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Address Info: 1150 O Street, P.O. Box 758, Greeley, CO 80632 | Phone:
(970) 400-4225
| Fax: (970) 336-7233 | Email:
egesick@weld.gov
| Official: Esther Gesick -
Clerk to the Board
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20103018.tiff
RESOLUTION RE: CANCELLATION OF 2010 OUTSTANDING ACCOUNTS RECEIVABLE FOR THE WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, a list of 2010 Department of Public Health and Environment accounts has been submitted to the Accounting Department of Weld County, Colorado, and WHEREAS, said accounts have been deemed uncollectible in accordance with guidelines adopted by the City of Greeley and County of Weld, a copy of said list being attached hereto and incorporated herein by reference, and WHEREAS, the Accounting Department has recommended the cancellation of said list of uncollectible debts due and owing the Department of Public Health and Environment, in the amount of$14,363.95. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the aforementioned list of uncollectible accounts, in the amount of $14,363.95, be, and hereby is, approved for cancellation. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 22nd day of December, A.D., 2010. BOARD OF COUNTY COMMISSIONERS \s,,, I . /- � LD COIF TV OLORADO ATTEST: i i,-#.f•�✓ � �o , as Rade acher, air Wel. ounty Clerk to the Boa • (11\0 'rbara Kirkmeye , ro-Tem BY: A 4 l i C( c 9 -_y<-- Dep'at Clerk o the Board Sean P. Conway C — AP O, D AS T M. EXCUSED �. Willi F. Garcia ounty Attorney cv�� David E. Long Date of signature: " ( � . 2010-3018 � . I a-- I I HL0019 4.ill ;11'3 DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 N. 17`h Avenue Greeley, CO 80631 Public Health Web: http://www.co.weld.co.us/departments/healthenvironment/ Enji Health Administration Public Health 8 Clinical Environmental Health Communication, Emergency Preparedness II Records ervices 7700 44 44 21 Tele 970.304 6415 Education 8 anning Tele'970 3046470 Tele 970 304 6420 06 970 452 C. Ourvision O Together with the communs es4we serve.we Fax' Services king to 6411 Fax Weld County y 970 h healthiest est place to live, 970 30w work and play. COLORADO TO: Douglas Rademacher, Chair Board of County Commissioners FROM: Mark E. Wallace, MD, MPH, Executive Director Department of Public Health & Environment 1NVOAA . C aV ,47 9: DATE: December 16, 2010 SUBJECT: Cancellation of Outstanding Accounts Receivable • The Department of Public Health and Environment is requesting the Board of County Commissioners' approval to write off balances of individual client accounts which have had no payment activity since before July I, 2010. These accounts are recorded in the Centricity patient management system and have been billed monthly. The enclosed report lists the ticket number, date and amount of last payment, and the outstanding balance of each ticket. The total amount requested to he written off is $14, 363.95. Enclosure cc: Barb Connolly, Controller 2010-3018 WARNING This report can make data changes in your system. Please read these instructions carefully. This report gives you the opportunity to write-off old patient balances in your database. When you close this window you will be prompted by the system to update your database. If you select Yes the balance write-offs will occur. If you are not sure you want to proceed with the write-offs then select No. Criteria used for the write-off: Write off the patient balance for all visits where the visit date is before: 07/01/2010 Create these write-off transactions as conveyances for the payor: Old Balance Write-Off Create these write-off transactions in the batch: jnero_20101216(1608107686000010) Create these write-off transactions as adjustments of type: Write Off Company: Weld County Dept of Public Health and Environment- Last Payment Date before: 07/01/2010 Last Last Payment Payment Ticket Number Patient Balance 05/05/2010 $180.00 MDN001127 $75.00 04/08/2010 $41.00 FPN027922 $15.00 10/16/2009 $20.00 FPN025281 $45.75 FPN024613 $105.75 FPN026472 $46.00 05/03/2010 $10.00 FPN028320 $7.25 MIZC002252 $14.70 10/02/2009 $20.00 MIZC002232 $24.10 10/12/2009 $20.00 IZCN013701 $24.10 IZCN013191 $58.80 08/27/2009 $2.00 FPN019318 $22.30 FPN024195 $12.25 08/10/2009 $8.00 FPN024146 $33.00 08/03/2009 $17.00 IZCN013320 $27.10 03/05/2010 $10.00 MIZC002379 $34.10 05/03/2010 $30.00 FPN027493 $17.00 IZCN013869 $58.80 12/02/2009 $20.00 IZCN013959 $53.50 FPN028482 $19.00 04/27/2010 $20.00 IZCN014403 $9.40 MIZC002154 $44.10 03/19/2010 $12.00 FPN027594 $8.00 09/30/2009 $8.00 FPN023305 $9.50 IZCN013960 $58.80 03/05/2010 $5.00 FPN027370 $1.00 MIZC002463 $14.70 FPN026372 $18.75 01/08/2010 $30.00 FPN025077 $13.00 FPN025137 $11.00 08/06/2009 $10.00 FPN024116 $20.75 IZCN013751 $73.50 IZCN013441 $29.40 MIZC002048 $73.50 09/17/2009 $30.00 IZCN013208 $14.10 01/18/2010 $30.00 MIZC002299 $43.50 07/10/2009 $15.00 IZCN013175 $14.40 IZCN014446 $73.50 MIZC002083 $88.20 09/09/2009 $14.70 IZCN013536 $29.40 I ZC N 013517 $44.10 IZCN014334 $44.10 IZCN013821 $58.80 IZCN014094 $44.10 Last Last Payment Payment Ticket Number Patient Balancf N NHV000193 $12.00 NNHVH002965 $12.00 07/27/2009 $5.00 FPN023922 $1.00 05/26/2010 $20.00 FPN028720 $27.00 FPN028372 $11.50 07/06/2009 $17.40 FPN018700 $10.20 08/25/2009 $10.00 FPN024399 $66.00 09/08/2009 $20.00 FPN024632 $53.00 12/01/2009 $10.00 FPN025888 $44.00 FPN027191 $49.00 IZCN013190 $58.80 FPN025030 $31.00 FPN027390 $39.00 FPN024602 $7.50 IZCN013867 $29.40 FPN024909 $31.00 10/20/2009 $59.00 FPN023806 $69.00 IZCN013507 $14.70 03/16/2010 $34.00 MDN000701 $7.25 12/03/2009 $5.00 FPN025926 $15.00 07/16/2009 $3.00 FPN023745 $14.25 FPN024745 N 02474 5 $24.50 09/23/2009 $5.00 FPN024893 $6.50 FPN025430 $28.75 FPN027238 $17.25 FPN026651 $11.75 11/02/2009 $10.00 FPN025476 $29.25 07/15/2009 $20.00 FPN023706 $40.25 FPN023812 $24.0C 01/15/2010 $20.00 FPN026503 $7.0C 04/23/2010 $60.60 IZCN013909 $27.6C 09/14/2009 $20.00 IZCN013558 $24.1C 07/16/2009 $5.00 FPN023744 $19.5C FPN026303 $48.0C FPN026013 $122.5C FPN026093 $3.0C 04/15/2010 $15.00 FPN028029 $5.5C FPN024330 $6.0C MIZC002575 $14.7C MIZC002351 $73.50 MIZC002352 $44.10 MIZC002E;72 $14.7( 06/08/2010 $20.00 FPN028313 $8.0( 06/24/2010 $5.00 FPN02 1 7 8 $58.5( FPN029117 $19.0( 09/02/2009 $30.00 FPN024S53 $80.5( 06/18/2010 $5.00 FPN029 '_.2 $36.0( FPN0254s4 $17.2; FPNO203 5 $8.00 08/20/2009 $10.00 FPN01E:;__7 $25.1( 11/17/2009 $20.00 MDN00L:.o $21.2` FPN0280. 7 $7.0( 001356 $9.0( 01/13/2010 $20.00 FPN02G135 $41.0( 03/22/2010 $228.00 MDN00.,372 $27.5( 04/07/2010 $105.50 FPN01Sc53 $52.7( 04/23/2010 $30.00 MIZAOC D. 8 $30.0( 04/16/2010 $182.00 FPN02;1 54 $158.0( MIZCO(.. 331 $14.7( 09/10/2009 $7.00 FPN02/, ), 3 $7.71 11/17/2009 $20.00 FPN02,.- 2 $15.0( FPNO2b , 1 $65.0( Last Last Payment Payment Ticket r ber Patient Balance MIZC0 527 $14.70 IZCN0 I" 3.9 $44.10 MIZC002057 $14.70 MIZC002698 $10.00 08/10/2009 $29.40 MIZC002037 $29.40 IZCN01 437 $29.40 09/18/2009 $14.70 MIZC0C:_1 14 $44.10 IZCN01 1201 $58.80 IZCN013334 $44.10 MIZC0C2153 $73.50 IZCN01`_335 $44.10 MIZC0C:.152 $58.80 03/19/2010 $20.00 MIZC0C: 212 $9.40 09/18/2009 $15.00 MIZC0C: l51 $43.80 10/09/2009 $20.00 IZCN0' ' 0 $24.10 10/16/2009 $40.00 MIZCCC z 7 $18.80 MIZCCC. 2%2 $73.50 MIZCC0 8 $29.40 MIZ_CGC..2 3 $50.00 MIZC001 1 17 $29.40 MIZC0C:.2. 4 $14.70 03/12/2010 $5.00 MIZC00. s 16 $9.70 03/12/2010 $5.00 MIZCOC._338 $9.70 03/12/2010 $5.00 MIZCOC,.387 $9.70 MIZC0C _358 $29.40 01/29/2010 $19.40 MIZCL"._327 $10.00 01/29/2010 $20.00 IZCNG'1 103 $38.80 MIZCG/ 3' 6 $29.40 02/19/2010 $58.80 MIZCC 3 7 $14.70 IZCNG . 1 $14.70 MIZCC 3 $73.50 MIZCG_ 4.,2 $58.80 MIZCCC 4[ 0 $44.10 MIZC C. 4 5 $14.70 MIZCCC-_4 6 $14.70 MIZOG'335_5 $14.70 $14.70 MIZCCC._524 05/14/2010 $0.00 MIZC'.,; 535 $14.70 MIZCG: 573 $29.40 MIZCC.'..571 $14.70 MIZCC: :_397 $14.70 05/21/2010 $14.60 MIZCG. 3'2 $0.10 MIZCL. . 7„8 $73.50 06/11/2010 $30.00 MIZCC_ . 719 $28.80 06/18/2010 $10.00 MIZCG - 731 $34.10 FPNC.- 64 $61.75 07/21/2009 $9.00 FPN0. 23 $1.50 FPS0C 56 $9.00 10/22/2009 $20.00 FPNC_ 38 $12.00 FPN0, 44 $57.50 FPN02 31 $5.75 07/14/2009 $5.00 FPN0._ C4 $18.00 FPN0. 12 $17.25 01/07/2010 $5.00 FPN0_ 35 $31.00 FPNC2 84 $18.00 FPNC 05 $25.00 $15.00 09/11/2009 $20.00 FPN02 <1 $0.70 09/25/2009 $20.00 FPN01 .70 05/03/2010 $10.00 FPN0' _3 $$02.50 07/15/2009 $15.00 FPNG. . 3 $60.00 1 02/24/2010 $10.00 FPNC. 71 $10.00 09/18/2009 $20.00 FPNC '7 "< Last ' • Last Payment Payment Ticke'_r. .±,ter Patient Balanc FPN0:?'- 12 $60.00 11/19/2009 $11.00 FPN02E_ :4 $17.75 07/20/2009 $26.75 FPN01( '64 $6.25 FPN025-'79 $19.25 02/03/2010 $18.00 FPN026£i26 $1.75 02/17/2010 $30.00 FPN027051 $18.75 01/26/2010 $15.00 FPN019' 67 $4.00 02/09/2010 $5.00 FPN026933 $43.50 06/22/2010 $1.00 FPN023938 $15.75 FPN027173 $17.25 08/26/2009 $10.00 FPN024149 $16.25 FPN001169 $34.40 FPN02/, '43 $6.00 FPN02 34 $49.50 01/12/2010 $20.00 FPN02( '74 $15.00 10/08/2000 $10.00 FP.N0._i i '4 $18.25 07/22/2009 $10.00 FPN0' rc 1 $60.20 FPN02 9 $13.00 FPN02. 4 $21.00 FPN02C 77 $21.50 06/15/2010 $10.00 FPN028 : 7 $29.00 11/06/2009 $143.00 MDN00C '56 $122.00 FPN027: :`2 $60.00 FPN001 : 3 $18.75 09/14/2009 $17.50 FPN0231: 3 $5.00 02/16/2010 $20.00 FPN027:"'3 $130.00 05/12/2010 $13.75 FPN025 7i2 $18.25 06/17/2010 $20.00 FPN029 /7 $23.00 FPN02( 56 $25.0C 07/01/2009 $5.00 FPNC7. 36 $19.50 01/21/2010 $10.00 FPNC" " 71 $46.0C 04/23/2010 $20.00 FPND:_ 32 $3.00 01/22/2010 $10.00 FPN0. 11 $13.00 06/02/2010 $18.00 FPN0:. 35 $10.00 11/16/2009 $20.00 FPN02 5! 97 $56.00 02/10/2010 $20.00 FPN02..' 53 $34.50 05/05/2010 $20.00 FPN02o_88 $31.7` 08/12/2009 $178.00 MDN007167 $75.00 03/16/2010 $46.00 FPN010_65 $15.00 08/12/2009 $10.00 FPN0247?3 $12.00 05/21/2010 55.00 FPN02En 19 $2.00 06/15/2010 $10.00 FPN02r 10 $50.0( 11/12/2009 $5.00 FPN02 l3 $15.50 08/20/2009 $10.00 FPN02,1 .13 $7.5( 05/17/2010 $10.50 FPN02', 14 $7.5( FPNn::` 23 $11.50 FPNC2 79 $63.2` FPN02, 36 $17.2; 06/25/2010 $10.00 FPN02f 14 $9.50 FPN02£ 37 $60.00 07/21/2009 $5.00 FPN02: 23 $12.50 03/05/2010 $38.00 FPN02, 32 $9.0( 05/12/2010 $180.00 FPN02£ 73 $75.0( FPN02T 19 $9.0( 12/29/2009 $178.00 FPN02C 32 $75.0( FPN02z, 30 $11.0( FPN02£ _ 14 $20.0( 06/23/2010 $50.00 FPN021 3 $7.0( 12/22/2009 $22.00 FPN02 ' 13 $1.0( 01/14/2010 $0.00 FPN02 3 $15.0( 10/08/2009 $10.00 FPN02- _0 $21.0( FPNJ 5 A $51.0( Last Last Payment Paymert Ticket f;_ie ber Patient Balan( 10/02/2009 $15.00 FPN02 )55 $15.2; 11/06/2009 $10.00 FPN0.. ;'0 $13.7; FPN02. 175 $12.2; 11/13/2009 $33.80 FPN01£ '77 $52.8( 09/30/2009 $245.00 MDN00L( 59 $57.0( MDN00'( 96 $44.0( 03/18/2010 $20.00 FPN027089 $31.2: FPN027599 $19.75 05/21/2010 $10.00 FPN02£ 302 $8.25 12/01/2009 $10.00 FPN023 36 $24.50 FPN025)34 $12.25 05/19/2010 $44.00 FPN028301 $36.00 05/17/2010 $10.00 FPN025733 $21.00 10/22/2009 $20.00 FPN025373 $15.00 06/01/2010 $12.00 FPN02F412 $158.00 09/03/2009 $3.00 FPN02S 102 $19.00 06/21/2010 $74.00 FPN02c 116 $18.00 FPN02 )79 $28.00 FPN02b 329 $20.00 05/24/2010 $45.00 FPN018 )5 $24.10 FPN0281 5 $92.00 FPN029'' 12 $55.00 03/31/2010 $5.00 FPN027:'75 $54.50 F P N 029::20 $34.50 FPN029'1 20 $19.50 06/30/2010 $10.00 FPN029. :9 $12.00 06/07/2010 $10.00 FPN025353 $1.00 05/28/2010 $20.00 FPN028767 $8.00 10/01/2009 $3.00 FPN025035 $9.25 11/13/2009 $178.00 MDN00C920 $75.00 02/32/2010 $10.00 MDN0010-3 $75.00 IZCN0142I5 $14.70 MDN00'005 $44.00 11/17/2009 $10.00 FPN025[29 $28.50 06/09/2010 $20.00 FPS001i?S5 $15.00 06/17/2010 $10.00 FPN029C'32 $9.75 FPN028E.-8 $20.50 01/27/2010 $180.00 MDN001C25 $75.00 FPN027C15 $170.00 FPN02451 0 $31.00 07/22/2009 $10.00 FPN023F 9 $41.00 11/13/2009 $178.00 MDN000 37 $75.00 MDN000.997 $83.00 F F N 023567 $50.00 07/71/2009 $20.00 IZNA002221 $7.50 FPN023685 $12.25 10,70/2009 $30.00 FPN024503 $16.00 FPN024455 $11.00 FPN024513 $24.50 IZCN014062 $14.70 FPN026676 $36.00 04/26/2010 $5.00 FPN027698 $55.00 05/05/2010 $180.00 MDN001126 $4.70 F P N 0284 F 6 $60.00 FPN027610 $19.00 03/24/2010 $1.00 FPN0276, 1 $79.00 FPN0283 3 $12.50 05/13/2010 $5.00 FPN0285 3 $20.00 06/03/2010 $50.00 FPN0288.,7 $19.00 MIZC002464 $14.70 IZCN0137e9 $29.40 FPN028449 N 028449 $7.00 Last • Last Payment Payment Ticket Number Patient Balan( 04/26/2010 $10.00 FPN028188 $14.0( IZCN013891 $14.7( IZCN013768 $73.5( 07/10/2009 $15.00 IZCN013174 $29.1( 01/18/2010 $49.00 IZCN013047 $9.8( 04/23/2010 $21.25 FPN024221 $5.0C FPN026409 $48.5C 04/30/2010 $9.00 FPN023586 $32.00 04/27/2010 $35.00 MIZC002384 $38.5C MIZC002046 $58.80 06/18/2010 $14.70 MIZC002442 $14.7C MIZC002461 $14.70 IZCN013444 $44.10 04/30/2010 $10.00 MIZC002478 $48.80 MIZC002093 $29.40 IZCN013357 $58.80 IZCN013937 $29.40 IZCN014343 $29.40 IZCN013829 $44.10 04/09/2010 $14.70 IZCN014382 $14.70 08/24/2009 $10.00 IZCN013450 $19.40 MIZC002730 $14.70 01/29/2010 $20.00 MIZC002337 $14.70 10/02/2009 $14.70 MIZC002220 $29.40 M1ZC002047 $29.40 IZCN013799 $58.80 (L1 I ZC 00224 0 $58.80 04/01/2010 $10.00 FPN027797 $7.25 01/20/2010 $20.00 IZCN014126 $24.10 09/11/2009 $14.70 MIZC002127 $14.70 IZCN014205 $73.50 IZCN013771 $14.70 08/10/2009 $30.00 IZCN013371 $28.80 IZCN013327 $44.10 IZCN013852 $73.50 08/04/2009 $30.00 IZCN013331 $28.80 08/24/2009 $10.00 IZCN013454 $34.10 08/24/2009 $10.00 IZCN013452 $4.70 08/24/2009 $10.00 IZCN013453 $34.10 ' 08/24/2009 $10.00 IZCN013451 $34.10 IZCN013457 $29.40 08/27/2009 $40.00 IZCN013479 $18.80 17ON013473 N 0134 76 $44.10 09/14/2009 $16.00 IZCN013560 $28.10 IZCN013584 $58.80 09/30/2009 $10.00 IZCN013635 $48.80 IZCN01402 0 $29.40 12/10/2009 $10.00 IZCN013991 $48.80 IZCN013716 $14.70 10/09/2009 $20.00 IZCN013GL1 $24.10 10/20/2009 $14.70 IZCNO13760 $14.70 10/05/2009 $44.10 MIZO0022'.8 $29.40 11/04/2009 $44.10 IZCN0138:.9 $44.10 04/21/2010 $10.00 IZCN0139.:2 $34.10 IZCN0139.:4 $58.80 IZCN0138.8 $44.10 12/10/2009 $14.70 IZCN013910 $29.40 01/14/2010 $0.00 IZCNO139L3 $44.10 IZCN014009 $44.10 IZCNO14092 $58.80 IZCN014127 $29.40 IZCN014345 $58.80 Last Last Payment Payment Ticket Number Patient Balanc I ZC N 0142?0 $44.10 IZCN0143. 9 $14.70 MIZC002505 $29.40 MIZC002534 $44.10 03/31/2010 $27.00 FPN027755 $15.00 07/22/2009 $2.00 FPN022072 $6.00 NNHVH002602 $12.00 IZ0N013670 $44.10 08/12/2009 $36.00 FPN024152 $27.75 MIZC002487 $14.70 06/14/2010 $23.00 MDN000842 $27.00 TRVN002110 $65.00 06/09/2010 $31.25 FPS001909 $9.00 11/04/2009 $26.00 FPS001313 $9.75 02/09/2010 $15.00 FPS001718 $11.00 06/11/2010 $20.00 FPS00i91O $15.00 FPS001557 $43.75 IZAS0601 •;3 $14.70 IZCSC009!`2 $88.20 IZCSC000,4 $29.40 IZCSCc09:7 $58.80 IZCS0010:i9 $29.40 FPN028618 $35.00 170N313897 $58.80 10/21/2009 $10.00 FPN025345 $10.00 04/21/2010 $180.00 MDN001057 $160.00 FPN025518 $36.00 03/02/2010 $10.00 FPN027275 $15.50 11/13/2009 55.00 FPN0255F8 $21.00 FPN028622 $35.75 IZCN0143.`5 $58.80 05/11/2010 $20.00 FPN0239O2 $24.00 FPNO '759 $110.75 10/15/2009 $20.00 IZCNCH37.,1 $38.80 08/03/2009 $10.00 FPN0,:.100 3 $6.00 FPN0::- L 5 $6.00 MIZCC 2:. 5 $29.40 IZNAC62[ ;7 $14.70 FPN0276i 3 $22.50 FPN0255C 5 $11.00 01/15/2010 $10.00 FPN0264 ,7 $52.50 04/15/2010 350.00 FPN0280._3 $69.75 HCP000T.7 $10.00 08/07/2009 $20.00 IZCN0132 49 $24.10 07/22/2009 $12.00 FPN020001 $14.00 09/29/2009 $5.00 FPN02 ;9: 2 $12.25 FPNO2.,3J4 $45.50 10/12/2009 $23.00 FP1.00 H44 $5.25 FPt:J: :_. 4 $11.50 FPt10._.2' 3 $16.00 06/14/2010 $15.00 FEc.0 •C 3 $11.00 03/30/2010 $10.00 FPN0. 3 $10.00 04/01/2010 $180.00 FP::0 2 $75.00 03/26/2010 $29.40 MI:'C )4 $29.40 12/17/2009 $9.00 FPN0.. J $5.75 07/22/2009 $5.00 FPN30..' 5 $30.00 01/13/2010 53.75 MDN:.2 .0 $56.25 08/20/2069 $10.00 FPND: 7 $9.00 FPNC,_ . 3 $37.00 02'95/2010 S30.00 MI= : .7 $28.80 00'22/2010 $10.00 FOOD: 4 $25.00 00/20/2009 $20.00 FF001 .8 $29.50 Last Lart Payment Paymrnt Ticke' Number Patient Balanc 06/15/2010 $14.00 FPN0;3937 $62.5( 10,20/2009 $16.00 FPNO. 5320 $24.5C 10/05/2009 $9.00 FPNO:5073 $322; 01/06/2010 $1.00 FPNO"-1458 $19.0C FPNO: 5446 $11.0C 06/18/2010 $15.00 MIZCC 2733 $14.40 12/30/2009 $10.00 FPNO' 3231 $24.50 03/24/2010 $10.00 FPNO:]667 $9.00 FPNO.'5820 $16.25 08/21/2009 $20.00 FPNO:-4367 $2925 FPN025390 $6.00 MIZC002354 $44.10 10/06/2009 $25.00 FPN024678 $1.00 09/21/2009 $5.00 FPN024848 $15.00 12/08/2009 $12.25 FP NO?5774 $29.50 FPN0,.4233 $26.00 03/23/2010 $275.00 FPNO:9450 $27.00 13/06/2009 $15.00 FPNO: 2820 $11.00 04/09/2010 $30.00 MIZC(.02428 $43.50 MIZC1 02574 $14.70 11/06/2009 $5.00 FPNO. 5585 $6.00 FPNO. 3567 $17.75 FPNO: '778 $21.75 05/26/2010 55.00 FPNO. 8731 $33.25 FPNO. 8914 $20.50 07/08/2009 $10.00 IZCNC-13155 $63.50 IZCNC 13890 $73.50 FPNO..6080 $24.50 IZN/\C)2324 $14.70 01/25/2010 $20.00 IZCNi 14145 $38.80 IZCN" 14339 $14.70 06/04/2010 315.00 MIZC: 02714 $14.40 IZCN014181 $44.10 001322 $14.70 IZCNC 3977 $58.80 IZCNC 4128 $44.10 IZCN( '4031 $29.40 FPNO. 1397 $60.00 IZCNC -1121 $44.10 MIZAC .0849 $14.70 FPNO._3307 $19.00 FPNO: 7283 $46.00 FPNO.'7291 $21.00 FPNO: 7287 $9.00 $14,363.95
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