HomeMy WebLinkAboutGrant Related - BOCC (004)GRANT COUNTY
COMMISSIONERS AGENDA MEETING REQUEST FORM
(Must be submitted to the Clerk of the Board by 12:00pm on Thursday)
REQUESTING DEPARTMENT.. BOCC DATE -
REQUEST suBnnirrED BY: Janice Flynn
CONTACT PERSON ATTENDING MEETING: Janice Flynn
CONFIDENTIAL INFORMATION: ❑YES ®NO
10/19/2023
PHONE: Ext 2937
kedu &MIJUA91JEEL11
ate►
110111111111111111
A
iii:ll!lil�
A A ed or
❑Agreement / Contract
FAP Vouchers
❑Appointment / Reappointment
❑ARPA Related
El Bids / RFPs / Quotes Award
❑Bid Opening Scheduled
❑Boards / Committees
❑Budget
❑Computer Related
❑County Code
❑Emergency Purchase
❑Employee Rel.
❑ Facilities Related
❑ Financial
❑ Funds
❑ Hearing
❑ Invoices / Purchase Orders
0 Grants — Fed/State/County
Ell -eases
❑ MOA / MOU
❑ Minutes
❑ Ordinances
❑Out of State Travel
❑ Petty Cash
❑ Policies
❑ Proclamations
❑ Request for Purchase
❑ Resolution
El Recommendation
El Professional Sery/Consultant
❑Support Letter
❑Surplus Req.
❑Tax Levies
❑Thank You's
❑Tax Title Property
❑WSLCB
Reimbursement request from New Hope on the Department of Commerce
Commerce Consolidated Homeless Grant (CHG) No 24-46108-10, in the
amount of $3,969.86 for September 2023 expenses.
,ZAP PROVE
v�
❑DENIED
❑TABLED/DEFERRED/NO ACTION TAKEN:
❑CONTINUED TO DATE:
❑OTHER
DATE OF ACTION: I U 1/24 --�3
L ub'_Grantee Names
Invoice Month/Year
Grantee Name
IM S--
Total $3,969.86 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
County of Grant
35C ST NW
P.O. Box 37
Ephrata WA 98823
Vendor: DAVID GUTIERREZ
14214 S. HANEY RD
KENNEWICK WA 99337
Document Number
�9062b-i �-DL.
Description:
Client EFA
Page 1 /1
Invoice 0396553
Date 9/7/2023
Purchase Order Number Vendor ID Shipping Method Payment Terms ID
GUTID
Amount
$170001,00
subtotal
$i jow,00
Misc.
$0.00
Tax
$0,00
Freight
$0.00
Trade Discount
$0.00
Payment
$0.00
Total. Due
$1.,000.00
Updated: 2/11/2020
Staff*- D. Long
Date Submitted: 09/06/2023
now beginnings. better tomorrows.
Amount request: $1,000
Type of client:
# of Children: 3
DV SA X CVSC OYHDP
600%lient ID: AOT23188
Client's, Home City: Moses Lake
ti
NVE
Explain: Rental
* Background check for housing
Mortgage
o Children's needs
•Service SVPO
e Debt assistance
Utilities b4lis
* Driver's, license
Security Assist
e Education training
Rental Assist
Bus fare to return home
• Carpayments
Cell phone to seek work/housing
Food/Necessities
• Familywell being
MWI.�,5`.. .r <. t'+- ,..L !>.'x> �� "?-k.N
LI LUM.
iaLM,.
'ie*S}�f��FW. ,:.:� �� "�Y>;V.-rv�.rr-..5�'. _ , .<.:."i .. �4 .. ,�i; it(RyYiFSy� ,Ci.. "Yq"�,_ �. ... Fi!. ,...i�.F�. Utx <4�. „� _ 'E�t'.-r�. ..1. ':%. +:3ldN �} j>
• Housing Authority
Explain: Employment
• Salvation Army
0 Serve MIJQuincy
0 DSRS
0 CPS
0 Family contribution
Friend contribution
k
.",-"S- �` �Y. n
t e, r eme d
'UP.fit
z n MI
_eV sbf,-, 19 r N
At
N.- Ak:
gg
-A
G 0 AN, 3-OSK"" HDP NOW',
01,
KA_
F 4
A -Y,,
k -C --b", -OD`:�
MENT� UP as
Updated: 2/11/2020
GRANT CM4,NTY
Neer t o e/K i J Hopeo
PROMISE't,` 1`0 PAY
CIBI111,1111 Qav I&P� LIli Io -re?
J– —
vost 011icc Addre4o* 442,N,5I-Itanc% Rd k WIN
NIC)IIII, DaN Purpos.c
Dollar CCtIts
09 01 September Rent 1,000 00
- -------------
t
1)111C- a W-24)-2. I -
Total Amount $
All hill's num K- ili:tiwed in detailon.l.his blatils or iwowvd list atwelied licrew ith W[witsubmitting claints tor wit he
sure to spCCIN dill esc lo Im. is tIIICII&d to COOT
ISSUED
Debbie G Wn�
Neu I knpe/K . ids Hop: Advocatc
p
For'subliussion for Pay"ICIII - RCIUM VOUCIICT 10
G, raill County
NI'm Hopc/K ids I lope
31 l W Third Avenuc Moses Lake. NVA 98837
I licrdik Caffy on I lonor. that the goods. mc(chandise, oiatimil (v set%, ice dlarVd f()r III IN: aNiN 4: hill havc k4en futniNfied as
11crelf) charged
DAIE
11f inted Clatinmit Nara:
CA INNOIB I US ED I'M A LCO110L, TOBACCO, PRE -PA I D OR CHF-freMDS
:_mcnt lo ah_q\�c a�dgrg�m,.0 aL. will,
LC \ �vf
Vvudwn, ri:u.I�vd IV), 12 v
tit) I\ uill hay c a� "'Icorav. 3' 144c the to
, I pm
1:X1FRGJNN('Y HNNANCIAL ASSISIANCI-
1.
IN11\10
FUNDINIG 7611
Id— N ONO%
Page 1 /1
Invoice 0396432
Date 9/6/2023
County of Grant
35 C ST NW
P.O. Box 37
Ephrata WA 98823
Vendor: HOUSING AUTHORITY OF GRANT COUNTY
UNITED MARKETING P.O. BOX 3080
BELLEVUE WA 98009
ww
Document Num �er Purchase Order Number VendorlD Shiin& Method Payment Terms ID
PP
�91
GC
. .............. ........
Description: Amount
Client EFA $1,990.00
Subtotal
$1$990.00
,disc
$0.00
Tax
$0.00
Freight
$0.00
Trade Discount
$0.00
Payment
$0.00
Total Due
$1 A 990. 00
Vendor:
Post Offi
it qn-V
,� � GRANT COUNTY
• New Hope/Kids Hope Rids Hope
PROMISE TO PAY
Date— q 1 11-2623
Total Amount
$ Nqa. 0 D
All bills must be itemized in detail on this blank or itemized list attached herewith. When. submitting claims for
rent be sure to specify dates claim is intended to cover,
For Submission for Payment -
SUED: Return Voucher To:
Grant County
New Hope/ {ds Hope
Hope/Kids Hope Advocad 3 11 W 'Third Avenue Muses Lake,
WA 98837
I hereby Certify on Honor, that the goods, 'Merchandise, material, or servi.ce charged for In the above bill. have been
furnished as herein charged.
DATE:
/V
Printed Vendor Name
S-1-0—i—atu, re
❑ Mail 12MMent to above address
Check one:
CANNOT BE USED FOR ALCOHOL, TOBACCO,
PRE -PAID OR, GIFT CARDS. lul
claimant will pick, qppgyMend at
Ne
Vouchers received by 12:00 pm Wednesday will have payment available the following Thursday.
Staff:
Date Submitted: (� � � �..�;,��,
Amount requested $
IqqV - 0 C)
Type Of pl i ek n t
0 DV XSA OCV 0 CAC # of Children:
Client 11): Ce-ASP3010
What s the Emergency
* Background check for housing
* Mortgage
* Children's needs
* Service DVPO
* Debt assistance
# Utilities fties bills
* Driver's license
* Security Assist
* Education training
* Rental Assist
• Bus fare to return home
* Car payments
Cell phone to seek work/housing
* Food/Necessities
Family well being
Explain:
Form RD 3560-8 USDA - RURAL DEVELOPMENT Form Ai)Droved
(Rev. 08-11)
JEN&II-GERIIENATE212 OMB No. 0575-0189
Effective
M M
D Q
Y Y
1. Data
1
02/01/23
HOUSEHOLD INFORMATION
Initial Certification
Certification Expired
Recertification
di-,clos-c certain inforniation may cleliv the processing of your cligibility or rejeaion. R14S will not den
.1 . I I Y
& Eviction in Process
Modify Certificafian
0
Designate 60 Day
0 Coteflant to Tenant
(enter code)
Absence
[] Assign/Remove. RA
End 60 Day Absence
0 Vacate a Unit
contribution rbrr�ntl-lowcvcr, the information collecwd nmy be relcw�ed to appropriatc Fedoral, StW, and
Tenant Transfer
PART I - PROJECT AND UNIT IDENTIFICATION
I2. Project Name 3. Borrower ID and Project Number 4. Unit Type 5. Unit Number
Beverly Lane 772065345,034 N2 I 1 1 21
WARNING STATENIENT. Section 1001 of Title 18, Unit d 8vates Code provides, "Wboever, in any mottcr
within the jurisdiction of any departmew oragency of the United Stat knowingly and *x. Ilifully faisifies,
conceals or covers up by defy trick, scheme, or device a inatexial fact, or makes any fabse, fictitious or
fraudulent statements or representations, or makes or uses any fillse writing, or document knowing the same
to Ontain any fiflqe, fictitious or fr-audulent stateMetit or elitry, shall -be fined under thii title or finprisoned
not more than five v=-,, or both,"
PART 11 -TENANT
S'TATE.kir-.NTRI-'Q[JlRr-t)BYTHI--PRI'Vtk(YACI': Tide V of the Housing Actor 119419 authorizes R11S. to
HOUSEHOLD INFORMATION
collect t4v information on this form. Your disclosure orthe information iq voluntafy. However, failure to
6. Tenant Subsidy Code
di-,clos-c certain inforniation may cleliv the processing of your cligibility or rejeaion. R14S will not den
.1 . I I Y
eligibility if y6u r6use todi&Close your Social Security Number.
(enter code)
El
This inrormation Is coltcc-tcd principally to detemlinc-ctigibility r6r occupalicy anti to, determilic Your tenant
0No DMp Tonal &jbsid, y
I Ranhal Astisiallm (RA)
contribution rbrr�ntl-lowcvcr, the information collecwd nmy be relcw�ed to appropriatc Fedoral, StW, and
2Project Swied 12�'-ion a
4 Othee OKRAi.,
a ill a cics,, crWit burcaus and wrvicing -agzk`nts w1wo rclevant to civil, Cri initial or rcgulatcr - proccWings
5- Pmtsie RA
G - HIM V"Kher
or to cnforcc rc-QuIations by manual or autoinatcd verification proccilures.
11 Minor,
14.Elderly,
I - oft, -Typos at it Ren,
Round Lill flionetary figuitu up lo the nearest drdlai- ai —10 and abotv.
0?he!'S0b1$&Y INN' Wor (teave dOnktr none, PParW tr F -Ful) 0010 SUbSidy AN,Wht (For'Parbd) S i 2a. Race
Disabled,
Disabled
-- -----------
----- --
Handicapped
or Hindi -
7. Social Security No.
S. HouseholdMember Name.
9. SEX
10. Date of Birth 11 Race
12, Ethnicitv btermina-
or Full -Time
capped
tion Code
Student18
(Last..., First and Middle)
M M D D Y Y
(Complete
-------- --- -----------
or Older
'this only
5
C
(Complete
when
........
--------- -----
C
th s only
...... housohotd
--------- ................ ...
when
C1 C
M hwsehold
0
a - - ------ - — — ------- - --- G
ineml>er.
"renent..or
isnot
CO-Tenantl
the Tqnant
..
.......... ...... . .. ........... ------
or$
(Check
...... ....... .
... ...... ........ .
CO -Tenant)
below
when coded
------
-------------
— — - - ------
-----------
above)
Choice$ for ROM are,
I-Aawdcanindfarior
8a, Number of Foster Children (if any)
Chaides for Race Det. Code
.
EDTotal
Elderly
Alaman NaWe
C- Customer Provided
E - Employee Obsefved
0. ne 13).
Status
2 - Mian
3 - Oar* brAftican
PART III - ASSET INCOME
American
4 - Native HawWilan or
Paclfit;Wander
15.NetFami - IvAssets (NOTE: If Line '15 is less than S5,000, enter zero on Line 16.) S
393
5 - White
16. Imputed Income from Assets (Bank Passbook Savings Rate U6%) x Une 15- I
0
Chotces foe Ethrkity are:
a -
IT Income from Assets S
0
b - N00- nidLatlno ---
PART IV- INCOME CALCULATIONS
18. Income
a. Wages, Salaries, etc.
b. Soc. See., Pensions, etc.
c,. Assistance
d. Income ConVibuted by Assets
(G -eater , f er of Line 16 or One 17)
e. Other
f. Annual Income
g. Household Has Exempt Income
0
MUIIIMMMMIIMO0
01
$ 0
S 20462
$ 20462
10. Adjustments to Income
a. $480 x total of Line 13
b. $400 if elderly status
c. Medical .exceeding 3% of Line 18f
W --lde
c -
tly, handicappvd or dfsaNed)
d. Child Care
e. Total Adjustments
20Adiusted Annual Income
ft. ne 181 mi.nus Line 19Y0)
PART V - INCOME LEVELS
----------
21. Number of Household Members 23. Date of Initial Project Entry M
1 04111/22
22. Current Eligibility Income Level (Enter Code) 24, Eligibility Income Level at Initial Project Entry (Enter Code)
El
- - - - - -- - --- -- ---------- ------ ---- - ---------- - ------- -- ---- "I --------
PART %n - CEIRT11FICATION BY TENANT
I earthy and acknooAedse ffmt -if thev Agency prwidas unauthtAted. ussistarice to the bo77VZa'*rZrY't't'7fami1y housing proWA mw*r fcx my benefit based on arroneotis or frauddent informallon provided In
Nt; teriant ce0fication, I wit rekrburse tm Agency for that unaui.Wzed amount If I do not, the Agent y may tise all ri�medliews* availat4e to colk-cL4, including thtn. a under flie Debt Collectior A(A, to recover
tot Federal debt dire -Ay from me. in xuxtianc.- with the tequirerinon% o( the Privacy Act of t 974, which protecmy cruillden"- re=ds frorn unauthcrized telease. I authorize the Agwivy to re4oase lnWmaifon :.ollwed in this tem3nt
Axcomhagto tete Papttr%vork RtiludioaA0 of 1995. ria) pcvso" arc ic4unrit to fcNmd voill:,3ion 01 laforaw.oa lutk4-A it 6ipikys a vaW 01MB a;rxatd vur,&. 'rhe raild oivu vit-I-)i auwIvr llwthlli mil'"Putia;1 w-MICC'4011 8
Tbt: Wrx mcu cd to wtopleft: thii -uA'Vt;r4V.0 -30 truwatcl pet it")-qsc. lixtudingthc bilks: fi3r rCV14W;r--8 ilvtndcdom< . 'icachi'Ju VXiAtwe 1-iL3 &)d 'na-inlAining dackWA4
ncedat. eine conipirfing and rutin wing the colimflon cif infunmuit"a.
PART x'11- PRELIMINARY CALCULATIONS
25. Adiusted Monthly Income (Line 20 / 12)
26. Monthly Income (Line 18.f / 12)
29. Gross Basic Rent
a. Basic Rent
b. Utility Allowance
C. (Line 29.a + Line 29.b)
a. $ 1495 x .30
a. $ 1705 X .10
800
$ 61
8 1
27. Designated Monthly Welfare Shelter Payment
28. Highest of Line 25,b, Line 26.b, or Line 27.
30. Gross Note Rate Rent
a. Note Rate Rent
b. Utility Allowance
c. (Line 30,a + Line 30.b)
= b, $ 449
= b. $ 171
$ 0
449
MMMYYYYMMYw
$ 857
$ 51
$ 908
- ------------ -- ---
PART Fill - DETERMINING GROSS TENANT CONTRIBUTION (GTC)
Decision (check one)
A- If, tenant receives rental assistance (RA) enter Line 28 on Line 31 below, If Line 28 exceeds Line 29.c., go to Decision B since this Teriant will not
receive RA.
B. If tenant does not receive RA and this project receives Plan 11 Interest Credit, enter the greater of Line 28 or Line 29,c. (but not to exceed Line 30.c.) on
I inp'41. hAnw
C. If tenant does not receive RA and girls project is a Plan 1, Full Profit or Labor Housing project, complete Lines C.I. thru 0.3. and enter Line C.3 on Line 31.
1. Enter Line 30.c $
2. Add Plan I Surcharge (if any) $
3. Total (enter cin .Line 31)
PART IX - DETERMINING NET TENANT CONTRIBUTION (NTC)
31. GTC (From PART ''VI II) $ 449
49
3Z Utility Ailowance (Line 29.b. or Line 30.b.) $ 51
33. Final NTC (Line 31 minus Line 32) $ 98
(Amount Tenant pays Borrower for rent. If Line 33 is negative, Borrower pays the difference to Tenant for tifififies 1 3918
PART X - CERTIFICATION BY BORROWER
1 certify that the information on this form has been verified as required by federal law and the tenant household
Eis eligible to live in the unit, or I
I has been granted ineligible occupancy by RHS.
a. Date Signed
M M D D Y Y
b. Signature of Borrower or Borrower's Representafive
-7-
Updated: 07/27/2023
Staff.
Date Submitted:.
mon�M!yb y�UAY11y�tt�■�f `�yjr
Amount
■
'...
new begrnni better M
,,
f
yple OT c ne nt:,
_
SA OCV 0 /:C
y,(j�� of e w.
--------- ---
I
.01 e n t I D: LO 1
Clients Home City:
<:'•-,,. , ,.. ,,, .9 i' ;}ir _ ,.. , >._ .. ,. .. ,... ,. r s.....,e.. , ,. 1,.. .�, .J ^4
_. > a. _ . -
<ts ..:. .-�....n
.. ✓, .. .A* x. f v r. < ,. .""?i_... 1.
.s�''�„✓ �... 'L- t. Y - Y .'1=tte.. Via..
�.ice
isxe. .'r ':.
., ,,. J _ ,-.. ,... c,. . ,. '., v. .. T:..• l'! l.. _ r,. -, ,. ,.. f . .t �. .. .c„i°*•,`�
.� ,.: i,
_
�,s +p. �,� ..5:: }� iti �f
wo w
• ,7
�r ':Y -•5
+._
,�' T' Y .t>. .4- ^ si. :✓- ' : ,cN
a •:,....:.r-
` : •rt. �. , ..". ..4,y.. .c�. _yy� ', ,.,V',' ,,'-.-n. �. .;• ,: io" � : }..
�
�' is "S.
.1/s - sf<
=' '.. s. {• .f ..mss*
r
- z`i. ->�
>,fs��.:
r. .. y',f8x��- .•' ,,,� � �. 5..�,,.,- 'ski :��c ,_� ^.f�„'''..: >.s .ter.
.. so,t• AIR .q
s
y _
Y t• i5
, .�'v, r�' y .,,t -+'i. - Fi✓:'
a
_ �.., -et� Y.. $� ,.4- `. rZ X
-: :�: Y," ;. .. 1-.t,8°i. r f `S x�y, i J "s+x• ',. iS ;':F,
.. K. .�Z ...� .. (,al_.,,.. u^„i.. x[.. lr. "'r .>:,+. 7.k .,- .� . arP.��....s �• .i
-✓ -S..A, ,Rtr. _�' ._ C .., 2.. .. _r .... : ..•t .,. ,i, �'"L-,%:-sS.. .. ,.. .r �.���ii''c � .''�'. ', -<.. .. � J ...
-. .�5 -F .r5,-•. ..3 ,:� -Y.._, Iso
r;'• erY �`�sr�. 4 W. ..n!•, 3
•i _< .Y"i>r$, 1. .j'
, 4 s ,,,,pp z
•s',a,:
, -.aJf. sb ry ei�',,. '. e
.v{%' Sr •itG` - r C, :+ } r "i`3 -.y >ty.:
i
.,,� s�. n... r
?� L,� �f•
h- f. � Nt. ,�- tt'
:,y c: r3 - ..^a' �.., t,) ':�' �r„=i �^. --"s,'9J'�'""
,Y,. �� 3.. �<•R- : �' `? g�
3 -�:.. :%�-.:P'. .:"�-.
Explain:
* Background check for housing
* Children's needs
Mortgage
YVii
l
0 Service DP
Debt assistance
0 Utilt fie4s bills
_
--
-...w�}xfr{(YVM
* Education training
fare
Security Assist
#�'Y.y.�, yiT}M� Assist
d •"A�f,E{�i
�}�al�.e:r�tal
0--vA(k--�,:, �,krs.
'fm• .B�y�,us
tv return home
,� �a� agents
.
[T
,f�/�nil�: phone t•✓ MYeil work/housing f.S/1tt�M.l4 ■�
'MVV/
Family well being,
e FoodCecessite
t• X
rti .v- hr .. .- ,. ... ,.. ,,,. ..< ,.. ,. .... :. sb •- A _. .:.-b..r .. y, a-«_.. J :hi':,v,
.. ✓ R . y
.. .... J. f.. .'.1•,r\
:_..s...am. �..,�_..s...:.-.h.,.:,- _. . Y.. ,Y,. ft- . .J ,._ r ...rwdc>v z.,.H,:. ,,..-_._.: `\
.. ,.. . �-.,.E. - .. :.- :.r- . : .,-s. .,. _...
..,,.,.> . •�...,,.-: ..:.:..,r,.. .5. /,<.5., .. ) ..•... .,.. . .>.<1•�1,'<�,'>*.1..'&.r..�.._'
.,...s _ ._r,.. .:7J{..
^ ".,. «,•'::<4<.,rr . -
..., -r.. .
J.,�..a..-.,., ,K [_>c.
. .�_... .-.r.
,...
:.
.•a.1: �{ ✓. +,,
..<.- . a:, 1..,,'r.�.,�..
ir 7.
.Y�c.hs... ,,. .5,.•. .Y
�,1...{.•.„ .I,- ,..
tvY,s•.
....
.-�.-. .,:..u.n',Y ..c,,n.. ... -.2.v.xri
.. .. ..a
�_'r....
.._ .l,r� .' v,:_ c...l.v.
x :.
s ,-..." .
_.,..>,
.ao.
.3,. .....i,`.r .rt.-. .�:. £.
_:.. ....... .h,._.}.... . - �...
,S.,... i..: ,,.. ... _.w,..i�v...�v...•
,,�.r..,. .'er-«....
.:,.•�,a...,-.c->.!.. ,.
.' ,..♦,....L. �,. .i.,<f>�seri..'.:�'.:Y
.-..F
'".•v.f`,.G23C`r,,..n-,
--.4.sa �.',..:�r�:
.`-sg.
_.a.,,.._.a
Y N...te.. ,._.<�
:xr
s5,:.vn..
,�-.bay..,_.F...:-..-._,.
,,•�.
.v•,sn ,..•
;h.�.:3�+.,
. .
<(,�,:, :C'.rti-bZ.%.
_.1.
_.. .
_i...- ,....,f._..5„X,.Hi.r.,,,... r:h
-i,-...,', ..s'
.,
..Sd. S,...Fr..r.
4
. .: . .t, ._ c.
_,5t:,..:S ....?.. A,..,i-,_ _ y�„r-',
/. v.. .. ...
S. ._,.
t..i
✓...,.>......<. >.,.. .
•
., x-. :ra'.c
. ._ ..r Y._ ...
x,,cA
.� -....,�u(. .<r<:,-. r,s . X... ,L>x:,,..,.,. .�'1...x.:
r.. .«s.
3,y>�..t ;5
. .>.�,�,::..
_. ..vY:wir.:•
:^�..o
_�.n..,.rc:+-.-t,l.,.. , .
3.,•♦A , ,.
+<... kra.i•,'-,a„>f<.., ,i..-:.x.t._.: .l.•,<n_,.,- _., . ,, .-.,z ,t>r4.�”!-',
i-.f.i'.Y
.>J:,1;.•a
7i .Y{.,.......6o:...a_..1t_.,.. .., ..nte _-. ...:e.y�.d. ,.i.� - s... _.. 6. ., ..,[.{... ..._..•....r�<.., ..r,_.'-_.Az...,F s4, 31. f
7'. -,.: -.
J-. .s
�xh5✓`._;�,.
�.,.u, . , £,s.rv1-,,.� %:'��♦,�,.Fe_.F\.i.�T'.t,�a.4t>.2. : X�' Z'>h•_:a
:�.'a.:'-t�r� rs-+ „.-Y,`i.s6�•:i
��..
,.��'ri".rf-NSr:'..<r>.Y.
1 :4-
Cr-
. ,.._.,..
a�.< .a..Y
F.
..:...y
.F..,., ...
<y
.,'i.'.'#,.,
�4.._..,r.
i,..'�a.--.:-_,.f:
y. .. `
Y..:-.\WA•..i�:bz'="r..
xv. 3te
._X.
Es_.
..
..2,
_.
,..'
F.,.:.td"
.•x-`¢,.b,C
.f..i,,...,..-f
-_.,e.
,. ''...
C.-.'
,:..:,': 'imx>?'y;'.".`ii.”e.Gce.�.: T t'fi"
�Y'<.=i.fK•('�.
..,,.c. .-.r-.-� ... .. _ -. ,✓-,..'.,g�.Yi_ w..-
&..l'ir`,.-1.. ,:3, '-.s:f
"xi�
.''
c-rsX..,r,t.
.`.:#'i�r..:�-"r..d:.z:,H%.
i_..r6
nS?.:fi;.:).�T'<.:*+
fG... G
r i:''�/,a
`,-f(1p�a:>'. $/S.. .t �{. -0
:
:S.,..i,,v_.^
_, , S3 �
f
r,,xy
i<4i<yy
'.- mi
'Ira-
�f
:s.�
k., }„.. ....._irK
:.rx� .>,...
._.Y- a3....
.,r"r'..,,
�r.-,.A,.',
�..`..f"
.,...:'
.._ ....\ ._✓.r5. `.'
....
_.'..,-
,f.
.3_,+.r.r.
., n
}.:.
n�.,a,
S.f,..>i
.,.>r,
.,>.„.S,_., ,-r e.:�.•
.�-.y.<3. .. ..,<.-..
...,. ta<lJ'i
.f, .-�c4.�.i'
i+, :.
em.L.,
�:s. s. p.
... . >...
,s :•..,..:_i..
c�
.�..r- •..�v.�
-.
.....,..c...-.,.
,„.zrrw_.r7
.Y.,.,>.
........
_.,>.).-
_i
dxt<�.t5s.js.r"sR
r,a(r�F
-,
?,rAr.' .•.%>...
.,.t.; I.
.Y .' -. :.
,r
,.•� ,.. :
.�.w.>,.'.-_ at
,...,,-..,f..r.
,_<t ._r.{ . +
... �^.3 � �..•
C. E _
,_xi.. . ?:, . yti>]i,
�;:r..,T.3,.'..r:',.i ..., .'-
.i . ..
-... :,�*; «1s -N,. :t�7X':vS.:�• 'i��. ., ..rs,., s .a. ,X�:-:�-ry' s`"�t:iW-,",, .:Y -r°, <4 •S. �t S,
HousingAuthority
Explain:
Salvation Army
er`vte�f+ ML/Quincy
yam,
• CPS
�► Family contribution
• Friend contribution
,
,
tf Z,
l 'f
V c f 4
} k r
�.i . c -1
- S
� .:,3.
a ii,.r.v\a1. i
,c -t, •rY Y
' '. �.. t • : • �r - _:.. .,.,. -• 1: ' '.:5,.. la iY n -rw 1Y -
< s i APL; ,
AY: �"�`�.�,�'� .•,'�. :. K 'k ,�1, Y. .:fY^ x -r Jr•<�
1r'
....,.r .. ..,. -. :... �.:.P�
, v .. .f . .. .. .... .... ... .. - ....-5•v,.. .. ._.. .. ..ter .. ,-. .. _-_. .,.,-c .. , .. r , c Y.. .Y t v'
is
. ♦ Y+ .>s ,>v r 7 ., ,.. :, .,. n... a.. ... ., ,. ..- •. :<:.. .n,.-: :: .;. .... ..r ...... ...-, ... Y<t ♦., \ f., r C., 4• r -.
•: ...: 2 .< S<. _. ,... , {. ..v . � r , S ,. - ., .. , .... r. ., ... r . , r ... ... .. :- ft .(,. F i<-. \{,, r; .f_ "�--
.. .., .. «<.... :: . y .. ..., -. . _ .t-, ., .. i ,.-...... r. _ _ -. ..... ..:.- _-.a?_ .r. X. _..`i"f7-
5..-. ., �„ N,. <.2s .. , .., ;.,. ..-_. .r. w_ .. *.. S -. ..... r ,�,.. .t,. ^{'.,- i4..o3 - �. :_S..
„ ._. .. ntin.. „ ,: v s• i Y.: \. ..:. t .. t<t. t , r .?' :. _, ,. , t. :r• _ Y .>t^ ..n\.:.-it'S> J4 ,s i:� <t ^.\ .. i..
,. .. :,:-,;,?.: b. C ,.. -, zef•,� r,;;//r t. .:. .... ., � :5.-,> ft :: .: .l. ..Ys�r' :�i - .1-C
x :i ,a,
L: S 1
a 3' <rXt 5 a,
v? c f +.
�.' °Y.
r F S
.`.POW-
.. t .> ... .ti•.- _ S.- +,�.t. .... - .,. a .. w. ... : - ,. ... .. .. ,.. - , �.. ,.,. ..Y. .l` i:i �. , 3+-'�
. h ,} r. z .. .0 --s v .,. _. _ l+t.._ .. ... .. • v:. .- w,..,.. ,. •. _f._ ,,. ..v J 1,. v'
r -.S a ., . . ... _, .. .. r.. .- ... , _ I•. .. .. . . ... ..,, -. .. . _ _,. r - ., -_. -. �5
Z Y
Y,
/� 2,. _M"
...: ( � F .r . .:,+_,..,- ,. �,... ., . ..... .. ..Y. t.[ '�A �. .^0.31:': �.i;,: ,'. � t.
r ...�\/��M:... r � ..,. 4 ��� �..r .. ., .,� f(L�—,., si, ..}. , .. �aa..fs C`Y a nt •.a.A ..2..< 4� p
.. .<s � _ + S ,..- : a. S. .. .7.. ... Y 5....�� .: :..: �., ,�-r:a� '+1�.. .x:y� ,�, '<,t.S1,: ., ,7<.`•, k. S\< cta ?'. `-a is \.:f -.r sr
... u...,. .... ,.... ,, .....::. .v ,.< .. .. , . .. _-,.. ... . s.. ,.;;Yrt f . ,a , .t - ?:t. �.�
_•:4.. ..fix. .. \.
.. , t O L , A. ,_ \.. .., .i .3'.. a ...,[ :. •..r -`,v , t.. .., .-:- ,.. - V3 ? - i„ : c4 f r k
5,
•t- ,r D'OPPAYME
s
r
77777P
Updated: 07/27/2023
CHG Voucher Detail Month September 1-30, 2023
Vendor Code Descriptioi Amount charged to the grant
David Guiterrez 565504580 Rent 1000
Housing Authority 565504580 Rent 1990
National Real Estate (Visa) 565504580 Rent 979.86
Total 3969.86