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HomeMy WebLinkAboutGrant Related - BOCC (004)oil i �_I_I_.eJ To: Board of County Commissioners Frcwn: Janice Flynn, Administrative Services Coordinator Oaten. July 14, 2023 Re: Authorization for Release of Funds, Dept of Commerce, CDBG CV2 #20- 6221 C-111, Reimbursement #34, Renew Request #9 Renew has requested reimbursement regarding the above -referenced grant in the amount of $41,625.79 for June 2023 expenses. Their documentation is attached for review. I am requesting the release of funds for payment to Renew in the amount of $41,625.79. The attached A19 reflects both CV1 (01C) & CV2 (Renew) expenses for June 2023 as a combined A19 is required by Commerce. Thank you. Dated this day of (A 20 U Board ofCounty Commissioners Grant County, Washington &Pry Dino= AM* 22 Dist #1 Me Dist #1 Dist #1 Dist #2 Dist #2 Dist 02 Dist #3-. Dist #3 Dist #3 r renew CV -2 ARNP &DCR 4mPb Bchavloral Heolth 0 Wallna-i3 6/30/2023- Invoice $ - $ - 0 BAR Acct r = i >G. CV2- ARNP CV2- DCR 108.150.00.7609,. 564.44. x.100 16,972.80 108.150.00.7609.564.41.1100 91312.24 108.150.00.7609.564,44.2100 1,763.46 108.150.00.7609.564.41.2100 967.54 108,150.00.7609.564.44.2200 $ 1f297.04 108.150,00.7609.564.41.2200 7.2.38 108,15000.7609.564.44.2300 $ 1x049.24 108.150.00,7609.564.41 2300 942°45 108,150,00.7609.564.44.2301 $ 36.99 108:150.00,7609;564.41,2301 20.30 108.x.50.00.7609.564.44.2400 $ 21,88 108.150,00.7609.564,41,2400 198,28 $12,153.19 211141.41 J _ - 108.150.00.7609.564.44.1124 10 8.15 0.00.7 609.5 64.4 1, 1124 66;64 ," 105:150.00.7609.564.44.4152 "14 9;,95 1os.lso.00.7609,564.41,4152 155.$9 r 108.150. V 0.7609.56 1.44.420fr 5 1,U8 so.ao .7509 564.41.4202 . 1 ... - 52.27 Y 4 S. i 4 t x •,,` i a Ear $ 274,80 .258.8.7 t -_ �rry i 2141Q:2$12427499 '" 1 4"' 7/3/2023 Total Invoice 33,835.27 j Y renew Grant Be hovioral Hogith a Wattness _ 6/30/2023 Invoice �k CV- ARNP- CV2!um.DCR -rOrL n ....,, ..lr ; ARNP Exp. � I�CRxp- TOTAL EXPENSES 10&150.00.7609.564.44.1100 SALARY- Kyleigh, ARNP & Rick G. DCR Q 4$1,9 10x00 .4 1.1100 9,312.24 $ 26,285.04 108.150.00.7609.564.44,2100 Retirement , 108.150.00.7609.5,64.4-1.2100 957.54 $ 2,731.00 ,73i•00 108-150M.7609-564.44.2200 SS -1 $ 3.,29.7.04 108150.00.7609.564.4 .220.0 712.38 $ 2,009.42 108.150,00.7609.564.44.2300 Medical $ 1,049,24 108.150-00-7609.56:4.41.2300 t 942-45 $ 1991.69 , 105.150.00.7609.564.44.2301 FML 1 36,99 108,150-00-7609.564441.2301.20.30 $ 57.29 108.150.00.7609.564.44.2400 L&I $ 21..88 _" 108 150.00.76M564 41.2400 198,28 $ 220.16 $ 21,141.41 $ 12,1.53.19.. 33,294.60 108.150.00.7609.564.44.11.24 HR Services- portion; $ _ 65.64 108.150.00.7609.564:41.1124 56.64 $ 133.28 gun -23 108.150.00.7609•.564.44A152 IT S.ery ces-. ortion' p $ 149..96 °a 108.15.0.00.7609.564.41.,x4152 155.89 $ 305.85 1 Jun 108.150.00.7609.564.44,4202 Ce -11 Phone 52.27 108.150.00.7609.564141.4202 52.27$ 104.54 3 -Jun 'G 1 268.87 $ 274.80 $ 543.67 v:: ., Tt�- AL RILLItVG, FOR CV. 2 R 2 9 3;83 7 7/3/202313:47 EM_ P # NAM— Pray source ISalary BEHAVIORAL HEAL JOURNAL ENTRIE 613012023 salaries ''S' , fits .V- 0IQi DEBIT CRDI 108.150.00.0000.504.44,1100 .$251285.04 8 271 .D os.3 � of.�oox•000,0. 4.x,44" -."""0 y `. #/� 1 • wt «�+ ,•r4,.: �.' �, a.� :�.:v�.*�'a,y � ��"" k�'' �r •:rt >�u,-r-`N '�r .,t kt� It 'i .a 5v Y,��3e_ ••t+a� ■■AA�� (/��(���11�� �y ��� a � 4 �T >A�... ,�, x�r,,?la,�> 7�•+'.�u,;�,,P•e��M�+;"5 .4ir, ��fi1� � t��.YkYc�.,�k�SO r�O��.a�E�.����t•���ti�-���.��,t��'';. y'.:.t �p,S.�,F"'' YaK r"i,`1,iti� �� r{ 4•�"� d �un� - ;s., ,.er» :-rY ,.y--. , ;'�, •r,S. ,rL. ....;` Y , 'xi' .. x.5. "P ,•r � N r, k::: �,� - ;/`+�J� (/���j �'� � '�� if �:� •�V �. y . 108.150-00-0000'.564.44.2301 108.150:00.0000.564.44.2400 $2202.16 108.150.00.0000.554.44.2500 ; $0.'00 $0.00 o�r5o}� .. .. ,.. ��'ari, `,PF: 1 a•''S?.n "�. �hl. Wr .. -,: .. _.:,Eti , , . L,la ur-v..� . . . $t6.r285 04 "i '�G `i -;i �-:� Y{.a�: / � v, ..i:•:.. ^•P . h .wP k:f L Ilei 4M !f -.i J q Yfr rl ��rydk'{� '� w t �r 5 � ` �+ } �. a •,� �? : h`trfi h, aK-yT��Fnrr ���t �fFrk :fie ��I'YI'"'C»f"a%,�. :.v"iry E j-�°`f $2731.00 k r #'•¢y: x F -r to I F y t. r "kTS "Y rLu of �•sa a,"I". 'f.R"' �'�, �l :€ 'Fs` 1aa�"" k`r'} k (�rjail J4 .-'� a,} i",.�...Mly. - $27009.42 3 ,. .y��j , a � � y �; i ' V�..::.;: ,n+i. E„5?'' �+r,C'}'gW�`r !„ri+.x�yt A v�. .r-.l!lrsn ,n',.''�'.i.H_. .sr.+CIai'P it iay. �.k. ? ��i�.::• '!. f ,r''r1 SI '�:t: �_ i �"`�1Py,A �t:�vji�Tb'SivS i �:.�SAbFfl '�SX�llll1i'?;`t3x;� ,':, � �'',.y i�§c ?9fi� y�CF'h-1S''_A`�''{„`f�1'$4 €kS dG. z�1."All . $1 •69 TL.. y+,.: •, rJ” tii..ips01, Y�-{kP - "rO7 .::,. I', 'y•.I.rt .1 'r�3lr't,..w:.n.,(, Y,. . ��'tM}}-�A�,(��. `l'i.h,�.-�.!: 'r.y7'�'�I'1 " �r`'i$"o;0',n- ..�^_ :3�9�a 1<.w,.N... fw'. ,�.? y :�`..�' Ix �tri,'f.v..I_-*,y�. i\f/h1W'G'.+.::'" �_ :.+.�.ygL0.yjy'..f-4_.h. .'."�..Y 'A4g`��.�iAtv y'`'�,.1.`r'Wa,�a:.e..Ginr)i'''"✓4.,:di tS1 :'.y,ij- 'i'y9a�y�'��M�?i}{krl i!;;,�.r'' J�."aS1' i1 �C:i, $5729 `..+i-. r'. .f.:!,E-.,N., pM�fiv.•hrITT t kl'u".;d: _ _'l.�pl �. ,e ...i'.:g{ - �I, 'gp 1..�4' :::jd.:i,.: �1da'.. r�„:�a _ va.�.,v::F}.11�`..->.:?;.- l,tii'n..i?- a n..e{}'u� ,?',e�'�pua^'�,.c)�, -:- i �h f,ll.Ei. � - ,��,.�:'1,:NNT ? +'A��?14+ a.J�. x:.i•v.?” ` ..� Cx��,� 1:h'4fir1.`�.,,�,.,. �r• `.�.^:r�'-15��."r2nli5:�h��. r'�kr�,ili.N.y.i�. W.'.+'xr�,.�;�}F y4i.ak`.i]'i{«�7t.� �UP 15 $220.16 l,T.. ,,:y'r.lr4j i�%i �.'�!`. gf1"^"d 1 .ei ..-;i •MM�,'.p'$ •i.f1k���. .�rl '� i�'•'y!iln,.. t:1d -'"ii" Mc, .,�t',��.i 4. y _ f � � riF'�` � KY'. ,a� �8i'��-�'��'i�:'�.:r�"'�/ -^ .. :'i ...`�. ai L .`i$3 :12 $0.00 RG 018012028 Posted By Posting Month Entered Posted renek.Aa EXEMPT Printed Name: Kyleigh Sanchez Pay Period: June 1, 2023 Employee ID 6629 Staff Signature: Supervisor Signature: "Leave Slips (AIL., Su rVisorInif pe tals for Non -Standard Workweek Pay Pefiodo. 6111)2023 (mmtddlyyyy) 'Pay Datc CLINICAL SICK 1!Jun11-J- -Jun,:12-,- Sun Mon i ri 1 u Jurf.16, --:Jun i� 23 Jun * - n " 8'- R -Q 4&19 Jun1.3t­,.,Ju U Tue Wed Thu Fri Sat Sun Tue Wed Thu Fri Sat TOTAL 8.00 8.00 0.00 0.00 L IN -Z t VIOM �A Rib a. 00, 64. -00 OTHER HOURS WORKED JURY DUTY Total Worked Hm "B"a 0 ':,8 001,- 8.00 -B.00, 66 18.40 0 ANNUAL A-"v-C - SICK 8.00 8.00 HOLIDAY S.00 OTHER (BEREAVIVIENT LEAVE---) FLEYMOMPTAKEN LWOP TOTAL HOURS 30 -8 00 13.0,0 . 80.00 Total Worked Hrs 40.00 40.00 32.00 LV taken GP ENTERED,; LEAVE k IPAYROLL SPREADSHEET ANNLV SICK HOLDAT. OTHERISEMEAV CIVE 0.00 8.00 8.00 0.00 0.00 8.00 410.00 FLIM, i i i renew it":11"x'. t!lri...,r�:,..,,eryi:1•+ 'rt;::et Cr 1.:.:#iR^i•G^. EXEMPT i -D' '*Leave Printed Name 1�yfeigh ;Sanchez Slips Imo, ! Pa Period:Vlay 14, 2023 � y r Employee IC #: �,. 5629 Staff Signature; Supervisor Initials for lean -Standard Workweek Supervisor Si nature! Pay Period. 5/14/2023 (mmIddf�) p Pay Date: : 6W20 3; i a _� �►. t.Ma =rI;q : �._.. Ms- M7 vMa 'IS : Ma :_ 6 Ma 'IT_ Ma �f0 'May,,,,. ; Ma :2Q .Ma.ail .. ,. Y. E CLINICAL Y . y.. Y, Y.... Y.. ,'.. Y_. _.Sun. Mon 'Tue WOd Thu Fri Sat Sun Mon Tue.' Wedu Fri Sat TOTAL tLP 1, z r.,E,:. ^L.- .:.......,.<..._.r,.,a..,-....._Y4 .,.. f Y. . _..Sl' rr /ry.., -,. - _ , ....r rr. a ., a . _ 7. ..: -�',�. ..... _ n - v.`i _ 5_ r k . `q*.`. _ , L� _. ', +,: H.. sP1.,. zt � -_ .. .._ _ .. ....:- ,. -. .. .....a ... ., < —. _ A r r. i�V.K:f+r .., w. ,. .... -f ..r ...... ....:. ._r.. ...u. .,.. orf �',. _ -,>.. .VV4k . BH OTHER HOURS WORKED - - JURY DUTY s > ,, .,I - .. ., .... .. :. -_ :.... _ n a -n e � ... _ _ ,.� F >., µ A.��,,. a ,_,_. soo_ kl ,:,..:,s.aa �-:_$.no,; ; .,..:s.ao '.,_ Totallfilarkotl Hrs.: .,, :. ... i ,.-; ,. ,.., - .. g.00 � �.oa � . _., -�.e�a ANNUAL'. , SICK_. �.�. r .90 HOLIDAY OTHER (BEREAVMENT LEAVE.....) . x,00 � 8.00 .,-&0c) � 20.00 FLEXICOMP TAKEN[ _ f LWOP TOTAL HOURS Tota Worked Nrs ao.©a � A0100 . -0.00'' 4ta.U0 LV taken - FOR PAYROLL PURPOSE ONLY ANNL SICK HOLDAY OTHERIBER V, LIVE -�-' W02 FLEX: GP ENTERED ss LEAVEAA �. `at 0.00 eGU►.�0' 0.00 - SALRYE LONGPAYROLL. SPREADSHEET renew Leave Printed Name.- Ricardo Gamey (AIL, Pay Period: June l 1, 2023 Employee. ID 5707 Staff Signature: Supervisor Initials for Non -Standard Workweek Supervisor Signature:i Pay Period: 6/1112023 (Mmfddlyyyy) 1� �4 Pay Dates 16/30/2023 CV -2 DCR CLINICAL Jun 11 Jun 12 Jun 13 Jun 14 Jun 15 Jun 15 Jun 17 Jun l$ Jun"19 Jun 20 Jun 21 Jun 22 Jun 23 Jun 24 0 a 0 0- 'Sun Mon Tue Wed Thu Fri Sat Sun Mon'.' Tue Wed Thu Fri Sat TOTAL CV -27 D . -- R' LINICAL�`�: fi T� "i"", g �x k. b� I Ij d.Oc �Xvl_,R'W_,ii�' *`� , 1�0 60.00 BH- CLINICAL r , : ; , ... r, . ,;i � HOTEL LEASING OTHER HOURS WORKED DAM JURY DUTY CRISIS BENCH ONLY - please enter hours HOLIDAY ONCALL -please enter a tel HOUIDAY bUhItLIULED DAY. please enter a "l Total Worked Hrs 10.00 10-00 10.00 10M 10.00 10.00 - 60.00 1.00 ANNUAL .2.00 10.00 12.00 SICK HOLIDAY 8.00 8.00 OTHER (BERE"MENT LEAVE.....) FLEX/COMP TAKEN LWOP ITOTAL HOURS 1 10.001 10.001 :10.00 10.00 10.00 10.00 .10.00 10.00 80 -OOT Total Worked Hrs X00 OTHERIBEREAV LIVE LV taken 10.00 0 a 0 0- 0.00 GP ENTERED ae LEAVE PAYROLLSPREADSHEET 40.00 ******FOR PAYROLL PURPOSE ONILY***** ANNLV SICK HOLDAY OTHERIBEREAV LIVE 12.00 0.00 8.00 0 a 0 0- 0.00 40.00 .20.00 total workf 20.00 LV taken from 40.00 Nop FLEX: reneu—u- EXEMPT Printed Name: rRica�rdo Game i Slips WL. Pay Period: May 28, 2023 Employee !D 5707 . Staff Signature: Isupermsorinitials for Non -Standard Workweek _._.,_. - Supervisor Signature-- i -1� 9 3 fib.. Pay Period: 5l2$l2023 (rnmlddtyyyy) Ray Date 6116/202 CV -2 DGR CLINICAL May 28 May 29 May 30 May,31 Jun 01 Jun 02 Jun 03 Jun 04 Jun 05 Jun 06 Jun 07 Jun 08 Jun 00 Jun 10 i 0:00 GP ENTERED Sun Mart Tue area Thu .Fri Sat Sun Man Tue Wed Thu Fri Sat TOTAL LEAVE s 0.00 .. _ , .. , 'e t I .. ,.. .. 4. �. ' f :.1-. :. :. 1 .' .. , 44i.. .. .. .. .... '4 �y�/(/�_ S -., r v. L CVw�Y 1/ r ..- r. ..`a .. R LINICAL a. i ,.ry ,. G , a. : �...1�. Y r w�i .� l S. }} y k• - : i �+ «.t+. :��r. 4r :. >.. .. . x. , -. C,. ..- .•-'-^�.. ...., f. ,.•;.: ,.. a4 Nily. :�X' Sr' rr�•t � , : •. , . .�� .F •tea _. ,. ,. , ,p .. ,, .... k - . - r _ , t b. -�. .. ., is ,s .4 ..,. ,. t • , X, k. ,, ,.x+ ...f-. �.. RNA'! -r .!t.'}+..s a.. .:. .1°' WPM i •,o t^t , ,n, 3- - .. .. ,t '. ... ., ..x.. ... _. T. <%�/� _. ... ..._ _7. i..— ._• tc.-r ,x' ,k ... .. i... _,tx. .. :: a.., .. .i ,. .. ,. s n'. `�..... .. _. :.,.'. �' F e , ..t .'.i:♦ in 1 . ,.� . ..�5.:... ,. ., -, _..,. .,. i... 'I� 4/V ..,-.r7.-...1V•VL. ::��•11 V. ... ... . .,. ��.2.. /� /'� 1,�. - -...r'-:-.$'�..`A...,»..: .s.'—`iC.,�U:-.�4J !:"•� ,aA ;�r�;6'�,.pu •�""'� rry iQ�:il1�X • i CLINICAL r. HOTEL LEASING _ a.cox -OTHER HOURS WORKED JURY DUTY CRISIS BLNCH ONLY- please enter hours HOLIDAY ONCALL ;- please ,enter a X1.1 HOLIDAY SCHEQU. - please enter a "1" Total Worked Hrs - - 1O 0 10:00 10.00- -10.00 �o.a O:oo GO. -00 1.00. ANNUAL 2.00 2.00 SICK 10.00 10.00 HOLIDAY 8.00 8.00 OTHER (BEREAVMENT LEAVE,...,) _ FLEXICOMP TAKEN LWOP TOTAL HOURS _: $.t}0 2.00 1�L{)Q 10.00 1.4.40 - -11 14:00 10.001 10.001 10.00 _1 $O.t}b Total Worked Hrs 30.00 LV taken i 0:00 GP ENTERED 2100 LEAVE PAYROLL SPREADSHEET 0.00 40.001/ t ,ANfNLV SICK HOLDAY OTHERIBEREAV GIVE 2100 10.08409-0.00 0.00 i R.� 40.00 30.00 total works 10.00 Lv taken from 40.00 lwop FLEX: . n EXEMPT 'Leave Printed Name.- Ricardo Garnez, SUps (A/Li, Pay Period: Mayl­­All 2023 Employee ID 5707 Staff Signature: Supermsor Iniftals for Non -Standard Workweek Supervisor Signature: Pay Period: 5/1412023 (mm/dd1 yyyy) Pav mate - CV-2.DCR CLINICAL 14 May 15 May May May 18 May May May May May _.May24 May May 2fi;r May 27 0.00 Sun Mon Tue Wed Thu Fri Sat Sun Mon' Tue Wed Thu Fri Sat TOTAL CV-'2`D`CR1:,C L INICAC�--.'�"'! ..� Y: k;t,7, Vjj g'a 1`0 `P-', M, 69.00 BH- CLINICAL 71 HOTEL LEA -SING OTHER HOURS WORKED JURY DUTY _77RISIS BLNC-[T73NL_Y- please enter hours HOUEMDAY ORCALL - please enter a 01 HQUOTY SUREDULLD DAY please enter a "I" Total Worked Hrs •10.00 10.00 :10.00 10.001 10.00 .10.00 10.00 70.00 .1.00 ANNUAL SICK 7 10.00 10.00 HOLIDAY OTHER- (BEREAVIVIENT LEAVE.....) FLEXICOMP TAKEN LWOP -TOTAL HOURS 10. nn 10-00 10.00jr 10.00� 0j 80.00 I otal W OrKed Hrs LV taken GP ENTERED LEAVE PAYROLL SPREADSHEET 40.00 40.00 DAVOrNt I nf1U0r%j2,= ANNLV HOLD" OTHERIBEREAV crvf=_ 0.00 1000 . 0.00 0.00 40.00 30.00 total worki 10.00 Utaken from 40.00 xop FLEX: System: 7/312023 10:36:45 AM DETAILED TRIAL BALANCE FOR 2023 User Date: 71312023 County of Grant General Ledger Ranges: From: To: Date: 61112023 6130/2023 Subtotal By: No Subtotals Account: 108.150.00.0000,564001124 108-150.00.0000.564001124 Sorted By. Fund Include: Posting, Unit Page: I User ID: rgonzales Account: 108.150.00.0000.564001124 De�scri* p. t' ion: -. .. MENTAL HEALTH,.. H.RW.AGEALL OC-. Beginning Balance: $7t919.37 Trx Date JrnI No. Orig. Audit Trail Distribution Reference Orig. Master Number Onig. Master Name Debit Credit 6113/2023 914,077 PMTRX00027173 HR SeNice: May 2023 MAY 2023 RENEW GRANT CO HUMAN RES :$8.263.67 Net Change Ending Balance Account: 108.150.00.0000.564001124 Totals -i $8,263-67$161183.04 $8,2G3.67 $0.00 .Acc6unts Be -ginning Balance Net Change Ending, Balance Debit Credit Grand Totals: $7,919-37 $8,263.67 $161,183.04 $8,263.67 $0.00 NAIL -7 U :��T^s�:���fk.,���-�`?��,.__:� . • ► t�2023=,�SttniaCed Supp�itireov�g�e) � <'$"":. �'���� � � �� �, � ���� 700 177 19500220% Reneft 63 537 10319436% 579 6.329m9% ��4rietics V01? Services oni VinenwBro-wn, 2080.00 ,-21,078"8 1,756' Picky Gwilirtw 4. -51 -13 2-2 6174 2080.00 Jeremy Hall ---mom $..�.2,474133 57AO ;:$--119,992.00 19"9"('0 0,43 ritn Little6f,34 926.1 7 87=20 -.. , �' I . I '$-", ' -n-27 704 65 n A -si Qg; - , " m, . e '- n� All SdthSa;;;iq _.;f ;- 2080.001 4 Fn n _*-. - 10,64 :,55,21 2,55 -,25,040-40fl !)n30 ANetw' k-ry Prog6i-WhitsU0 ­ " or .&lnvehtd lIvId6liorIn Edn6t[d/SMARTni?'t-M-aintena'6cii 2 L$ 17M7 —13, M 43,54 01,8G, $ � :U2.3 Ednti On " �. �� .-:. - *�- . ,- :� a cs e32,59.3.8.3 -I:do "s 7 "104,12 662- 09 '16,5.72 �5124 761,571114 S -x6,76151. Vmwa�d Vieam bickuj:Soft*ai'e' 3.2127. 1,.Dyharnlcs GP C7X9.23 60317 MOO: M". Wr a Prirfiwm- Plan f-. 77 . 4900 '85' "Ais 00 b2. Y $ 36 3624 $.��,j; 8 zoo Ver, 6/27/2023 1,jun Monthly DD Jun -23 lines NeDgrk & Skyrily Services "John Marti 1,648,37 ,I c k111h - I- 500,76 5,314.69 10,655.34 -P $ 4,423.09 Total $ 18,669,63- ..152 Amount per users 122.83 23 2,825.01 D 167 0. D-12�.' .a. 003,568.60.415Z. 125,10,00.8002,10.4152 116:89 20,870.98 total $23,6135.99 SH t.W dr k Si 6 i i i M c i s - 16hti'MaMh, 466%66 -Mcg '-" KG i t I ft i fi g g -�y On V 500J6 giLwuifma Efi 10,655.34 >, xS""'teniS'ifmrnisfraEon'=5ervices"�" 55,0 .48 -WIPW 603.27 O Ce 4,423.49 TOrAL INVOICE 23,695.99 LS2.00 TOTAL PER EMPLOYEE 155,89 M0, -5 ', 70V-0. GRAN MHOG 8053 31:L79 Preventlon- SASG ML 9057 155.89 SABG-QUINCY 9050 155,89 SOAP LAKE-SA116-9042 155,88 ti Suicide PreventiortGrant County-ARPA Lw C.V-2,ARNP' CERA- waiting for a project code TOTAL GRANTS: M0, -5 ', 70V-0. \,,U/ Grant County Technology Services PO Box 37 .35 C ST NW., Suite 308 EPHRATA, WA 98823 Bill To Reftew 840 E Plum Moses L4ke, WA198837 Invoice Date Invoice .112712121 156-23 Total $25,679.59 Payments/Credits $0.00 Balance Due $25,679.59 nzorl 33 Invoice Number Account Number Date Due Page $1.67 .$52.27 9936630267 871576835- 0001: ;, 06/28/23 4 of 314 Overview of Lines, continued - $.02 $zo $40.01 509-707-9630 Lanny Abundiz 36 Usage Surcharges Taxes, $,61 $1.67 $52.27 and and Other Governmental, Third -Party Voice $49.99 8 Page Monthly Purchase fil LfjpmentCharges and Surcharges Charges Totat Plan Messaging. Data 'Voice Messaging Data Charges by Cost Center Number Charges Charges Charges Credits. and Fees (includes Tax) Charges Usage Usage Usage Roaming Roaming Roaming 509-431-8315 Angel Serrano 33 $49.99 1,64.384MB $.61 $1.67 .$52.27 509-707-9450 Cdsis Laptop 35 $39.99 9 $.02 $zo $40.01 509-707-9630 Lanny Abundiz 36 549.99 .385.168MB $,61 $1.67 $52.27 509-761-1256 Traci Hunt 37 $49.99 8 '$'.61 51.67 $52.27 509-770-0204 Hector Zavala 38 $49*99 25 $.61 $167 $52.27 509-770-3094 Kayleen Simpson 40 $49,99 $161 $1.67 $52.27 509-770-3146 Jared Detrollo 41 S49.99 $.61 $1.67 $52.27 509-770-4009 Anselmo Quezada 44 549.99 $.61 $1,67 r$52.27 509-770-4235 Anselmo Quezada 46, $39.99 $,02 $.00 '$40.01 509-770-4559 Crisis Lapotop 47 $39.99 :$1.02 $.00 $40.01 509-770-5442 Pete Gonzales, 48: $49.99 51.67 $52-27 509-771-5032 Gene Mitchell 50 $49.99 5100 $1.48 $1.99 $56046 509 -771-'5583 Crisis Laptop 57 $39.99 $.02 's.00 '$40.01 subtatAl $709.85 $3.00 .$.00 $7.66 $18.69 $.00 $73920 CRISIS SOLUTIONS-DCR 509-431-2319 EddieGonzales58 $49.99 $.61 $1.67 $52-27 509-431-8237 Shannon Fulkerson 64 $49.99 $1.67 `509-43-1 ZT34­Ricardo -Bamez_-- - 70--_ .$49199 509-770-3235 Jonathan Muck 72 549.99 S.61 $1.67 509-793-0016 Kilah Dingo $49.99 $.61 $1.67 $52.27 Subtotal $249.95 $.00 $.00 .$3.05 $8.35 $-00 $26135 1 DCL 509-707-9873 Nikki Davis 96 $49-99. S.61 S,167 $52.27 509-750-4166 Del Standby 92 $25-00 $.36 $1.52 509-750-4167 Del, Larson 93 $25.00 $36 $1.52 509-761-1023 Janna Lonas 121, $49.99 -- --- $Ll $1.67 .$52.27 509-761-1141 Chelsea Roily 123 $49.99 $.61 51.67 $52.27 509-770-4408 Missy Lopez 125 S49.99 $1,67, $52.27 Subtotal $249:96 $.()0 $.00 $3.16 $9.72 $.00' $26224 23 127.98019 10 1,64.384MB 96 .2 1,95.715MB, 40 600.232MB - 7.912GB 9 1 218.478MB 323 16 314.367MB 211 253.10816 r 229 - 55.377MB 55 .9 354.620MB 261 1 107.164MB 342 42 30 .385.168MB .003GB 965, 2 .001GB 8 106 156.5109MB 25 137 341 W`639MB 27 25 127.381 MB verizonv PO Bari 489 WARK, NJ 07101-0489 ,KEYLINE COUNTY OF GRANT Manage Your Account Account Number Date Due b2 57,�b.'Ve dzonwirelesg.torn 87111' 0835 -00001 16/28/2'3 Change your address at Invoice Number 9936630267 http://sso.ver'izonenterprise.com Quick Bill Summary May 07— Jun 06 Previous Balance -(see back for details) $6,177.08 8.40 E PLUM ST Payment — Thank You —$6,177.08 MOSES LAKE,, WA 98837-1874 Balance Forward 0.0 Monthly Charges $6,265.47 Usage and Purchase Charges Voice, $,00 Messaging $.04 Data. $.00 International $3,00 Surcharges and Other Charges ,& Credits Taxes, Governmental Surcharges & Fees $163,98 Total Current Chtirgos $6,493982 Total Charges Due by June 28, 2023 $6o493,82 Pay from�pho�ne"---,-,-�,l�-�'Payon,-thaWet�-"�-�;-"!—,t,---""--L--�'�-�"�'-",-,---'�-,�-,--%"--,��,-;�,-,t,-----,�--*-,-,---�,----_-- .......... 4PMT (#768) At b2b.verizonwirel;oess 'com W1p1p1jWN!WqpE m •1.800.922 0204 'r rn your p , 611 fro hone ---------------- %Vj r ri n le AwLs %&%j Bill Date June 06 2023 Account Number 871576835-00001 Invoice Number 9936630261 COUNTY OF GRANT 840 E,PLUM ST Total Amount. Due by June' 28, 2023 MOSES LAKE, WA 98837-1874 Make check payable to Verizon W* ireless. $6 49182 Plepe return t.his remit slip Wall payment., $ El PO BOX 660108 DALLAS TX 75,266-0108 9936630267010871576835000010000'0649382000006493822 r venzon., L& YN meow, Invoice Number Account Number Date Due Page. '9936630267 57683 �- 00} 0 83 5 of 3 Overview of Lines, continued { t Usage Surcharges Taxes, and and Other Governmental Third -Party. Voice Pae rvbnthl Purchase Equipment Char es and Surcharges Charges: Total Plan Messaging Data Voice Nva in Data 9 Y9 g 9 g Charges by Cost Center Number Charges Charges Charges Credits. and Fees (includes Tax) Charges Usage Usage Usage Roaming Roaming Roaming MEQ TEAM SQ9=�7fi1-.1743. Kyleigh Sanchez 127'.. - $49.99 ---- -- $.61 $1.67 --- X52. 9 -- 53.281MB .509761--1775 Tina Mom :729 $49,99 $.61 5167 369 359.421MB -_ 509-770-0808 Tina Mora. 135 S39z99 .-- S:82 S.00 --. $40.01 Subtotal $139.97 $.00 `: $.00 $1.24 $3.34 $Do $144,55 MH EPH 509-761-1.229 wren Hernandez 136 ;49.99 x.61 $1,67 -- $52,27 Subtotal $49.99 $.00 $ 00 $.61 $1.67 $.i}(i $52.27 MH GC 509-431-0321 Michelle Laska 737 $49.99 --- - -_ $.,61 $167 -- $52;27 237.143MB 509-707--9109 Irene Gama 138- $49,99 5.61 51.67 -- $52.27 -- 7.263M6 -- 509-707-9521 Michelle Laska 139 $39.99 -- --- $.02 S.00 -- $40:01 -- 4.405GB -- -- -- 509.760-0954 Grand Coulee Front Off 144 $49.99 $.61 $1.67 -- $52.27 __ -- -- .�-- -- 509-761-0593 Mh Ge 141: 5.00 -- $.OB S.00 -- .00 - -- _- -- --- -- 509-770--0581 Judy Miller 142 $39.99 $.02 SAO $40.01 509-770-3250 Lisa Hamilton 143 $39.99 }--- - $.02 $.00 840,x1 --- -- 1.678GB 509=770-3890 Mh GG 144 &QO $.00 $.00 5,00 509-770-4047 Judy Miller 145 $49.99 -- -- $.61 $1,07 -- $52.27 509-771-7374 (visa Hamilton 11yy46 $49.99 -- ���ee�� � ---- /�� $861 $1.6y7� -- A� $52.��{7 ---. __ 145.986MB --- . Subtotal 19.92 $.00 $a� . $3..11 .aJti $.00, .138 MH LAPTOP 509-770-4525 Barbara Wilkinson 147 S39.99 -- -- $.02 $.50 -- $40.01 _- -- .285G6 509-771-5074 Kim Bailey 148 ;39.90 -- $.02 $.00 $40.01 -- -- .001GB Subtotal $79.93 .00 $.00$.04 $.00 $.tel `80io2 MH MATTAWA 509-407-7308 Mattawa. From office 149 $49.99 -- $.61 $1.67 -- $52,:27-- 509-431--0572 Sonia Nagana 1511 $49.99 -- $.61 $1.67-- $52.27 2 --- 29,442NiB 509-771-7057 Mattawa Wifi 152 $39.99 -- -- $.02 U0 -- $40.01 -- -- 9.791GB Subtotal $139.97 5,00 $-00 .$1.24 $3.34 $.00 $1'44. 5 Invoice 122117 Invoice Date 6/9/20.2,3 Due Date 71912023 Terms Net 30 Account Number 101 748 Contract E-V-6,0-WAGCCH-6108181 B Amd No. I Customer PO 9 EV-60-WAGCCH-0 10818-1 B Amd No. 1 Grant County Grant County TS Po Box 37 Ephrata WA 98823-0037 United States �ednetics voicE 971 S Clearwater Loop, Post Falls, ID 838,54 �5� � �� i la�i Ali = �f 5-j = � �+'�,31 � � by TOTAL AMOUNT DUE �5350b $17,644,13 Current Charges Monthly Charges Standard, User Total Taxes and Fees .Federal USF Federal Regulatory. Charge Sales Tax WA State E-911 WA Cduniy E-91 I WA State 988 Local Utility Tax FCC Regulatory Fee Total Invoice Su mmary Current Charges Total Amount Due QTY PRICE. EXTENDED 757 $18.1,50 $14,004.50 $14,004.50 Ednett cs Customer Portal Engag 'a the Ednet * 11cs team, track usage data, request support, generate printer frie.ndly reports, search rec6rds and ma?a, — all hm the customer portal. Contact your 'account manager fo acHvate your mount Customer service and billing Inquirles 1.888-809-4609 or receivables@edneUca.com Ednefics Inc. 971 S Clearwater Loop, Post Falls, Idaho 83854 $363.39 $68.59 $189.25 $529.90 $30480 $893-.96 $3.97 $.31639.63 $17t644.13 $17164413 1 of 1 BILLING MONTH .D R $ renew CV2r DCR V13V2023- a..;...^*r�' � -. . .i .R- r^•^. •,�, •.?-T 1 J LX F L EXPENSES GP LEDGER 108.150.00.0000.564.00.1100 SALARY- Ricardo Gamez $ 51444.88 3/31/2023 108.150.00.0000.554.00.2100 Retirement $ 565,72 108.150.00.0000,564.00.2200 551 41G,54 108.1.50.00.0000.564.00.2300 Medical $ 947,00 108.150.00.0000.554.00.2.301 FMLA $ 11.86 108.150.00.0000.564.00.2400 L&I 109.2.4 108.150.00.0000.564.00.2599 Employment 7.5 85.24 8 6/. 'iJ 0.0 �0 G'T O�r��•-,1�� 10 ,15 Q.5 l � f S �, i tiii�� 'Ycw`�!d.`. ' K /aY i .t :i. - v.� Ei+ ' f : J - �-�. . 11 -w�` '1^.': ^f• - ,:. - i. � . _ 1.. - .i. '; .Y. � ��i�t���� 166 �O� _ .564.00. _1- 108.150.00.0000- L/JC::, .{ :.,� Y �Ii„t ..% >,h i.^� 7 P k _ !.. M1 -i•'3} ,� f e:::�„` ” .t -Z' a1 . .QTS& es: o, 108.150.00.0000.564.00.4202��� r •fit .T+r \ ti( - f �e- r - R✓Ii.s�iw+ `] 7 T 202.2.8 ._ r�..�.. - � r-g .�y,r• .. �. �. ��. .. .aAtlry- .� �_. �� �`.w'i l l' I ..f. .�'w�-y ) ilk M` i S( y ��y�S� 3f n� '� .� �i'•'?il-tl.?,ox t. S� s1.� �y� $�.v{r7t�';fi.4. „�2: _ '''aw� K���i .M■�(j�.) /�.y{}*� �■i <.4 reft..i4 gY'' S+i?- �',+t R.�' `�:r �'+' ;a r: 'tib` i.•:. V t/+ri.f:Y.1✓,rl_=V.M.:R t,'.! -:1✓'..,{. t�ii' i,t-4t+;a €' i' ��,...F:v, .jf..•s r.. ., .trr.. _...Sr ..r.. ...-: x.45�i.;'!!':v.. ti's. .S.i.. ,.F�+.:i <rz'�i�.`::t�,l. ,,�".�4v .54t 11TIM'. �....Fn 515/2023 14:30 BILLING MONTH DCR, ARNP 167760,08 17741.36 112 0.J 11996.24 36.52 221.12 22036.08 3/31/2023 lt2, N DEBIT iCREDIT 108.15.0.0Q,0000.56444.1 100 $167760.08 $1,741.36 108•1 50*00.0000056404402200, 8,0,_6 50' 00 0000,.64!S A42300: 996.24- 108,1.50. 00.000-0.5-64.44.2301 .6, 21 ":$3 108.150,.00.0000.564.44.2400 108.1-50.00.0000.564.44.2599 rl�() 100 ' '0' TO&I-I �:50qr,00' 0 00 1 1 ,760 8 $60 108.01150.'00"0 ���4 ao2� as _ $1741.36 1 08ABO'* 0,0:0 0 GO 2,001 $1,280.76 .6 .023, ".� A wry �, x# .� `l� V �a11 a4 ;x $13-9.96.24 o� y 0 0 oa�aA�4:a'a � b� $36.52 8`�:. ,.,`,l SO '--'o 0` • *� Go. $221.12 108' -1*50,00.0 $0.00 $22-j,036*08, 36, $0.00 RG 3131/2023 Posted By Posting Month Entered [Posted DCR, ARNP 167760,08 17741.36 112 0.J 11996.24 36.52 221.12 22036.08 77 t -'s 2911WA 4 0 . ea I-M,qr xam IDII 3 Mar -23 299.91 `°25.0-0R,40 ,, 1,648.37 SABG-QUINCY 9050 500.76 277 -A7,_.4'; -92A- S Nit" LSD 1.00 S2 .13M AIM f6i 1,04 . 9.70 -Loo 4,413.09 I M t�-'16,741SZJ 2 .72, 17,767.11 .00 152 ,A -m: ­punt. ROT Users, 116,89 .7 77 7-077777* 2.1 j 1, Cfyrramics 4 MORA- $ttva N*Mium pla V 1*9A 4J1_ - Is. At 486m: 4�� 11"s Sim 4 SO -00 14' 4:11'1_'_�*IAWS' ow- ...... ...... . Edi ti on 1,648,37 SUD-76 4,412,U .34 m•s 5517.48 ki 603.27 4,423.09 'TOTAL INMCE I-M,qr Monthly Mar -23 299.91 Prevtntlan- SABG ML 9057 1,648.37 SABG-QUINCY 9050 500.76 SOAP LAKE-SABG-9042 149.96 4,412.IG 10,655.34 $50,48 1,04 . 9.70 4,413.09 Total 17,767.11 152 ,A -m: ­punt. ROT Users, 116,89 2,688.44 M-25,167.00,',09 152 911.308 20,105.02 Total $22,790,47 QH Edi ti on 1,648,37 SUD-76 4,412,U .34 m•s 5517.48 ki 603.27 4,423.09 'TOTAL INMCE 22,793,47 MH BG 299.91 Prevtntlan- SABG ML 9057 149.96 SABG-QUINCY 9050 145,96 SOAP LAKE-SABG-9042 149.96 Suicide prevention-Grant.raunt-r4ftPA CV -2 OCR TOTALGRANTS 1,04 . 9.70 M r . '1 � E� � • f v -. d -�,�`a �'+s •1 -i , • .i4+ r::tr...lv`•:•-IYcr° . ,d•: .•r_ _ i�.3 S'' .J '•.,r 4 r `�-... ,-1' _ .r. r . `+r�`,:l '' ..i` .oral,••. -a. re1�44- 7::. Oveinw-fiew of Lines, o i n ue Page tecta Charg= by !Cost Center Uumher Chi •� � ill t.. 3 Invoice Number Account Number ., t^rct-,`.'�'�..f - - v s `M.'s�a•Ma.a - ;v..•- �•� 4, .... +a ,.�°fr ='4 . X"'= :^"°. tfjT•" ar .'�.:�..1:�' . • ..;�. 1+. 'r.;r, .,moi r`.` � .:i:•,,,. .s. -=a: • t.r`]F ` •1'•fS:,... `�+'n ? r. •�'='«'Ti.^;% •l.t.. ».3- • z : r,. u,r .f • ,,.,`•i j y .� , r, tom, r; •:1c,,•.. 3�i^..• ....-. � -t.. '4,- : `�'•„'. i':t ..ncEga. •3,� ..-s��4. ,,: •. T ��., t .••n. h•i, -.c. .a-• z.. .: 't. ro�.l:. ^ _ •••ice ...y. s t,. .a,3 "y. ''F'ra�+,.' -R_ .,' ��*' t' r.,c •S.'.:'ar.�'_�s,- 7 -.! +3�3„.��,` .,.,,1't-`:�: � .r�� :.fir � a$ w:. ..: w� �..• .r 'ic-. .Ii r .sir• t..t [ • �:.l+A �•''j { 'fes �/y�J(/��7■i�yj■ {`/�.7 �%, �} .[�y�{j 1 w 'Yt Y�� •V�'yV V. 7+` •t t` -.f-- •x •q.. i= ..s , r � �J7 �. =�C}e7 Q O Fr .:k ` v' ,. vy�ar d k:; it`:, ,,- _� • L a • "'�.i _ � . � , r.. �;.:r.^ ... c , • .•� .r ��� �.. �.t,. el' .. �' ., '1K.. s' "�� "s.. ••gut., t II 1. .'r': - �.,. „ sr a> ,v + ... r ..:.0•ti..0-_. •.:.Lir•- �-i'Y-•t. .r�+r•.fs,.�'►..r�it+•. iSS i Y.",rir rL'i•p„••d+. �.fr.''�y.:.v'.T..i.:P•c.`:17...'V�i;�,:T:r�k '�C..��s, 8.�."„„ / i` �,]+•yt,s, i��� w Usage �rarg�s T��+�s, and :and.fter governmetal Third -Pam Pasch tSu aSasa es clhaa Tata[ Champ Ghargm CmdIft and Fees finbludesTa4 Charg CRISIS SOLUTIONS $1.67 �- $a2,32 599-••298-0717 Jose Jaz 31 $4.9.9 599-A-31-5054' Jesus Garcia 33 $49.00, -509-4-31-8315 Angal Serrano 3 $49.90 - HQ's --x•31--8724- Ricardo Gamez 37 $49.92 .509--707--9450 Crisis Laptop 40 4$19.901 509-707-9630 LannyAbnndiz 41 $49,90 509--761--1256 Traci Hurd 43 $49.99 509-770-0204 . Hector Zavala 44 }s.99 505--770-3094 Kayieen Simpson -46 $49,99 509-77G--3146 farad Detr©l[a 47 $49.99 549-770-4009 Anselma Quezada 50 -$40.99 509-•770-4235 Anselmo Quazada 5.2* $39.99 509--770-4559 Usls Lapatop 53 $39.99 509--770•--5442 Pete Gonzales 54 $49.99 509-771-5022 Gene Mfthe11 56 09.99 509-771-5583 Crisis Laptop 61 $39.99 f5r M�}}4[[((/rr7{{ Subtotal $759.84 CRISIS -S0LUTf0NS_DCR '�•R{,� ]r11���'j•jjj .r-. ,•.,rte $�.r•� 1 { .V[0 '-..-"" 509---r61--2379 'Eddie Gonzales 62 $49.99 509--431--3237 Shannon FaIkerson 66 $49.99 509-770-3235 4onathan Muck 71 $49,0 } 509--703--0015 Mah King 78 $49.99 5 110.$7511J1B Subtobt $199 6 DCL 253 -- 2rS,435Mg. -- -•-_ 509-707-9M N!Rki Davl 84 $49.99 500-751-4166 Dc1 Standby 66 S25.00 509-750-4167 Del Larsaa $8 V5.00 509:--761 7023 Jenna Lonas 177 $49.99 509-761-1141 Chelsea Rally 113 840.99 509-770--4408 Mmy Lopez 775 $4.9,99 subtotal $249.9.0 Date Due Page Vain Plan* messaaina Hata Vnirtp- m n1nrf nota • --- --- $.66' $1.67 �- $a2,32 2818.072lViB 1 --- -- --- $1.67 $52.32 35 i 243,422M8 --- - --- ---- $.66 } $1.67 -$52.32 • 34- ^ - $5232 ' - �--- $.66 $1.67 --- $52*32 78 56 392.905MB -- -- r.,>.. $.02 D0 --- $49.01 r , ¢ ` ' $9,72 $1.67 -- $52.+32. 771974,037MB --- -- $1(/6"'^" t��S'•{L'��,sa7� r '�- '�- -^ .-.,•,. >,- .err ,s..-� +���Y � •,7/ (�f% i\,•...I, r.-� �Y.I..t132 Y � 5 •. •L 9.M �. �J {T`.lJ ••�"„ .41,••v --. -- $+56 $1.67. $52-32- 52.32•$52.32' $52.32' 140 -- 150.735MB f5r M�}}4[[((/rr7{{ L `.^+niL.e.r V.LJ. 913.039,{ B �. '�•R{,� ]r11���'j•jjj .r-. ,•.,rte $�.r•� 1 { .V[0 '-..-"" $4.0,01 -- ^--- U2 U0 -,-- $49.01 ----- $.66 $1,67 ---- $52.32 21 5 110.$7511J1B .�_ _.... $.16 $1.67 $52.3.2. 253 -- 2rS,435Mg. -- -•-_ --- 4$.02 $.ii0 - $40.01/ $.tom $8.00 t $ 0 $787. 20 431.263MB - --- -~- .602GB --- -- $,66-. $1.67 ---- $52.'32 - 241 - - - ' $.66 $1.67 ^ - $5232 ' 235 1 .r".. $.66 $1.67 $52,32. 434 23 $2.04 t $6.63 o $209.218 , 114.962AM ---- 49.051 MB .r~... 34.751 MB 245.G0,3MB ....,_. $:66 $1.67 -- $52.22 .' o - 20 431.263MB - --- -~- .602GB $1.52 832 ---• .047GB -- --- ---- $.66 $1,67 - -- $52.32/ 11 103 728,870MB_- $.66 ' $1.67 $52.32/ 11 58 432.866MB $52.32J 17 203.672MB ---- -�- ¢ ` ' $9,72 S.00 $2M,08 t venzonv PCS BOX 489 - NJ 0710-1-0489 anago Your Account t HuMber Dato duoNEWARK, Change your addre t Invoice Number 9929462049 KEYLINE Quick Bill'Summary Rb 07 - Mar o6 I If I fill If I I I IM Ifillrill I I I III fiIIIIE111 H 11111111 COUNTY OF GRANT 840 E PLUM ST P royl=Balanoo (086 tackror-dowls� Pomant-Thankft $6,438,94 MOSES LADE, WA98837 107 4 6 -$438,94 month iy charges usa* 9nd PVtohaso Charp (10 V0108 $645 A67,1 Data gn d Other CKarg es& Credit go q. S Z, j� Zj Taxes, GoV&n'— mental: Surcharges & F000 $64,18 Total Current Charga's, 3 >( 3 $6,434,67 TOUT Charges DUB by March29p 20.2.3 Sze 3Z from pholle, Pay yon the Web Quest -lops; -- --- WE - verlzonAl B111 Date m 061 2023 Aocount Rumber 10010 Number 9929462040 COUNTY OF QRMT 040 E PLUM,ST TotaArnount Due bY March 29, 2023 M08ES UM WA 9887-1874 l Wko ohook payuhlo to V64ZCn WIM18M. VOMO MUM thig to MR GNP with P*H'od $6,434x57 PO BOX 660108 DALLAS, TX 78266-0108 9 9 2 9 4 6 0 q 9 0 10 8 7 1,57 6 A 215 0 0 0 a la 0 U 0 0 6 4 4 8 7 0 0 0 0116 4 4 5 7 2 0 ]b - JVMr4L AO**& Amt 60flowfamt Printed Name: Ricardo G amez Vivo IAIL.* Pay Period: March 5, 2023 Employee ID #: . .... _. Staff Signature: Supervisor initials for Non -Standard Workweek Supervisor Signature.- -Period: 3/512023 (mmIddlyyyy) Pay 02te-, CV -2 DGR CLINICAL �M Mi -.0 M r__4 Mae -40", .17 Sun Mon Tue Wed Thu Fri Sat Sun on Tue Wed Thu Fri Sat TOTAL ;c -IN # A ! wil'.11"I n1w,]5 '0' �kv 844 ZLINICAL-.� T 42 - . z i 2 HOTIRL� LEASING OTHER HOURS WORKED JURY DUTY CRISIS V ENCH ONLY - plea enter hours R511-TAN"ORCALL -please enter a $#V please enter a "I TOW Worked Hrs- -00" 1 OX0 00 60.00 i.00 ANNUAL. StCK HOLIDAY OTHER (BEREAMENT LEAVE.....) FLEXICOMP TAKEN LWOP TOTAL 14OURS 00 - Total Worked Firs \40.00 20,00 total workt LV taken -******FOR PAYROLL PURPOSE ONLY*"*** 20,00 Lu taken from HOLDAY 40,00 A N SICK THERM CIVE GP.ENTERED:; lwop FLEX: SALRYE LbWe 20.00 0.00 0.00 0.00 0.00 ,PAYR0LL',SPREAD5H'EET LONG renew EXEMPT ""Leave Printed Name: Ricardo Gamez Slips jAtL, Pay Period: March 19, 2023 Employee ID Staff Signature: A A A J.'supervisor' Initials for Non -Standard Workweek Supervisor Signature: V Pay Ped od: 3/19/2023 (mrnlddtv v Pay Date-, 41 CV -2 DCR CLINICAL Mar-- %. Mar2O Mar,21 Mar'22- .-Mar. 23 'Aar 24 Mar--,25-'-r-2G -Ma, Marl -T, Mar 28z Mar 29 ...Mar3 Mar HOLDAY OTHERIBEREAV Sun Mon Tue Wed Thu, Fri Sat Sun Mon Tue Wed Thu Fri Sat TOTAL 10.00 II 0.00 0.00 7*� MOIDAQ SH ---.CL Nic 7 I -AL - HOTEL LEASING OTHER HOURS WORKED JURY'DUTY CRISIS BENCK-ONLY ­ please enter hours 013A70M7,AEL - please enter a "I", HOLWAY SCHttUUCE1J UAY - please enter a "I Total Worked J4rs 6.0.4 ANNIJ& SICK 40. %00 HOLIDAY OTHER (BEREAVIIAENT LEAVE-_.) FLEXICOMP TAKEN LVVOP TOTAL HOURS � -� ���� ���rt� F �� ��40.00' I 0.0f) 130 Total Worked Hrs 2Q.fl0 A0.00 30.00 total work( LV taken 20,00 ******,FO.R PAYROLL PURPOSE ONLY***** GP ENTERED LEAVE PAYROLL SPREADSHEET ANNLV SfcK1 HOLDAY OTHERIBEREAV CIVE 0.00- 10.00 0.00 0.00 0.00 40-00 FLEX: