HomeMy WebLinkAboutGrant Related - BOCC (003)GRANT COUNTY
BOARD OF COUNTY COMMISSIONERS
Memo
To: Board of County Commissioners
From: Janice Flynn, Administrative Services Coordinator
Date: December 15, 2020
Re: Dept of Commerce #20-6541 C-013
CRF Reimbursement #20-37
Reimbursement No. 37 on the Dept of Commerce CRF CARES Act grant for Grant
County Health District for the month of November 2020 in the amount of $59,909.57.
County Review Conducted By:
Ja 'ce Flynn
BOARD OF COUNTY COMMISSIONERS
GRANT COUNTY, WASHINGTON
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Tom Taylor, Vice Chair
Richard Stevens, Member
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Date:
Date:
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GRANT COUNPY COWASSIONERS
Company Name:
Grant County Health District
Report Name:
General Ledger Report
Reporting Book:
ACCRUAL
Created On:
12/15/2020
Location:
Program:
9500 --Novel Corona Virus
Posted Dt.
Doc
Memo / Description
Program Name
JNL
Debit
5004000 - Indirect cost rate (Balance Forward As of 11/01/2020)
11/15/2020
PPE 11/15/20 Indirect Allocation
Novel Corona Virus
GJ
300.04
11/15/2020
PPE 11/15/20 Indirect Allocation
COVID Emergency Preparedness GJ
8,048.26
11/15/2020
PPE 11/15/20 Indirect Allocation
COVID Technology
GJ
221.36
11/15/2020
PPE 11/15/20 Indirect Allocation
COVID Disease Investigation
GJ
16,272.92
11/15/2020
PPE 11/15/20 Indirect Allocation
COVID Business
GJ
253.72
11/15/2020
PPE 11/15/20 Indirect Allocation
COVID Vaccine
GJ
83.00
11/30/2020
PPE 11/30/20 Indirect Allocation
Novel Corona Virus
GJ
1,487.72
11/30/2020
PPE 11/30/20 Indirect Allocation
COVID Emergency Preparedness GJ
7,080.86
11/30/2020
PPE 11/30/20 Indirect Allocation
COVID Technology
GJ
248.96
11/30/2020
PPE 11/30/20 Indirect Allocation
COVID Disease Investigation
GJ
25,294.45
11/30/2020
PPE 11/30/20 Indirect Allocation
COVID Business
GJ
268.17
11/30/2020
PPE 11/30/20 Indirect Allocation
COVID Vaccine
GJ
237.31
Totals for 5004000 - Indirect cost rate
59,796.77
Grand Total
59,796.77
Company Name: Grant County Health District
Report Name: General Ledger Report
Reporting Book: ACCRUAL
Created on: 12/15/2020
Class: 9505--COVID Commerce Grant
Posted Dt. Doc Memo / Description
5103032 - Medicines & drugs (Balance Forward As of 11/01/2020)
11/2/2020 Bills: 2020/11/02 Batch Summary
F—
Totals for 5103032 - Medicines & drugs
Vendor Name Class Name INL. Debit Ref.
Quincy Valley Medical Centei COVID Commerce Grani APIA 112.80
112.80
Grand Total 112.80
a.
V
INVOICE
From:
Invoice ID: 17082CI5048
Invoice Date: 11/02/2020
QUINCY VALLEY HOSPITAL
Tax ID. 916016045
Total Due: $112.80
To: Please return top portion with payment to:
GRANT COUNTY HEALTH DISTRICT QUINCY VALLEY HOSPITAL
1038 W IVY AVE 908 10TH AVE SW
MOSES LAKE WA 988372049 QUINCY WA 988481376
Patient Name, Patient ID DOB
Claim ID Provider Name Amount
Date Procedure Description
20051935 02/20/1960
179594V 15048
08/13/2020 87635 2019 NOVEL CORONAVIRUS (COVID-19), NAA Patient Subtotal:
Comments: Total Due:
Total payment is due within 30 days of invoice receipt.
Please include the Invoice ID on your check.
ick Ref: a.
invoice ID: 17082C15048
$112.80
$112.80
$112.80
Pace I of I