Estimated Tax: Total: $21.99 -$0.00 $21.99 -$20.00 FREE $0.16 $2.15 1038 W Ivy Ave, Moses Lake, WA Expo Dry Erase Markers, Chisel Point, Assorted, Qty. 1 $12.99 12/Pack (80699) Reg. $14.99 Expected delivery by Thursday, March 19 1038 W Ivy Ave, Moses Lake, WA Lorell Melamine Dry -Erase Whiteboard , Plastic Qty, 1 $9.00 Frame , 1' x 1' (75620) https://www.staples.com/cc/mmx/ocp?cartId=875cf'045-62e 1-1 l ea-b8f9-005056b4616c&t... 3/12/2020 10 60,hd l > Staples 815 N. Stratford Rd Suite B Moses Lake, VIA 98837 (509) 765-4600 ;ALE 1188394 1 001 44,n,u 1301 03/16/20 12: ')1) 1.1 TY SKU PRI(,l REWARDS NUMBER 2590128001 1 STAPLES 8-10 INSE 718103060325 9,41) 1 STAPLES 8 -TAB INSE 718103060325 9,4y 1 STAPLES 8-TA8 INSE 71810306032`.; 9,49 I STAPLES 8 -TAB INSE 718103060325 9,411 1 STAPLES 8-TA13 INSE 718103060325 9,411 *****Promotion*,P#** 1 POSTIT 11X11 BIGPA 076308927004 11.11ri I POS111 11X11 BIGPA * 076308927004 8139 * Reg. Price 11.98 * Item Discaunt <-3,59> Total Promotion Discount <-3.59> 1 STPLS 31AB FF LTR 718103343862 9.28 2 STAPLES 1IN SDV BI 718103325677 4.990ea 9.98 4 STPLS STAN VIEW BN 718103325479 4.990ea 19.96 i, STPLS STAN VIEW BN 718103325240 4.,190ea 29.94 STPLS STAN VIEW BN 718103325240 4 , 990ea 34,113 STPLS STAN VIEW BN 718103325356 4.990ea 44.1)1 ,i 0TOTAL 216, tv Standard Tax 8.1000% 17,150 10 [AL $234,30 t v l es Charge I USD$234. 1r1 Card No.: XXXXXXXXXXXX0388 [Sl Atith No.: 016404 Pt1 No. . Ref: b. 1 U 1 Al_ 1: 1 -EP -1.3 it, +Ilum is currently on promotion. Some ciuur;ns are only Valid on regular priced items. Please see coupon Itims and amditions for details. TRU RED Business essentials designed 111oughtfully to work beautifully. Shop Smarter. Get Rewarded, Maples Rewards members get up to E,% back in Rewards in store only. txclustons Apply. See an associate foi- 1 oll orDell program details or to enroll. THANK YOU FOR SHOPPING Al' STAPLES! E --Cycle Washington: Free, Easy, Responsible Recycling for Computers, Monitors and TVs www.ecyclewashington.org 1 -800 -Recycle I :,1 0 1 (1 '1 1 2 4 4 n 1 UP Ref: b. r� M Sta es_ 815 N. Stratford Rd Suite B Moses Lake, WA 98837 815 N. Stratford Rd Suite 8 (509) 765-4600 1849175 1 001 46501 Moses Lake, WA 98837 SALE 1301 03/25/20 12:38 (509) 765-4600 SALE 1849175 1 001 47073 QTY SKLI PR I C E 1301 03/30/20 12:10 0-1 Y SKU PRICE REWARDS NUMBER 2590128001 i NXT 16GB iOPK USB * Ai 24 REWARDS NUMBER 2590128001 718103350778 10 TRHRE11 3QQT LOCKIN * Instant Savings <-15,75> 47.24 718163316057 12,990ea 64.90 SUBTOTAL 3.83 Instant Savings <-65.00> Standard Tax 6.1000% $51.07 SUBTOTAL. 64.90 TOTAL Standard Tax 8.1000% 5.26 U50$51.07 TOTAL $70.16 Staples Charge Card No.: XXXXXXXXXXXX0388 [S] Staples Charge Auth No.: 025522 Card No.: XXXXXXXXXXXX0388 [Sl PO No.: Auth No.: 030803 TOTAL ITEMS 1 PO No.. TOTAL_ ITEMS 10 *Item 1s currently on promotion. Some coupons are only valid on regular priced *Item is currently on promotion. Some items. Please see Coupon terms and coupons are only valid on regular priced conditions for details. items. Please see coupon terms and conditions for details. TRU RED Business essentials designed TRU RED thoughtfully to work beautifully. Business essentials designed thoughtfully to work beautifully. Shop Smarter. Get Rewarded. to 5% Staples Rewards members get up Shop Smarter. Get Rewarded. back in Rewards in store only. Staples Rewards members get up to 5% Exclusions Apply. See an associate for back in Rewards in store only, full program details or to enroll. Exclusions Apply. See an associate for FOR SHOPPING AT STAPLES! full program details or to enroll. THANK YOU THANK YOU FOR SHOPPING AT STAPLES! E. -Cycle Washington: Free, Easy, Resparsible Recycling for Computers, E -Cycle Washington: Free, Easy, Monitors and TVs www XYclewashington.mrg Responsible Recyclin for Computers, 1 -800 -Recycle Monitors and TVs www.ecyclowasliington.org 1 -800 -Recycle IIII�Ii3ll0ll1lll�ll�ll22 IIIIIIIIIIIIIIIIIIIIIil�llll Ill 1 11)3302 4 Order Confirmation Page Ref: b. Staples,. Page 1 of 2 } Print Close (D Thank you for your order, Vicky A confirmation email will be sent to you at vrutherford@granthealth.org with your complete order details. Order Number: 9811639362 Shipping address Vicky Rutherford Grant County Health District 1038 W Ivy Ave Moses Lake, WA 98837-2049 Payment methods Staples card ending in 0388 - $79.94 charged. Vicky Rutherford 1038 W Ivy Ave Moses Lake, WA 988372049 3 items Expected delivery by Thursday, March 26 - Hammermill Copy Plus 8.5" x 11" Copy Paper, 20 lbs, 92 Brightness, 500/Ream, 10 Reams/Carton (105007) Total: $79.94 Items (3): Coupons (0): Subtotal: Shipping: Estimated Tax: Total: $73.95 -$0.00 $73.95 FREE $5.99 $79.94 1038 W Ivy Ave, Moses Lake, WA Qty. 2 $59.98 Reg. $127.98 Expected delivery by Monday, March 30 1038 W Ivy Ave, Moses Lake, WA Staples 26613 One -Touch 2 -Hole Punch, 30 Sheet Qty. 1 https://www.staples.com/cc/mmx/ocp?cartId=Oa9O3e2d-6793 -11 ea-930x-005056b440ab&t... 3/25/2020 Order Confirmation Page Ref: b. M Staples Page 1 of 2 Print Close ✓� Thank you for your order, Vicky A confirmation email will be sent to you at vrutherford@granthealth.org with your complete order details. Order Number: 9812117061 Shipping address Vicky Rutherford Grant County Health District 1038 W Ivy Ave Moses Lake, WA 98837-2049 Payment methods Staples card ending in 0388 - $233.43 charged. Vicky Rutherford 1038 W Ivy Ave Moses Lake, WA 988372049 Expected delivery by Tuesday, March 31 Total: $233.43 Items (6): $215.94 Coupons (0): -$0.00 Subtotal: $215.94 Shipping: FREE Estimated Tax: $17.49 Total: $233.43 1038 W Ivy Ave, Moses Lake, WA TRU RED TM 8.5" x 11" Color Printer Paper, 20 lbs., $215.94 4' 96 Brightness, 500/Ream, 10 Reams/Carton Qty. 6 Reg. $383.94 (TR56962) https://www.staples.com/cc/mmx/ocp?cartld=a22b7Oce-7299-1 lea -95 a8-005056b440ab&t... 3/30/2020 H Staples. 815 N'Stratford Rd Suite B Moses Lake, WA 98837 mg) 765-4600 SALE_ 1965563 1 001 47336 1301 04/01/20 10:29 PRIGE Ref: b. Staples Charge l Card No.: XXXXXXXXXXXxIl;f3fl `�1 Auth No.: 001121 PO N0•.Ila -1-0-f Af- 1 i EMS 15 z I>I i Y .-)I4% L1 TRU REO 1 STPLS STAN BINDER 7181031041 5,79 Business essentials deStgnec work beautifully • 1 STPLS STAN BINOEI; 5.79 thoughtfully to 718103198141 1 STPLSSTAN VIEW BNO Shop Smarter. Get Rewarded. mberLIP to5 118103325486 STPLSSTAN VIEW BNO 1,79 Staples Rewe d All �to'� back it see ail associate fat 1 718103325486 1.1`► Exclusions Apply. dekails Of to enrol . 1 STPLSSTAN VIEW BND 118103325486 _ 9 1.7 full program 'THANK YqU EtIR SHOPPING Al STAPU:S! 1 STPLSSTAN VIEW BND 1.7 c� 718103325486 1 STPLSSTAN VIEW BNO � 19 [_Cycle4lashington: Frau Easy, edR 118103325486 STPLS STAN BINDER Responsible Matito► VSCMU�ecyclewaishingtcnt.org 1 718103324854 ,� 1�.3 1 -800 -Recycle 1 STPLS STAN BINDER 5.79 I'�I1II��III'IIIIIIIII�IIII 7181032161129 1 STPLS STAN BINDER 5, 79 r II�IIII��I�III�I�I�II�II�� 7 3 3 6 0 1 II�I�I 0 1 0 4 0 1 1 4 1 3 7181033248`54 1 STPLS STAN BINDER 5.19 718103216029 1 SIPt.S STAN BINDER 5,19 718103324854 1 STPLS STAN BINDER 5,711 718103324854 1 STPLS STAN BINDER 118103324854 1 WG ,1RKRIBBEOBLK/ 9.30 082272614000 100.42 SUBTOTAL Standard Tax 8.40% 8,44 ; 108 Bti TOTAL Order Confirmation Page Ref: b. M Staples., Page 1 of 2 i Print Close (D Thank you for your order, Vicky A confirmation email will be sent to you at vrutherford@granthealth.org with your complete order details. Order Number: 9812574009 Total: $191.37 Shipping address Items (6): $176.54 Vicky Rutherford Coupons(o): -$0.00 Grant County Health Subtotal: $176.54 District Shipping: FREE 1038 W Ivy Ave Estimated Tax: $14.83 Moses Lake, WA Total: $191.37 98837-2049 Payment methods Staples card ending In 0388 - $191.37 charged. Vicky Rutherford 1038 W Ivy Ave Moses Lake, WA 988372049 6 items Expected delivery by Monday, April 06 1038 W ivy Ave, Moses Lake, WA _r Logitech Combo MK270 Wireless Keyboard & Qty 5 $134.95 Mouse, Black (920-004536) Reg. $149.95 Kleenex Standard Facial Tissues, 2 -Ply, 100 Qty.1 $41.59 Sheets/Box, 36 Boxes/Pack(21400) Reg, $57.99 https://www.staples.com/cc/mmx/ocp?cartId=d5O46d27-737b-11 ea-ae8c-005056b4616c&te... 4/3/2020 amaz, on.com J Details for Order #111-4176563-6845000 Order Placed: April 13, 2020 PO number: 442 Amazon.com order number: 111-4176563-6845000 Order Total: $108.38 Not Yet Shipped Ref: c. Items Ordered Price 1 of: Webcam 1080P with Microphone, USB PC 1080P 110 -Degree Wide View Angle Webcam with $89.99 Flexible Rotatable Clip for Video Calling Recording Conferencing Sold by: Kellay shop (seller profile) Condition: New Shipping Address: Grant County Health District 1038 W IVY AVE MOSES LAKE, WA 98837-2049 United States Shipping Speed: Expedited Shipping Payment Information Payment Method: Visa I Last digits: 1207 Billing Address: Grant County Health District 1038 W IVY AVE MOSES LAKE, WA 98837-2049 United States Item(s) Subtotal: $89.99 Shipping & Handling: $9.99 Total before tax: $99.98 Estimated tax to be collected: $8.40 To view the status of your order, return to Order Summary. Grand Total: $108.38 Conditions of Use I Privacx Notice © 1996-2020, Amazon.com, Inc. or its affiliates G W I m a r t a ✓�•. Illll'i N,:;lliAll(Ntl) ld! MOSES CAKE WA 98£331 SIN 02007 o'#0009044 Will 44 TR# 53142X INU1:R 007771179137 5.27 X BJNDER 4.3 BINDLII 007171179137 5.27 X 5.27 X BININ:R BINl1f:R 1ID1I11119137 0011711.79131 5.27 X BINDER (N)77'/11'/91.37 007711179137 5.27 X 5.27 X BINDER BINDER (X377-/1119137 5-27 X 5.27 X BINDER 007771119137 007771179131 5.27 X BINDER BINDER 00777117913ri 5.27 X 5.27 X IlINDLR 0(1771111909 BINI11_R 13INUER, 007 7711 19 1`.39 5.27 X 0.67 X STAR DIV 5TAB DIV 08873589WOB 088735189(3088 0.67 X 51AB DIV 0881358'I'�3088 08073SWO088 0.67 X 67 X 0.67 5TAB DIV 51AR DIV 088735690088 X 0.67 X 51 AB DIV STAR DTV (08873990088 (168'1`6890088 0.67 X 51 A3 DIV OB137tiS8900813 08131.35890088 0.67 X 0.67 X 51 AB DIV 5'IAB DLV 0811'/35890088 o.67 X 0.67 X 51 AB DIV ST AO DIV OP,l1735890088 0((873`,1890088 0.67 X 5 1 AR DIV ()t38 /36890088 08873` 195X388 0.67 X 0.67 X 51 AD DIV STAB DIV 088735890088 0.67 X 0.67 X iTAB DIV `)IAB DIV 088735890088 088735890088 0.67 X `i1 AB DTV 08873589(X388 088135090088 0.67 X 0.67 X TAB DIV ,,IAB DIV 088735890088 0.67 X 0.67 X ,,M Dill lAR UAV 088735890088 088735890088 0.67 X riTAB DIV DIV 088135890088 088 /35890068 0.67 X 0.67 X r ; t AB ' i I AB DIY 0887: amaxon,com Details for Order #111-3493937-7709010 Order Placed: April 13, 2020 PO number: 442 Amazon.com order number: 111-3493937-7709010 Order Total: $235.95 Not Yet Shipped Items Ordered 1 of: HP 81A 1 CF281A I Toner Cartridge { Black Sold by: Amazon.com Services LLC Condition: New Ref: d. 2 of: Clasp Envelopes - 6x9 Inch Brown Kraft Catalog Envelopes with Clasp Closure & Gummed Seal - 281b Heavyweight Paper Envelopes for Home, Office, Mailing, Business, Legal or School 6 x 9 Manila 30 Count Sold by: Business Envelopes (seller profile) Business Price Condition: New Shipping Address: Grant County Health District 1038 W IVY AVE MOSES LAKE, WA 98837-2049 United States Shipping Speed: Standard Shipping Payment Information Payment Method: Visa 1 Last digits: 1207 Billing Address: Grant County Health District 1038 W IVY AVE MOSES LAKE, WA 98837-2049 United States Price $189.89 $8.981 Item(s) Subtotal: $207.85 Shipping & Handling: $9.83 Total before tax: $217.68 Estimated tax to be collected: $18.27 To view the status of your order, return to Order Summary. Grand Total: $235.95 Conditions of Use 1 Privacy Notice © 1996-2020, Amazon.com, Inc. or its affiliates Technology and Client Support Fee $290.66 Invoice Total $6,390.66 We Appreciate Your Business and Referrals Payment is due upon receipt. ClinonlamonAllen LLP PO Box 31001-2443 Pasadena, CA 91110-2443 509-923-2910 Please detach and remit payment to the address below. CliftonLarsonAllen LLP PO Box 31001-2443 Pasadena, CA 91110-2443 Amount Remitted $ Account Number 087-401628 To pay your bill electronically please visit Invoice Number 2480430 claconnect.com/billpay Grant Caunly Hea10 n16NG 025910 038555 CIL-L w A Direct Billing Inquiries to: Ref: e. / O ! 610IN 39th Avenue LLP 610 N 39th Avenue ®rplir Yakima, WA 98902-6348 509-823-2910 Grant County Health District 1038 W. Ivy, Suite 1 Moses Lake, WA 98837 Account Number 087-401628 Invoice Date 4/30/2020 Invoice # 2480430 Authorization Number 0001272347 March Accounting Services $4,658.25 Monthly Service Fees 206.75 February Financial Statements 700.00 ConCon Billing 90.00 MAC Billing 280.00 COVID-19 Reporting 95.00 SNAP-ED Billing 70.00 Technology and Client Support Fee $290.66 Invoice Total $6,390.66 We Appreciate Your Business and Referrals Payment is due upon receipt. ClinonlamonAllen LLP PO Box 31001-2443 Pasadena, CA 91110-2443 509-923-2910 Please detach and remit payment to the address below. CliftonLarsonAllen LLP PO Box 31001-2443 Pasadena, CA 91110-2443 Amount Remitted $ Account Number 087-401628 To pay your bill electronically please visit Invoice Number 2480430 claconnect.com/billpay Grant Caunly Hea10 n16NG 025910 038555 3 0 � � �� >"c �2 >a y p; c, �. �� �Y ���� � ■1■ ��u ���� ���ii�� ■� � ��ee �e�.o����� �C��=� SIA a � IIS � �s I� y p; c, �. P06 K �& Ia3v'/ New codes 12/1 Postage for April 2020 11 Admin ACCT # 20286415 33 STD Meter Code Program 4 Postage I# of Pieces 1 11 $ 8.00 16 2 33 $ 1.50 3 3 34 $ 0.50 1 4 39 $ 0.50 1 5 52 $ 7.05 11 6 53 $ - 0 7 54 $ 24.10 32 8 56 $ 4.65 9 9 71 $ 67.60 114 10 403 $ - 0 11 413 $ - 0 12 414 $ - 0 13 416 $ - 0 14 423 $ - 0 15 424 $ 0.50 1 16 429 $ 0 17 431 $ - 0 18 432 $ - 0 19 442 $ 262.30 508 20 458 $ 1.30 2 21 439 $ - 0 22 440 $ - 0 23 447 $ - 0 24 79 $ 0.50 1 25 141 $ - 0 Total $ 378.50 s99 Signatui RNP 05/10/20 P06 K �& Ia3v'/ New codes 12/1 1 11 Admin 2 33 STD 3 34 Latent TB 4 39 CD 5 52 Water 6 53 Solid Waste 7 54 OSS 8 56 Food 9 71 Vital Statistics 10 455 Vector 11 413 Safe Kids 12 414 TB Active 13 416 Snap Ed 14 423 ABCD 15 424 CSCHN 16 429 Vaccine 17 431 Child Imm 18 432 Adult Imm 19 442 PHEPR 20 458 Water Rec 21 439 Tobacco 22 440 Youth Tobacco 23 447 Marijuana 24 79 EPI 25 703 SSP qui?- 0 Ref: h. fl Rita Morfin From: WATCH-DoNotReply@wsp.wa.gov Sent: Monday, March 30, 2020 8:28 AM To: Rita Morfin Subject: WATCH Credit Card Transaction Successful You authorized Washington Access To Criminal History (WATCH) to charge your credit card for $33.00. Your transaction was successful. Your order number is 1386135 If you did not authorize WATCH to make a credit card transaction or if you have any questions, please contact us at (360) 534-2000 Option 2 or e-mail watch.helpowsp.wa.eov. Thank you for using Washington Access To Criminal History. I i rho_c�eu Swr C-CL'o , baa. (?or ev 4 , Ref h. Darcy Moss From: Sent: To: Subject: And here is the other @ Rita Morfin Tuesday, May 5, 2020 11:17 AM Darcy Moss CREDIT FW: Your Transaction Receipt From: CyberSource Customer Support<donotreply@support.cybersource.com> Sent: Tuesday, May 05, 2020 11:14 AM To: Rita Morfin <rmorfin@granthealth.org> Subject: Your Transaction Receipt 225 WSP IDENTIFICATON 106 11th Ave SW, Suite 1300 Olympia, WA 98501 UNITED STATES Merchant ID Return Codes Request ID Result Code Order Information Order Number Subtotal Amount Total Amount Transaction Type Transaction Date Authorization Date Comments Customer Information Name Credit Card Type Credit Card Number Billing Address v6514278 5887021684446244203243 SOK - Request was processed successfully. 1382821 22.00 USD 22.00 USD Credit May 05 2020 11:09:28 AM PDT Mar 20 2020 03:54:41 PM PDT system glitch RITA MORFIN Visa XXXX XXXX XXXX 1207 RITA MORFIN 1038 W Ivy Ave Moses Lake, WA 98837 1 Ref: h. Darcy Moss From: Rita Morfin Sent: Tuesday, May 5, 2020 11:17 AM To: Darcy Moss Subject: CREDIT FW: Your Transaction Receipt Here is one of the credits for CC WSP background checks From: CyberSource Customer Support<donotreply@support.cybersource.com> Sent: Tuesday, May 05, 202011:16 AM To: Rita Morfin <rmorfin@granthealth.org> Subject: Your Transaction Receipt 225 WSP IDENTIFICATON 106 11th Ave SW, Suite 1300 Olympia, WA 98501 UNITED STATES Merchant ID v6514278 Return Codes Request ID 5887020810716586003007 Result Code SOK - Request was Credit Card Number processed successfully. Order Information RITA MORFIN Order Number 1382818 Subtotal Amount 22.00 USD Total Amount 22.00 USD Transaction Type Credit Transaction Date May 05 202011:08:01 AM PDT Authorization Date Mar 20 2020 03:52:59 PM PDT Comments System Glitch Customer Information Name RITA MORFIN Credit Card Type Visa Credit Card Number XXXX XXXX XXXX 1207 Billing Address RITA MORFIN 1038 W Ivy Ave Moses Lake, WA 98837