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Home My WebLink About20093332.tiffRESOLUTION RE: CANCELLATION OF 2009 OUTSTANDING ACCOUNTS RECEIVABLE FOR THE WELD COUNTY PARAMEDIC SERVICE 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 2009 Paramedic Service 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 Weld County Paramedic Service in the amount of $3,894,867.94. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the aforementioned list of 2009 uncollectible accounts in the amount of $3,894,867.94, 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 21st day of December, A.D., 2009. ATTEST: k/101 Weld County Clerk to the Boa o the Boar A7P,OVED AS unty` Attorney RM: Date of signature: 13 IC OARD OF COUNTY COMMISSIONERS LD COUNTY, COLORADO SED ougla Sean P. Conway EXCUSED Bafpara Kirkmeyer oLCV David E. Long 2009-3332 AM0001 MEMORANDUM TO: Barb Connolly, Accounting FROM: Kathy Baxley, Paramedic Services SUBJECT: Accounts Written Off in 2009 DATE: December 15,2009 Attached are the lists of accounts written off in 2009. Listed below are the amounts each month for a total of $$3,894,867.94. All journal entries have been made except for the one for December, which will be after the end of the month. Let me know if you have any questions. January $492,798.97 February $318,778.07 March $587,586.87 April $95,659.20 May $411,004.10 June $248,523.20 July $534,123.83 August $78,031.14 September $256,186.24 October $350,229.93 November $234,041.48 December $287,904.91 Total $3,894,867.94 2009-3332 Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200901, AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Payor Bill Patient Pavor/Credit Type/Credit Code Count Dollars Writeoffs Trip Date: 01/07/07 0009-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 186.59 Trip Date: 05/14/07 0013-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,497.25 Trip Date: 06/24/07 0020-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 318.53 Trip Date: 08/03/07 0004-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 702.42 Trip Date: 10/01/07 0014-A Deposit Date: 01/26/09 Write-off Bad Debt 1 $ 1,167.17 Trip Date: 10/03/07 0001-A Deposit Date: 01/26/09 Write-off Bad Debt 1 $ 180.10 Trip Date: 10/23/07 0032-A Deposit Date: 01 /08/09 Write-off Bad Debt 1 $ 387.80 Trip Date: 12/08/07 0047-A Deposit Date: 01/26/09 Write-off Bad Debt 1 $ 1,921.37 Trip Date: 12/16/07 0041-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,225.50 Trip Date: 01/01/08 0032-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,279.75 Trip Date: 01/17/08 0010-A Deposit Date: 01/26/09 Write-off Bad Debt 1 $ 733.12 Trip Date: 02/09/08 0021-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 98.79 Trip Date: 03/02/08 0005-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 1,204.79 Trip Date: 03/13/08 0045-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 786.73 Trip Date: 03/21/08 0027-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 2,040.00 Trip Date: 03/24/08 0002-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 1,393.28 Trip Date: 03/31/08 0005-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 1,311.02 Trip Date: 04/10/08 0042-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 127.91 Trip Date: 04/28/08 0005-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 688.14 Trip Date: 04/28/08 0025-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 45.79 Trip Date: 05/01/08 0036-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 393.91 Trip Date: 05/10/08 0032-A Deposit Date: 01/26/09 Write-off Bad Debt 1 $ 1,820.38 Trip Date: 05/14/08 0010-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 81.94 Trip Date: 05/15/08 0034-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 68.82 Trip Date: 05/15/08 0036-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 827.87 Trip Date: 05/17/08 0046-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 264.46 Trip Date: 05/18/08 0007-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,964.00 Trip Date: 05/18/08 0025-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 101.69 Trip Date: 05/19/08 0019-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 62.19 Trip Date: 05/19/08 0024-A Deposit Date: 01/26/09 Write-off Bad Debt 1 $ 133.32 Trip Date: 05/19/08 0036-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 1,483.85 Trip Date: 05/24/08 0027-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 610.82 Trip Date: 05/25/08 0009-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,536.00 Trip Date: 05/25/08 0025-A Deposit Date: 01/26/09 Write-off Bad Debt 1 $ 250.82 Trip Date: 05/25/08 0032-A Deposit Date: 01/26/09 Write-off Bad Debt 1 $ 1,400.86 Trip Date: 05/31/08 0011-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 1,565.12 Trip Date: 05/31/08 0013-A Deposit Date: 01/20/09 Write -Off First Party Rec 1 $ 2,400.00 Trip Date: 06/01/08 0004-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,057.32 Trip Date: 06/02/08 0011-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,696.00 Trip Date: 06/02/08 0026-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 426.88 Trip Date: 06/06/08 0012-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 1,693.84 Trip Date: 06/07/08 0022-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 1,956.87 Trip Date: 06/07/08 0036-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 551.88 Trip Date: 06/08/08 0034-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,796.00 Trip Date: 06/08/08 0035-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 1,610.78 Trip Date: 06/09/08 0019-A Deposit Date: 01/26/09 Write-off Bad Debt 1 $ 1,929.09 Trip Date: 06/10/08 0010-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 92.38 Trip Date: 06/10/08 0034-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 1, 762.17 Trip Date: 06/10/08 0041-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,832.00 Trip Date: 06/12/08 0021-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 469.84 RescueNetTM Printed On: 12/15/2009 at 4:28:43PM 11ZOLL-BILLIRESCUENETIREPORTS321BILLINGICREDITSICREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Page 1 Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200901; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date: 06/12/08 0027-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 1,489.82 Trip Date: 06/13/08 0006-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,418.00 Trip Date: 06/13/08 0011-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 352.42 Trip Date: 06/13/08 0037-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 1,982.36 Trip Date: 06/14/08 0023-A Deposit Date: 01/26/09 Write-off Bad Debt 1 $ 2,450.13 Trip Date: 06/14/08 0025-A Deposit Date: 01/26/09 Write-off Bad Debt 1 $ 232.20 Trip Date: 06/15/08 0018-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 1,746.91 Trip Date: 06/15/08 0037-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 84.55 Trip Date: 06/16/08 0016-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 1,280.18 Trip Date: 06/16/08 0026-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,872.00 Trip Date: 06/17/08 0004-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,854.00 Trip Date: 06/17/08 0037-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 2,063.32 Trip Date: 06/18/08 0028-A Deposit Date: 01/26/09 Write-off Bad Debt 1 $ 132.24 Trip Date: 06/19/08 0006-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,912.50 Trip Date: 06/19/08 0015-A Deposit Date: 01/26/09 Write-off Bad Debt 1 $ 1,706.86 Trip Date: 06/19/08 0024-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,714.00 Trip Date: 06/19/08 0036-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,669.50 Trip Date: 06/20/08 0002-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 405.19 Trip Date: 06/20/08 0019-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 152.82 Trip Date: 06/21/08 0015-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 109.34 Trip Date: 06/21/08 0016-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 35.63 Trip Date: 06/22/08 0022-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,832.00 Trip Date: 06/23/08 0006-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 1,907.51 Trip Date: 06/24/08 0031-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 234.04 Trip Date: 06/27/08 0020-A Deposit Date: 01/26/09 Write-off Bad Debt 1 $ 223.23 Trip Date: 06/27/08 0028-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,732.00 Trip Date: 06/27/08 0040-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,814.00 Trip Date: 06/28/08 0043-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 59.18 Trip Date: 06/30/08 0014-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,616.00 Trip Date: 06/30/08 0028-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,854.00 Trip Date: 07/01/08 0012-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,436.00 Trip Date: 07/01/08 0024-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 1,929.38 Trip Date: 07/01/08 0038-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,716.00 Trip Date: 07/02/08 0002-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,872.00 Trip Date: 07/02/08 0004-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,652.00 Trip Date: 07/02/08 0004-B Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,029.00 Trip Date: 07/02/08 0012-A Deposit Date: 01/26/09 Write-off Bad Debt 1 $ 432.09 Trip Date: 07/02/08 0022-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 1,902.93 Trip Date: 07/02/08 0037-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,652.00 Trip Date: 07/02/08 0042-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 2,354.00 Trip Date: 07/02/08 0067-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,714.00 Trip Date: 07/02/08 0071-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 1,989.47 Trip Date: 07/02/08 0077-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,894.00 Trip Date: 07/03/08 0011-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 1,644.50 Trip Date: 07/03/08 0031-A Deposit Date: 01/26/09 Write-off Bad Debt 1 $ 1,583.82 Trip Date: 07/03/08 0032-A Deposit Date: 01/26/09 Write-off Bad Debt 1 $ 2,101.78 Trip Date: 07/03/08 0037-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,876.00 Trip Date: 07/03/08 0048-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 36349 Trip Date: 07/03/08 0049-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 426..52 Trip Date: 07/03/08 0054-A Deposit Date: 01/26/09 Write-off Bad Debt 1 $ 580.54 Trip Date: 07/04/08 0001-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,966.00 Trip Date: 07/04/08 0006-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 2,110.00 Trip Date: 07/04/08 0014-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,508.00 Trip Date: 07/04/08 0018-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,872.00 Trip Date: 07/04/08 0024-A Deposit Date: 01/26/09 Write-off Bad Debt 1 $ 1,186.74 RescueNetTM Printed On: 12/15/2009 at 4:28:43PM \\ZOLL-BILL\RESCUENET\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Page 2 Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200901; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date: 07/04/08 0029-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,436.00 Trip Date: 07/04/08 0031-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,732.00 Trip Date: 07/04/08 0033-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,696.00 Trip Date: 07/04/08 0051-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,916.00 Trip Date: 07/04/08 0056-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 1,893.24 Trip Date: 07/04/08 0060-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,854.00 Trip Date: 07/05/08 0002-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,714.00 Trip Date: 07/05/08 0003-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,796.00 Trip Date: 07/05/08 0004-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,596.00 Trip Date: 07/05/08 0010-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,696.00 Trip Date: 07/05/08 0032-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,886.00 Trip Date: 07/05/08 0033-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,696.00 Trip Date: 07/05/08 0044-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 1,738.35 Trip Date: 07/06/08 0005-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 2,164.00 Trip Date: 07/06/08 0009-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,886.00 Trip Date: 07/06/08 0010-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,814.00 Trip Date: 07/06/08 0013-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 1,462.28 Trip Date: 07/06/08 0032-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,854.00 Trip Date: 07/06/08 0041-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 2,364.51 Trip Date: 07/06/08 0046-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 1,599.08 Trip Date: 07/07/08 0011-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,814.00 Trip Date: 07/07/08 0034-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 1,446.46 Trip Date: 07/08/08 0001-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 1,765.24 Trip Date: 07/08/08 0008-A Deposit Date: 01/26/09 Write-off Bad Debt 1 $ 305.13 Trip Date: 07/08/08 0009-A Deposit Date: 01/26/09 Write-off Bad Debt 1 $ 83.05 Trip Date: 07/08/08 0012-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 2,386.00 Trip Date: 07/08/08 0025-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,696.00 Trip Date: 07/08/08 0033-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,472.00 Trip Date: 07/08/08 0037-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 1,519.25 Trip Date: 07/08/08 0045-A Deposit Date: 01/26/09 Write-off Bad Debt 1 $ 1,970.04 Trip Date: 07/09/08 0003-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,652.00 Trip Date: 07/09/08 0016-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,854.00 Trip Date: 07/09/08 0021-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,948.00 Trip Date: 07/09/08 0022-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 2,344.00 Trip Date: 07/09/08 0024-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,754.00 Trip Date: 07/09/08 0028-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,696.00 Trip Date: 07/10/08 0004-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,750.00 Trip Date: 07/10/08 0025-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 1,864.71 Trip Date: 07/10/08 0036-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,696.00 Trip Date: 07/10/08 0038-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,814.00 Trip Date: 07/11/08 0002-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,714.00 Trip Date: 07/11/08 0006-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,616.00 Trip Date: 07/11/08 0021-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,894.00 Trip Date: 07/11/08 0022-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,992.00 Trip Date: 07/11/08 0024-A Deposit Date: 01/26/09 Write-off Bad Debt 1 $ 2,751.10 Trip Date: 07/11/08 0029-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,814.00 Trip Date: 07/11/08 0034-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 78.51 Trip Date: 07/11/08 0035-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,490.00 Trip Date: 07/11/08 0036-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 333.41 Trip Date: 07/12/08 0006-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,796.00 Trip Date: 07/12/08 0011-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,934.00 Trip Date: 07/12/08 0015-A Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,534.00 Trip Date: 07/12/08 0018-A Deposit Date: 01/26/09 Write-off Bad Debt 1 $ 1,982.79 Trip Date: 07/12/08 0020-A Deposit Date: 01/26/09 Write-off Bad Debt 1 $ 214.02 Trip Date: 07/12/08 0025-A Deposit Date: 01/26/09 Write-off Bad Debt 1 $ 1,250.65 RescueNetTM Printed On: 12/15/2009 at 4:28:43PM \\ZOLL-BILL\RESCUENET\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Page 3 Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200901; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date: 07/12/08 0031-A Trip Date: 07/12/08 0038-A Trip Date: 07/13/08 0012-A Trip Date: 07/13/08 0027-A Trip Date: 07/13/08 0030-A Trip Date: 07/13/08 0032-A Trip Date: 07/14/08 0046-A Trip Date: 07/15/08 0001-A Trip Date: 07/15/08 0005-A Trip Date: 07/15/08 0007-A Trip Date: 07/15/08 0009-A Trip Date: 07/15/08 0014-A Trip Date: 07/15/08 0017-A Trip Date: 07/15/08 0025-A Trip Date: 07/15/08 0026-A Trip Date: 07/15/08 0033-A Trip Date: 07/15/08 0039-A Trip Date: 07/15/08 0050-A Trip Date: 07/16/08 0013-A Trip Date: 07/17/08 0013-A Trip Date: 07/17/08 0037-A Trip Date: 07/18/08 0001-A Trip Date: 07/18/08 0005-A Trip Date: 07/18/08 0006-A Trip Date: 07/18/08 0008-A Trip Date: 07/18/08 0025-A Trip Date: 07/18/08 0027-A Trip Date: 07/18/08 0046-A Trip Date: 07/19/08 0006-A Trip Date: 07/19/08 0016-A Trip Date: 07/19/08 0021-A Trip Date: 07/19/08 0023-A Trip Date: 07/20/08 0001-A Trip Date: 07/20/08 0002-A Trip Date: 07/20/08 0004-A Trip Date: 07/20/08 0005-A Trip Date: 07/20/08 0012-A Trip Date: 07/20/08 0014-A Trip Date: 07/20/08 0017-A Trip Date: 07/20/08 0018-A Trip Date: 07/20/08 0021-A Trip Date: 07/20/08 0024-A Trip Date: 07/21/08 0006-A Trip Date: 07/21/08 0010-A Trip Date: 07/21/08 0016-A Trip Date: 07/21/08 0019-A Trip Date: 07/21/08 0021-A Trip Date: 07/21/08 0023-A Trip Date: 07/21/08 0028-A Trip Date: 07/21/08 0031-A Trip Date: 07/21/08 0032-A Trip Date: 07/21/08 0039-A Trip Date: 07/21/08 0047-A Trip Date: 07/22/08 0005-A Trip Date: 07/22/08 0009-A Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/08/09 Write-off Bad Debt Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/08/09 Write-off Bad Debt Deposit Date: 01/08/09 Write-off Bad Debt Deposit Date: 01/08/09 Write-off Bad Debt Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/26/09 Write-off Bad Debt Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/26/09 Write-off Bad Debt Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/08/09 Write-off Bad Debt Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/08/09 Write-off Bad Debt Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/26/09 Write-off Bad Debt Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/08/09 Write-off Bad Debt Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/08/09 Write-off Bad Debt Deposit Date: 01/08/09 Write-off Bad Debt Deposit Date: 01/26/09 Write-off Bad Debt Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/08/09 Write-off Bad Debt Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/26/09 Write-off Bad Debt Deposit Date: 01/26/09 Write-off Bad Debt Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/26/09 Write-off Bad Debt Deposit Date: 01/26/09 Write-off Bad Debt Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec 1 $ 1,436.00 1 $ 2,902.00 1 $ 2,118.00 1 $ 1.418,00 1 $ 1,858.00 1 $ 1,442.38 1 $ 1,536.00 1 $ 2,084.00 1 $ 1,436.00 1 $ 2,019.43 1 $ 1,799.58 1 $ 356.39 1 $ 1,660.00 1 $ 1,827.67 1 $ 1,678.00 1 $ 1,572.00 1 $ 352.88 1 $ 1,814.00 1 $ 1,832.00 1 $ 1,625,47 1 $ 1.732.00 1 $ 1,980.00 1 $ 356.78 1 $ 1.714,00 1 $ 1,634.00 1 $1,61600 1 $ 82.26 1 $ 1,652.00 1 $ 1.436.00 1 $ 1,872 00 1 $ 1,714.00 1 $ 1,599.37 1 $ 1,518.00 1 $ 2,004.00 1 $ 1,640.31 1 $ 1,645.33 1 $ 2,000.66 1 $ 1,560.00 1 $ 1,732.00 1 $ 1,552.00 1 $ 1,886.00 1 $ 2,044.00 1 $ 2,052.00 1 $ 1,662.82 1 $ 2,282.00 1 $ 1,518.00 1 $ 590.21 1 $ 549.87 1 $ 1,832.00 1 $ 1,995.25 1 $ 1,544.43 1 $ 200.00 1 $ 1,436.00 1 $ 1,616.00 1 $ 1,696,00 RescueNetTM Printed On: 12/15/2009 at 4:28:43PM 1\ZOLL-BILL\RESCUENET\REPORTS32\BILLING \CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Page 4 Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200901; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date: 07/22/08 0019-A Trip Date: 07/22/08 0024-A Trip Date: 07/22/08 0028-A Trip Date: 07/22/08 0029-A Trip Date: 07/23/08 0019-A Trip Date: 07/23/08 0025-A Trip Date: 07/23/08 0026-A Trip Date: 07/23/08 0028-A Trip Date: 07/23/08 0031-A Trip Date: 07/23/08 0041-A Trip Date: 07/24/08 0007-A Trip Date: 07/24/08 0020-A Trip Date: 07/24/08 0022-A Trip Date: 07/24/08 0024-A Trip Date: 07/24/08 0033-A Trip Date: 07/24/08 0036-A Trip Date: 07/24/08 0038-A Trip Date: 07/24/08 0041-A Trip Date: 07/25/08 0002-A Trip Date: 07/25/08 0017-A Trip Date: 07/25/08 0018-A Trip Date: 07/25/08 0036-A Trip Date: 07/26/08 0001-A Trip Date: 07/26/08 0005-A Trip Date: 07/26/08 0011-A Trip Date: 07/26/08 0017-A Trip Date: 07/26/08 0018-A Trip Date: 07/26/08 0032-A Trip Date: 07/26/08 0043-A Trip Date: 07/27/08 0004-A Trip Date: 07/27/08 0014-A Trip Date: 07/27/08 0015-A Trip Date: 07/27/08 0018-A Trip Date: 07/27/08 0021-A Trip Date: 07/27/08 0024-A Trip Date: 07/27/08 0025-A Trip Date: 07/27/08 0026-A Trip Date: 07/28/08 0018-A Trip Date: 07/28/08 0026-A Trip Date: 07/28/08 0029-A Trip Date: 07/28/08 0037-A Trip Date: 07/29/08 0012-A Trip Date: 07/29/08 0013-A Trip Date: 07/29/08 0014-A Trip Date: 07/29/08 0036-A Trip Date: 07/29/08 0053-A Trip Date: 07/30/08 0007-A Trip Date: 07/30/08 0016-A Trip Date: 07/30/08 0028-A Trip Date: 07/30/08 0031-A Trip Date: 07/30/08 0038-A Trip Date: 07/31/08 0004-A Trip Date: 07/31/08 0005-A Trip Date: 07/31/08 0017-A Trip Date: 07/31/08 0021-A Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/26/09 Write-off Bad Debt Deposit Date: 01/08/09 Write-off Bad Debt Deposit Date: 01/08/09 Write-off Bad Debt Deposit Date: 01/26/09 Write-off Bad Debt Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/26/09 Write-off Bad Debt Deposit Date: 01/26/09 Write-off Bad Debt Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/26/09 Write-off Bad Debt Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/26/09 Write-off Bad Debt Deposit Date: 01/26/09 Write-off Bad Debt Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/08/09 Write-off Bad Debt Deposit Date: 01/26/09 Write-off Bad Debt Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/26/09 Write-off Bad Debt Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/26/09 Write-off Bad Debt Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/26/09 Write-off Bad Debt Deposit Date: 01/08/09 Write-off Bad Debt Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/26/09 Write-off Bad Debt Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/26/09 Write-off Bad Debt Deposit Date: 01/26/09 Write-off Bad Debt Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/26/09 Write-off Bad Debt 1 $ 1,796.00 1 $ 1,814.00 1 $ 1,418.00 1 $ 1,694.50 1 $ 1,971.75 1 $ 2,449.95 1 $ 1,827.27 1 $ 1,765.24 1 $ 2,030.00 1 $ 102.00 1 $ 362.40 1 $ 1,912.00 1 $ 350.00 1 $ 1,804.00 1 $ 1,714.00 1 $ 1,909.74 1 $ 1,804.00 1 $ 534.00 1 $ 1,930.00 1 $ 1,660.00 1 $ 33.06 1 $ 572.43 1 $ 1,678.00 1 $ 1,814.00 1 $ 2,092.00 1 $ 2,627.36 1 $ 2,290.11 1 $ 1,518.00 1 $ 1,634.00 1 $ 1,634.00 1 $ 1,714.00 1 $ 2,158.00 1 $ 1,796.00 1 $ 345.54 1 $ 1,436.00 1 $ 1,771.25 1 $ 1,886.00 1 $ 1,534.00 1 $ 1,665.35 1 $ 119.80 1 $ 1,940.00 1 $ 193.84 1 $ 1,832.00 1 $ 1,930.00 1 $ 1,662.00 1 $ 1,454.00 1 $ 1,806.73 1 $ 53.85 1 $ 1,668.00 1 $ 2,670.00 1 $ 1,948.00 1 $ 1,714.00 1 $ 2,184.00 1 $ 1,536.00 1 $ 575.92 RescueNetTM Printed On: 12/15/2009 at 4:28:43PM \\ZOLL-BILL\RESCUENET\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Page 5 Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200901; AND Company IS WELD COUNTY PARAMEDIC SERVICES, AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date: 07/31/08 0027-A Trip Date: 08/01/08 0002-A Trip Date: 08/01/08 0008-A Trip Date: 08/01/08 0010-A Trip Date: 08/01/08 0013-A Trip Date: 08/01/08 0021-A Trip Date: 08/01/08 0027-A Trip Date: 08/01/08 0034-A Trip Date: 08/01/08 0058-A Trip Date: 08/02/08 0002-A Trip Date: 08/02/08 0012-A Trip Date: 08/02/08 0015-A Trip Date: 08/02/08 0017-A Trip Date: 08/02/08 0022-A Trip Date: 08/02/08 0023-A Trip Date: 08/02/08 0026-A Trip Date: 08/02/08 0037-A Trip Date: 08/02/08 0041-A Trip Date: 08/02/08 0042-A Trip Date: 08/03/08 0039-A Trip Date: 08/03/08 0042-A Trip Date: 08/04/08 0022-A Trip Date: 08/04/08 0033-A Trip Date: 08/05/08 0018-A Trip Date: 08/06/08 0004-A Trip Date: 08/06/08 0012-A Trip Date: 08/08/08 0008-A Trip Date: 08/08/08 0018-A Trip Date: 08/10/08 0004-A Trip Date: 08/12/08 0040-A Trip Date: 08/12/08 0050-A Trip Date: 08/13/08 0013-A Trip Date: 08/15/08 0009-A Trip Date: 08/16/08 0011-A Trip Date: 08/16/08 0029-A Trip Date: 08/18/08 0020-A Trip Date: 08/18/08 0032-A Trip Date: 08/18/08 0040-A Trip Date: 08/22/08 0026-A Trip Date: 08/25/08 0005-A Trip Date: 08/27/08 0016-A Trip Date: 08/27/08 0048-A Trip Date: 08/30/08 0024-A Trip Date: 08/30/08 0037-A Trip Date: 08/31/08 0042-A Trip Date: 09/01/08 0022-A Trip Date: 09/20/08 0052-A Trip Date: 10/05/08 0024-A Trip Date: 10/06/08 0020-A Trip Date: 10/10/08 0038-A Trip Date: 10/12/08 0006-A Trip Date: 10/13/08 0024-A Trip Date: 10/20/08 0039-A Trip Date: 10/27/08 0002-A Trip Date: 10/31/08 0039-A Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date. 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date 01/26/09 Write-off Bad Debt Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/26/09 Write-off Bad Debt Deposit Date: 01/26/09 Write-off Bad Debt Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/08/09 Write-off Bad Debt Deposit Date: 01/26/09 Write-off Bad Debt Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/26/09 Write-off Bad Debt Deposit Date: 01/26/09 Write-off Bad Debt Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/26/09 Write-off Bad Debt Deposit Date: 01/26/09 Write-off Bad Debt Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/26/09 Write-off Bad Debt Deposit Date: 01/26/09 Write-off Bad Debt Deposit Date: 01/26/09 Write-off Bad Debt Deposit Date. 01/08/09 Write-off Bad Debt Deposit Date: 01/26/09 Write-off Bad Debt Deposit Date: 01/26/09 Write-off Bad Debt Deposit Date: 01/26/09 Write-off Bad Debt Deposit Date: 01/06/09 Write -Off First Party Rec Deposit Date: 01/26/09 Write-off Bad Debt Deposit Date: 01/26/09 Write-off Bad Debt Deposit Date: 01/26/09 Write-off Bad Debt Deposit Date: 01/08/09 Write-off Bad Debt Deposit Date: 01/26/09 Write-off Bad Debt Deposit Date: 01/08/09 Write-off Bad Debt Deposit Date: 01/26/09 Write-off Bad Debt Deposit Date: 01/26/09 Write-off Bad Debt Deposit Date: 01/08/09 Write-off Bad Debt Deposit Date: 01/26/09 Write-off Bad Debt Deposit Date: 01/26/09 Write-off Bad Debt Deposit Date: 01/26/09 Write-off Bad Debt Deposit Date: 01/08/09 Write-off Bad Debt Deposit Date: 01/26/09 Write-off Bad Debt Deposit Date: 01/26/09 Write-off Bad Debt Deposit Date: 01/08/09 Write-off Bad Debt Deposit Date: 01/26/09 Write-off Bad Debt Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 1,650.00 1 $ 1,772.00 1 $ 1,436.00 1 $ 1,734.00 1 $ 2,210.00 1 $ 1,778.00 1 $ 1,913.25 1 $ 1,768.00 1 $ 318.00 1 $ 1,732.00 1 $ 1,686.27 1 $ 82.25 1 $ 1,436.00 1 $ 1,850.00 1 $ 1,912.00 1 $ 1,632.00 1 $ 1,714.00 1 $ 1,652.00 1 $ 1,796.00 1 $ 2,514.50 1 $ 1,556.00 1 $ 1,580.00 1 $ 1,872.00 1 $ 1.808.97 1 $ 84.84 1 $ 1,598.00 1 $ 1,608.28 1 $ 762.88 1 $ 1,854.00 1 $13.90 1 $ 1,847.20 1 $ 1,581.07 1 $ 2,722.00 1 $ 1,580.75 1 $ 2,140.94 1 $ 2,333.96 1 $ 1,516.00 1 $ 2,152.70 1 $ 1,562.75 1 $ 1,273.04 1 $ 82.41 1 $ 1,845.99 1 $ 135.47 1 $ 1,716.14 1 $ 346.23 1 $ 82.16 1 $ 346.38 1 $ 152.48 1 $ 359.20 1 $ 1,754.00 1 $ 1,724.14 1 $ 84.78 1 $ 75.00 1 $ 58.00 1 $ 736.00 RescueNetTM Printed On: 12/15/2009 at 4:28:43PM 11ZOLL-BILLIRESCUENETIREPORTS321BILLINGICREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Page 6 • Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200901; AND Company IS WELD COUNTY PARAMEDIC SERVICES: AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date: 11/03/08 0044-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 1,890.00 Trip Date: 11/18/08 0022-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 82.16 Trip Date: 11/20/08 0013-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 1,696.00 Trip Date: 11/22/08 0010-A Deposit Date: 01/26/09 Write-off Bad Debt 1 $ 27.74 Trip Date: 11/23/08 0005-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 1,830.00 Trip Date: 11/25/08 0026-A Deposit Date: 01/26/09 Write-off Bad Debt 1 $ 344.80 Trip Date: 11/27/08 0030-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 1,652.00 Trip Date: 12/03/08 0016-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 1,596.00 Trip Date: 12/03/08 0044-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 1,616.00 Trip Date: 12/04/08 0017-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 1,516.00 Trip Date: 12/07/08 0024-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 1,596.00 Trip Date: 12/07/08 0044-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 1,634.00 Trip Date: 12/08/08 0015-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 1,536.00 Trip Date: 12/08/08 0022-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 1,886.00 Trip Date: 12/10/08 0028-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 2,030.00 Trip Date: 12/10/08 0029-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 1,634.00 Trip Date: 12/13/08 0042-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 1,598.00 Trip Date: 12/19/08 0047-A Deposit Date: 01/08/09 Write-off Bad Debt 1 $ 1,436.00 Trip Date: 12/24/08 0004-A Deposit Date: 01/26/09 Write-off Bad Debt 1 $ 1,870.00 Trip Date: 01/02/09 0014-A Deposit Date: 01/26/09 Write-off Bad Debt 1 $ 1,536.00 Trip Date: 01/03/09 0004-A Deposit Date: 01/26/09 Write-off Bad Debt 1 $ 1,598.00 Trip Date: 01/03/09 0008-A Deposit Date: 01/26/09 Write-off Bad Debt 1 $ 1,272.00 Trip Date: 01/05/09 0004-A Deposit Date: 01/26/09 Write-off Bad Debt 2 $ 0.00 Trip Date: 01/17/09 0015-A Deposit Date: 01/26/09 Write-off Bad Debt 1 $ 1,436.00 Totals For Type Totals For Bill Patient Company Totals 350 $ 492,798.97 350 $ 492,798.97 350 • $ 492,798.97 RescueNetTM Printed On: 12/15/2009 at 4:28:43PM \\ZOLL-BILL\RESCUENET\REPORTS32\BILLING \CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Page 7 Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200901; AND Company IS WELD COUNTY PARAMEDIC SERVICES: AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec Totals 350 • $ 492,798.97 RescueNetTM Printed On: 12/15/2009 at 4:28:43PM 11ZOLL-BILLIRESCUENETIREPORTS32\BILLINGICREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Page 8 Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200902; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Payor Bill Patient Pavor/Credit Tvpe/Credit Code Count Dollars Writeoffs Trip Date: 03/18/05 0008-A Deposit Date: 02/23/09 Write-off Bad Debt 1 $ 463.76 Trip Date: 08/26/05 0007-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,198.24 Trip Date: 08/31/05 0030-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 2,161.00 Trip Date: 08/05/07 0008-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,155.15 Trip Date: 09/26/07 0035-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 384.82 Trip Date: 10/10/07 0006-A Deposit Date: 02/23/09 Write-off Bad Debt 1 $ 725.00 Trip Date: 10/25/07 0028-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,758.50 Trip Date: 11/01/07 0001-A Deposit Date: 02/23/09 Write-off Bad Debt 1 $ 1,990.00 Trip Date: 11/15/07 0011-A Deposit Date: 02/23/09 Write-off Bad Debt 1 $ 1,594.00 Trip Date: 11/16/07 0018-A Deposit Date: 02/23/09 Write-off Bad Debt 1 $ 1,514.00 Trip Date: 01/07/08 0005-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,753.50 Trip Date: 02/29/08 0003-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,322.75 Trip Date: 03/29/08 0007-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,992.50 Trip Date: 04/01/08 0041-A Deposit Date: 02/23/09 Write-off Bad Debt 1 $ 726.03 Trip Date: 04/20/08 0007-A Deposit Date: 02/23/09 Write-off Bad Debt 1 $ 196.42 Trip Date: 04/25/08 0016-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 705.52 Trip Date: 04/26/08 0023-A Deposit Date: 02/23/09 Write-off Bad Debt 1 $ 3,891.00 Trip Date: 05/04/08 0003-A Deposit Date: 02/06/09 Write -Off First Party Rec 2 $ 0.00 Trip Date: 06/03/08 0004-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,778.00 Trip Date: 06/06/08 0033-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,536.00 Trip Date: 06/06/08 0047-A Deposit Date: 02/23/09 Write-off Bad Debt 1 $ 373.80 Trip Date: 06/10/08 0014-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 2,154.00 Trip Date: 06/12/08 0036-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,204.00 Trip Date: 06/13/08 0013-A Deposit Date: 02/23/09 Write-off Bad Debt 1 $ 1,399.69 Trip Date: 06/13/08 0028-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,926.00 Trip Date: 06/15/08 0029-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,854.00 Trip Date: 06/17/08 0013-A Deposit Date: 02/23/09 Write-off Bad Debt 1 $ 203.38 Trip Date: 06/23/08 0024-A Deposit Date: 02/23/09 Write-off Bad Debt 1 $ 500.99 Trip Date: 06/26/08 0022-A Deposit Date: 02/23/09 Write-off Bad Debt 1 $ 107.50 Trip Date: 06/27/08 0027-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,850.00 Trip Date: 06/30/08 0037-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,678.00 Trip Date: 06/30/08 0051-A Deposit Date: 02/23/09 Write-off Bad Debt 1 $ 203.47 Trip Date: 07/02/08 0066-A Deposit Date: 02/23/09 Write-off Bad Debt 1 $ 1,018.32 Trip Date: 07/03/08 0025-A Deposit Date: 02/23/09 Write-off Bad Debt 1 $ 99.57 Trip Date: 07/03/08 0051-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,858.00 Trip Date: 07/04/08 0019-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,572.00 Trip Date: 07/05/08 0017-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,814.00 Trip Date: 07/05/08 0047-A Deposit Date: 02/23/09 Write-off Bad Debt 1 $ 380.73 Trip Date: 07/06/08 0014-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,472.00 Trip Date: 07/06/08 0034-A Deposit Date: 02/23/09 Write-off Bad Debt 1 $ 196.15 Trip Date: 07/06/08 0039-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,914.75 Trip Date: 07/11/08 0033-A Deposit Date: 02/23/09 Write-off Bad Debt 1 $ 96.79 Trip Date: 07/13/08 0002-A Deposit Date: 02/23/09 Write-off Bad Debt 1 $ 273.36 Trip Date: 07/14/08 0006-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,796.00 Trip Date: 07/14/08 0007-A Deposit Date: 02/23/09 Write-off Bad Debt 1 $ 86.24 Trip Date: 07/14/08 0032-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,796.00 Trip Date: 07/17/08 0033-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,696.00 Trip Date: 07/18/08 0029-A Deposit Date: 02/23/09 Write-off Bad Debt 1 $ 422.53 Trip Date: 07/18/08 0045-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,732.00 Trip Date: 07/18/08 0048-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,696.00 RescueNet7" Printed On: 12/15/2009 at 4:29:05PM 1\ZOLL-BILL\RESCUENET\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Page 1 Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200902; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date: 07/19/08 0003-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,905.04 Trip Date: 07/19/08 0052-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,454.00 Trip Date: 07/21/08 0039-A Deposit Date: 02/13/09 Write-off Bad Debt 2 $ 0.00 Trip Date: 07/22/08 0006-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,832.00 Trip Date: 07/22/08 0027-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,696.00 Trip Date: 07/23/08 0005-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,616.00 Trip Date: 07/25/08 0029-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 2,192.00 Trip Date: 07/26/08 0007-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,696.00 Trip Date: 07/26/08 0013-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,714.00 Trip Date: 07/27/08 0028-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,752.00 Trip Date: 07/30/08 0017-A Deposit Date: 02/23/09 Write-off Bad Debt 1 $ 50.85 Trip Date: 07/30/08 0043-A Deposit Date: 02/23/09 Write-off Bad Debt 1 $ 25.39 Trip Date: 07/31/08 0028-A Deposit Date: 02/23/09 Write-off Bad Debt 1 $ 50.85 Trip Date: 08/02/08 0001-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,828.00 Trip Date: 08/02/08 0033-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 2,056.00 Trip Date: 08/03/08 0002-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,696.00 Trip Date: 08/03/08 0012-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,832.00 Trip Date: 08/03/08 0021-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,634.00 Trip Date: 08/03/08 0028-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,696.00 Trip Date: 08/03/08 0031-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,930.00 Trip Date: 08/03/08 0038-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,696.00 Trip Date: 08/03/08 0048-A Deposit Date: 02/23/09 Write-off Bad Debt 1 $ 257.87 Trip Date: 08/04/08 0002-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 808.00 Trip Date: 08/04/08 0018-A Deposit Date: 02/23/09 Write-off Bad Debt 1 $ 1,562.75 Trip Date: 08/04/08 0029-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,796.00 Trip Date: 08/05/08 0001-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,418.00 Trip Date: 08/06/08 0001-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 813.00 Trip Date: 08/06/08 0038-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,696.00 Trip Date: 08/06/08 0044-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 2,016.00 Trip Date: 08/06/08 0046-A Deposit Date. 02/06/09 Write -Off First Party Rec 1 $ 1,498.00 Trip Date: 08/07/08 0006-A Deposit Date: 02/23/09 Write-off Bad Debt 1 $ 1,356.05 Trip Date: 08/07/08 0013-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,638.00 Trip Date: 08/07/08 0025-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 2,066.00 Trip Date: 08/08/08 0001-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,980.00 Trip Date: 08/08/08 0002-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,714.00 Trip Date: 08/08/08 0005-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,930.00 Trip Date: 08/08/08 0006-A Deposit Date. 02/23/09 Write-off Bad Debt 1 $ 1,795.01 Trip Date: 08/08/08 0007-A Deposit Date. 02/06/09 Write -Off First Party Rec 1 $ 1,498.00 Trip Date: 08/08/08 0015-A Deposit Date: 02/23/09 Write-off Bad Debt 1 $ 827.51 Trip Date: 08/08/08 0023-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,716.00 Trip Date: 08/08/08 0033-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 2,282.00 Trip Date: 08/09/08 0006-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,652.00 Trip Date: 08/09/08 0015-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,552.00 Trip Date: 08/09/08 0016-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,632.00 Trip Date: 08/09/08 0026-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,718.00 Trip Date: 08/09/08 0029-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,516.00 Trip Date: 08/09/08 0049-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,736.00 Trip Date: 08/09/08 0051-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,796.00 Trip Date: 08/10/08 0006-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,814.00 Trip Date: 08/10/08 0016-A Deposit Date: 02/23/09 Write-off Bad Debt 1 $ 101.92 Trip Date: 08/10/08 0017-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 2,246.00 Trip Date: 08/10/08 0021-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,894.00 Trip Date: 08/10/08 0022-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,494.00 Trip Date: 08/10/08 0024-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 1,490.00 Trip Date: 08/11/08 0003-A Deposit Date: 02/06/09 Write -Off First Party Rec 1 $ 885.00 RescueNetTM Printed On: 12/15/2009 at 4:29:05PM \\ZOLL-BILL\RESCUENET\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Page 2 Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200902; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Data 08/11/08 0010-A Trip Date: 08/11/08 0018-A Trip Date: 08/11/08 0029-A Trip Date: 08/12/08 0017-A Trip Date: 08/12/08 0021-A Trip Date: 08/12/08 0038-A Trip Date: 08/12/08 0044-A Trip Date: 08/12/08 0051-A Trip Date: 08/13/08 0003-A Trip Date: 08/13/08 0004-A Trip Date: 08/13/08 0008-A Trip Date: 08/13/08 0020-A Trip Date: 08/13/08 0022-A Trip Date: 08/13/08 0027-A Trip Date: 08/13/08 0029-A Trip Date: 08/13/08 0055-A Trip Date: 08/14/08 0010-A Trip Date: 08/15/08 0003-A Trip Date: 08/15/08 0013-A Trip Date: 08/15/08 0032-A Trip Date: 08/15/08 0034-A Trip Date: 08/15/08 0036-A Trip Date: 08/16/08 0013-A Trip Date: 08/16/08 0024-A Trip Date: 08/17/08 0009-A Trip Date: 08/17/08 0013-A Trip Date. 08/18/08 0001-A Trip Date: 08/18/08 0024-A Trip Date: 08/19/08 0011-A Trip Date: 08/20/08 0012-A Trip Date: 08/20/08 0013-A Trip Date: 08/20/08 0015-A Trip Date: 08/20/08 0018-A Trip Date: 08/20/08 0027-A Trip Date: 08/20/08 0035-A Trip Date: 08/20/08 0036-A Trip Date: 08/21/08 0001-A Trip Date: 08/21/08 0007-A Trip Date: 08/21/08 0012-A Trip Date: 08/21/08 0013-A Trip Date: 08/22/08 0009-A Trip Date: 08/22/08 0023-A Trip Date: 08/22/08 0041-A Trip Date: 08/22/08 0044-A Trip Date: 08/23/08 0002-A Trip Date: 08/23/08 0048-A Trip Date: 08/24/08 0009-A Trip Date: 08/24/08 0014-A Trip Date: 08/24/08 0015-A Trip Date: 08/25/08 0001-A Trip Date: 08/25/08 0004-A Trip Date: 08/25/08 0006-A Trip Date: 08/25/08 0033-A Trip Date: 08/25/08 0047-A Trip Date: 08/25/08 0048-A Deposit Date: 02/23/09 Write-off Bad Debt Deposit Date: 02/06/09 Write -Off First Party Rec Deposit Date: 02/06/09 Write -Off First Party Rec Deposit Date: 02/06/09 Write -Off First Party Rec Deposit Date: 02/06/09 Write -Off First Party Rec Deposit Date: 02/06/09 Write -Off First Party Rec Deposit Date: 02/06/09 Write -Off First Party Rec Deposit Date: 02/06/09 Write -Off First Party Rec Deposit Date: 02/06/09 Write -Off First Party Rec Deposit Date: 02/06/09 Write -Off First Party Rec Deposit Date: 02/23/09 Write-off Bad Debt Deposit Date: 02/06/09 Write -Off First Party Rec Deposit Date: 02/23/09 Write-off Bad Debt Deposit Date: 02/06/09 Write -Off First Party Rec Deposit Date: 02/06/09 Write -Off First Party Rec Deposit Date: 02/23/09 Write-off Bad Debt Deposit Date: 02/23/09 Write-off Bad Debt Deposit Date: 02/06/09 Write -Off First Party Rec Deposit Date: 02/06/09 Write -Off First Party Rec Deposit Date: 02/06/09 Write -Off First Party Rec Deposit Date: 02/06/09 Write -Off First Party Rec Deposit Date: 02/23/09 Write-off Bad Debt Deposit Date: 02/06/09 Write -Off First Party Rec Deposit Date: 02/06/09 Write -Off First Party Rec Deposit Date: 02/23/09 Write-off Bad Debt Deposit Date: 02/06/09 Write -Off First Party Rec Deposit Date: 02/06/09 Write -Off First Party Rec Deposit Date: 02/06/09 Write -Off First Party Rec Deposit Date: 02/06/09 Write -Off First Party Rec Deposit Date: 02/06/09 Write -Off First Party Rec Deposit Date: 02/06/09 Write -Off First Party Rec Deposit Date: 02/06/09 Write -Off First Party Rec Deposit Date: 02/06/09 Write -Off First Party Rec Deposit Date: 02/23/09' Write-off Bad Debt Deposit Date: 02/06/09 Write -Off First Party Rec Deposit Date: 02/06/09 Write -Off First Party Rec Deposit Date: 02/06/09 Write -Off First Party Rec Deposit Date: 02/06/09 Write -Off First Party Rec Deposit Date: 02/06/09 Write -Off First Party Rec Deposit Date: 02/06/09 Write -Off First Party Rec Deposit Date: 02/06/09 Write -Off First Party Rec Deposit Date: 02/06/09 Write -Off First Party Rec Deposit Date: 02/06/09 Write -Off First Party Rec Deposit Date: 02/06/09 Write -Off First Party Rec Deposit Date: 02/06/09 Write -Off First Party Rec Deposit Date: 02/06/09 Write -Off First Party Rec Deposit Date: 02/06/09 Write -Off First Party Rec Deposit Date: 02/06/09 Write -Off First Party Rec Deposit Date: 02/06/09 Write -Off First Party Rec Deposit Date: 02/06/09 Write -Off First Party Rec Deposit Date: 02/06/09 Write -Off First Party Rec Deposit Date: 02/06/09 Write -Off First Party Rec Deposit Date: 02/06/09 Write -Off First Party Rec Deposit Date: 02/06/09 Write -Off First Party Rec Deposit Date: 02/06/09 Write -Off First Party Rec 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 $ 2,097.71 $ 1,716.00 $ 1,940.00 $ 2,200.00 $ 1,716.00 $ 2,164.00 $ 2,520.00 $ 1,840.00 $ 1,490.00 $ 270.00 $ 234.27 $ 1,770.00 $ 167.20 $ 1,736.00 $ 1,930.00 $ 2,202.18 $ 753.05 $ 1,716.00 $ 1,516.00 $ 1,854.00 $ 1,930.00 $ 53.78 $ 1,696.00 $ 1,814.00 $ 1,761.78 $ 1,696.00 $ 1,570.00 $ 1,796.00 $ 543.00 $ 1,796.00 $ 1,822.00 $ 1,614.00 $ 1,596.00 $ 203.86 $ 1,858.00 $ 1,732.00 $ 1,572.00 $ 1,912.00 $ 1,758.00 $ 1,814.00 $ 1,732.00 $ 534.00 $ 1,812.00 $ 1,868.00 $ 1,714.00 $ 1,696.00 $ 1,490.00 $ 270.00 $ 1,886.00 $ 1,678.00 $ 1,596.00 $ 1,678.00 $ 1,696.00 $ 1,858.00 $ 1,796.00 RescueNetTM Printed On: 12/15/2009 at 4:29:05PM \\ZOLL-BILL\RESCUENET\REPORTS32\BILLING \ CREDITS \CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Page 3 Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200902; AND Company IS WELD COUNTY PARAMEDIC SERVICES: AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date: 08/25/08 0050-A Deposit Date: 02/06/09 Write -Off First Party Rec Trip Date: 08/25/08 0055-A Deposit Date: 02/06/09 Write -Off First Party Rec Trip Date: 08/26/08 0009-A Deposit Date: 02/06/09 Write -Off First Party Rec Trip Date: 08/26/08 0038-A Deposit Date: 02/06/09 Write -Off First Party Rec Trip Date: 08/26/08 0066-A Deposit Date: 02/06/09 Write -Off First Party Rec Trip Date: 08/27/08 0013-A Deposit Date: 02/06/09 Write -Off First Party Rec Trip Date: 08/27/08 0014-A Deposit Date: 02/06/09 Write -Off First Party Rec Trip Date: 08/27/08 0018-A Deposit Date: 02/06/09 Write -Off First Party Rec Trip Date: 08/27/08 0029-A Deposit Date: 02/06/09 Write -Off First Party Rec Trip Date: 08/27/08 0050-A Deposit Date: 02/23/09 Write-off Bad Debt Trip Date: 08/27/08 0051-A Deposit Date: 02/06/09 Write -Off First Party Rec Trip Date: 08/28/08 0005-A Deposit Date: 02/06/09 Write -Off First Party Rec Trip Date: 08/28/08 0013-A Deposit Date: 02/06/09 Write -Off First Party Rec Trip Date: 08/28/08 0024-A Deposit Date: 02/06/09 Write -Off First Party Rec Trip Date: 08/28/08 0042-A Deposit Date: 02/06/09 Write -Off First Party Rec Trip Date: 08/28/08 0048-A Deposit Date: 02/06/09 Write -Off First Party Rec Trip Date: 08/29/08 0006-A Deposit Date: 02/06/09 Write -Off First Party Rec Trip Date: 08/29/08 0016-A Deposit Date: 02/06/09 Write -Off First Party Rec Trip Date: 08/30/08 0002-A Deposit Date: 02/06/09 Write -Off First Party Rec Trip Date: 08/30/08 0004-A Deposit Date: 02/06/09 Write -Off First Party Rec Trip Date: 08/30/08 0026-A Deposit Date: 02/23/09 Write-off Bad Debt Trip Date: 08/30/08 0028-A Deposit Date: 02/06/09 Write -Off First Party Rec Trip Date: 08/30/08 0036-A Deposit Date: 02/06/09 Write -Off First Party Rec Trip Date: 08/30/08 0048-A Deposit Date: 02/06/09 Write -Off First Party Rec Trip Date: 08/31/08 0002-A Deposit Date: 02/06/09 Write -Off First Party Rec Trip Date: 08/31/08 0007-A Deposit Date: 02/06/09 Write -Off First Party Rec Trip Date: 08/31/08 0034-A Deposit Date: 02/23/09 Write-off Bad Debt Trip Date: 09/01/08 0001-A Deposit Date: 02/06/09 Write -Off First Party Rec Trip Date: 09/01/08 0027-A Deposit Date: 02/06/09 Write -Off First Party Rec Trip Date: 09/02/08 0003-A Deposit Date: 02/06/09 Write -Off First Party Rec Trip Date: 09/02/08 0006-A Deposit Date: 02/06/09 Write -Off First Party Rec Trip Date: 09/02/08 0015-A Deposit Date: 02/06/09 Write -Off First Party Rec Trip Date: 09/02/08 0024-A Deposit Date: 02/06/09 Write -Off First Party Rec Trip Date: 09/03/08 0030-A Deposit Date: 02/23/09 Write-off Bad Debt Trip Date: 09/06/08 0008-A Deposit Date: 02/23/09 Write-off Bad Debt Trip Date: 09/06/08 0009-A Deposit Date: 02/06/09 Write -Off First Party Rec Trip Date: 09/06/08 0054-A Deposit Date: 02/23/09 Write-off Bad Debt Trip Date: 09/08/08 0026-A Deposit Date: 02/23/09 Write-off Bad Debt Trip Date: 09/11/08 0027-A Deposit Date: 02/23/09 Write-off Bad Debt Trip Date: 09/28/08 0030-A Deposit Date: 02/23/09 Write-off Bad Debt Trip Date: 10/14/08 0023-A Deposit Date: 02/23/09 Write-off Bad Debt Trip Date: 10/17/08 0037-A Deposit Date: 02/23/09 Write-off Bad Debt Trip Date: 10/19/08 0030-A Deposit Date: 02/23/09 Write-off Bad Debt Trip Date: 10/22/08 0023-A Deposit Date: 02/23/09 Write-off Bad Debt Trip Date: 10/23/08 0017-A Deposit Date: 02/23/09 Write-off Bad Debt Trip Date: 11/19/08 0028-A Deposit Date: 02/23/09 Write-off Bad Debt Trip Date: 12/04/08 0035-A Deposit Date: 02/23/09 Write-off Bad Debt Trip Date: 12/08/08 0001-A Deposit Date: 02/23/09 Write-off Bad Debt Trip Date: 12/28/08 0033-A Deposit Date: 02/23/09 Write-off Bad Debt Trip Date: 12/29/08 0040-A Deposit Date: 02/23/09 Write-off Bad Debt Trip Date: 12/31/08 0022-A Deposit Date: 02/23/09 Write-off Bad Debt Trip Date: 01/01/09 0019-A Deposit Date: 02/23/09 Write-off Bad Debt Trip Date: 01/07/09 0033-A Deposit Date: 02/23/09 Write-off Bad Debt Trip Date: 01/19/09 0043-A Deposit Date: 02/23/09 Write-off Bad Debt Trip Date: 01/23/09 0038-A Deposit Date: 02/23/09 Write-off Bad Debt 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 $ 813.00 $ 1,498.00 $ 1,616.00 $ 1,796.00 $ 2,106.00 $ 1,772.00 $ 1,536.00 $ 1,020.00 $ 2,136.00 $ 1,902.56 $ 1,848.00 $ 1,814.00 $ 1,047.00 $ 1,912.00 $ 1,436.00 $ 1,634.00 $ 2,128.00 $ 1,245.96 $ 1,832.00 $ 1,834.00 $ 2,075.76 $ 1,714.00 $ 1,796.00 $ 1,418.00 $ 1,51600 $ 1.706.00 $ 1,665.72 $ 1,024.00 $ 1.714.00 $ 1,912.00 $ 1.912.00 $ 1,688.00 $ 1,632.00 $ 1,845.99 $ 1,707 23 $ 1,778.00 $ 1,904.18 $ 1,562.75 $ 1,707.23 $ 2,976.96 $ 1,774.91 $ 83.47 $ 52.86 $ 242.10 $ 52.86 $ 1,872 00 $ 75.00 $ 1,454.00 $ 1,790.00 $ 543.00 $ 1,454.00 $ 1,336.00 $ 1,716.00 $ 1,236.00 $ 1,336.00 RescueNetTM Printed On: 12/15/2009 at 4:29:05PM \\ZOLL-BILL\RESCUENET\REPORTS32\BILLING \CREDITS \CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Page 4 Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200902; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date: 01/24/09 Trip Date: 01/24/09 Trip Date: 01/27/09 Trip Date: 02/02/09 Trip Date: 02/03/09 Totals For Type Totals For Bill Patient Company Totals 0018-A 0020-A 0034-A 0037-A 0041-A Deposit Date: 02/23/09 Deposit Date: 02/23/09 Deposit Date: 02/23/09 Deposit Date: 02/23/09 Deposit Date: 02/23/09 Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt 1 1 1 1 1 $ 1,472.00 $ 1,272.00 $ 1,536.00 $ 1,418.00 $ 1,436.00 222 $ 318,778.07 222 $ 318,778.07 222 1 $ 318,778.07 RescueNetTM Printed On: 12/15/2009 at 4:29:05PM 11ZOLL-BILL\RESCUENETIREPORTS321BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Page 5 Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200902; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec Totals 222 I $ 318,778.07 RescueNetTM Printed On: 12/15/2009 at 4:29:05PM 11ZOLL-BILLIRESCUENETIREPORTS321BILLINGICREDITSICREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Page 6 Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200903; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Payor Bill Patient Pavor/Credit Type/Credit Code Count Dollars Writeoffs Trip Date: 02/08/06 0027-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,155.43 Trip Date. 08/30/06 0021-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 704.04 Trip Date: 06/10/07 0022-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 245.33 Trip Date: 06/28/07 0011-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 1,095.84 Trip Date: 08/05/07 0029-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 112.37 Trip Date: 08/12/07 0011-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 2,120.25 Trip Date: 09/22/07 0037-A Deposit Date: 03/31/09 Write -Off First Party Rec 2 $ 0.00 Trip Date: 03/04/08 0037-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 1,763.00 Trip Date: 03/16/08 0026-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,644.00 Trip Date: 04/26/08 0010-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 435.06 Trip Date: 04/26/08 0029-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 59.78 Trip Date: 05/06/08 0021-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 87.37 Trip Date: 05/10/08 0011-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 1,854.00 Trip Date: 05/25/08 0010-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 1,526.00 Trip Date: 06/06/08 0020-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,220.84 Trip Date: 06/06/08 0029-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 409.57 Trip Date: 06/06/08 0039-A Deposit Date: 03/19/09 Write -Off First Party Rec 1 $ 342.80 Trip Date: 06/17/08 0022-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 1,483.50 Trip Date: 06/26/08 0027-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 83.41 Trip Date: 06/27/08 0039-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 2,084.00 Trip Date: 07/01/08 0001-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,814.00 Trip Date: 07/01/08 0033-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 508.59 Trip Date: 07/02/08 0065-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,836.00 Trip Date: 07/04/08 0053-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 142.06 Trip Date. 07/05/08 0029-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 1,794.00 Trip Date. 07/06/08 0040-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 1,965.58 Trip Date: 07/11/08 0047-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,814.00 Trip Date: 07/12/08 0037-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,732.00 Trip Date: 07/17/08 0027-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,796.00 Trip Date: 07/18/08 0040-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 1,717.95 Trip Date: 07/19/08 0001-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,832.00 Trip Date: 07/19/08 0048-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,696.00 Trip Date: 07/21/08 0014-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,634.00 Trip Date: 07/21/08 0038-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,832.00 Trip Date: 07/21/08 0049-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 1,574.00 Trip Date: 07/23/08 0038-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 885.00 Trip Date: 07/26/08 0004-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,876.00 Trip Date: 07/26/08 0035-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 44.53 Trip Date: 07/27/08 0030-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,858.00 Trip Date: 07/28/08 0028-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 2,085.01 Trip Date: 08/01/08 0018-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,714.00 Trip Date: 08/01/08 0024-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,598.00 Trip Date: 08/01/08 0031-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 1,555.02 Trip Date: 08/01/08 0054-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,714.00 Trip Date: 08/03/08 0047-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,644.00 Trip Date: 08/04/08 0011-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 1,015.87 Trip Date: 08/05/08 0004-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 2,044.84 Trip Date: 08/05/08 0039-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 1,859.03 Trip Date: 08/06/08 0043-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 1,479.32 Trip Date: 08/07/08 0020-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 65.75 RescueNet'"' Printed On: 12/15/2009 at 4:29:42PM \\ZOLL-BILL\RESCUENET\REP0RTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Page 1 Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200903; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date: 08/08/08 0022-A Trip Date: 08/08/08 0030-A Trip Date: 08/08/08 0039-A Trip Date: 08/09/08 0023-A Trip Date: 08/09/08 0052-A Trip Date: 08/10/08 0008-A Trip Date: 08/12/08 0018-A Trip Date: 08/13/08 0045-A Trip Date: 08/17/08 0018-A Trip Date: 08/18/08 0023-A Trip Date: 08/19/08 0006-A Trip Date: 08/19/08 0009-A Trip Date: 08/19/08 0022-A Trip Date: 08/20/08 0016-A Trip Date: 08/21/08 0005-A Trip Date: 08/21/08 0023-A Trip Date: 08/22/08 0018-A Trip Date: 08/22/08 0043-A Trip Date: 08/23/08 0010-A Trip Date: 08/23/08 0037-A Trip Date: 08/23/08 0044-A Trip Date: 08/24/08 0005-A Trip Date: 08/24/08 0027-A Trip Date: 08/25/08 0014-A Trip Date: 08/25/08 0017-A Trip Date: 08/26/08 0068-A Trip Date: 08/27/08 0042-A Trip Date: 08/28/08 0010-A Trip Date: 08/28/08 0037-A Trip Date: 08/28/08 0043-A Trip Date: 08/29/08 0008-A Trip Date: 08/29/08 0013-A Trip Date: 08/29/08 0024-A Trip Date: 08/29/08 0032-A Trip Date: 08/30/08 0015-A Trip Date: 08/30/08 0038-A Trip Date: 08/31/08 0004-A Trip Date: 08/31/08 0005-A Trip Date: 08/31/08 0006-A Trip Date: 08/31/08 0015-A Trip Date: 08/31/08 0035-A Trip Date: 09/01/08 0015-A Trip Date: 09/03/08 0005-A Trip Date: 09/03/08 0006-A Trip Date: 09/03/08 0016-A Trip Date: 09/03/08 0032-A Trip Date: 09/04/08 0004-A Trip Date: 09/04/08 0023-A Trip Date: 09/04/08 0054-A Trip Date: 09/04/08 0056-A Trip Date: 09/05/08 0003-A Trip Date: 09/05/08 0005-A Trip Date: 09/05/08 0008-A Trip Date: 09/05/08 0019-A Trip Date: 09/05/08 0020-A Deposit Date: 03/31/09 Deposit Date: 03/30/09 Deposit Date: 03/30/09 Deposit Date: 03/31/09 Deposit Date: 03/09/09 Deposit Date: 03/30/09 Deposit Date: 03/30/09 Deposit Date: 03/30/09 Deposit Date: 03/09/09 Deposit Date: 03/30/09 Deposit Date: 03/31/09 Deposit Date: 03/30/09 Deposit Date: 03/30/09 Deposit Date: 03/30/09 Deposit Date: 03/30/09 Deposit Date: 03/30/09 Deposit Date: 03/31/09 Deposit Date: 03/30/09 Deposit Date: 03/31/09 Deposit Date: 03/09/09 Deposit Date: 03/09/09 Deposit Date: 03/09/09 Deposit Date: 03/09/09 Deposit Date: 03/30/09 Deposit Date: 03/09/09 Deposit Date: 03/30/09 Deposit Date: 03/30/09 Deposit Date: 03/09/09 Deposit Date: 03/30/09 Deposit Date: 03/30/09 Deposit Date: 03/09/09 Deposit Date: 03/09/09 Deposit Date: 03/30/09 Deposit Date: 03/09/09 Deposit Date: 03/30/09 Deposit Date: 03/09/09 Deposit Date: 03/09/09 Deposit Date: 03/09/09 Deposit Date: 03/30/09 Deposit Date: 03/09/09 Deposit Date: 03/09/09 Deposit Date: 03/09/09 Deposit Date: 03/09/09 Deposit Date: 03/09/09 Deposit Date: 03/30/09 Deposit Date: 03/30/09 Deposit Date: 03/09/09 Deposit Date: 03/30/09 Deposit Date: 03/09/09 Deposit Date: 03/30/09 Deposit Date: 03/09/09 Deposit Date: 03/09/09 Deposit Date: 03/09/09 Deposit Date: 03/09/09 Deposit Date: 03/09/09 Write -Off First Party Rec Write-off Bad Debt Write-off Bad Debt Write -Off First Party Rec Write -Off First Party Rec Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write -Off First Party Rec Write-off Bad Debt Write -Off First Party Rec Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write -Off First Party Rec Write-off Bad Debt Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write-off Bad Debt Write -Off First Party Rec Write-off Bad Debt Write-off Bad Debt Write -Off First Party Rec Write-off Bad Debt Write-off Bad Debt Write -Off First Party Rec Write -Off First Party Rec Write-off Bad Debt Write -Off First Party Rec Write-off Bad Debt Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write-off Bad Debt Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write-off Bad Debt Write-off Bad Debt Write -Off First Party Rec Write-off Bad Debt Write -Off First Party Rec Write-off Bad Debt Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec RescueNetTM Printed On: 12/15/2009 at 4:29:42PM \\ZOLL-BILL\RESCUENET\REPORTS32\BILLING \ CREDITS \CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 1 1 1 1 1 1 1 1 1 1 $ 1,696.00 $ 65.75 $ 1.845.59 $ 1,855.75 $ 1,976.00 $ 1,727.55 $ 1,164.50 $ 397.57 $ 1,876.00 $ 1,662.46 $ 1.796.00 $ 1,464.52 $ 72.12 $ 52.48 $ 1,920.82 $ 95.58 $ 1,998.00 $ 1,886.29 $ 1,758.99 $ 1,616.00 $ 1,498.00 $ 190.00 $ 1,876.00 $ 93 09 $ 1,436.00 $ 1,725.54 $ 2,041.67 $ 1,796.00 $ 585 40 $ 1.937.16 $ 1,778.00 $ 2,114.00 $ 0.00 $ 1,572.00 $ 2,091 81 $ 2,276.00 $ 1,754.00 $ 1,926.00 $ 402.13 $ 1,472.00 $ 1,536.00 $ 2,080.00 $ 1,518.00 $ 1,976.00 $ 203.60 $ 310.60 $ 270.00 $ 203.60 $ 1,814.00 $ 100.85 $ 1,732.00 $ 1,796.00 $ 2,016.00 $ 1,966.00 $ 1,876.00 Page 2 Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200903; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date: 09/05/08 0021-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,516.00 Trip Date: 09/05/08 0022-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,516.00 Trip Date: 09/05/08 0029-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,634.00 Trip Date: 09/05/08 0034-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 1,867.16 Trip Date: 09/06/08 0003-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,822.00 Trip Date: 09/06/08 0010-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,714.00 Trip Date: 09/06/08 0019-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 1,262.10 Trip Date: 09/06/08 0023-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,858.00 Trip Date: 09/06/08 0040-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 1,915.70 Trip Date: 09/06/08 0047-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,608.00 Trip Date: 09/07/08 0001-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,516.00 Trip Date: 09/07/08 0023-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,796.00 Trip Date: 09/07/08 0026-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,840.00 Trip Date: 09/07/08 0037-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 1,652.00 Trip Date: 09/07/08 0039-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 718.00 Trip Date: 09/07/08 0040-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 2,116.00 Trip Date: 09/08/08 0017-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 1,796.00 Trip Date: 09/08/08 0023-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,814.00 Trip Date: 09/08/08 0037-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 2,280.00 Trip Date: 09/08/08 0043-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,958.00 Trip Date: 09/09/08 0013-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 2,012.00 Trip Date: 09/09/08 0014-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 2,084.00 Trip Date: 09/09/08 0022-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 690.53 Trip Date: 09/09/08 0035-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,436.00 Trip Date: 09/10/08 0010-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 2,066.00 Trip Date: 09/10/08 0016-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 678.00 Trip Date: 09/11/08 0011-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,886.00 Trip Date: 09/11/08 0028-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,796.00 Trip Date: 09/11/08 0038-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,696.00 Trip Date: 09/12/08 0001-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,796.00 Trip Date: 09/12/08 0011-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,822.00 Trip Date: 09/12/08 0012-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,822.00 Trip Date: 09/12/08 0026-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 1,454.00 Trip Date: 09/12/08 0043-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,596.00 Trip Date: 09/12/08 0049-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,716.00 Trip Date: 09/12/08 0050-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,854.00 Trip Date: 09/13/08 0011-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 167.96 Trip Date: 09/13/08 0024-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 2,050.00 Trip Date: 09/13/08 0027-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,980.00 Trip Date: 09/13/08 0028-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,850.00 Trip Date: 09/13/08 0030-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,678.00 Trip Date: 09/14/08 0002-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,732.00 Trip Date: 09/14/08 0004-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 2,810.00 Trip Date: 09/14/08 0017-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 793.27 Trip Date: 09/14/08 0019-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,454.00 Trip Date: 09/14/08 0020-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 1,890.36 Trip Date: 09/15/08 0004-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,922.00 Trip Date: 09/15/08 0009-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,616.00 Trip Date: 09/15/08 0014-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 1,846.80 Trip Date: 09/15/08 0033-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 1,680.76 Trip Date: 09/15/08 0034-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 1,762.17 Trip Date: 09/15/08 0035-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 1,886.00 Trip Date: 09/16/08 0009-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,536.00 Trip Date: 09/16/08 0019-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,721.27 Trip Date: 09/16/08 0021-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 2,246.00 RescueNet'M Printed On: 12/15/2009 at 4:29:42PM \\ZOLL-BILL\RESCUENET\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Page 3 Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200903; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date: 09/16/08 0040-A Trip Date: 09/16/08 0045-A Trip Date: 09/17/08 0019-A Trip Date: 09/17/08 0026-A Trip Date: 09/17/08 0031-A Trip Date: 09/18/08 0003-A Trip Date: 09/18/08 0008-A Trip Date: 09/18/08 0011-A Trip Date: 09/18/08 0020-A Trip Date: 09/18/08 0021-A Trip Date: 09/18/08 0038-A Trip Date: 09/19/08 0005-A Trip Date: 09/19/08 0024-A Trip Date: 09/19/08 0044-A Trip Date: 09/19/08 0046-A Trip Date: 09/20/08 0002-A Trip Date: 09/20/08 0004-A Trip Date: 09/20/08 0006-A Trip Date: 09/20/08 0009-A Trip Date: 09/20/08 0010-A Trip Date: 09/20/08 0028-A Trip Date: 09/20/08 0038-A Trip Date: 09/20/08 0042-A Trip Date: 09/20/08 0050-A Trip Date: 09/20/08 0054-A Trip Date: 09/21/08 0011-A Trip Date: 09/21/08 0013-A Trip Date: 09/21/08 0018-A Trip Date: 09/21/08 0021-A Trip Date: 09/21/08 0030-A Trip Date: 09/22/08 0009-A Trip Date: 09/22/08 0019-A Trip Date: 09/22/08 0021-A Trip Date: 09/22/08 0034-A Trip Date: 09/22/08 0035-A Trip Date: 09/23/08 0003-A Trip Date: 09/23/08 0017-A Trip Date: 09/23/08 0021-A Trip Date: 09/24/08 0005-A Trip Date: 09/24/08 0007-A Trip Date: 09/24/08 0015-A Trip Date: 09/24/08 0021-A Trip Date: 09/24/08 0042-A Trip Date: 09/24/08 0043-A Trip Date: 09/24/08 0049-A Trip Date: 09/25/08 0005-A Trip Date: 09/25/08 0017-A Trip Date: 09/25/08 0019-A Trip Date: 09/25/08 0028-A Trip Date: 09/25/08 0030-A Trip Date: 09/25/08 0042-A Trip Date: 09/25/08 0047-A Trip Date: 09/25/08 0049-A Trip Date: 09/26/08 0016-A Trip Date: 09/26/08 0022-A Deposit Date: 03/30/09 Deposit Date: 03/09/09 Deposit Date: 03/09/09 Deposit Date: 03/09/09 Deposit Date: 03/09/09 Deposit Date: 03/09/09 Deposit Date: 03/30/09 Deposit Date: 03/09/09 Deposit Date: 03/09/09 Deposit Date: 03/09/09 Deposit Date: 03/09/09 Deposit Date: 03/09/09 Deposit Date 03/09/09 Deposit Date. 03/09/09 Deposit Date: 03/09/09 Deposit Date: 03/30/09 Deposit Date: 03/09/09 Deposit Date: 03/09/09 Deposit Date: 03/09/09 Deposit Date: 03/09/09 Deposit Date: 03/09/09 Deposit Date: 03/09/09 Deposit Date: 03/09/09 Deposit Date 03/09/09 Deposit Date: 03/09/09 Deposit Date: 03/09/09 Deposit Date. 03/09/09 Deposit Date: 03/09/09 Deposit Date. 03/09/09 Deposit Date: 03/30/09 Deposit Date 03/09/09 Deposit Date: 03/09/09 Deposit Date: 03/30/09 Deposit Date: 03/09/09 Deposit Date: 03/30/09 Deposit Date: 03/09/09 Deposit Date: 03/09/09 Deposit Date: 03/09/09 Deposit Date. 03/09/09 Deposit Date: 03/09/09 Deposit Date: 03/09/09 Deposit Date: 03/09/09 Deposit Date. 03/09/09 Deposit Date: 03/09/09 Deposit Date: 03/31/09 Deposit Date: 03/09/09 Deposit Date: 03/09/09 Deposit Date: 03/30/09 Deposit Date: 03/09/09 Deposit Date: 03/30/09 Deposit Date: 03/30/09 Deposit Date: 03/30/09 Deposit Date: 03/09/09 Deposit Date: 03/30/09 Deposit Date: 03/30/09 Write-off Bad Debt Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write-off Bad Debt Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write-off Bad Debt Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write-off Bad Debt Write -Off First Party Rec Write -Off First Party Rec Write-off Bad Debt Write -Off First Party Rec Write-off Bad Debt Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write-off Bad Debt Write -Off First Party Rec Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write -Off First Party Rec Write-off Bad Debt Write-off Bad Debt RescueNetTM Printed On: 12/15/2009 at 4:29:42PM \\ZOLL-BILL\RESCUENET\REPORTS32\BILLING \ CREDITS \CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 $ 517.96 $ 1,436.00 $ 1,756.00 $ 1,742.00 $ 1,536.00 $ 1,472.00 $ 122.21 $ 534.00 $ 1,980.00 $ 1,472.00 $ 1,696.00 $ 2,084.00 $ 1,814.00 $ 2,048.00 $ 2,410.00 $ 192.50 $ 1,614.00 $ 2,330.00 $ 1,678.00 $ 1,418.00 $ 552.00 $ 1,872.00 $ 1,660.00 $ 1,822.00 $ 1,696.00 $ 1,714.00 $ 1,678.00 $ 1,714.00 $ 525.00 $ 2,822.32 $ 2,090.00 $ 1,770.00 $ 203.55 $ 2,030.00 $ 1,863 70 $ 1,814.00 $ 1,716.00 $ 1,796.00 $ 1,536.00 $ 1,696.00 $ 1,814.00 $ 1,436.00 $ 1,872.00 $ 1,832.00 $ 1,634.00 $ 1,774.00 $ 1,732.00 $ 560.98 $ 1,634.00 $ 50.87 $ 566.90 $ 1,843.57 $ 1,832.00 $ 790.52 $ 1,854.76 Page 4 Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200903; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date 09/26/08 0031-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,868.00 Trip Date: 09/26/08 0037-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 2,145.13 Trip Date: 09/26/08 0044-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 1,725.54 Trip Date: 09/26/08 0053-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,598.00 Trip Date 09/26/08 0056-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,854.00 Trip Date: 09/26/08 0058-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,778.00 Trip Date: 09/27/08 0004-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,634.00 Trip Date: 09/27/08 0009-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,454.00 Trip Date: 09/27/08 0014-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,976.00 Trip Date: 09/27/08 0033-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 86.41 Trip Date: 09/27/08 0043-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 1,832.00 Trip Date: 09/27/08 0055-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,958.00 Trip Date: 09/27/08 0056-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,418.00 Trip Date: 09/27/08 0060-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,752.00 Trip Date: 09/28/08 0001-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,598.00 Trip Date: 09/28/08 0005-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,632.00 Trip Date: 09/28/08 0013-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 193.54 Trip Date: 09/28/08 0022-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 1,830.07 Trip Date. 09/28/08 0027-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 1,490.78 Trip Date 09/28/08 0034-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,516.00 Trip Date: 09/29/08 0009-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,636.00 Trip Date. 09/29/08 0031-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 2,434.00 Trip Date: 09/29/08 0034-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,898.00 Trip Date: 09/29/08 0035-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,760.00 Trip Date: 09/30/08 0003-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,926.00 Trip Date: 09/30/08 0027-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 804.00 Trip Date: 09/30/08 0032-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,714.00 Trip Date: 09/30/08 0034-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,836.00 Trip Date: 09/30/08 0043-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 1,598.00 Trip Date 10/01/08 0003-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,436.00 Trip Date. 10/01/08 0004-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,436.00 Trip Date: 10/01/08 0006-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,814.00 Trip Date. 10/01/08 0010-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 1,962.00 Trip Date: 10/01/08 0012-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,862.00 Trip Date: 10/01/08 0016-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 3,012.00 Trip Date: 10/01/08 0018-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 1,950.22 Trip Date: 10/01/08 0020-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,454.00 Trip Date: 10/01/08 0027-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 1,746.45 Trip Date. 10/02/08 0003-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 1,578.00 Trip Date: 10/02/08 0016-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 1,810.00 Trip Date: 10/02/08 0043-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 1,718.00 Trip Date: 10/02/08 0044-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 2,364.03 Trip Date: 10/02/08 0046-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 1,968,32 .Trip Date: 10/03/08 0001-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 1,796.00 Trip Date: 10/03/08 0011-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 1,894.00 Trip Date 10/03/08 0024-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 1,796.00 Trip Date: 10/03/08 0029-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 2,032.00 Trip Date: 10/03/08 0031-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 1,696.00 Trip Date: 10/03/08 0033-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 1,912.00 Trip Date: 10/03/08 0036-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 1,596.00 Trip Date: 10/04/08 0003-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 1,634.00 Trip Date: 10/04/08 0004-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 2,074.00 Trip Date: 10/04/08 0014-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 1,648.44 Trip Date: 10/04/08 0016-A Deposit Date: 03/09/09 Write -Off First Party Rec 1 $ 1,706.00 Trip Date: 10/05/08 0006-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 1,760.00 RescueNetT" Printed On: 12/15/2009 at 4:29:42PM Page 5 \\ZOLL-BILL\RESCUENET\REPORTS321BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200903; AND Company IS WELD COUNTY PARAMEDIC SERVICES: AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date: 10/05/08 0028-A Deposit Date: 03/30/09 Write-off Bad Debt Trip Date: 10/06/08 0005-A Deposit Date: 03/30/09 Write-off Bad Debt Trip Date: 10/06/08 0011-A Deposit Date: 03/31/09 Write -Off First Party Rec Trip Date: 10/07/08 0010-A Deposit Date: 03/31/09 Write -Off First Party Rec Trip Date: 10/07/08 0020-A Deposit Date: 03/31/09 Write -Off First Party Rec Trip Date: 10/07/08 0033-A Deposit Date: 03/31/09 Write -Off First Party Rec Trip Date: 10/08/08 0010-A Deposit Date: 03/30/09 Write-off Bad Debt Trip Date: 10/08/08 0020-A Deposit Date: 03/31/09 Write -Off First Party Rec Trip Date: 10/08/08 0030-A Deposit Date: 03/31/09 Write -Off First Party Rec Trip Date: 10/09/08 0008-A Deposit Date: 03/31/09 Write -Off First Party Rec Trip Date: 10/09/08 0033-A Deposit Date: 03/31/09 Write -Off First Party Rec Trip Date: 10/09/08 0034-A Deposit Date: 03/31/09 Write -Off First Party Rec Trip Date: 10/10/08 0001-A Deposit Date: 03/31/09 Write -Off First Party Rec Trip Date: 10/10/08 0015-A Deposit Date: 03/31/09 Write -Off First Party Rec Trip Date: 10/10/08 0022-A Deposit Date: 03/30/09 Write-off Bad Debt Trip Date: 10/11/08 0002-A Deposit Date: 03/31/09 Write -Off First Party Rec Trip Date: 10/11/08 0003-A Deposit Date: 03/30/09 Write-off Bad Debt Trip Date: 10/11/08 0007-A Deposit Date: 03/31/09 Write -Off First Party Rec Trip Date: 10/11/08 0020-A Deposit Date: 03/31/09 Write -Off First Party Rec Trip Date: 10/11/08 0021-A Deposit Date: 03/31/09 Write -Off First Party Rec Trip Date: 10/11/08 0023-A Deposit Date: 03/31/09 Write -Off First Party Rec Trip Date: 10/11/08 0033-A Deposit Date: 03/31/09 Write -Off First Party Rec Trip Date: 10/11/08 0036-A Deposit Date: 03/31/09 Write -Off First Party Rec Trip Date: 10/11/08 0040-A Deposit Date: 03/31/09 Write -Off First Party Rec Trip Date: 10/11/08 0041-A Deposit Date: 03/31/09 Write -Off First Party Rec Trip Date: 10/12/08 0028-A Deposit Date: 03/30/09 Write-off Bad Debt Trip Date: 10/12/08 0031-A Deposit Date: 03/31/09 Write -Off First Party Rec Trip Date: 10/13/08 0001-A Deposit Date: 03/31/09 Write -Off First Party Rec Trip Date: 10/13/08 0002-A Deposit Date: 03/31/09 Write -Off First Party Rec Trip Date: 10/13/08 0004-A Deposit Date: 03/31/09 Write -Off First Party Rec Trip Date: 10/13/08 0026-A Deposit Date 03/31/09 Write -Off First Party Rec Trip Date: 10/13/08 0031-A Deposit Date: 03/31/09 Write -Off First Party Rec Trip Date: 10/13/08 0040-A Deposit Date: 03/31/09 Write -Off First Party Rec Trip Date: 10/13/08 0042-A Deposit Date: 03/31/09 Write -Off First Party Rec Trip Date: 10/13/08 0044-A Deposit Date: 03/31/09 Write -Off First Party Rec Trip Date: 10/13/08 0049-A Deposit Date: 03/31/09 Write -Off First Party Rec Trip Date: 10/14/08 0001-A Deposit Date: 03/31/09 Write -Off First Party Rec Trip Date: 10/14/08 0015-A Deposit Date: 03/31/09 Write -Off First Party Rec Trip Date: 10/14/08 0026-A Deposit Date: 03/30/09 Write-off Bad Debt Trip Date: 10/15/08 0002-A Deposit Date: 03/31/09 Write -Off First Party Rec Trip Date: 10/15/08 0007-A Deposit Date: 03/30/09 Write-off Bad Debt Trip Date: 10/15/08 0008-A Deposit Date: 03/30/09 Write-off Bad Debt Trip Date: 10/15/08 0031-A Deposit Date: 03/30/09 Write-off Bad Debt Trip Date: 10/15/08 0034-A Deposit Date: 03/31/09 Write -Off First Party Rec Trip Date: 10/15/08 0038-A Deposit Date: 03/31/09 Write -Off First Party Rec Trip Date: 10/16/08 0005-A Deposit Date: 03/31/09 Write -Off First Party Rec Trip Date: 10/16/08 0014-A Deposit Date: 03/30/09 Write-off Bad Debt Trip Date: 10/16/08 0016-A Deposit Date: 03/31/09 Write -Off First Party Rec Trip Date: 10/17/08 0004-A Deposit Date: 03/31/09 Write -Off First Party Rec Trip Date: 10/17/08 0021-A Deposit Date: 03/31/09 Write -Off First Party Rec Trip Date: 10/17/08 0041-A Deposit Date: 03/31/09 Write -Off First Party Rec Trip Date: 10/18/08 0003-A Deposit Date: 03/30/09 Write-off Bad Debt Trip Date: 10/18/08 0007-A Deposit Date: 03/31/09 Write -Off First Party Rec Trip Date: 10/18/08 0013-A Deposit Date: 03/31/09 Write -Off First Party Rec Trip Date: 10/18/08 0014-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 $ 53.57 $ 1,941.81 $ 1,772.00 $ 1,634.00 $ 1,516.00 $ 1,436.00 $ 81.22 $ 2,254.00 $ 1,572.00 $ 1,536.00 $ 1,724.00 $ 795.00 $ 1,634.00 $ 1,038.00 $ 1,945.08 $ 1,930.00 $ 1,963.18 $ 1,672.00 $ 1,696.00 $ 1,774.00 $ 1,596.00 $ 1,872 00 $ 1,654.00 $ 1,678.00 $ 1,418.00 $ 447.76 $ 1,436.00 $ 1,894.00 $ 1,454.00 $ 1,516.00 $ 1,454.00 $ 1,616 00 $ 1,956.00 $ 1,660.00 $ 1,418 00 $ 190.00 $ 1,652.00 $ 1,796.00 $ 2,119.84 $ 1,876.00 $ 1,497.46 $ 2,079.52 $ 1,478.83 $ 1,998.00 $ 1,976.00 $ 1,734.00 $ 1,863.70 $ 1,536.00 $ 1,814.00 $ 1,814.00 $ 1,788.00 $ 352.84 $ 1,418.00 $ 1,678.00 $ 1,598.00 RescueNetTM Printed On: 12/15/2009 at 4:29:42PM \\ZOLL-BILL\RESCUENET\REPORTS32\ BILLING \CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Page 6 Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200903; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date: 10/18/08 0035-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 1,479.17 Trip Date: 10/19/08 0004-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 1,772.00 Trip Date: 10/19/08 0010-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 2,316.00 Trip Date: 10/19/08 0038-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 2,048.00 Trip Date: 10/19/08 0040-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 1,678.00 Trip Date: 10/20/08 0001-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 1,894.00 Trip Date: 10/20/08 0003-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 1,696.00 Trip Date: 10/20/08 0004-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 1,880.00 Trip Date: 10/20/08 0005-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 1,516.00 Trip Date: 10/20/08 0033-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 1,774.00 Trip Date: 10/20/08 0034-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 1,714.00 Trip Date: 10/20/08 0044-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 1,596.00 Trip Date: 10/21/08 0006-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 1,854.00 Trip Date: 10/21/08 0013-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 1,832.00 Trip Date: 10/22/08 0007-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 2,30.0.0 Trip Date: 10/22/08 0016-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 82.16 Trip Date: 10/22/08 0029-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 2,220.00 Trip Date: 10/25/08 0027-A Deposit Date: 03/30/09 Write-off Bad Debt •1 $ 1,733.97 Trip Date: 10/26/08 0014-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 1,526.00 Trip Date: 10/26/08 0015-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 1,806.00 Trip Date: 10/27/08 0021-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 1,848.00 Trip Date: 10/27/08 0040-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 1,670.00 Trip Date: 10/28/08 0006-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 1,754.00 Trip Date: 10/28/08 0010-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 1,634.00 Trip Date: 10/28/08 0017-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 1,614.00 Trip Date: 10/28/08 0040-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 1,732.00 Trip Date: 10/28/08 0055-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 1,436.00 Trip Date: 10/28/08 0059-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 1,696.00 Trip Date: 10/29/08 0003-A iDeposit Date: 03/31/09 Write -Off First Party Rec 1 $ 1,822.00 Trip Date: 10/29/08 0020-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 100.46 Trip Date: 10/29/08 0029-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 51.55 Trip Date: 10/29/08 0042-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 120.44 Trip Date: 10/30/08 0007-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 1,436.00 Trip Date: 10/30/08 0017-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 80.85 Trip Date: 10/30/08 0037-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 1,872.00 Trip Date: 10/31/08 0006-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 1,872.00 Trip Date: 10/31/08 0016-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 65.96 Trip Date: 10/31/08 0060-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 86.09 Trip Date: 11/02/08 0027-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 274.68 Trip Date: 11/03/08 0031-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 318.00 Trip Date: 11/05/08 0014-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 81.39 Trip Date: 11/05/08 0022-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 1,716.00 Trip Date: 11/07/08 0016-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 84.78 Trip Date: 11/08/08 0001-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 1,714.00 Trip Date: 11/08/08 0024-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 270.00 Trip Date: 11/08/08 0039-A Deposit Date: 03/31/09 Write -Off First Party Rec 1 $ 1,806.00 Trip Date: 11/25/08 0006-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 83.47 Trip Date: 11/27/08 0001-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 2,194.00 Trip Date: 11/29/08 0005-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 583.29 Trip Date: 11/29/08 0031-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 83.47 Trip Date: 12/04/08 0026-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 126.25 Trip Date: 12/06/08 0041-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 47.10 Trip Date: 12/09/08 0013-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 83.47 Trip Date: 12/10/08 0006-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 80.85 Trip Date: 12/13/08 0049-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 84.78 RescueNetTM Printed On: 12/15/2009 at 4:29:42PM \\ZOLL-BILL\RESCUENET\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Page 7 Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200903; AND Company IS WELD COUNTY PARAMEDIC SERVICES: AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date: 12/14/08 0021-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 813.00 Trip Date: 12/31/08 0012-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 75.00 Trip Date: 01/08/09 0002-A Deposit Date: 03/19/09 Write-off Bad Debt 1 $ 1,572.00 Trip Date: 01/08/09 0036-A Deposit Date 03/19/09 Write-off Bad Debt 1 $ 1,544.00 Trip Date: 01/12/09 0060-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 183.47 Trip Date: 01/14/09 0018-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 155.00 Trip Date: 02/01/09 0024-A Deposit Date: 03/19/09 Write-off Bad Debt 1 $ 1,336.00 Trip Date: 02/03/09 0019-A Deposit Date: 03/19/09 Write-off Bad Debt 1 $ 1,536.00 Trip Date: 02/05/09 0030-A Deposit Date: 03/19/09 Write-off Bad Debt 1 $ 1,536.00 Trip Date: 02/07/09 0018-A Deposit Date: 03/19/09 Write-off Bad Debt 1 $ 1,572.00 Trip Date: 02/10/09 0018-A Deposit Date: 03/19/09 Write-off Bad Debt 1 $ 1,554.00 Trip Date: 02/19/09 0013-A Deposit Date: 03/19/09 Write-off Bad Debt 1 $ 1,716.00 Trip Date: 02/22/09 0020-A Deposit Date: 03/19/09 Write-off Bad Debt 1 $ 1,436.00 Trip Date: 02/25/09 0033-A Deposit Date: 03/19/09 Write-off Bad Debt 1 $ 1,418.00 Trip Date: 02/27/09 0035-A Deposit Date: 03/19/09 Write-off Bad Debt 1 $ 1,236.00 Trip Date: 03/02/09 0006-A Deposit Date: 03/19/09 Write-off Bad Debt 1 $ 1,236.00 Trip Date: 03/02/09 0036-A Deposit Date: 03/19/09 Write-off Bad Debt 1 $ 1,554.00 Trip Date: 03/03/09 0003-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 1,472.00 Trip Date: 03/03/09 0021-A Deposit Date: 03/19/09 Write-off Bad Debt 1 $ 1,272.00 Trip Date: 03/04/09 0045-A Deposit Date: 03/19/09 Write-off Bad Debt 1 $ 1,436.00 Trip Date: 03/07/09 0028-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 1,436.00 Trip Date: 03/17/09 0016-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 1,572.00 Trip Date: 03/18/09 0023-A Deposit Date: 03/30/09 Write-off Bad Debt 1 $ 1,536.00 Totals For Type 405 $ 587,586.87 Totals For Bill Patient Company Totals 405 $ 587,586.87 405 I $ 587,586.87 RescueNetTM Printed On: 12/15/2009 at 4:29:42PM \\ZOLL-BILL\RESCUENET\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Page 8 Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200903; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec Totals 405 I $ 587,586.87 RescueNetTM Printed On: 12/15/2009 at 4:29:42PM \\ZOLL-BILL\RESCUENET\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Page 9 Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200904; AND Company IS WELD COUNTY PARAMEDIC SERVICES, AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Payor Bill Patient Pavor/Credit Tvae/Credit Code Count Dollars Writeoffs Trip Date: 02/21/07 0022-A Deposit Date: 04/27/09 Write-off Bad Debt 1 $ 60.13 Trip Date: 07/02/07 0041-A Deposit Date: 04/27/09 Write-off Bad Debt 1 $ 875.95 Trip Date: 11/21/07 0049-A Deposit Date: 04/27/09 Write-off Bad Debt 1 $ 1,378.00 Trip Date: 11/25/07 0010-A Deposit Date: 04/27/09 Write-off Bad Debt 1 $ 1,378.00 Trip Date: 02/03/08 0001-A Deposit Date: 04/27/09 Write-off Bad Debt 1 $ 1,756.00 Trip Date: 02/08/08 0037-A Deposit Date: 04/27/09 Write-off Bad Debt 1 $ 1,616.00 Trip Date: 03/03/08 0046-A Deposit Date: 04/27/09 Write-off Bad Debt 1 $ 1,716.00 Trip Date: 03/12/08 0028-A Deposit Date: 04/27/09 Write-off Bad Debt 1 $ 1,536.00 Trip Date: 06/20/08 0021-A Deposit Date: 04/27/09 Write-off Bad Debt 1 $ 1,912.35 Trip Date: 08/26/08 0024-A Deposit Date: 04/27/09 Write-off Bad Debt 1 $ 680.56 Trip Date: 08/27/08 0056-A Deposit Date: 04/27/09 Write-off Bad Debt 1 $ 624.41 Trip Date: 08/28/08 0031-A Deposit Date: 04/27/09 Write-off Bad Debt 1 $ 106.00 Trip Date: 08/29/08 0067-A Deposit Date: 04/27/09 Write-off Bad Debt 1 $ 82.30 Trip Date: 09/04/08 0018-A Deposit Date: 04/27/09 Write-off Bad Debt 1 $ 1,865.99 Trip Date: 09/11/08 0042-A Deposit Date: 04/27/09 Write-off Bad Debt 1 $ 1,741.26 Trip Date: 09/12/08 0025-A Deposit Date: 04/27/09 Write-off Bad Debt 1 $ 2,028.29 Trip Date: 09/12/08 0048-A Deposit Date: 04/27/09 Write-off Bad Debt 1 $ 1,504.69 Trip Date: 09/16/08 0027-A Deposit Date: 04/27/09 Write-off Bad Debt 1 $ 76.42 Trip Date: 09/18/08 0026-A Deposit Date: 04/27/09 Write-off Bad Debt 1 $ 396.80 Trip Date: 09/20/08 0033-A Deposit Date: 04/27/09 Write-off Bad Debt 1 $ 203.82 Trip Date: 09/21/08 0002-A Deposit Date: 04/27/09 Write-off Bad Debt 1 $ 172.83 Trip Date: 09/21/08 0023-A Deposit Date: 04/27/09 Write-off Bad Debt 1 $ 66.22 Trip Date: 09/22/08 0027-A Deposit Date: 04/27/09 Write-off Bad Debt 1 $ 73.82 Trip Date: 09/25/08 0011-A Deposit Date 04/27/09 Write-off Bad Debt 1 $ 2,006.24 Trip Date: 09/25/08 0043-A Deposit Date: 04/27/09 Write-off Bad Debt 1 $ 1,832.54 Trip Date: 09/27/08 0006-A Deposit Date: 04/27/09 Write-off Bad Debt 1 $ 379.43 Trip Date: 09/28/08 0031-A Deposit Date: 04/27/09 Write-off Bad Debt 1 $ 1,692.35 Trip Date: 10/01/08 0019-A Deposit Date: 04/27/09 Write-off Bad Debt 1 $ 1,201.80 Trip Date: 10/02/08 0004-A Deposit Date: 04/27/09 Write-off Bad Debt 1 $ 167.15 Trip Date: 10/02/08 0039-A Deposit Date: 04/27/09 Write-off Bad Debt 1 $ 2.658.38 Trip Date: 10/03/08 0019-A Deposit Date: 04/27/09 Write-off Bad Debt 1 $ 1,973.78 Trip Date: 10/05/08 0029-A Deposit Date: 04/27/09 Write-off Bad Debt 1 $ 2,183.38 Trip Date: 10/06/08 0016-A Deposit Date: 04/27/09 Write-off Bad Debt 1 $ 76.42 Trip Date: 10/08/08 0011-A Deposit Date: 04/27/09 Write-off Bad Debt 1 $ 1,871.23 Trip Date: 10/09/08 0035-A Deposit Date: 04/27/09 Write-off Bad Debt 1 $ 85.07 Trip Date: 10/10/08 0006-A Deposit Date: 04/27/09 Write-off Bad Debt 1 $ 1,904.18 Trip Date: 10/12/08 0018-A Deposit Date: 04/27/09 Write-off Bad Debt 1 $ 1,466.97 Trip Date: 10/12/08 0032-A Deposit Date: 04/27/09 Write-off Bad Debt 1 $ 64.47 Trip Date: 10/13/08 0008-A Deposit Date: 04/27/09 Write-off Bad Debt 1 $ 88.93 Trip Date: 10/13/08 0030-A Deposit Date: 04/27/09 Write-off Bad Debt 1 $ 111.76 Trip Date: 10/14/08 0016-A Deposit Date: 04/27/09 Write-off Bad Debt 1 $ 1,808.57 Trip Date: 10/16/08 0013-A Deposit Date: 04/27/09 Write-off Bad Debt 1 $ 467.89 Trip Date: 10/18/08 0001-A Deposit Date: 04/27/09 Write-off Bad Debt 1 $ 101.73 Trip Date: 10/19/08 0007-A Deposit Date: 04/27/09 Write-off Bad Debt 1 $ 1,782.51 Trip Date: 10/20/08 0019-A Deposit Date: 04/27/09 Write-off Bad Debt 1 $ 1,007.92 Trip Date: 10/20/08 0023-A Deposit Date: 04/27/09 Write-off Bad Debt 1 $ 1,894.67 Trip Date: 10/20/08 0026-A Deposit Date: 04/27/09 Write-off Bad Debt 1 $ 66.09 Trip Date: 10/24/08 0017-A Deposit Date' 04/27/09 Write-off Bad Debt 1 $ 1,832.54 Trip Date: 10/26/08 0012-A Deposit Date: 04/27/09 Write-off Bad Debt 1 $ 814.51 Trip Date: 10/27/08 0005-A Deposit Date: 04/27/09 Write-off Bad Debt 1 $ 1,672.27 RescueNetTM Printed On: 12/15/2009 at 4:30:20PM Page 1 11ZOLL-BILL\RESCUENET\REPORTS321BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200904; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec • WELD COUNTY PARAMEDIC SERVICES Trip Date: 10/27/08 Trip Date: 10/28/08 Trip Date: 10/29/08 Trip Date: 10/31/08 Trip Date: 10/31/08 Trip Date: 11/20/08 Trip Date: 11/22/08 Trip Date: 11/23/08 Trip Date: 12/01/08 Trip Date: 12/30/08 Trip Date: 12/31/08 Trip Date: 01/02/09 Trip Date: 01/05/09 Trip Date: 01/05/09 Trip Date: 01/14/09 Trip Date: 01/25/09 Trip Date: 02/02/09 Trip Date: 02/21/09 Trip Date: 02/21/09 Trip Date: 03/10/09 Trip Date: 03/12/09 Trip Date: 03/12/09 Trip Date: 03/14/09 Trip Date: 03/15/09 Trip Date: 03/22/09 Trip Date: 03/23/09 Trip Date: 03/24/09 Trip Date. 03/25/09 Trip Date: 03/26/09 Trip Date: 03/28/09 Trip Date: 03/29/09 Trip Date: 04/01/09 Trip Date: 04/02/09 Trip Date: 04/05/09 Trip Date: 04/05/09 Trip Date: 04/07/09 Trip Date: 04/13/09 Totals For Type Totals For Bill Patient Company Totals 0037-A Deposit Date: 04/27/09 0063-A Deposit Date: 04/27/09 0044-A Deposit Date: 04/27/09 0046-A Deposit Date: 04/27/09 0049-A Deposit Date: 04/27/09 0009-A Deposit Date: 04/27/09 0021-A Deposit Date: 04/27/09 0029-A . Deposit Date: 04/27/09 0007-A Deposit Date: 04/27/09 0034-A Deposit Date: 04/27/09 0013-A Deposit Date: 04/27/09 0033-A Deposit Date: 04/27/09 0009-A Deposit Date: 04/27/09 0036-A Deposit Date: 04/27/09 0042-A Deposit Date: 04/01/09 0029-A Deposit Date: 04/27/09 0020-A Deposit Date: 04/27/09 0007-A Deposit Date: 04/27/09 0009-A Deposit Date: 04/27/09 0021-A Deposit Date: 04/20/09 0029-A Deposit Date: 04/20/09 0036-A Deposit Date: 04/20/09 0005-A Deposit Date: 04/20/09 0004-A Deposit Date: 04/20/09 0003-A Deposit Date: 04/20/09 0002-A Deposit Date: 04/20/09 0023-A Deposit Date: 04/20/09 0028-A Deposit Date: 04/20/09 0025-A Deposit Date: 04/27/09 0014-A Deposit Date: 04/27/09 0026-A Deposit Date 04/20/09 0014-A Deposit Date: 04/16/09 0005-A Deposit Date: 04/16/09 0021-A Deposit Date: 04/27/09 0039-A Deposit Date: 04/20/09 0018-A Deposit Date: 04/16/09 0026-A Deposit Date: 04/16/09 Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write -Off First Party Rec Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt 1 $ 1,644.14 1 $ 1,818.29 1 $ 1,743.84 1 $ 1,580.03 1 $ 1,856.58 1 $ 1,839.14 1 $ 2,010.41 1 $ 1,565.30 1 $ 182.52 1 $ 200.00 1 $ 48.41 1 $ 117.61 1 $ 1,506.90 1 $ 1,272.00 1 $ 1.572.00 1 $ 150.00 1 $ 134.62 1 $ 89.68 1 $ 1,454.00 1 $ 71.11 1 $ 1,734.00 1 $ 150.00 1 $ 1,518.00 1 $ 1,536.00 1 $ 1,436.00 1 $ 150.00 1 $ 1.236.00 1 $ 1,318.00 1 $ 1,554.00 1 $ 1,572.00 1 $ 1,554.00 1 $ 1,572.00 1 $ 1,536.00 1 $ 1,616.00 1 $ 150.00 1 $ 1,670.00 1 $ 1,436.00 87 $ 95,659.20 87 $ 95,659.20 87 • $ 95,659.20 RescueNetTM Printed On: 12/15/2009 at 4:30:20PM 11ZOLL-BILLIRESCUENET\REPORTS321B1LLINGICREDITSICREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE RPT Page 2 Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200904; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec Totals 87 • $ 95,659.20 RescueNetTM Printed On: 12/15/2009 at 4:30:20PM \1ZOLL-BILL\RESCUENETIREPORTS321BILLINGICREDITSICREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Page 3 Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200905; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Payor Bill Patient Pavor/Credit Type/Credit Code Count Dollars Writeoffs Trip Date. 07/05/06 0008-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 706.62 Trip Date: 12/07/07 0012-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,382.50 Trip Date: 01/01/08 0016-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,126.28 Trip Date: 01/20/08 0015-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 588.02 Trip Date: 04/08/08 0042-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,028.06 Trip Date: 07/06/08 0035-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,854.00 Trip Date: 08/06/08 0047-A Deposit Date: 05/27/09 Write-off Bad Debt 1 $ 208.70 Trip Date 08/11/08 0030-A Deposit Date: 05/27/09 Write-off Bad Debt 1 $ 108.82 Trip Date. 08/21/08 0008-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,912.00 Trip Date: 08/27/08 0028-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 964.30 Trip Date: 08/28/08 0026-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 544.37 Trip Date: 08/31/08 0021-A Deposit Date: 05/27/09 Write-off Bad Debt 1 $ 1,966.69 Trip Date: 09/06/08 0024-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 2,166.77 Trip Date: 09/08/08 0040-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,616.00 Trip Date: 09/09/08 0027-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,598.00 Trip Date: 09/09/08 0036-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,436.00 Trip Date: 09/10/08 0047-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,904.00 Trip Date: 09/12/08 0022-A Deposit Date: 05/27/09 Write-off Bad Debt 1 $ 101.62 Trip Date: 09/13/08 0004-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,732.00 Trip Date: 09/14/08 0016-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,872.00 Trip Date. 09/17/08 0030-A Deposit Date: 05/27/09 Write-off Bad Debt 1 $ 97.40 Trip Date: 09/23/08 0018-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 73.78 Trip Date. 09/26/08 0039-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 1,493.15 Trip Date: 09/27/08 0045-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,734.00 Trip Date: 09/30/08 0035-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 2,282.00 Trip Date 10/01/08 0005-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,696.00 Trip Date. 10/01/08 0030-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 1,866.34 Trip Date: 10/02/08 0023-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 804.00 Trip Date: 10/02/08 0027-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,814.00 Trip Date. 10/02/08 0038-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,508.00 Trip Date: 10/03/08 0042-A Deposit Date: 05/27/09 Write-off Bad Debt 1 $ 395.32 Trip Date: 10/04/08 0001-A Deposit Date: 05/27/09 Write-off Bad Debt 1 $ 208.81 Trip Date: 10/04/08 0021-A Deposit Date: 05/27/09 Write-off Bad Debt 1 $ 349.42 Trip Date 10/05/08 0002-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,750.00 Trip Date: 10/05/08 0005-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,714.00 Trip Date: 10/05/08 0044-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,634.00 Trip Date 10/05/08 0045-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 305.63 Trip Date: 10/09/08 0043-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 2,164.00 Trip Date: 10/10/08 0023-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 3,512.00 Trip Date: 10/10/08 0034-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 225.46 Trip Date. 10/11/08 0006-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,454.00 Trip Date: 10/11/08 0027-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,598.00 Trip Date: 10/12/08 0003-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 1,764.66 Trip Date: 10/12/08 0007-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,876.00 Trip Date: 10/12/08 0029-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,534.00 Trip Date: 10/13/08 0007-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,858.00 Trip Date: 10/13/08 0016-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,714.00 Trip Date: 10/13/08 0046-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 86.22 Trip Date: 10/14/08 0007-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,836.00 Trip Date: 10/14/08 0035-A Deposit Date: 05/27/09 Write-off Bad Debt 1 $ 18.97 RescueNetTM Printed On: 12/15/2009 at 4:31:10PM Page 1 \\ZOLL-BILL\RESCUENET\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200905; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date: 10/14/08 0036-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,814.00 Trip Date: 10/17/08 0034-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1.804.00 Trip Date: 10/17/08 0035-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,804.00 Trip Date: 10/17/08 0045-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 414.78 Trip Date: 10/18/08 0034-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 2,079.38 Trip Date: 10/19/08 0029-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,796.00 Trip Date: 10/20/08 0020-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 443.00 Trip Date: 10/20/08 0032-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 435.86 Trip Date: 10/21/08 0004-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 150.04 Trip Date: 10/21/08 0020-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,472.00 Trip Date: 10/22/08 0006-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,676.00 Trip Date: 10/24/08 0015-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,644.00 Trip Date: 10/24/08 0016-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,804.00 Trip Date: 10/25/08 0029-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 1,656.47 Trip Date: 10/25/08 0030-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 1,554.60 Trip Date: 10/25/08 0040-A Deposit Date: 05/27/09 Write-off Bad Debt 1 $ 28.70 Trip Date: 10/26/08 0007-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 20.37 Trip Date: 10/26/08 0026-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,796.00 Trip Date: 10/27/08 0039-A Deposit Date: 05/27/09 Write-off Bad Debt 1 $ 1,031.94 Trip Date: 10/28/08 0008-A Deposit Date: 05/27/09 Write-off Bad Debt 1 $ 122.92 Trip Date: 10/28/08 0011-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 1,627.95 Trip Date: 10/28/08 0028-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,836.00 Trip Date: 10/28/08 0043-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,822.00 Trip Date: 10/28/08 0050-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 1,680.76 Trip Date: 10/29/08 0005-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,436.00 Trip Date: 10/29/08 0045-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 83.73 Trip Date: 10/30/08 0002-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,634.00 Trip Date: 10/30/08 0005-A Deposit Date: 05/01/09 Write Off First Party Rec 1 $ 1,696.00 Trip Date: 10/30/08 0006-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 2,030 00 Trip Date: 10/30/08 0011-A Deposit Date: 05/27/09 Write-off Bad Debt 1 $ 98.37 Trip Date: 10/30/08 0014-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1.840.00 Trip Date: 10/30/08 0019-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,826.00 Trip Date: 10/30/08 0029-A Deposit Date: 05/01/09 Write Off First Party Rec 1 $ 1,904.00 Trip Date: 10/30/08 0032-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 2,012.00 Trip Date: 10/31/08 0001-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 2,074.00 Trip Date: 10/31/08 0022-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 618.56 Trip Date: 10/31/08 0023-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,418.00 Trip Date: 10/31/08 0027-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 2,127.97 Trip Date: 10/31/08 0053-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,454.97 Trip Date: 10/31/08 0057-A Deposit Date: 05/27/09 Write-off Bad Debt 1 $ 131.23 Trip Date: 11/01/08 0007-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 57.30 Trip Date: 11/01/08 0013-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,598.00 Trip Date: 11/01/08 0038-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,994.00 Trip Date: 11/02/08 0038-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,598.00 Trip Date: 11/02/08 0039-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,598.00 Trip Date: 11/03/08 0001-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,876.00 Trip Date: 11/03/08 0015-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 2,128.00 Trip Date: 11/03/08 0021-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,508.00 Trip Date: 11/03/08 0032-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,598.00 Trip Date: 11/03/08 0037-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,900.00 Trip Date: 11/04/08 0008-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,976.00 Trip Date: 11/04/08 0029-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,814.00 Trip Date: 11/04/08 0032-A Deposit Date: 05/27/09 Write-off Bad Debt 1 $ 1,181.28 Trip Date: 11/04/08 0042-A Deposit Date: 05/27/09 Write-off Bad Debt 1 $ 610.98 Trip Date: 11/05/08 0024-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 1,049.42 RescueNetM Printed On: 12/15/2009 at 4:31:10PM 11ZOLL-BILLIRESCUENET\REPORTS32\BILLING\CREDITSICREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Page: Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200905; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date: 11/05/08 0026-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 1,826.88 Trip Date: 11/06/08 0005-A Deposit Date: 05/01/09 Write -Off First Party Rec 1$ 1,906.00 Trip Date: 11/06/08 0010-A Deposit Date: 05/27/09 Write-off Bad Debt 1 $ 117.19 Trip Date: 11/06/08 0016-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,832.00 Trip Date: 11/06/08 0022-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 2,284.00 Trip Date: 11/06/08 0025-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 1,990.49 Trip Date: 11/06/08 0035-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 305.60 Trip Date: 11/07/08 0002-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 690.40 Trip Date: 11/07/08 0003-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 1,768.24 Trip Date: 11/07/08 0005-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,572.00 Trip Date: 11/07/08 0009-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,436.00 Trip Date: 11/07/08 0030-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 1,849.82 Trip Date: 11/08/08 0002-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,714.00 Trip Date: 11/08/08 0009-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 1,739.67 Trip Date: 11/08/08 0017-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,754.00 Trip Date: 11/08/08 0028-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,418.00 Trip Date: 11/08/08 0029-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 1,444.57 Trip Date: 11/08/08 0030-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 1,444.57 Trip Date: 11/08/08 0035-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 410.00 Trip Date: 11/08/08 0037-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 2,400.00 Trip Date: 11/08/08 0038-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,634.00 Trip Date: 11/08/08 0046-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 2,218.00 Trip Date: 11/08/08 0047-A Deposit Date: 05/27/09 Write-off Bad Debt 1 $ 1,150.67 Trip Date 11/09/08 0001-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,752.00 Trip Date: 11/09/08 0002-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,578.00 Trip Date: 11/09/08 0005-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 389.60 Trip Date: 11/09/08 0006-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 1.582.12 Trip Date: 11/09/08 0007-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 57.75 Trip Date: 11/09/08 0009-A • Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,632.00 Trip Date: 11/09/08 0010-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,912.00 Trip Date: 11/09/08 0011-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,750.00 Trip Date: 11/09/08 0014-A Deposit Date: 05/27/09 Write-off Bad Debt 1 $ 76.29 Trip Date: 11/09/08 0016-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,714 00 Trip Date: 11/09/08 0026-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 1,562.41 Trip Date: 11/09/08 0028-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 1,728.55 Trip Date: 11/10/08 0007-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,872 00 Trip Date: 11/10/08 0016-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,714.00 Trip Date: 11/10/08 0027-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,572.00 Trip Date: 11/10/08 0037-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,796.00 Trip Date: 11/10/08 0040-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,436.00 Trip Date: 11/11/08 0012-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,560.00 Trip Date: 11/12/08 0007-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,634.00 Trip Date: 11/12/08 0017-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,822.00 Trip Date: 11/12/08 0024-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,436.00 Trip Date: 11/13/08 0003-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,516.00 Trip Date: 11/13/08 0006-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,832.00 Trip Date: 11/13/08 0007-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 118.75 Trip Date: 11/13/08 0018-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,984.00 Trip Date: 11/13/08 0021-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 795.00 Trip Date: 11/13/08' 0031-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,872.00 Trip Date: 11/13/08 0034-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,578.00 Trip Date: 11/13/08 0035-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,578.00 Trip Date: 11/13/08 0036-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 1,870.41 Trip Date: 11/14/08 0043-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,436.00 Trip Date: 11/14/08 0046-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 1,482.87 RescueNetTM Printed On: 12/15/2009 at 4:31:10PM - - Page 3 \\ZOLL-BILL\RESCUENET\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200905; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date: 11/14/08 0049-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,862.00 Trip Date: 11/14/08 0051-A Deposit Date. 05/01/09 Write -Off First Party Rec 1 $ 1,732.00 Trip Date: 11/14/08 0057-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,854.00 Trip Date: 11/14/08 0058-A Deposit Date 05/11/09 Write-off Bad Debt 1 $ 2,188.61 Trip Date: 11/15/08 0019-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 2,034.00 Trip Date: 11/15/08 0027-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,616.00 Trip Date: 11/15/08 0040-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,578.00 Trip Date: 11/15/08 0041-A Deposit Date: 05/27/09 Write-off Bad Debt 1 $ 1,720.37 Trip Date: 11/15/08 0042-A Deposit Date 05/01/09 Write -Off First Party Rec 1 $ 2,246.00 Trip Date: 11/16/08 0001-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,696.00 Trip Date: 11/16/08 0008-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,570.00 Trip Date: 11/16/08 0013-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,698.00 Trip Date: 11/16/08 0019-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 1,501.23 Trip Date: 11/16/08 0026-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,696.00 Trip Date: 11/16/08 0027-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,754.00 Trip Date: 11/16/08 0028-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,938.00 Trip Date: 11/17/08 0001-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,788.00 Trip Date: 11/17/08 0010-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,994:00 Trip Date: 11/17/08 0023-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 2,264.00 Trip Date: 11/17/08 0026-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,850.00 Trip Date: 11/17/08 0027-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 83.61 Trip Date: 11/18/08 0024-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,894.00 Trip Date: 11/18/08 0036-A Deposit Date 05/01/09 Write -Off First Party Rec 1 $ 1,634.00 Trip Date: 11/19/08 0001-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,516.00 Trip Date: 11/19/08 0005-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,614.00 Trip Date: 11/19/08 0010-A Deposit Date 05/01/09 Write -Off First Party Rec 1 $ 1,948.00 Trip Date: 11/19/08 0025-A Deposit Date 05/01/09 Write -Off First Party Rec 1 $ 1,696.00 Trip Date: 11/20/08 0017-A Deposit Date: 05/27/09 Write-off Bad Debt 1 $ 2,120.76 Trip Date: 11/20/08 0019-A Deposit Date 05/01/09 Write -Off First Party Rec 1 $ 1,634.00 Trip Date: 11/20/08 0020-A Deposit Date05/27/09 Write-off Bad Debt 1 $ 1,864 31 Trip Date: 11/20/08 0027-A Deposit Date 05/01/09 Write -Off First Party Rec 1 $ 1,552.00 Trip Date: 11/20/08 0030-A Deposit Date 05/01/09 Write -Off First Party Rec 1 $ 2,208.00 Trip Date: 11/20/08 0031-A Deposit Date 05/27/09 Write-off Bad Debt 1 $ 171.04 Trip Date: 11/20/08 0034-A Deposit Date 05/01/09 Write -Off First Party Rec 1 $ 1,658.00 Trip Date: 11/21/08 0011-A Deposit Date 05/01/09 Write -Off First Party Rec 1 $ 1,560.00 Trip Date: 11/21/08 0015-A Deposit Date 05/01/09 Write -Off First Party Rec 1 $ 898.00 Trip Date: 11/21/08 0016-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,874.50 Trip Date: 11/21/08 0025-A Deposit Date 05/01/09 Write -Off First Party Rec 1 $ 1,886.00 Trip Date: 11/22/08 0003-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,436.00 Trip Date: 11/22/08 0035-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,936.00 Trip Date: 11/22/08 0040-A Deposit Date: 05/27/09 Write-off Bad Debt 1 $ 87.68 Trip Date: 11/23/08 0001-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,714.00 Trip Date: 11/23/08 0003-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,796.00 Trip Date: 11/23/08 0015-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,418.00 Trip Date: 11/23/08 0017-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,634.00 Trip Date: 11/23/08 0019-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,516.00 Trip Date: 11/23/08 0021-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 1,781.25 Trip Date: 11/23/08 0027-A Deposit Date: 05/27/09 Write-off Bad Debt 1 $ 1,685.58 Trip Date: 11/23/08 0033-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,814.00 Trip Date: 11/24/08 0001-A Deposit Date: 05/27/09 Write-off Bad Debt 1 $ 1,764.59 Trip Date: 11/24/08 0003-A Deposit Date 05/01/09 Write -Off First Party Rec 1 $ 1,876.00 Trip Date: 11/24/08 0012-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 1,762.93 Trip Date: 11/24/08 0016-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 718.00 Trip Date: 11/24/08 0020-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,696.00 Trip Date: 11/24/08 0028-A Deposit Date: 05/01/09 Write -Off First Party Rec 1 $ 1,616.00 RescueNetTM \\ZOLL-BILL\RESCUENET\REPORTS32\BILLING \ CREDITS \CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Printed On: 12/15/2009 at 4:31:10PM Page Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200905; AND Company IS WELD COUNTY PARAMEDIC SERVICES: AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date: 11/24/08 0042-A Deposit Date: 05/11/09 Write-off Bad Debt Trip Date: 11/25/08 0002-A Deposit Date: 05/01/09 Write -Off First Party Rec Trip Date: 11/25/08 0003-A Deposit Date: 05/27/09 Write-off Bad Debt Trip Date: 11/25/08 0008-A Deposit Date: 05/01/09 Write -Off First Party Rec Trip Date: 11/25/08 0009-A Deposit Date: 05/01/09 Write -Off First Party Rec Trip Date: 11/25/08 0019-A Deposit Date: 05/01/09 Write -Off First Party Rec Trip Date: 11/26/08 0020-A Deposit Date: 05/01/09 Write -Off First Party Rec Trip Date: 11/27/08 0005-A Deposit Date: 05/27/09 Write-off Bad Debt Trip Date: 11/27/08 0017-A Deposit Date: 05/27/09 Write-off Bad Debt Trip Date: 11/27/08 0019-A Deposit Date: 05/01/09 Write -Off First Party Rec Trip Date: 11/27/08 0023-A Deposit Date: 05/11/09 Write-off Bad Debt Trip Date: 11/28/08 0011-A Deposit Date: 05/11/09 Write-off Bad Debt Trip Date: 11/28/08 0025-A Deposit Date: 05/01/09 Write -Off First Party Rec Trip Date: 11/28/08 0026-A Deposit Date: 05/11/09 Write-off Bad Debt Trip Date: 11/28/08 .0033-A Deposit Date: 05/01/09 Write -Off First Party Rec Trip Date: 11/29/08 0028-A Deposit Date: 05/27/09 Write-off Bad Debt Trip Date: 11/30/08 0022-A Deposit Date: 05/27/09 Write-off Bad Debt Trip Date: 12/01/08 0001-A Deposit Date: 05/01/09 Write -Off First Party Rec Trip Date: 12/01/08 0014-A Deposit Date: 05/27/09 Write-off Bad Debt Trip Date: 12/01/08 0015-A Deposit Date: 05/11/09 Write-off Bad Debt Trip Date:.12/02/08 0036-A Deposit Date: 05/11/09 Write-off Bad Debt Trip Date: 12/03/08 0014-A Deposit Date: 05/11/09 Write-off Bad Debt Trip Date: 12/03/08 0032-A Deposit Date: 05/27/09 Write-off Bad Debt Trip Date: 12/03/08 0042-A Deposit Date: 05/11/09 Write-off Bad Debt Trip Date: 12/05/08 0023-A Deposit Date: 05/11/09 Write-off Bad Debt Trip Date: 12/06/08 0028-A Deposit Date: 05/01/09 Write -Off First Party Rec • Trip Date:•12/08/08 0025-A Deposit Date: 05/01/09 Write -Off First Party Rec Trip Date: 12/09/08 0003-A -Deposit Date: 05/27/09 Write-off Bad Debt Trip Date: 12/09/08 0004-A Deposit Date: 05/11/09 Write-off Bad Debt Trip Date: 12/10/08 0009-A Deposit Date: 05/11/09 Write-off Bad Debt Trip Date: 12/11/08 0018-A Deposit Date: 05/27/09 Write-off Bad Debt Trip Date: 12/11/08 0034-A Deposit Date: 05/11/09 Write-off Bad Debt Trip Date: 12/12/08 0032-A Deposit Date: 05/27/09 Write-off Bad Debt Trip Date 12/13/08 0014-A Deposit Date: 05/27/09 Write-off Bad Debt Trip Date: 12/16/08 0014-A Deposit Date: 05/27/09 Write-off Bad Debt Trip Date: 12/16/08 0026-A Deposit Date: 05/27/09 Write-off Bad Debt Trip Date: 12/17/08 0026-A Deposit Date: 05/27/09 Write-off Bad Debt Trip Date: 12/17/08 0036-A Deposit Date: 05/27/09 Write-off Bad Debt Trip Date: 12/18/08 0014-A Deposit Date: 05/27/09 Write-off Bad Debt Trip Date: 12/20/08 0003-A Deposit Date: 05/27/09 Write-off Bad Debt Trip Date: 12/22/08 0039-A Deposit Date: 05/11/09 Write-off Bad Debt Trip Date: 12/30/08 0028-A Deposit Date: 05/27/09 Write-off Bad Debt Trip Date: 01/09/09 0002-A Deposit Date: 05/27/09 Write-off Bad Debt Trip Date: 01/20/09 0032-A Deposit Date: 05/11/09 Write-off Bad Debt Trip Date: 01/23/09 0009-A Deposit Date: 05/11/09 Write-off Bad Debt Trip Date: 02/08/09 0023-A Deposit Date: 05/11/09 Write-off Bad Debt Trip Date: 02/10/09 0016-A Deposit Date: 05/27/09 Write-off Bad Debt Trip Date: 02/16/09 0006-A Deposit Date: 05/11/09 Write-off Bad Debt Trip Date: 02/20/09 0050-A Deposit Date: 05/11/09 Write-off Bad Debt Trip Date: 02/28/09 0017-A Deposit Date: 05/11/09 Write-off Bad Debt Trip Date: 03/01/09 0012-A Deposit Date: 05/11/09 Write-off Bad Debt Trip Date: 03/15/09 0024-A Deposit Date: 05/11/09 Write-off Bad Debt Trip Date: 03/18/09 0012-A Deposit Date: 05/11/09 Write-off Bad Debt Trip Date: 03/25/09 0015-A Deposit Date: 05/11/09 Write-off Bad Debt Trip Date: 03/25/09 0033-A Deposit Date: 05/11/09 Write-off Bad Debt RescueNetTM Printed On: 12/15/2009 at 4:31:10RM \\ZOLL-BILL\RESCUENET\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 $ 1,501.23 $ 1,732.00 $ 1,872.45 $ 1,652.00 $ 2,012.00 $ 1,598.00 $ 1,536.00 $ 101.77 $ 2,105.13 $ 1,616.00 $ 2,046.60 $ 1,490.00 $ 1,922.00 $ 2,159.75 $ 1,552.00 $ 1,603.09 $ 1,561.05 $ 270.00 $ 978.82 $ 1,444.57 $ 1,481.26 $ 1,911.17 $ 1,835.74 $ 53.58 $ 1,762.93 $ 310.00 $ 1,716.00 $ 192.50 $ 2,046.81 $ 1,743.47 $ 1,864.71 $ 1,624.50 $ 1,231.91 $ 2,149.25 $ 1,762.93 $ 1,506.43 $ 1,534.94 $ 1,545.11 $ 2,149.88 $ 3,061.12 $ 472.49 $ 1,542.74 $ 1,472.00 $ 75.72 $ 150.00 $ 85.56 $ 1,436.00 $ 55.05 $ 150.00 $ 44.96 $ 53.67 $ 1,472.00 $ 1,536.00 $ 55.05 $ 44.96 Page'. Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200905: AND Company IS WELD COUNTY PARAMEDIC SERVICES: AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date: 04/03/09 0029-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 1,554.00 Trip Date: 04/05/09 0033-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 1,472 00 Trip Date: 04/07/09 0028-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 46.34 Trip Date: 04/11/09 0026-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 1,434.00 Trip Date: 04/17/09 0046-A Deposit Date. 05/11/09 Write-off Bad Debt 1 $ 1,454.00 Trip Date: 04/19/09 0022-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 1,536.00 Trip Date: 04/19/09 0032-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 1.454.00 Trip Date: 04/20/09 0014-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 1,236.00 Trip Date: 04/20/09 0028-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 1,554.00 Trip Date: 04/20/09 0044-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 1,572.00 Trip Date: 04/21/09 0024-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 1,554.00 Trip Date: 04/26/09 0003-A Deposit Date: 05/27/09 Write-off Bad Debt 1 $ 1,572.00 Trip Date: 04/27/09 0024-A Deposit Date: 05/11/09 Write-off Bad Debt 1 $ 1.418.00 Trip Date: 04/29/09 0038-A Deposit Date: 05/27/09 Write-off Bad Debt 1 $ 1,236.00 Trip Date: 04/29/09 0049-A Deposit Date: 05/27/09 Write-off Bad Debt 1 $ 185.03 Trip Date: 05/03/09 0022-A Deposit Date: 05/27/09 Write-off Bad Debt 1 $ 1,236.00 Trip Date: 05/03/09 0039-A Deposit Date: 05/27/09 Write-off Bad Debt 1 $ 1,786.00 Trip Date: 05/04/09 0047-A Deposit Date: 05/27/09 Write-off Bad Debt 1 $ 1,490.00 Trip Date: 05/07/09 0019-A Deposit Date: 05/27/09 Write-off Bad Debt 1 $ 1,436.00 Trip Date: 05/07/09 0039-A Deposit Date: 05/27/09 Write-off Bad Debt 1 $ 1,598.00 Trip Date: 05/08/09 0039-A Deposit Date: 05/27/09 Write-off Bad Debt 1 $ 1,572.00 Totals For Type Totals For Bill Patient Company Totals 291 $ 411,040.10 291 $ 411,040.10 291 I $ 411,040.10 RescueNetTM Printed On: 12/15/2009 at 4:31:10PM \\ZOLL-BILL\RESCUENETIREPORTS321BILLINGICREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Page 6 Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200905; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec Totals 291 I $ 411,040.10 RescueNetTm Printed On: 12/15/2009 at 4:31:10PM 11ZOLL-BILL\RESCUENET\REPORTS321BILLINGICREDITSICREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Page 7 Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200906; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Payor Bill Patient Pavor/Credit Tvoe/Credit Code Count Dollars Writeoffs Trip Date: 03/30/05 0004-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 739.84 Trip Date: 08/12/05 0022-A Deposit Date: 06/15/09 Write-off Bad Debt 1 $ 290.10 Trip Date: 03/08/06 0026-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 525.62 Trip Date: 04/27/07 0014-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,478.38 Trip Date: 08/31/07 0016-A Deposit Date: 06/15/09 Write-off Bad Debt 1 $ 607.03 Trip Date: 10/20/07 0010-A Deposit Date: 06/15/09 Write-off Bad Debt 1 $ 1,236.92 Trip Date: 03/06/08 0004-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,552.00 Trip Date: 03/21/08 0006-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,662.00 Trip Date: 06/24/08 0004-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,454.00 Trip Date: 07/30/08 0037-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 718.52 Trip Date: 08/21/08 0036-A Deposit Date: 06/15/09 Write-off Bad Debt 1 $ 91.70 Trip Date: 08/29/08 0024-A Deposit Date: 06/15/09 Write-off Bad Debt 1 275.28 Trip Date: 09/21/08 0003-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,658.50 Trip Date: 09/26/08 0008-A Deposit Date: 06/25/09 Write-off Bad Debt 1 $ 823.16 Trip Date: 10/04/08 0020-A Deposit Date: 06/15/09 Write-off Bad Debt 1 $ 1,548.74 Trip Date: 10/09/08 0014-A Deposit Date: 06/25/09 Write-off Bad Debt 1 $ 93.94 Trip Date: 10/12/08 0020-A Deposit Date: 06/25/09 Write-off Bad Debt 1 $ 331.43 Trip Date: 10/14/08 0034-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,616.00 Trip Date: 10/19/08 0020-A Deposit Date: 06/15/09 Write-off Bad Debt 1 $ 237.97 Trip Date: 10/21/08 0014-A Deposit Date: 06/25/09 Write-off Bad Debt 1 $ 59.20 Trip Date: 10/24/08 0043-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1.696.00 Trip Date: 10/25/08 0009-A Deposit Date: 06/25/09 Write-off Bad Debt 1 $ 92.43 Trip Date: 10/28/08 0026-A Deposit Date: 06/25/09 Write-off Bad Debt 1 $ 55.11 Trip Date: 10/31/08 0034-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,736.00 Trip Date: 11/01/08 0026-A Deposit Date: 06/15/09 Write-off Bad Debt 1 $ 58.99 Trip Date: 11/02/08 0026-A Deposit Date: 06/15/09 Write-off Bad Debt 1 $ 74,84 Trip Date: 11/06/08 0031-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,912.00 Trip Date: 11/07/08 0036-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,696.00 Trip Date: 11/08/08 0041-A Deposit Date: 06/15/09 Write-off Bad Debt 1 $ 72.12 Trip Date: 11/09/08 0040-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,436.00 Trip Date: 11/10/08 0003-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,868.00 Trip Date: 11/10/08 0033-A Deposit Date: 06/25/09 Write-off Bad Debt 1 $ 59.28 Trip Date: 11/11/08 0020-A Deposit Date: 06/25/09 Write-off Bad Debt 1 $ 1,691.29 Trip Date: 11/11/08 0022-A Deposit Date: 06/15/09 Write-off Bad Debt 1 $ 97.77 Trip Date: 11/12/08 0001-A Deposit Date: 06/25/09 Write-off Bad Debt 1 $ 1.487.09 Trip Date: 11/13/08 0033-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,578.00 Trip Date: 11/16/08 0017-A Deposit Date: 06/15/09 Write-off Bad Debt 1 $ 198.30 Trip Date: 11/20/08 0004-A Deposit Date: 06/25/09 Write-off Bad Debt 1 $ 50.84 Trip Date: 11/26/08 0025-A Deposit Date: 06/25/09 Write-off Bad Debt 1 $ 83.37 Trip Date: 11/27/08 0008-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,686.00 Trip Date: 11/27/08 0012-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,958.00 Trip Date: 11/27/08 0022-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,536.00 Trip Date: 11/27/08 0029-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 2,012.00 Trip Date: 11/27/08 0033-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,796.00 Trip Date: 11/27/08 0035-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,714.00 Trip Date: 11/27/08 0036-A Deposit Date: 06/15/09 Write-off Bad Debt 1 $ 1,727.57 Trip Date: 11/28/08 0001-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,634.00 Trip Date: 11/28/08 0023-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,814.00 Trip Date: 11/29/08 0004-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,812.00 Trip Date: 11/29/08 0023-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,436.00 RescueNetTM Printed On: 12/15/2009 at 4:31:58PM IIZOLL-BILLIRESCUENETIREPORTS321BILLINGICREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Page 1 Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND. 12/15/2009; AND Period IS 200906; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date: 11/30/08 0001-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,696.00 Trip Date: 11/30/08 0002-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,854.00 Trip Date: 11/30/08 0003-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,714.00 Trip Data 11/30/08 0020-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,776.00 Trip Date 11/30/08 0037-A Deposit Date: 06/15/09 Write-off Bad Debt 1 $ 1,585.35 Trip Date: 12/01/08 0003-A Deposit Date: 06/25/09 Write-off Bad Debt 1 $ 184.39 Trip Date: 12/02/08 0007-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,796.00 Trip Date: 12/02/08 0031-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,616.00 Trip Date: 12/02/08 0039-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,418.00 Trip Date: 12/03/08 0024-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,836.00 Trip Date: 12/04/08 0019-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,436.00 Trip Date: 12/04/08 0036-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,668.00 Trip Date: 12/04/08 0037-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,668.00 Trip Date: 12/05/08 0009-A Deposit Date: 06/15/09 Write-off Bad Debt 1 $ 173.53 Trip Date: 12/05/08 0025-A Deposit Date: 06/25/09 Write-off Bad Debt 1 $ 64.56 Trip Date: 12/05/08 0032-A Deposit Date: 06/25/09 Write-off Bad Debt 1 $ 85.04 Trip Date: 12/05/08 0049-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,554.00 Trip Date: 12/06/08 0001-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,994.00 Trip Date: 12/06/08 0006-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,666.00 Trip Date: 12/06/08 0025-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,848.00 Trip Date: 12/06/08 0031-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,696.00 Trip Date: 12/06/08 0038-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 350.00 Trip Date: 12/07/08 0027-A Deposit Date: 06/15/09 Write-off Bad Debt 1 $ 1,239.09 Trip Date: 12/07/08 0030-A Deposit Date: 06/15/09 Write-off Bad Debt 1 $ 53.86 Trip Date: 12/07/08 0036-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,770.00 Trip Date: 12/07/08 0037-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,436.00 Trip Data 12/07/08 -0038-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 2,172.00 Trip Date. 12/07/08 0046-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,732.00 Trip Date: 12/08/08 0019-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,904.00 Trip Date: 12/08/08 0028-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,526.00 Trip Date: 12/08/08 0036-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,796.00 Trip Date: 12/09/08 0016-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 2,084.00 Trip Date 12/09/08 0018-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,696.00 Trip Date: 12/09/08 0024-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,616.00 Trip Date 12/09/08 0028-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,796.00 Trip Date: 12/09/08 0031-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,678.00 Trip Date: 12/11/08 0009-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,596.00 Trip Date: 12/11/08 0016-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,714.00 Trip Date: 12/11/08 0019-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,814.00 Trip Date: 12/11/08 0021-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,516.00 Trip Date: 12/12/08 0001-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,940.00 Trip Date: 12/12/08 0023-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,590.00 Trip Date: 12/13/08 0003-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,696.00 Trip Date: 12/13/08 0004-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,804.00 Trip Date: 12/13/08 0045-A Deposit Date: 06/25/09 Write-off Bad Debt 1 $ 325.30 Trip Date: 12/13/08 0047-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,837.00 Trip Date. 12/14/08 0001-A Deposit Date: 06/15/09 Write-off Bad Debt 1 $ 1,975.82 Trip Date: 12/14/08 0007-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,696.00 Trip Date: 12/14/08 0008-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 2,016.00 Trip Date: 12/15/08 0015-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,984.00 Trip Date: 12/15/08 0037-A Deposit Date: 06/15/09 Write-off Bad Debt 1 $ 86.41 Trip Date: 12/16/08 0034-A Deposit Date: 06/15/09 Write-off Bad Debt 1 $ 1,112.90 Trip Date: 12/16/08 0037-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 2,010.00 Trip Date: 12/16/08 0049-A Deposit Date: 06/15/09 Write-off Bad Debt 1 $ 688.00 Trip Date: 12/16/08 0050-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,814.00 RescueNet'" Printed On: 12/15/2009 at 4:31:58PM \\ZOLL-BILL\RESCUENET\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Page 2 Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009, AND Period IS 200906; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date: 12/16/08 0052-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,418.00 Trip Date: 12/17/08 0029-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,596.00 Trip Date: 12/17/08 0038-A Deposit Date: 06/15/09 Write-off Bad Debt 1 $ 2,292.76 Trip Date: 12/18/08 0026-A Deposit Date: 06/15/09 Write-off Bad Debt 1 $ 458.21 Trip Date: 12/18/08 0036-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,670.25 Trip Date: 12/18/08 0043-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,698.00 Trip Date: 12/19/08 0005-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 2,420.00 Trip Date: 12/19/08 0019-A Deposit Date. 06/02/09 Write -Off First Party Rec 1 $ 1,534.00 Trip Date: 12/19/08 0024-A Deposit Date: 06/15/09 Write-off Bad Debt 1 $ 316.24 Trip Date: 12/19/08 0044-A Deposit Date: 06/25/09 Write-off Bad Debt 1 $ 2,045.90 Trip Date: 12/19/08 0045-A Deposit Date: 06/15/09 Write-off Bad Debt 1 $ 1,651.56 Trip Date: 12/19/08 0055-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,750.00 Trip Date: 12/19/08 0065-A Deposit Date. 06/02/09 Write -Off First Party Rec 1 $ 1,634.00 Trip Date: 12/19/08 0073-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,614.00 Trip Date: 12/20/08 0008-A Deposit Date: 06/15/09 Write-off Bad Debt 1 $ 739.28 Trip Date: 12/20/08 0017-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,516.00 Trip Date: 12/20/08 0024-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,890.00 Trip Date: 12/20/08 0027-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,814.00 Trip Date: 12/20/08 0036-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,814.00 Trip Date: 12/21/08 0005-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,958.00 Trip Date: 12/21/08 0016-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,616.00 Trip Date: 12/21/08 0022-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,814.00 Trip Date: 12/21/08 0039-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,770.00 Trip Date: 12/22/08 0002-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,734.00 Trip Date: 12/22/08 0030-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,616.00 Trip Date: 12/22/08 0036-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,854.00 Trip Date: 12/23/08 0006-A Deposit Date: 06/25/09 Write-off Bad Debt 1 $ 2,002.27 Trip Date: 12/23/08 0020-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,632.00 Trip Date: 12/23/08 0034-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 1,634.00 Trip Date: 12/23/08 0037-A Deposit Date: 06/02/09 Write -Off First Party Rec 1 $ 2,110.00 Trip Date: 12/23/08 0043-A Deposit Date: 06/02/09 Write -Off First Party Rec• 1 $ 1,688.00 Trip Date: 12/24/08 0002-A Deposit Date: 06/15/09 Write-off Bad Debt 1 $ 83.48 Trip Date: 12/25/08 0013-A Deposit Date: 06/15/09 Write-off Bad Debt 1 $ 1,925.01 Trip Date: 12/25/08 0014-A Deposit Date: 06/15/09 Write-off Bad Debt 1 $ 1,831.35 Trip Date: 12/25/08 0025-A Deposit Date: 06/15/09 Write-off Bad Debt 1 $ 1,538.32 Trip Date: 01/01/09 0011-A Deposit Date: 06/25/09 Write-off Bad Debt 1 $ 1,562.70 Trip Date: 01/02/09 0027-A Deposit Date: 06/15/09 Write-off Bad Debt 1 $ 1,730.96 Trip Date: 01/04/09 0038-A Deposit Date: 06/15/09 Write-off Bad Debt 1 $ 1,562.75 Trip Date: 01/07/09 0001-A Deposit Date: 06/15/09 Write-off Bad Debt 1 $ 1,599.37 Trip Date: 01/09/09 0031-A Deposit Date: 06/15/09 Write-off Bad Debt 1 $ 964.08 Trip Date: 01/12/09 0028-A Deposit Date: 06/15/09 Write-off Bad Debt 1 $ 1,594.84 Trip Date: 01/14/09 0003-A Deposit Date: 06/15/09 Write-off Bad Debt 1 $ 1,818.94 Trip Date: 01/15/09 0001-A Deposit Date: 06/25/09 Write-off Bad Debt 1 $ 1,662.26 Trip Date: 01/18/09 0005-A Deposit Date: 06/15/09 Write-off Bad Debt 1 $ 1,497.31 Trip Date: 01/19/09 0013-A Deposit Date: 06/25/09 Write-off Bad Debt 1 $ 109.06 Trip Date: 01/19/09 0027-A Deposit Date: 06/15/09 Write-off Bad Debt 1 $ 97.64 Trip Date: 01/19/09 0045-A Deposit Date: 06/25/09 Write-off Bad Debt 1 $ 1,581.07 Trip Date: 01/22/09 0023-A Deposit Date: 06/25/09 Write-off Bad Debt 1 $ 108.99 Trip Date: 01/22/09 0031-A Deposit Date: 06/18/09 Write -Off First Party Rec 1 $ 1,734.00 Trip Date: 01/29/09 0028-A Deposit Date: 06/25/09 Write-off Bad Debt 1 $ 110.09 Trip Date: 01/30/09 0035-A Deposit Date: 06/25/09 Write-off Bad Debt 1 $ 141.90 Trip Date: 01/31/09 0003-A Deposit Date: 06/15/09 Write-off Bad Debt 1 $ 98.85 Trip Date: 02/06/09 0033-A Deposit Date: 06/18/09 Write -Off First Party Rec 1 $ 1,680.00 Trip Date: 02/11/09 0003-A Deposit Date: 06/15/09 Write-off Bad Debt 3 $ 677.12 Trip Date: 02/13/09 0015-A Deposit Date: 06/18/09 Write -Off First Party Rec 1 $ 1,680.00 RescueNetTM Printed On: 12/15/2009 at 4:31:58PM Page 3 \\ZOLL-BILL\RESCUENET\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200906; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write -off -Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date: 02/16/09 Trip Date: 02/22/09 Trip Date: 02/23/09 Trip Date: 02/28/09 Trip Date: 03/17/09 Trip Date: 03/18/09 Trip Date: 03/20/09 Trip Date: 03/21/09 Trip Date: 03/22/09 Trip Date: 03/28/09 Trip Date: 04/07/09 Trip Date: 04/16/09 Trip Date: 04/20/09 Trip Date: 04/24/09 Trip Date: 04/25/09 Trip Date: 05/02/09 Trip Date: 05/13/09 Trip Date: 05/19/09 Trip Date: 05/23/09 Trip Date: 05/25/09 Trip Date: 05/26/09 Trip Date: 05/26/09 Trip Date: 05/27/09 Trip Date: 05/29/09 Trip Date: 05/29/09 Trip Date: 06/03/09 Trip Date: 06/03/09 Trip Date: 06/04/09 Trip Date: 06/05/09 Trip Date: 06/08/09 Trip Date: 06/13/09 Trip Date: 06/18/09 Totals For Type Totals For Bill Patient Company Totals 0018-A Deposit Date: 06/25/09 0022-A Deposit Date: 06/25/09 0015-A Deposit Date: 06/18/09 0029-A Deposit Date: 06/18/09 0018-A Deposit Date: 06/15/09 0028-A Deposit Date: 06/15/09 0013-A Deposit Date: 06/15/09 0022-A Deposit Date: 06/15/09 0007-A Deposit Date: 06/15/09 0022-A Deposit Date: 06/25/09 0023-A Deposit Date: 06/15/09 0042-A Deposit Date: 06/25/09 0021-A Deposit Date: 06/25/09 0017-A Deposit Date: 06/18/09 0027-A Deposit Date: 06/18/09 0031-A Deposit Date: 06/15/09 0032-A Deposit Date: 06/18/09 0002-A Deposit Date: 06/15/09 0039-A Deposit Date: 06/15/09 0020-A Deposit Date: 06/15/09 0012-A Deposit Date: 06/15/09 0021-A Deposit Date: 06/18/09 0015-A Deposit Date: 06/15/09 0012-A Deposit Date: 06/15/09 0035-A Deposit Date: 06/15/09 0003-A Deposit Date: 06/25/09 0023-A Deposit Date: 06/25/09 0025-A Deposit Date: 06/25/09 0049-A Deposit Date: 06/25/09 0023-A Deposit Date: 06/25/09 0015-A Deposit Date: 06/25/09 0038-A Deposit Date: 06/25/09 Write-off Bad Debt Write-off Bad Debt Write -Off First Party Rec Write -Off First Party Rec Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write -Off First Party Rec Write -Off First Party Rec Write-off Bad Debt Write -Off First Party Rec Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write -Off First Party Rec Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt - Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt 1 $ 1,434.84 1 $ 120.41 1 $ 1,554.00 1 $ 1,454.00 1 $ 88.31 1 $ 57.80 1 $ 96.90 1 $ 57.80 1 $ 1,884.00 1 $ 1,554.00 1 $ 1,236.00 1 $ 100.00 1 $ 100.00 1 $ 1,634.00 1 $ 1,554.00 1 $ 2,026.00 1 $ 1,634.00 1 $ 1,272.00 1 $ 1,686.00 1 $ 1,218.00 1 $ 1,236.00 1 $ 1,408.00 1 $ 1,572.00 1• $ 1,236.00 1 $ 1,436.00 1 $ 1,436.00 1 $ 1,518.00 1 $ 1,572.00 1 $ 1.372.00 1 $ 1.436.00 1 $ 150.00 1 $ 1,236.00 194 $ 248,523.20 194 $ 248,523.20 194 $ 248,523.20 RescueNetTM Printed On: 12/15/2009 at 4:31:58PM Page 4 \\ZOLL-BILL\RESCUENET\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY. PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009, AND Period IS 200906; AND Company IS WELD COUNTY PARAMEDIC SERVICES: AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec Totals 194 $ 248,523.20 RescueNetTM Printed On: 12/15/2009 at 4:31:58PM 11ZOLL•BILLIRESCUENETIREPORTS321BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Page 5 Credit As Type Detail by Payor (Deposit Date) , Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200907; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Payor Bill Patient Pavor/Credit Tvae/Credit Code Count Dollars Writeoffs Trip Date: 08/08/06 0014-A Deposit Date: 07/06/09 Write -Off First Party Rec 1 $ 742.79 Trip Date: 11/25/06 0009-A Deposit Date: 07/06/09 Write -Off First Party Rec 1 $ 1,105.02 Trip Date: 12/03/06 0034-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,852.00 Trip Date: 02/04/07 0019-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 889.11 Trip Date: 09/06/07 0018-A Deposit Date: 07/06/09 Write -Off First Party Rec 1 $ 1,012.14 Trip Date: 12/05/07 0003-A Deposit Date: 07/06/09 Write -Off First Party Rec 1 $ 1,074.75 Trip Date: 01/24/08 0018-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 1,772.52 Trip Date: 02/17/08 0035-A Deposit Date: 07/22/09 Write-off Bad Debt 2 $ 0.00 Trip Date: 04/29/08 0007-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 367.72 Trip Date: 05/17/08 0014-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 878.00 Trip Date: 08/11/08 0014-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 1,546.67 Trip Date: 09/04/08 0041-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 40.57 Trip Date: 09/06/08 0007-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 933.41 Trip Date: 10/10/08 0027-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 1,195.57 Trip Date: 10/26/08 0004-A Deposit Date: 07/06/09 Write -Off First Party Rec 1 $ 1,614.00 Trip Date: 11/01/08 0037-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 113.11 Trip Date 11/06/08 0027-A Deposit Date: 07/06/09 Write -Off First Party Rec 1 $ 2,300.00 Trip Date: 11/09/08 0046-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 644.33 Trip Date 11/09/08 0048-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 524.69 Trip Date: 11/09/08 0054-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 218.36 Trip Date: 11/13/08 0011-A Deposit Date: 07/06/09 Write -Off First Party Rec 1 $ 1,776.50 Trip Date: 11/16/08 0004-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 1,195.26 Trip Date: 11/16/08 0006-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 1,587.17 Trip Date: 11/22/08 0024-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 22.22 Trip Date. 11/23/08 0020-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 1,638.22 Trip Date: 12/07/08 0007-A Deposit Date: 07/06/09 Write -Off First Party Rec 1 $ 1,376.48 Trip Date: 12/09/08 0014-A Deposit Date: 07/06/09 Write -Off First Party Rec 1 $ 1,711.88 Trip Date: 12/10/08 0015-A Deposit Date: 07/06/09 Write -Off First Party Rec 1 $ 1,850.00 Trip Date: 12/11/08 0002-A Deposit Date: 07/06/09 Write -Off First Party Rec 1 $ 1,536.00 Trip Date: 12/11/08 0025-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 356.04 Trip Date: 12/13/08 0020-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 1,107.09 Trip Date: 12/14/08 0006-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,683.50 Trip Date: 12/15/08 0034-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 1,873.19 Trip Date. 12/15/08 0036-A Deposit Date: 07/06/09 Write -Off First Party Rec 1 $ 1,796.00 Trip Date: 12/16/08 0040-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 104.02 Trip Date: 12/17/08 0041-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 602.45 Trip Date. 12/20/08 0019-A Deposit Date: 07/06/09 Write -Off First Party Rec 1 $ 1,850.00 Trip Date: 12/21/08 0003-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 1,625.47 Trip Date: 12/21/08 0021-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,536.00 Trip Date: 12/22/08 0038-A Deposit Date: 07/06/09 Write -Off First Party Rec 1 $ 1,814.00 Trip Date: 12/24/08 0020-A Deposit Date: 07/06/09 Write -Off First Party Rec 1 $ 1,436.00 Trip Date: 12/24/08 0022-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 1,663.91 Trip Date: 12/25/08 0002-A Deposit Date: 07/06/09 Write -Off First Party Rec 1 $ 1,652.00 Trip Date: 12/25/08 0005-A Deposit Date: 07/06/09 Write -Off First Party Rec 1 $ 1,724.00 Trip Date: 12/25/08 0012-A Deposit Date: 07/06/09 Write -Off First Party Rec 1 $ 1,598.00 Trip Date: 12/25/08 0029-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,696.00 Trip Date: 12/26/08 0013-A Deposit Date: 07/06/09 Write -Off First Party Rec 1 $ 1,616.00 Trip Date: 12/27/08 0003-A Deposit Date: 07/06/09 Write -Off First Party Rec 1 $ 1,794.00 Trip Date: 12/27/08 0006-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 86.44 Trip Date: 12/27/08 0026-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 1,845.59 RescueNetTM Printed On: 12/15/2009 at 4:32:31PM Page 1 11ZOLL-BILL\RESCUENETIREPORTS321BILLING\CREDITSICREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE RPT Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200907; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date: 12/28/08 0003-A Trip Date: 12/28/08 0005-A Trip Date: 12/29/08 0002-A Trip Date: 12/29/08 0004-A Trip Date: 12/29/08 0020-A Trip Date: 12/29/08 0021-A Trip Date: 12/29/08 0022-A Trip Date: 12/29/08 0028-A Trip Date: 12/29/08 0033-A Trip Date: 12/30/08 0001-A Trip Date: 12/30/08 0002-A Trip Date: 12/30/08 0009-A Trip Date: 12/30/08 0015-A Trip Date: 12/30/08 0017-A Trip Date: 12/30/08 0022-A Trip Date: 12/30/08 0026-A Trip Date: 12/30/08 0035-A Trip Date: 12/30/08 0041-A Trip Date: 12/31/08 0001-A Trip Date: 12/31/08 0004-A Trip Date: 12/31/08 0006-A Trip Date: 12/31/08 0010-A Trip Date: 12/31/08 0018-A Trip Date: 12/31/08 0019-A Trip Date: 12/31/08 0021-A Trip Date: 01/01/09 0005-A Trip Date: 01/01/09 0008-A Trip Date: 01/01/09 0013-A Trip Date: 01/01/09 0015-A Trip Date: 01/01/09 0016-A Trip Date: 01/01/09 0027-A Trip Date: 01/01/09 0031-A Trip Date: 01/01/09 0035-A Trip Date: 01/01/09 0036-A Trip Date: 01/01/09 0039-A Trip Date: 01/01/09 0042-A Trip Date: 01/02/09 0026-A Trip Date: 01/02/09 0031-A Trip Date: 01/02/09 0035-A Trip Date: 01/03/09 0011-A Trip Date: 01/03/09 0012-A Trip Date: 01/03/09 0023-A Trip Date: 01/03/09 0031-A Trip Date: 01/03/09 0034-A Trip Date: 01/04/09 0012-A Trip Date: 01/04/09 0018-A Trip Date: 01/04/09 0027-A Trip Date: 01/04/09 0033-A Trip Date: 01/05/09 0004-A Trip Date: 01/05/09 0005-A Trip Date: 01/05/09 0008-A Trip Date: 01/05/09 0022-A Trip Date: 01/05/09 0025-A Trip Date: 01/05/09 0035-A Trip Date: 01/05/09 0040-A Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/30/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/24/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/29/09 Write-off Bad Debt Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/29/09 Write-off Bad Debt Deposit Date: 07/29/09 Write-off Bad Debt Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/30/09 Write -Off First Party Rec Deposit Date: 07/30/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/29/09 Write-off Bad Debt Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/29/09 Write-off Bad Debt Deposit Date: 07/29/09 Write-off Bad Debt Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/29/09 Write-off Bad Debt Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/29/09 Write-off Bad Debt Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/29/09 Write-off Bad Debt Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec RescueNetTm Printed On: 12/15/2009 at 4:32:31PM \\ZOLL-BILL\RESCUENET\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 $ 1,696.00 $ 1,768.00 $ 1,518.00 $ 1,714.00 $ 2,164.00 $ 1,716.00 $ 1,714.00 $ 1,994.00 $ 1,696.00 $ 1,616.00 $ 1,832.00 $ 1,876.00 $ 1,634.00 $ 1,714.00 $ 1,750.00 $ 1,536.00 $ 2,016.00 $ 1,751.86 $ 1,696.00 $ 1,710.00 $ 1,854.00 $ 1,714.00 $ 2,654.89 $ 1,994.40 $ 1,872.00 $ 1,436.00 $ 1,436.00 $ 1.518.00 $ 1,436.00 $ 1,506.00 $ 1,276.11 $ 1,536.00 $ 1,554.00 $ 1,536.00 $ 1,572.00 $ 1,436.00 $ 1,472.00 $ 1,517.27 $ 634.97 $ 1,500.00 $ 1,400.00 $ 1,572.00 $ 1,536.00 $ 1,454.00 $ 101.94 $ 1,536.00 $ 1,354.00 $ 1,536.00 $ 1,778.00 $ 360.14 $ 1,518.00 $ 89.83 $ 1,536.00 $ 1,454.00 $ 1,572.00 Page 2 Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200907; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date: 01/06/09 0001-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 1,459.09 Trip Date: 01/06/09 0005-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,608.00 Trip Date: 01/06/09 0006-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 734.00 Trip Date: 01/06/09 0007-A Deposit Date: 07/06/09 Write -Off First Party Rec 1 $ 1,572.00 Trip Date: 01/06/09 0012-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 121.98 Trip Date: 01/06/09 0013-A Deposit Date: 07/06/09 Write -Off First Party Rec 1 $ 1,436.00 Trip Date: 01/06/09 0017-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 131.87 Trip Date: 01/06/09 0025-A Deposit Date: 07/06/09 Write -Off First Party Rec 1 $ 1,994.00 Trip Date: 01/06/09 0026-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 89.83 Trip Date: 01/06/09 0027-A Deposit Date: 07/06/09 Write -Off First Party Rec 1 $ 1,572.00 Trip Date: 01/06/09 0031-A Deposit Date: 07/06/09 Write -Off First Party Rec 1 $ 1,436.00 Trip Date: 01/06/09 0038-A Deposit Date: 07/06/09 Write -Off First Party Rec 1 $ 1,536.00 Trip Date: 01/07/09 0006-A Deposit Date: 07/06/09 Write -Off First Party Rec 1 $ 1,536.00 Trip Date: 01/07/09 0007-A Deposit Date: 07/06/09 Write -Off First Party Rec 1 $ 1,518.00 Trip Date: 01/07/09 0011-A Deposit Date: 07/06/09 Write -Off First Party Rec 1 $ 1,554.00 Trip Date: 01/08/09 0005-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 581.95 Trip Date: 01/08/09 0006-A Deposit Date: 07/06/09 Write -Off First Party Rec 1 $ 1,508.00 Trip Date: 01/09/09 0011-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 152.92 Trip Date: 01/09/09 0015-A Deposit Date: 07/06/09 Write -Off First Party Rec 1 $ 1,572.00 Trip Date: 01/09/09 0022-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 101.26 Trip Date: 01/09/09 0024-A Deposit Date: 07/06/09 Write -Off First Party Rec 1 $ 1,436.00 Trip Date: 01/09/09 0026-A Deposit Date: 07/06/09 Write -Off First Party Rec 1 $ 1,472.00 Trip Date: 01/09/09 0038-A Deposit Date: 07/06/09 Write -Off First Party Rec 1 $ 1,536.00 Trip Date: 01/09/09 0039-A Deposit Date: 07/06/09 Write -Off First Party Rec 1 $ 1,534,00 Trip Date: 01/10/09 0003-A Deposit Date: 07/06/09 Write -Off First Party Rec 1 $ 2,004.00 Trip Date: 01/10/09 0015-A Deposit Date: 07/06/09 Write -Off First Party Rec 1 $ 1,436.00 Trip Date: 01/10/09 0017-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 152.92 Trip Date: 01/10/09 0018-A Deposit Date: 07/06/09 Write -Off First Party Rec 1 $ 1,554.00 Trip Date: 01/10/09 0020-A Deposit Date: 07/06/09 Write -Off First Party Rec 1 $ 1,590 00 Trip Date: 01/10/09 0021-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,590.00 Trip Date: 01/10/09 0033-A Deposit Date: 07/06/09 Write -Off First Party Rec 1 $ 1,554.00 Trip Date: 01/11/09 0011-A Deposit Date: 07/06/09 Write -Off First Party Rec 1 $ 1.518.00 Trip Date: 01/11/09 0019-A Deposit Date: 07/06/09 Write -Off First Party Rec 1 $ 1.472.00 Trip Date: 01/11/09 0022-A Deposit Date: 07/06/09 Write -Off First Party Rec 1 $ 1,554.00 Trip Date: 01/12/09 0002-A Deposit Date: 07/06/09 Write -Off First Party Rec 1 $ 1,824.00 Trip Date: 01/12/09 0032-A Deposit Date: 07/06/09 Write -Off First Party Rec 1 $ 1,454.00 Trip Date: 01/12/09 0040-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 203.47 Trip Date: 01/13/09 0002-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 60 10 Trip Date: 01/13/09 0003-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 101.73 Trip Date: 01/13/09 0019-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 330.54 Trip Date: 01/13/09 0021-A Deposit Date: 07/06/09 Write -Off First Party Rec 1 $ 1,290.00 Trip Date: 01/14/09 0010-A Deposit Date: 07/29/09 Write-off Bad Debt 2 $ 0.00 Trip Date: 01/14/09 0019-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 586.01 Trip Date: 01/14/09 0024-A Deposit Date: 07/06/09 Write -Off First Party Rec 1 $ 1,572.00 Trip Date: 01/14/09 0033-A Deposit Date: 07/06/09 Write -Off First Party Rec 1 $ 1,562.00 Trip Date: 01/15/09 0036-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 1,518.92 Trip Date: 01/16/09 0002-A Deposit Date: 07/06/09 Write -Off First Party Rec 1 $ 1,454.00 Trip Date: 01/16/09 0005-A Deposit Date: 07/06/09 Write -Off First Party Rec 1 $ 1,272.00 Trip Date: 01/16/09 0007-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 875.79 Trip Date: 01/16/09 0010-A Deposit Date: 07/06/09 Write -Off First Party Rec 1 $ 1,472.00 Trip Date: 01/16/09 0030-A Deposit Date: 07/06/09 Write -Off First Party Rec 1 $ 1,490.00 Trip Date: 01/16/09 0033-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 579.46 Trip Date: 01/16/09 0036-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 1,568.52 Trip Date: 01/16/09 0045-A Deposit Date: 07/06/09 Write -Off First Party Rec 1 $ 1,500.00 Trip Date: 01/17/09 0002-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 1,603.22 RescueNetTM Printed On: 12/15/2009 at 4:32:31PM \\ZOLL-BILL\RESCUENET\REPORTS32\BILLING \ CREDITS \CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Page 3 Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009, AND Period IS 200907; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date: 01/17/09 0003-A Trip Date: 01/17/09 0007-A Trip Date: 01/17/09 0014-A Trip Date: 01/17/09 0025-A Trip Date: 01/17/09 0026-A Trip Date: 01/17/09 0028-A Trip Date: 01/17/09 0038-A Trip Date: 01/18/09 0020-A • Trip Date: 01/18/09 0022-A Trip Date: 01/18/09 0023-A Trip Date: 01/18/09 0025-A Trip Date: 01/18/09 0028-A Trip Date: 01/18/09 0033-A Trip Date: 01/18/09 0035-A Trip Date: 01/18/09 0042-A Trip Date: 01/19/09 0003-A Trip Date: 01/19/09 0040-A Trip Date: 01/19/09 0044-A Trip Date: 01/20/09 0011-A Trip Date: 01/20/09 0012-A Trip Date: 01/20/09 0015-A Trip Date: 01/20/09 0034-A Trip Date: 01/20/09 0036-A Trip Date: 01/20/09 0039-A Trip Date: 01/21/09 0007-A Trip Date: 01/21/09 0008-A Trip Date: 01/21/09 0009-A Trip Date: 01/21/09 0013-A Trip Date: 01/21/09 0019-A Trip Date: 01/22/09 0006-A Trip Date: 01/22/09 0016-A Trip Date: 01/22/09 0049-A Trip Date: 01/22/09 0052-A Trip Date: 01/22/09 0055-A Trip Date: 01/23/09 0001-A Trip Date: 01/23/09 0003-A Trip Date: 01/23/09 0005-A Trip Date: 01/23/09 0013-A Trip Date: 01/23/09 0024-A Trip Date: 01/23/09 0028-A Trip Date: 01/24/09 0002-A Trip Date: 01/24/09 0004-A Trip Date: 01/24/09 0006-A Trip Date: 01/24/09 0024-A Trip Date: 01/24/09 0027-A Trip Date: 01/24/09 0029-A Trip Date: 01/24/09 0031-A Trip Date: 01/24/09 0033-A Trip Date: 01/24/09 0035-A Trip Date: 01/24/09 0046-A Trip Date: 01/24/09 0049-A Trip Date: 01/25/09 0006-A Trip Date: 01/25/09 0024-A Trip Date: 01/25/09 0031-A Trip Date: 01/25/09 0036-A Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/29/09 Write-off Bad Debt Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/29/09 Write-off Bad Debt Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/29/09 Write-off Bad Debt Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date. 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/29/09 Write-off Bad Debt Deposit Date. 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/29/09 Write-off Bad Debt Deposit Date. 07/29/09 Write-off Bad Debt • Deposit Date: 07/29/09 Write-off Bad Debt Deposit Date: 07/29/09 Write-off Bad Debt Deposit Date 07/06/09 Write -Off First Party Rec Deposit Date. 07/30/09 Write -Off First Party Rec Deposit Date. 07/06/09 Write -Off First Party Rec Deposit Date 07/29/09 Write-off Bad Debt Deposit Date 07/06/09 Write -Off First Party Rec Deposit Date: 07/29/09 Write-off Bad Debt Deposit Date 07/29/09 Write-off Bad Debt Deposit Date 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date. 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/29/09 Write-off Bad Debt Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/30/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/06/09 Write -Off First Party Rec Deposit Date: 07/30/09 Write -Off First Party Rec Deposit Date: 07/29/09 Write-off Bad Debt Deposit Date: 07/30/09 Write -Off First Party Rec RescueNetTM Printed On: 12/15/2009 at 4:32:31PM 11ZOLL-BILL\RESCUENETIREPORTS321BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 $ 1,554.00 $ 1,924.00 $ 481.52 $ 1,490.00 $ 1,572.00 $ 1,554.00 $ 1,536.00 $ 1,536.00 $ 1, 380.50 $ 1,418.00 $ 1,460.99 $ 1,536.00 $ 1,680.00 $ 98.21 $ 1,418.00 $ 1,454.00 $ 1,572.00 $ 1,434.00 $ 1,565.12 $ 1,572.00 $ 1,518.00 $ 1,752.00 $ 1,536.00 $ 1,259.44 $ 1,620.16 $ 132.91 $ 1,358.97 $ 1.336.00 $ 1,760.00 $ 1,554.00 $ 101.84 $ 1,344.00 $ 1,589.19 $ 1,735.72 $ 1,536.00 $ 1,290.00 $ 1,436.00 $ 1,236.00 $ 1,472.00 $ 1,572.00 $ 1.562.00 $ 1,536.00 $ 1,472.00 $ 1,490.00 $ 1,209.52 $ 1,554.00 $ 1,554.00 $ 1,436.00 $ 1,680.00 $ 1,842.00 $ 1,272.00 $ 1,472.00 $ 1,472.00 $ 107.98 $ 1,254. 00 Page 4 Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200907; AND Company IS WELD COUNTY PARAMEDIC SERVICES: AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date: 01/25/09 0038-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,454.00 Trip Date: 01/26/09 0008-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,608.00 Trip Date: 01/26/09 0009-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,536.00 Trip Date. 01/26/09 0016-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 70.04 Trip Date: 01/26/09 0024-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 1,581.07 Trip Date: 01/26/09 0038-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,536.00 Trip Date: 01/26/09 0041-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,598.00 Trip Date: 01/26/09 0044-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 2,490.00 Trip Date: 01/26/09 0047-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,472.00 Trip Date: 01/26/09 0050-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,472.00 Trip Date: 01/26/09 0056-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,536.00 Trip Date: 01/27/09 . 0014-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,734.00 Trip Date: 01/27/09 0024-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 1,497.31 Trip Date: 01/27/09 0031-A . Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,472.00 Trip Date: 01/27/09 0032-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 1,377.28 Trip Date: 01/27/09 0036-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,536.00 Trip Date: 01/27/09 0042-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,590.00 Trip Date: 01/27/09 0044-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,536.00 Trip Date- 01/28/09 0004-A -Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,472.00 Trip Date: 01/28/09 0012-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,454.00 Trip Date: 01/28/09 0016-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 1,533.93 Trip Date: 01/28/09 0025-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,518.00 Trip Date: 01/28/09 0026-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,518.00 Trip Date: 01/28/09 0057-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,572.00 Trip Date. 01/29/09 0025-A Deposit Date: 07/06/09 Write -Off First Party Rec 1 $ 1,580.00 Trip Date: 01/29/09 0039-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,662.00 Trip Date: 01/30/09 0004-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 1,562.41 Trip Date 01/30/09 0017-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1.554.00 Trip Date: 01/30/09 0048-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,236.00 Trip Date: 01/31/09 0001-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,562.00 Trip Date 01/31/09 0002-A - Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,562.00 Trip Date: 01/31/09 0005-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 1,479.00 Trip Date. 01/31/09 0007-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,452.00 Trip Date: 01/31/09 0011-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,680.00 Trip Date: 01/31/09 0029-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,688.00 Trip Date: 01/31/09 0048-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,472.00 Trip Date: 01/31/09 0049-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,670.00 Trip Date: 02/01/09 0004-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,518.00 Trip Date: 02/01/09 0005-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,518.00 Trip Date: 02/01/09 0008-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 1,479.00 Trip Date: 02/01/09 0009-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,554.00 Trip Date. 02/01/09 0010-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 2,498.00 Trip Date: 02/01/09 0016-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,518.00 Trip Date: 02/01/09 0018-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,608.00 Trip Date: 02/01/09 0022-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,308.00 Trip Date: 02/01/09 0025-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,254.00 Trip Date: 02/01/09 0030-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,536.00 Trip Date: 02/02/09 0001-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,554.00 Trip Date: 02/02/09 0003-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,536.00 Trip Date: 02/02/09 0009-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,536.00 Trip Date: 02/02/09 0019-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 993.05 Trip Date: 02/02/09 0022-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,454.00 Trip Date: 02/02/09 0029-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 1,727.19 Trip Date: 02/02/09 0034-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,770.00 Trip Date: 02/02/09 0036-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,536.00 RescueNetTM Printed On: 12/15/2009 at 4:32:31PM Page 5 \\ZOLL-BILL\RESCUENET\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200907: AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date: 02/02/09 0044-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,472.00 Trip Date: 02/03/09 0001-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 1,625.47 Trip Date: 02/03/09 0014-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 199.72 Trip Date: 02/03/09 0021-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,806.00 Trip Date: 02/03/09 0022-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,734.00 Trip Date: 02/03/09 0034-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 808.00 Trip Date: 02/03/09 0051-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,554.00 Trip Date: 02/03/09 0052-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 1,461.97 Trip Date: 02/04/09 0013-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,536.00 Trip Date: 02/04/09 0015-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,472.00 Trip Date: 02/04/09 0025-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,698.00 Trip Date: 02/04/09 0034-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,842.00 Trip Date: 02/05/09 0010-A Deposit Date 07/30/09 Write -Off First Party Rec 1 $ 1,680.00 Trip Date: 02/05/09 0022-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 1,562.75 Trip Date: 02/05/09 0029-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,454.00 Trip Date: 02/05/09 0032-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,734.00 Trip Date: 02/05/09 0034-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,454.00 Trip Date: 02/05/09 0041-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,572.00 Trip Date: 02/06/09 0002-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,454.00 Trip Date: 02/06/09 0004-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,860.00 Trip Date: 02/06/09 0009-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,752.00 Trip Date: 02/06/09 0010-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,572.00 Trip Date: 02/06/09 0035-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,454.00 Trip Date: 02/06/09 0037-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 91.24 Trip Date: 02/07/09 0002-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,436.00 Trip Date: 02/07/09 0004-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,254.00 Trip Date: 02/07/09 0005-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,572.00 Trip Date: 02/07/09 0007-A Deposit Date, 07/30/09 Write -Off First Party Rec 1 $ 1,418.00 Trip Date: 02/07/09 0008-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,418.00 Trip Date: 02/07/09 0035-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,670.00 Trip Date: 02/07/09 0036-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,572.00 Trip Date: 02/08/09 0001-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,554.00 Trip Date: 02/08/09 0005-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,554.00 Trip Date: 02/09/09 0013-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,454.00 Trip Date: 02/09/09 0034-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,254.00 Trip Date: 02/10/09 0003-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,572.00 Trip Date: 02/10/09 0015-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,436.00 Trip Date: 02/10/09 0023-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,472.00 Trip Date: 02/10/09 0030-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,472.00 Trip Date: 02/10/09 0036-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 40.57 Trip Date: 02/12/09 0005-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 1,499.59 Trip Date: 02/12/09 0020-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,572.00 Trip Date: 02/12/09 0027-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,536.00 Trip Date: 02/12/09 0035-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,454.00 Trip Date: 02/13/09 0004-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,866.00 Trip Date: 02/13/09 0019-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,734.00 Trip Date: 02/13/09 0030-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,472.00 Trip Date: 02/14/09 0003-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,454.00 Trip Date: 02/14/09 0004-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,716.00 Trip Date: 02/14/09 0006-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,572.00 Trip Date: 02/14/09 0007-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,724.00 Trip Date: 02/14/09 0011-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,506.00 Trip Date: 02/14/09 0044-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,436.00 Trip Date: 02/15/09 0002-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,454.00 Trip Date: 02/15/09 0022-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,572.00 RescueNetTM Printed On: 12/15/2009 at 4:32:31PM Page 6 1\ZOLL-BILL\RESCUENET\REPORTS32\BILLING \CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200907; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date: 02/15/09 0038-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,336.00 Trip Date: 02/16/09 0032-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,418.00 Trip Date: 02/16/09 0039-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,518.00 Trip Date: 02/17/09 0012-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,518.00 Trip Date: 02/18/09 0002-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 287.20 Trip Date: 02/18/09 0022-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,418.00 Trip Date: 02/19/09 0001-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,572.00 Trip Date: 02/19/09 0021-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,572.00 Trip Date: 02/19/09 0022-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,508.00 Trip Date: 02/19/09 0027-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,490.00 Trip Date: 02/19/09 0033-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,454.00 Trip Date: 02/20/09 0012-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,634.00 Trip Date: 02/20/09 0049-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,572.00 Trip Date: 02/21/09 0008-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,436.00 Trip Date: 02/21/09 0013-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 2,076.00 Trip Date: 02/21/09 0033-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,572.00 Trip Date: 02/22/09 0002-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,472.00 Trip Date: 02/22/09 0003-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,518.00 Trip Date: 02/22/09 0029-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,734.00 Trip Date: 02/22/09 0030-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 1,562.40 Trip.Date: 02/22/09 0032-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,652.00 Trip Date: 02/23/09 0010-A Deposit pate: 07/30/09 Write -Off First Party Rec 1 $ 1,716.00 Trip Date: 02/23/09 0023-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 897.51 Trip Date: 02/23/09 0038-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,814.00 Trip Date: 02/24/09 0027-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,572.00 Trip Date: 02/24/09 0042-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,554.00 Trip Date: 02/25/09 0001-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1.436.00 Trip Date: 02/25/09 0008-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,354.00 Trip Date: 02/25/09 0010-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 S 1,518.00 Trip Date:.02/25/09 0027-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1.518.00 Trip Date: 02/27/09 0033-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1,680.00 Trip Date: 02/27/09 0046-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 S 1.336.00 Trip Date: 02/28/09 0020-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1.572.00 Trip Date: 03/03/09 0017-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 76.07 Trip Date: 03/05/09 0002-A Deposit Date: 07/15/09 Write-off Bad Debt 1 $ 749.07 Trip Date: 03/07/09 0018-A Deposit Date: 07/30/09 Write -Off First Party Rec 1 $ 1.454.00 Trip Date: 03/08/09 0034-A Deposit Date: 07/24/09 Write -Off First Party Rec 1 $ 1,472.00 Trip Date: 03/19/09 0004-A Deposit Date: 07/15/09 Write-off Bad Debt 1 $ 200.00 Trip Date: 03/31/09 0016-A Deposit Date: 07/15/09 Write-off Bad Debt 1 $ 1,536.00 Trip Date: 04/07/09 0026-A Deposit Date: 07/15/09 Write-off Bad Debt 1 $ 1,482.32 Trip Date: 04/19/09 0009-A Deposit Date: 07/15/09 Write-off Bad Debt 1 $ 150.00 Trip Date: 04/20/09 0030-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 103.42 Trip Date: 04/23/09 0021-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 1,644.00 Trip Date: 05/01/09 0010-A Deposit Date: 07/15/09 Write-off Bad Debt 1 $ 1,572.00 Trip Date: 05/10/09 0042-A Deposit Date: 07/15/09 Write-off Bad Debt 1 $ 1,254.00 Trip Date: 05/13/09 0033-A Deposit Date: 07/15/09 Write-off Bad Debt 1 $ 1,454.00 Trip Date: 05/26/09 0017-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 1,634.00 Trip Date: 06/05/09 0003-A Deposit Date: 07/15/09 Write-off Bad Debt 1 $ 1,354.00 Trip Date: 06/10/09 0032-A Deposit Date: 07/15/09 Write-off Bad Debt 1 $ 1,572.00 Trip Date: 06/11/09 0004-A Deposit Date: 07/15/09 Write-off Bad Debt 1 $ 1,372.00 Trip Date: 06/14/09 0037-A Deposit Date: 07/15/09 Write-off Bad Debt 1 $ 1,236.00 Trip Date: 06/19/09 0042-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 1,438.00 Trip Date: 06/26/09 0035-A Deposit Date: 07/15/09 Write-off Bad Debt 1 $ 1,518.00 Trip Date: 07/02/09 0033-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 1,418.00 Trip Date: 07/03/09 0012-A Deposit Date: 07/29/09 Write-off Bad Debt 1 $ 669.00 RescueNetTM Printed On: 12/15/2009 at 4:32:31PM 11ZOLL-BILL\RESCUENET\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Page 7 Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200907; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date: 07/03/09 0022-A Trip Date: 07/12/09 0005-A Trip Date: 07/15/09 0001-A Trip Date: 07/16/09 0025-A Trip Date: 07/19/09 0038-A Totals For Type Totals For Bill Patient Company Totals Deposit Date. 07/29/09 Deposit Date: 07/29/09 Deposit Date: 07/29/09 Deposit Date 07/29/09 Deposit Date: 07/29/09 Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt $ 1,454.00 $ 1,472.00 $ 1,372.00 $ 1,572.00 $ 1,254.00 387 $ 534,123.83 387 $ 534,123.83 387 $ 534,123.83 RescueNetTM Printed On: 12/15/2009 at 4:32:31PM \1ZOLL-BILLIRESCUENET\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Page 8 Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200907; AND Company IS WELD COUNTY PARAMEDIC SERVICES: AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec Totals 387 I $ 534,123.83 RescueNetTM Printed On: 12/15/2009 at 4:32:31PM \\ZOLL-BILL\RESCUENETIREPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Page 9 Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200908; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Payor Bill Patient Pavor/Credit Type/Credit Code Count Dollars Writeoffs Trip Date: 11/05/07 0019-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 93.94 Trip Date: 12/01/07 0055-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 145.14 Trip Date: 02/02/08 0028-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 93.85 Trip Date: 03/19/08 0039-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 139.10 Trip Date: 08/10/08 0030-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 186.92 Trip Date: 09/22/08 0043-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 1,844.29 Trip Date: 10/27/08 0001-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 294.06 Trip Date: 11/16/08 0002-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 25.79 Trip Date: 12/06/08 0039-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 69.21 Trip Date: 12/15/08 0027-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 50.85 Trip Date: 12/23/08 0045-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 98.13 Trip Date: 12/29/08 0029-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 87.57 Trip Date: 01/01/09 0010-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 1,440.98 Trip Date: 01/02/09 0040-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 1,310.74 Trip Date: 01/03/09 0010-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 172.74 Trip Date: 01/04/09 0025-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 710.14 Trip Date: 01/06/09 0033-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 1,266.50 Trip Date: 01/08/09 0010-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 1,467.85 Trip Date: 01/14/09 0015-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 1,599.03 Trip Date: 01/15/09 0033-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 99.59 Trip Date: 01/17/09 0001-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 1,559.11 Trip Date: 01/17/09 0018-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 1,294.15 Trip Date: 01/18/09 0007-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 1,478.51 Trip Date: 01/18/09 0040-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 1,552.57 Trip Date: 01/19/09 0046-A Deposit Date 08/19/09 Write-off Bad Debt 1 $ 87.04 Trip Date: 01/21/09 0011-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 57.50 Trip Date: 01/21/09 0021-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 428.11 Trip Date: 01/22/09 0039-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 1,511.37 Trip Date: 01/22/09 0056-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 2,547.61 Trip Date: 01/25/09 0018-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 89.70 Trip Date: 01/25/09 0030-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 1,580.89 Trip Date: 01/26/09 0039-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 1,29 Trip Date: 01/27/09 0003-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $2 701. 5. 10 Trip Date: 01/28/09 0047-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 545.20 Trip Date: 01/28/09 0055-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 345.46 Trip Date: 01/31/09 0004-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 314.30 Trip Date: 01/31/09 0010-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 88.44 Trip Date: 01/31/09 0030-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 1,514.25 Trip Date: 01/31/09 0042-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 2,130.23 Trip Date: 02/01/09 0003-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 591.16 Trip Date: 02/01/09 0037-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 232.42 Trip Date: 02/02/09 0024-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 1,211.88 Trip Date: 02/07/09 0022-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 1,654.32 Trip Date: 02/15/09 0018-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 50.86 Trip Date: 02/15/09 0024-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 1,990.63 Trip Date: 02/16/09 0010-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 849.40 Trip Date: 02/17/09 0018-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 1,478.83 Trip Date: 02/17/09 0020-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 1,562.58 Trip Date: 02/18/09 0007-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 1,497.63 Trip Date: 02/18/09 0009-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 148.46 RescueNetTM Printed On: 12/15/2009 at 4:33:00PM 11ZOLL-BILL\RESCUENET\REPORTS32\BILLINGICREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Page 1 Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200908; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date: 02/18/09 0011-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 1,515.93 Trip Date: 02/19/09 0004-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 168.05 Trip Date: 02/20/09 0026-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 292.05 Trip Date: 02/20/09 0042-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 134.14 Trip Date: 02/23/09 0002-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 1,745.50 Trip Date: 02/23/09 0018-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 1,680.76 Trip Date: 02/24/09 0004-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 1,259.98 Trip Date: 02/26/09 0007-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 380.73 Trip Date: 02/26/09 0026-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 1,480.44 Trip Date: 02/28/09 0018-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 1,589.41 Trip Date: 02/28/09 0019-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 1,694.82 Trip Date: 03/01/09 0016-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 1,380.72 Trip Date: 03/04/09 0032-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 1,359.57 Trip Date: 03/04/09 0033-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 1,444.73 Trip Date: 03/04/09 0049-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 88.44 Trip Date: 03/06/09 0021-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 1,667.14 Trip Date: 03/08/09 0010-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 1,583.29 Trip Date: 03/09/09 0010-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 1,642.35 Trip Date: 03/14/09 0004-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 30.35 Trip Date: 03/20/09 0007-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 799.89 Trip Date: 03/20/09 0015-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 349.32 Trip Date: 04/02/09 0014-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 1.630.37 Trip Date: 04/11/09 0034-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 30.24 Trip Date: 04/16/09 0017-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 1,714.97 Trip Date: 05/20/09 0019-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 96.69 Trip Date: 06/05/09 0005-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 73.74 Trip Date: 07/05/09 0048-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 93.80 Trip Date: 07/11/09 0006-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 1,680.00 Trip Date: 07/24/09 0038-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 1,536.00 Trip Date: 07/31/09 0018-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 1,572.00 Trip Date: 08/04/09 0016-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 1.454,00 Trip Date: 08/07/09 0016-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 1,554.00 Trip Date: 08/08/09 0024-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 1.236.00 Trip Date: 08/10/09 0019-A Deposit Date: 08/19/09 Write-off Bad Debt 1 $ 1,554.00 Totals For Type Totals For Bill Patient Company Totals 84 $ 78,031.14 84 $ 78,031.14 84 • $ 78,031.14 RescueNetTM Printed On: 12/15/2009 at 4:33:00PM 11ZOLL-BILL\RESCUENETIREPORTS321BILLING \CREDITS\CREDITTYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Page 2 Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009, AND Period IS 200908; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec Totals 84 • $ 78,031.14 RescueNetTM Printed On: 12/15/2009 at 4:33:00PM 1\ZOLL-BILL\RESCUENETIREPORTS321BILLINGICREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Page 3 Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200909; AND Company IS WELD COUNTY PARAMEDIC SERVICES, AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Payor Bill Patient Pavor/Credit Tvae/Credit Code Count Dollars Writeoffs Trip Date: 10/13/05 0020-A Deposit Date: 09/03/09 Write -Off First Party Rec 1 $ 768.20 Trip Date: 07/31/06 0028-A Deposit Date: 09/03/09 Write -Off First Party Rec 1 $ 967.11 Trip Date: 03/19/08 0014-A Deposit Date: 09/16/09 Write-off Bad Debt 1 $ 613.48 Trip Date: 05/26/08 0027-A Deposit Date: 09/16/09 Write-off Bad Debt 1 $ 1,827.80 Trip Date: 08/05/08 0035-A Deposit Date: 09/16/09 Write-off Bad Debt 1 $ 1,104.14 Trip Dale: 08/21/08 0005-A Deposit Date: 09/10/09 Write-off Bad Debt 2 $ 0.00 Trip Date: 09/06/08 0007-A Deposit Date: 09/16/09 Write-off Bad Debt 1 $ 308.80 Trip Date: 10/31/08 0032-A Deposit Date: 09/16/09 Write-off Bad Debt 1 $ 1,808.29 Trip Date: 11/15/08 0026-A Deposit Date: 09/16/09 Write-off Bad Debt 2 $ 0.00 Trip Date: 11/15/08 0026-A Deposit Date: 09/23/09 Write-off Bad Debt 1 $ 155.98 Trip Date: 12/11/08 0007-A Deposit Date: 09/16/09 Write-off Bad Debt 1 $ 93.76 Trip Date: 12/16/08 0001-A Deposit Date: 09/16/09 Write-off Bad Debt 1 $ 1,636.11 Trip Date: 01/02/09 0032-A Deposit Date: 09/16/09 Write-off Bad Debt 1 $ 1,592.57 Trip Date: 01/02/09 0034-A Deposit Date: 09/16/09 Write-off Bad Debt 1 $ 1,573.48 Trip Date: 01/03/09 0020-A Deposit Date: 09/16/09 Write-off Bad Debt 1 $ 1,580.89 Trip Date: 01/11/09 0008-A Deposit Date: 09/03/09 Write -Off First Party Rec 1 $ 1,570.50 Trip Date: 01/12/09 0029-A Deposit Date: 09/03/09 Write -Off First Party Rec 1 $ 1,451.00 Trip Date: 01/20/09 0013-A Deposit Date: 09/16/09 Write-off Bad Debt 1 $ 1,700.74 Trip Date: 01/23/09 0040-A Deposit Date: 09/16/09 Write-off Bad Debt 1 $ 1,838.20 Trip Date: 01/27/09 0017-A Deposit Date: 09/16/09 Write-off Bad Debt 1 $ 152.57 Trip Date: 01/28/09 0049-A Deposit Date: 09/03/09 Write -Off First Party Rec 1 $ 1,254.00 Trip Date: 02/02/09 0035-A Deposit Date: 09/03/09 Write -Off First Party Rec 1 $ 1,554.00 Trip Date: 02/03/09 0017-A Deposit Date: 09/16/09 Write-off Bad Debt 1 $ 1,552.23 Trip Date: 02/06/09 0011-A Deposit Date: 09/03/09 Write -Off First Party Rec 1 $ 1,572.00 Trip Date: 02/08/09 0010-A Deposit Date: 09/16/09 Write-off Bad Debt 1 $ 1,304.08 Trip Date: 02/10/09 0035-A Deposit Date: 09/16/09 Write-off Bad Debt 1 $ 89.94 Trip Date: 02/11/09 0007-A Deposit Date: 09/16/09 Write-off Bad Debt 1 $ 85.61 Trip Date: 02/11/09 0025-A Deposit Date: 09/16/09 Write-off Bad Debt 1 $ 383.42 Trip Date: 02/12/09 0010-A Deposit Date: 09/16/09 Write-off Bad Debt 1 $ 55.05 Trip Date: 02/14/09 0017-A Deposit Date: 09/16/09 Write-off Bad Debt 1 $ 1,613.39 Trip Date: 02/14/09 0037-A Deposit Date: 09/16/09 Write-off Bad Debt 1 $ 303.14 Trip Date: 02/15/09 0010-A Deposit Date: 09/16/09 Write-off Bad Debt 1 $ 1,479.17 Trip Date: 02/16/09 0012-A Deposit Date: 09/16/09 Write-off Bad Debt 1 $ 1,582.27 Trip Date: 02/18/09 0015-A Deposit Date: 09/16/09 Write-off Bad Debt 1 $ 1,479.32 Trip Date: 02/20/09 0023-A Deposit Date: 09/16/09 Write-off Bad Debt 1 $ 264.89 Trip Date: 02/20/09 0054-A Deposit Date: 09/03/09 Write -Off First Party Rec 1 $ 1,536.00 Trip Date: 02/21/09 0024-A Deposit Date: 09/16/09 Write-off Bad Debt 1 $ 1,249.73 Trip Date: 02/21/09 0031-A Deposit Date: 09/16/09 Write-off Bad Debt 1 $ 101.18 Trip Date: 02/24/09 0039-A Deposit Date: 09/16/09 Write-off Bad Debt 1 $ 152.70 Trip Date: 02/25/09 0003-A Deposit Date: 09/16/09 Write-off Bad Debt 1 $ 89.97 Trip Date: 02/27/09 0039-A Deposit Date: 09/16/09 Write-off Bad Debt 1 $ 1,701.68 Trip Date: 02/28/09 0026-A Deposit Date: 09/03/09 Write -Off First Party Rec 1 $ 1,254.00 Trip Date: 02/28/09 0036-A Deposit Date: 09/03/09 Write -Off First Party Rec 1 $ 822.00 Trip Date: 02/28/09 0037-A Deposit Date: 09/16/09 Write-off Bad Debt 1 $ 148.13 Trip Date: 03/01/09 0002-A Deposit Date: 09/03/09 Write -Off First Party Rec 1 $ 1,472.00 Trip Date: 03/01/09 0013-A Deposit Date: 09/03/09 Write -Off First Party Rec 1 $ 1,500.00 Trip Date: 03/01/09 0014-A Deposit Date: 09/03/09 Write -Off First Party Rec 1 $ 1,724.00 Trip Date: 03/02/09 0010-A Deposit Date: 09/03/09 Write -Off First Party Rec 1 $ 1,516.00 Trip Date: 03/02/09 0015-A Deposit Date: 09/16/09 Write-off Bad Debt 1 $ 1,582.27 Trip Date: 03/02/09 0016-A Deposit Date: 09/03/09 Write Off First Party Rec 1 $ 1,418.00 RescueNetTM Printed On: 12/15/2009 at 4:33:34PM Page 1 \\ZOLL-BILL\RESCUENET\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200909; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date: 03/02/09 0023-A Trip Date: 03/02/09 0026-A Trip Date: 03/02/09 0027-A Trip Date: 03/02/09 0032-A Trip Date: 03/02/09 0035-A Trip Date: 03/03/09 0004-A Trip Date: 03/03/09 0029-A Trip Date: 03/03/09 0039-A Trip Date: 03/04/09 0001-A Trip Date: 03/04/09 0002-A Trip Date: 03/04/09 0008-A Trip Date: 03/04/09 0015-A Trip Date: 03/04/09 0018-A Trip Date: 03/04/09 0029-A Trip Date: 03/05/09 0008-A Trip Date: 03/05/09 0012-A Trip Date: 03/05/09 0042-A Trip Date: 03/05/09 0050-A Trip Date: 03/06/09 0002-A Trip Date: 03/06/09 0003-A Trip Date: 03/06/09 0014-A Trip Date: 03/06/09 0016-A Trip Date: 03/06/09 0023-A Trip Date: 03/06/09 0029-A Trip Date: 03/06/09 0034-A Trip Date: 03/07/09 0007-A Trip Date: 03/07/09 0019-A Trip Date: 03/07/09 0022-A Trip Date: 03/07/09 0024-A Trip Date: 03/08/09 0003-A Trip Date: 03/08/09 0004-A Trip Date: 03/08/09 0014-A Trip Date: 03/08/09 0020-A Trip Date: 03/09/09 0004-A Trip Date: 03/09/09 0006-A Trip Date: 03/09/09 0026-A Trip Date: 03/10/09 0035-A Trip Date: 03/10/09 0037-A Trip Date: 03/10/09 0039-A Trip Date: 03/10/09 0049-A Trip Date: 03/10/09 0051-A Trip Date: 03/11/09 0002-A Trip Date: 03/11/09 0004-A Trip Date: 03/11/09 0008-A Trip Date: 03/11/09 0030-A Trip Date: 03/12/09 0003-A Trip Date: 03/13/09 0001-A Trip Date: 03/13/09 0033-A Trip Date: 03/13/09 0037-A Trip Date: 03/14/09 0017-A Trip Date: 03/14/09 0023-A Trip Date: 03/14/09 0026-A Trip Date: 03/14/09 0029-A Trip Date: 03/14/09 0045-A Trip Date: 03/14/09 0047-A Deposit Date: 09/03/09 Deposit Date: 09/03/09 Deposit Date: 09/03/09 Deposit Date: 09/03/09 Deposit Date: 09/03/09 Deposit Date: 09/03/09 Deposit Date: 09/16/09 Deposit Date: 09/03/09 Deposit Date: 09/03/09 Deposit Date: 09/03/09 Deposit Date: 09/16/09 Deposit Date: 09/16/09 Deposit Date: 09/03/09 Deposit Date: 09/16/09 Deposit Date: 09/03/09 Deposit Date: 09/03/09 Deposit Date: 09/03/09 Deposit Date: 09/03/09 Deposit Date: 09/03/09 Deposit Date: 09/03/09 Deposit Date: 09/03/09 Deposit Date: 09/03/09 Deposit Date: 09/03/09 Deposit Date: 09/16/09 Deposit Date: 09/03/09 Deposit Date: 09/03/09 Deposit Date: 09/03/09 Deposit Date: 09/16/09 Deposit Date: 09/03/09 Deposit Date: 09/16/09 Deposit Date: 09/16/09 Deposit Date: 09/03/09 Deposit Date: 09/03/09 Deposit Date: 09/03/09 Deposit Date: 09/03/09 Deposit Date: 09/16/09 Deposit Date: 09/03/09 Deposit Date: 09/03/09 Deposit Date: 09/03/09 Deposit Date: 09/16/09 Deposit Date: 09/03/09 Deposit Date: 09/03/09 Deposit Date: 09/16/09 Deposit Date: 09/03/09 Deposit Date: 09/16/09 Deposit Date: 09/03/09 Deposit Date: 09/03/09 Deposit Date: 09/03/09 Deposit Date: 09/03/09 Deposit Date: 09/03/09 Deposit Date: 09/03/09 Deposit Date: 09/03/09 Deposit Date: 09/03/09 Deposit Date: 09/03/09 Deposit Date: 09/03/09 Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write-off Bad Debt Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write-off Bad Debt Write-off Bad Debt Write -Off First Party Rec Write-off Bad Debt Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write-off Bad Debt Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write-off Bad Debt Write -Off First Party Rec Write-off Bad Debt Write-off Bad Debt Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write-off Bad Debt Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write-off Bad Debt Write -Off First Party Rec Write -Off First Party Rec Write-off Bad Debt Write -Off First Party Rec Write-off Bad Debt Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec RescueNet^" Printed On: 12/15/2009 at 4:33:34PM \\ZOLL-BILL\RESCUENET\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 $ 1,900.00 $ 1,552.00 $ 1,554.00 $ 1,770.00 $ 1,904.00 $ 1,472.00 $ 1,481.58 $ 1,734.00 $ 1,436.00 $ 1,454.00 $ 203.86 $ 386.85 $ 1,572.00 $ 1,030.17 $ 1,554.00 $ 1,680.00 $ 1,418.00 $ 1,572.00 $ 1,436.00 $ 1,526.00 $ 1,536.00 $ 1,536.00 $ 1,986.00 $ 1,486.13 $ 1,454.00 $ 1,536.00 $ 1,572.00 $ 161.05 $ 1,536.00 $ 50.94 $ 1,987.86 $ 1,554.00 $ 1,554.00 $ 1,536.00 $ 1,626.00 $ 837.58 $ 1,572.00 $ 1,533.00 $ 1,354.00 $ 1,785.04 $ 1,552.00 $ 150.00 $ 1,546.61 $ 1,554.00 $ 161.79 $ 1,236.00 $ 1,734.00 $ 1,236.00 $ 1,554.00 $ 1,572.00 $ 1,508.00 $ 150.00 $ 1,436.00 $ 1,472.00 $ 1,518.00 Page 2 Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200909; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date: 03/15/09 0007-A Deposit Date: 09/03/09 Write -Off First Party Rec 1 $ 1,544.00 Trip Date: 03/15/09 0011-A Deposit Date: 09/16/09 Write-off Bad Debt 1 $ 1,497.63 Trip Date: 03/15/09 0013-A Deposit Date: 09/03/09 Write -Off First Party Rec 1 $ 1.436.00 Trip Date: 03/15/09 0014-A Deposit Date: 09/16/09 Write-off Bad Debt 1 $ 1,460.37 Trip Date: 03/15/09 0039-A Deposit Date: 09/03/09 Write -Off First Party Rec 1 $ 1,770 00 Trip Date: 03/15/09 0045-A Deposit Date: 09/03/09 Write -Off First Party Rec 1 $ 1,590.00 Trip Date: 03/15/09 0046-A Deposit Date: 09/03/09 Write -Off First Party Rec 1 $ 1,590.00 Trip Date: 03/15/09 0053-A Deposit Date: 09/03/09 Write -Off First Party Rec 1 $ 1,644.00 Trip Date: 03/16/09 0007-A Deposit Date: 09/16/09 Write-off Bad Debt 1 $ 72.50 Trip Date: 03/16/09 0008-A Deposit Date: 09/16/09 Write-off Bad Debt 1 $ 1,543.93 Trip Date: 03/16/09 0010-A Deposit Date: 09/03/09 Write -Off First Party Rec 1 $ 1,554.00 Trip Date: 03/16/09 0046-A Deposit Date: 09/16/09 Write-off Bad Debt 1 $ 1,454.33 Trip Date: 03/17/09 0002-A Deposit Date: 09/03/09 Write -Off First Party Rec 1 $ 1,536.00 Trip Date: 03/17/09 0017-A Deposit Date: 09/16/09 Write-off Bad Debt 1 $ 292.94 Trip Date: 03/17/09 0022-A Deposit Date: 09/16/09 Write-off Bad Debt 1 $ 1,294.43 Trip Date: 03/18/09 0006-A Deposit Date: 09/03/09 Write -Off First Party Rec 1 $ 1,918.00 Trip Date: 03/18/09 0018-A Deposit Date: 09/16/09 Write-off Bad Debt 1 $ 156.13 Trip Date: 03/18/09 0027-A Deposit Date: 09/03/09 Write -Off First Party Rec 1 $ 1,554.00 Trip Date: 03/18/09 0039-A Deposit Date: 09/03/09 Write -Off First Party Rec 1 $ 1,536.00 Trip Date: 03/18/09 0040-A Deposit Date: 09/16/09 Write-off Bad Debt 1 $ 1,602.52 Trip Date: 03/19/09 0018-A Deposit Date: 09/16/09 Write-off Bad Debt 1 $ 1,479.00 Trip Date: 03/19/09 0024-A Deposit Date: 09/03/09 Write -Off First Party Rec 1 $ 1,716.00 Trip Date: 03/19/09 0035-A Deposit Date: 09/16/09 Write-off Bad Debt 1 $ 1.727.19 Trip Date: 03/20/09 0003-A Deposit Date: 09/03/09 Write -Off First Party Rec 1 $ 1,698.00 Trip Date: 03/20/09 0006-A Deposit Date: 09/03/09 Write -Off First Party Rec 1 $ 1,590.00 Trip Date: 03/20/09 0018-A Deposit Date: 09/03/09 Write -Off First Party Rec 1 $ 1,236.00 Trip Date: 03/20/09 0021-A Deposit Date: 09/03/09 Write -Off First Party Rec 1 $ 1.536.00 Trip Date: 03/20/09 0027-A Deposit Date: 09/16/09 Write-off Bad Debt 1 $ 1.499.91 Trip Date: 03/21/09 0009-A Deposit Date: 09/03/09 Write -Off First Party Rec 1 S 1.408.00 Trip Date: 03/21/09 0020-A Deposit Date: 09/03/09 Write -Off First Party Rec 1 S 1,536.00 Trip Date: 03/21/09 0028-A Deposit Date: 09/03/09 Write -Off First Party Rec 1 S 1,418.00 Trip Date: 03/21/09 0030-A Deposit Date: 09/16/09 Write-off Bad Debt 1 S 1,584.16 Trip Date: 03/22/09 0002-A Deposit Date: 09/03/09 Write -Off First Party Rec 1 S 1,418.00 Trip Date: 03/22/09 0027-A Deposit Date: 09/03/09 Write -Off First Party Rec 1 $ 1.904.00 Trip Date: 03/23/09 0008-A Deposit Date: 09/03/09 Write -Off First Party Rec 1 $ 1,500.00 Trip Date: 03/23/09 0034-A Deposit Date: 09/16/09 Write-off Bad Debt 1 $ 1,582.80 Trip Date: 03/24/09 0002-A Deposit Date: 09/03/09 Write -Off First Party Rec 1 $ 1,536.00 Trip Date: 03/24/09 0013-A Deposit Date: 09/03/09 Write -Off First Party Rec 1 $ 1,652.00 Trip Date: 03/25/09 0002-A Deposit Date: 09/03/09 Write -Off First Party Rec 1 $ 150.00 Trip Date: 03/25/09 0012-A Deposit Date: 09/16/09 Write-off Bad Debt 1 $ 1,425.13 Trip Date: 03/25/09 0029-A Deposit Date: 09/03/09 Write -Off First Party Rec 1 $ 1,572.00 Trip Date: 03/25/09 0036-A Deposit Date: 09/03/09 Write -Off First Party Rec 1 $ 1,372.00 Trip Date: 03/26/09 0003-A Deposit Date: 09/03/09 Write -Off First Party Rec 1 $ 1,490.00 Trip Date: 03/26/09 0029-A Deposit Date: 09/03/09 Write -Off First Party Rec 1 $ 1,608.00 Trip Date: 03/26/09 0030-A Deposit Date: 09/03/09 Write -Off First Party Rec 1 $ 1,608.00 Trip Date: 03/26/09 0031-A Deposit Date: 09/03/09 Write -Off First Party Rec 1 $ 1,608.00 Trip Date: 03/26/09 0032-A Deposit Date: 09/03/09 Write -Off First Party Rec 1 $ 1,608.00 Trip Date: 03/26/09 0061-A Deposit Date: 09/03/09 Write -Off First Party Rec 1 $ 1,572.00 Trip Date: 03/26/09 0065-A Deposit Date: 09/03/09 Write -Off First Party Rec 1 $ 2,696.00 Trip Date: 03/27/09 0037-A Deposit Date: 09/03/09 Write -Off First Party Rec 1 $ 1,254.00 Trip Date: 03/27/09 0044-A Deposit Date: 09/03/09 Write -Off First Party Rec 1 $ 1,418.00 Trip Date: 03/27/09 0056-A Deposit Date: 09/03/09 Write -Off First Party Rec 1 $ 1,436.00 Trip Date: 03/28/09 0023-A Deposit Date: 09/03/09 Write -Off First Party Rec 1 $ 1,554.00 Trip Date: 03/29/09 0007-A Deposit Date: 09/16/09 Write-off Bad Debt 1 $ 1,522.13 Trip Date: 03/29/09 0008-A Deposit Date: 09/03/09 Write -Off First Party Rec 1 $ 1,218.00 RescueNetTM Printed On: 12/15/2009 at 4:33:34PM Page 3 \\ZOLL-BILL\RESCUENET\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200909; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date: 03/30/09 0032-A Trip Date: 03/31/09 0004-A Trip Date: 03/31/09 0006-A Trip Date: 03/31/09 0018-A Trip Date: 03/31/09 0029-A Trip Date: 04/01/09 0005-A Trip Date: 04/03/09 0008-A Trip Date: 04/06/09 0034-A Trip Date: 04/09/09 0003-A Trip Date: 04/10/09 0003-A Trip Date: 04/16/09 0007-A Trip Date: 04/21/09 0025-A Trip Date: 04/24/09 0021-A Trip Date: 04/25/09 0040-A Trip Date: 04/26/09 0014-A Trip Date: 05/02/09 0012-A Trip Date: 05/07/09 0024-A Trip Date: 05/21/09 0011-A Trip Date: 05/22/09 0041-A Trip Date: 06/05/09 0007-A Trip Date: 06/07/09 0038-A Trip Date: 06/12/09 0032-A Trip Date: 06/17/09 0022-A Trip Date: 06/19/09 0012-A Trip Date: 07/10/09 0016-A Trip Date: 08/01/09 0019-A Trip Date: 08/04/09 0032-A Trip Date: 08/08/09 0037-A Trip Date: 08/11/09 0035-A Trip Date: 08/15/09 0004-A Trip Date: 08/17/09 0001-A Trip Date: 08/17/09 0037-A Trip Date 08/18/09 0028-A Trip Date: 08/18/09 0031-A Trip Date: 08/19/09 0022-A Trip Date: 08/20/09 0004-A Trip Date: 08/22/09 0038-A Trip Date: 08/29/09 0041-A Trip Date: 08/31/09 0008-A Trip Date: 08/31/09 0017-A Trip Date: 09/01/09 0035-A Trip Date: 09/04/09 0015-A Trip Date: 09/08/09 0025-A Totals For Type Totals For Bill Patient Company Totals Deposit Dale: 09/16/09 Write-off Bad Debt Deposit Date: 09/16/09 Write-off Bad Debt Deposit Date: 09/03/09 Write -Off First Party Rec Deposit Date: 09/03/09 Write -Off First Party Rec Deposit Date: 09/03/09 Write -Off First Party Rec Deposit Date: 09/03/09 Write -Off First Party Rec Deposit Date: 09/16/09 Write-off Bad Debt Deposit Date. 09/16/09 Write-off Bad Debt Deposit Date: 09/16/09 Write-off Bad Debt Deposit Date: 09/16/09 Write-off Bad Debt Deposit Date: 09/03/09 Write -Off First Party Rec Deposit Date: 09/03/09 Write -Off First Party Rec Deposit Date: 09/16/09 Write-off Bad Debt Deposit Date: 09/16/09 Write-off Bad Debt Deposit Date: 09/16/09 Write-off Bad Debt Deposit Date: 09/16/09 Write-off Bad Debt Deposit Date: 09/16/09 Write-off Bad Debt Deposit Date: 09/16/09 Write-off Bad Debt Deposit Date: 09/16/09 Write-off Bad Debt Deposit Date: 09/16/09 Write-off Bad Debt Deposit Date: 09/16/09 Write-off Bad Debt Deposit Date: 09/16/09 Write-off Bad Debt Deposit Date: 09/16/09 Write-off Bad Debt Deposit Date: 09/16/09 Write-off Bad Debt Deposit Date: 09/16/09 Write-off Bad Debt Deposit Date: 09/16/09 Write-off Bad Debt Deposit Date: 09/16/09 Write-off Bad Debt Deposit Date: 09/16/09 Write-off Bad Debt Deposit Date: 09/16/09 Write-off Bad Debt Deposit Date: 09/16/09 Write-off Bad Debt Deposit Date: 09/16/09 Write-off Bad Debt Deposit Date. 09/16/09 Write-off Bad Debt Deposit Date. 09/16/09 Write-off Bad Debt Deposit Date: 09/16/09 Write-off Bad Debt Deposit Date: 09/16/09 Write-off Bad Debt Deposit Date: 09/16/09 Write-off Bad Debt Deposit Date: 09/16/09 Write-off Bad Debt Deposit Date: 09/16/09 Write-off Bad Debt Deposit Date: 09/16/09 Write-off Bad Debt Deposit Date: 09/16/09 Write-off Bad Debt Deposit Date. 09/16/09 Write-off Bad Debt Deposit Date: 09/16/09 Write-off Bad Debt Deposit Date: 09/16/09 Write-off Bad Debt 1 $ 1,544.43 1 $ 1,631.00 1 $ 1,554.00 1 $ 1,634.00 1 $ 1,536.00 1 $ 1,572.00 1 $ 1,562.06 1 $ 1,072.78 1 $ 434.76 1 $ 1,596.23 1 $ 2,004.00 1 $ 1,572.00 1 $ 101.42 1 $ 101.44 1 $ 50.00 1 $ 1,572.79 1 $ 106.53 1 $ 157.20 1 $ 84.18 1 $ 72.49 1 $ 72.49 1 $ 1,536.00 1 $ 1,572.00 1 $ 1,372.00 1 $ 1,572.00 1 $ 49.09 1 $ 1,236.00 1 $ 1,436.00 1 $ 1,372.00 1 $ 1,554.00 1 $ 1,236.00 1 $ 1,372.00 1 $ 1,236.00 1 $ 1,572.00 1 $ 1,236.00 1 $ 1,236.00 1 $ 1,572.00 1 $ 1,336.00 1 $ 1,390.00 1 $ 1,272.00 1 $ 1,516.00 1 $ 1,254.00 1 $ 1,254.00 205 $ 256,186.24 205 $ 256,186.24 205 I $ 256,186.24 RescueNetTA° Printed On: 12/15/2009 at 4.33:34PM \\ZOLL-BILLIRESCUENETIREPORTS321BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Page 4 Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200909; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec Totals 205 I $ 256,186.24 RescueNetTM Printed On: 12/15/2009 at 4:33:34PM \\ZOLL-BILL\RESCUENET\REPORTS32\BILLING \ CREDITS \CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Page 5 Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200910; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Payor Bill Patient Payor/Credit Type/Credit Code Count Dollars Writeoffs Trip Date: 05/03/06 0007-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 173.62 Trip Date: 11/11/06 0002-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 687.97 Trip Date: 05/08/08 0040-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 276.39 Trip Date: 06/01/08 0025-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 674.56 Trip Date: 06/30/08 0019-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 1,401.12 Trip Date: 07/30/08 0019-A Deposit Date: 10/28/09 Write-off Bad Debt 1 $94 93.821 Trip Date: 10/02/08 0045-A Deposit Date: 10/28/09 Write-off Bad Debt 1 $ 98.04 Trip Date: 10/17/08 0040-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,781 75 Trip Date: 10/20/08 0037-A Deposit Date: 10/28/09 Write-off Bad Debt 1 $ 55.76 Trip Date: 10/28/08 0009-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 1,040.87 Trip Date: 12/19/08 0023-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 1,612.84 Trip Date: 12/19/08 0050-A Deposit Date: 10/28/09 Write-off Bad Debt 1 $ 480.54 Trip Date: 01/02/09 0038-A Deposit Date: 10/08/09 Write-off Bad Debt . 1 $ 335.77 Trip Date: 01/15/09 0022-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 407.71 Trip Date: 01/18/09 0032-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,354.94 Trip Date: 01/21/09 0022-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,786.00 Trip Date: 01/22/09 0008-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 30.49 Trip Date: 01/22/09 0035-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 1,746.19 Trip Date: 01/27/09 0015-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 1,508.67 Trip Date: 01/28/09 0034-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 1,476.42 Trip Date: 02/01/09 0001-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 1,483.81 Trip Date: 02/04/09 0028-A Deposit Date: 10/28/09 Write-off Bad Debt 1 $ 93.82 Trip Date: 02/19/09 0025-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,436.00 Trip Date: 02/19/09 0036-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 1,361.04 Trip Date: 02/21/09 0017-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,236.00 Trip Date: 02/22/09 0001-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 1,934.78 Trip Date: 02/24/09 0020-A Deposit Date: 10/28/09 Write-off Bad Debt 1 $ 1,579.56 Trip Date: 02/26/09 0025-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,788.00 Trip Date: 02/27/09 0023-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 1,104.42 Trip Date: 03/01/09 0008-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,236.00 Trip Date: 03/01/09 0017-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 186.77 Trip Date: 03/04/09 0020-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 305.07 Trip Date: 03/05/09 0028-A Deposit Date: 10/28/09 Write-off Bad Debt 1 $ 50.00 Trip Date: 03/06/09 0007-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 1,247.38 Trip Date: 03/08/09 0019-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 105.18 Trip Date: 03/09/09 0018-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 1,080.22 Trip Date: 03/10/09 0027-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 47.24 Trip Date: 03/11/09 0010-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 8.2 Trip Date: 03/11/09 0033-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $78622 4. 2 Trip Date: 03/12/09 0002-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 101.77 Trip Date: 03/12/09 0004-A Deposit Date: 10/28/09 Write-off Bad Debt 1 $ 1,933.87 Trip Date: 03/13/09 0004-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 8.12 Trip Date: 03/13/09 0026-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,418.63 Trip Date: 03/14/09 0030-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 169.05 Trip Date: 03/16/09 0003-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 50.87 Trip Date: 03/16/09 0022-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 209.39 Trip Date: 03/17/09 0009-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 393.88 Trip Date: 03/17/09 0023-A Deposit Date: 10/28/09 Write-off Bad Debt 1 $ 72.57 Trip Date: 03/18/09 0020-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 50.84 Trip Date: 03/18/09 0030-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 371.30 RescueNetTM Printed On: 12/15/2009 at 4:34:03PM Page 1 \\ZOLL-BILL\RESCUENET\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200910; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date: 03/19/09 0015-A Deposit Date: 10/28/09 Write-off Bad Debt 1 $ 1,729.82 Trip Date: 03/20/09 0002-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 149.91 Trip Date: 03/21/09 0010-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 944.08 Trip Date: 03/23/09 0031-A Deposit Date: 10/28/09 Write-off Bad Debt 1 $ 1,131.59 Trip Date: 03/23/09 0041-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 85.60 Trip Date: 03/24/09 0019-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 107.53 Trip Date: 03/25/09 0030-A Deposit Date: 10/28/09 Write-off Bad Debt 1 . $ 88.54 Trip Date: 03/26/09 0010-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 1,256.96 Trip Date: 03/26/09 0051-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 1,548.14 Trip Date: 03/26/09 0066-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 101.69 Trip Date: 03/27/09 0002-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,454.00 Trip Date: 03/27/09 0027-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 1,518.59 Trip Date: 03/27/09 0050-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 152.72 Trip Date: 03/28/09 0005-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 101.77 Trip Date: 03/28/09 0031-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,476.00 Trip Date: 03/29/09 0004-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 313.08 Trip Date: 03/31/09 0017-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 74.18 Trip Date: 04/01/09 0006-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,272.00 Trip Date: 04/01/09 0023-A Deposit Date: 10/28/09 Write-off Bad Debt 1 $ 156.46 Trip Date: 04/01/09 0024-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,343.00 Trip Date: 04/01/09 0029-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,554.00 Trip Date: 04/02/09 0004-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 336.63 Trip Date: 04/02/09 0012-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 1,691.30 Trip Date: 04/03/09 0002-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,608.00 Trip Date: 04/03/09 0004-A Deposit Date: 10/28/09 Write-off Bad Debt 1 $ 882.40 Trip Date: 04/03/09 0016-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1.554.00 Trip Date: 04/03/09 0020-A Deposit Date: 10/28/09 Write-off Bad Debt 1 S 83.20 Trip Date: 04/03/09 0034-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1.436.00 Trip Date: 04/04/09 0002-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1.436.00 Trip Date: 04/04/09 0007-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,536 00 Trip Date: 04/04/09 0009-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,418.00 Trip Date: 04/04/09 0024-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 320.28 Trip Date: 04/04/09 0027-A Deposit Date: 10/08/09 Write-off Bad Debt 1 S 1,621.57 Trip Date: 04/04/09 0060-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1.354.00 Trip Date: 04/04/09 0063-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 166 18 Trip Date: 04/04/09 0069-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 1.601.48 Trip Date: 04/04/09 0070-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 1,601.48 Trip Date: 04/04/09 0071-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 1.601.48 Trip Date: 04/05/09 0001-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1.796.00 Trip Date: 04/05/09 0007-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1.418.00 Trip Date: 04/05/09 0011-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 549.11 Trip Date: 04/05/09 0016-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,390.00 Trip Date: 04/05/09 0017-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,318.00 Trip Date: 04/05/09 0018-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,318.00 Trip Date: 04/05/09 0024-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,734.00 Trip Date: 04/05/09 0026-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,554.00 Trip Date: 04/05/09 0027-A Deposit Date: 10/28/09 Write-off Bad Debt 1 $ 98.41 Trip Date: 04/05/09 0031-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,254.00 Trip Date: 04/05/09 0036-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 91.24 Trip Date: 04/05/09 0038-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,354.00 Trip Date: 04/06/09 0006-A Deposit Date: 10/28/09 Write-off Bad Debt 1 $ 323.46 Trip Date: 04/06/09 0029-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,780.00 Trip Date: 04/06/09 0030-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,554.00 Trip Date: 04/06/09 0042-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,536.00 Trip Date: 04/06/09 0045-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,416.00 RescueNet'M Printed On: 12/15/2009 at 4:34:03PM \\ZOLL-BILL\RESCUENET\REPORTS32\BILLING \ CREDITS \CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Page 2 Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200910; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date: 04/07/09 0006-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,436.00 Trip Date: 04/07/09 0012-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,336.00 Trip Date: 04/07/09 0014-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 1,331.06 Trip Date: 04/07/09 0029-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,436.00 Trip Date: 04/08/09 0007-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 89.85 Trip Date: 04/08/09 0009-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,734.00 Trip Date: 04/08/09 0010-A Deposit Date: 10/28/09 Write-off Bad Debt 1 $ 425.44 Trip Date: 04/08/09 0018-A Deposit Date: 10/28/09 Write-off Bad Debt 1 $ 858.84 Trip Date: 04/08/09 0033-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,454.00 Trip Date: 04/08/09 0038-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,236.00 Trip Date: 04/08/09 0041-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,436.00 Trip Date: 04/09/09 0007-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,572.00 Trip Date: 04/09/09 0027-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,436.00 Trip Date: 04/10/09 0001-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,734.00 Trip Date: 04/10/09 0002-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,454.00 Trip Date: 04/10/09 0006-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 152.89 Trip Date: 04/10/09 0010-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 152.89 Trip Date: 04/10/09 0011-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,236.00 Trip Date: 04/10/09 0020-A Deposit Date: 10/28/09 Write-off Bad Debt 1 $ 356.78 Trip Date: 04/10/09 0023-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 1,596.41 Trip Date: 04/10/09 0024-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,626.00 Trip Date: 04/10/09 0036-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,644.00 Trip Date: 04/11/09 0001-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,436.00 Trip Date: 04/11/09 0002-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,518.00 Trip Date: 04/11/09 0006-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,336.00 Trip Date: 04/11/09 0023-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,454 00 Trip Date: 04/12/09 0003-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,518.00 Trip Date: 04/12/09 0005-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,472.00 Trip Date: 04/12/09 0020-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,626.00 Trip Date: 04/12/09 0036-A Deposit Date: 10/28/09 Write-off Bad Debt 1 $ 76.31 Trip Date: 04/12/09 0037-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 1,701.49 Trip Date: 04/13/09 0033-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,554.00 Trip Date: 04/13/09 0039-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1.878.00 Trip Date: 04/13/09 0041-A Deposit Date. 10/05/09 Write -Off First Party Rec 1 $ 1,436.00 Trip Date: 04/14/09 0003-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,372.00 Trip Date: 04/14/09 0024-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,218.00 Trip Date: 04/14/09 0030-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,536.00 Trip Date: 04/14/09 0032-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 1,598-68 Trip Date: 04/14/09 0033-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,590.00 Trip Date: 04/14/09 0035-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 1,583.47 Trip Date: 04/15/09 0003-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,572.00 Trip Date: 04/15/09 0005-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,372.00 Trip Date: 04/15/09 0017-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 534.00 Trip Date: 04/15/09 0026-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 1,256.97 Trip Date: 04/15/09 0027-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,336.00 Trip Date: 04/15/09 0031-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,518.00 Trip Date: 04/15/09 0037-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,336.00 Trip Date: 04/16/09 0013-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 1,675.54 Trip Date: 04/16/09 0016-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 386.09 Trip Date: 04/16/09 0020-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,472.00 Trip Date: 04/16/09 0031-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,752.00 Trip Date: 04/16/09 0046-A Deposit Date: 10/28/09 Write-off Bad Debt 1 $ 1,362.52 Trip Date: 04/17/09 0002-A Deposit Date: 10/28/09 Write-off Bad Debt 1 $ 213.13 Trip Date: 04/17/09 0006-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,454.00 Trip Date: 04/17/09 0016-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,572.00 RescueNetTM Printed On: 12/15/2009 at 4:34:03PM Page 3 \\ZOLL-BILL\RESCUENET\REPORTS32\BILLING \CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200910; AND Company IS WELD COUNTY PARAMEDIC SERVICES, AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date: 04/17/09 0039-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 2,426.00 Trip Date: 04/17/09 0043-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,454.00 Trip Date: 04/17/09 0047-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,490.00 Trip Date: 04/18/09 0001-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,580.00 Trip Date: 04/18/09 0003-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,652.00 Trip Date: 04/18/09 0006-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 2,732.00 Trip Date: 04/18/09 0011-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 150.00 Trip Date: 04/18/09 0018-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,272.00 Trip Date: 04/18/09 0034-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,436.00 Trip Date: 04/19/09 0003-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,734.00 Trip Date: 04/19/09 0012-A Deposit Date: 10/28/09 Write-off Bad Debt 1 $ 1,581.75 Trip Date: 04/19/09 0016-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,536.00 Trip Date: 04/19/09 0019-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,454.00 Trip Date: 04/19/09 0023-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 310.80 Trip Date: 04/19/09 0025-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,554.00 Trip Date: 04/19/09 0029-A Deposit Date: 10/28/09 Write-off Bad Debt 1 $ 1,672.78 Trip Date: 04/19/09 0030-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 88.46 Trip Date: 04/19/09 0034-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,436.00 Trip Date: 04/20/09 0007-A Deposit Date: 10/28/09 Write-off Bad Debt 1 $ 1,495.59 Trip Date: 04/20/09 0026-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 398.37 Trip Date: 04/20/09 0029-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,572.00 Trip Date: 04/20/09 0039-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,536.00 Trip Date: 04/21/09 0002-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,472.00 Trip Date: 04/21/09 0005-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,788.00 Trip Date: 04/21/09 0009-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,454.00 Trip Date: 04/21/09 0013-A Deposit Date: 10/28/09 Write-off Bad Debt 1 $ 1,580.89 Trip Date: 04/21/09 0015-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 669.00 Trip Date: 04/22/09 0003-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,536.00 Trip Date: 04/22/09 0007-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,536.00 Trip Date: 04/22/09 0017-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,590.00 Trip Date: 04/22/09 0040-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,472.00 Trip Date: 04/23/09 0002-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,590.00 Trip Date: 04/23/09 0004-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,608.00 Trip Date: 04/23/09 0006-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 1,255.87 Trip Date: 04/23/09 0015-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,236.00 Trip Date: 04/23/09 0024-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,536.00 Trip Date: 04/23/09 0029-A Deposit Date: 10/28/09 Write-off Bad Debt 1 $ 174.80 Trip Date: 04/24/09 0003-A Deposit Date: 10/28/09 Write-off Bad Debt 1 $ 316.14 Trip Date: 04/24/09 0023-A Deposit Date: 10/28/09 Write-off Bad Debt 1 $ 20.33 Trip Date: 04/24/09 0025-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,508.00 Trip Date: 04/24/09 0027-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,698.00 Trip Date: 04/24/09 0030-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,572.00 Trip Date: 04/25/09 0002-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,554.00 Trip Date: 04/25/09 0006-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,454.00 Trip Date: 04/25/09 0014-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 150.00 Trip Date: 04/25/09 0028-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 152.75 Trip Date: 04/25/09 0029-A Deposit Date: 10/28/09 Write-off Bad Debt 1 $ 828.22 Trip Date: 04/25/09 0032-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,708.00 Trip Date: 04/26/09 0008-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,454.00 Trip Date: 04/26/09 0016-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,536.00 Trip Date: 04/26/09 0020-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,698.00 Trip Date: 04/26/09 0026-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,644.00 Trip Date: 04/26/09 0029-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,518.00 Trip Date: 04/26/09 0037-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,218.00 Trip Date: 04/27/09 0009-A Deposit Date: 10/05/09 Write -Off First Party Rec 1 $ 1,900.00 RescueNetTM Printed On: 12/15/2009 at 4:34:03PM \\ZOLL-BILL\RESCUENET\REPORTS32\BILLING \CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Page 4 Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200910; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date: 04/27/09 0018-A Deposit Date: 10/05/09 Write -Off First Party Rec Trip Date: 04/27/09 0027-A Deposit Date: 10/28/09 Write-off Bad Debt Trip Date: 04/27/09 0035-A Deposit Date: 10/28/09 Write-off Bad Debt Trip Date: 04/27/09 0038-A Deposit Date: 10/05/09 Write -Off First Party Rec Trip Date: 04/27/09 0042-A Deposit Date: 10/28/09 Write-off Bad Debt Trip Date: 04/27/09 0044-A Deposit Date: 10/05/09 Write -Off First Party Rec Trip Date: 04/28/09 0001-A Deposit Date: 10/28/09 Write-off Bad Debt Trip Date: 04/28/09 0015-A Deposit Date: 10/05/09 Write -Off First Party Rec Trip Date: 04/28/09 0021-A Deposit Date: 10/28/09 Write-off Bad Debt Trip Date: 04/29/09 0001-A Deposit Date: 10/05/09 Write -Off First Party Rec Trip Date: 04/29/09 0021-A Deposit Date: 10/08/09 Write-off Bad Debt Trip Date: 04/29/09 0033-A Deposit Date: 10/05/09 Write -Off First Party Rec Trip Date: 04/29/09 0034-A Deposit Date: 10/08/09 Write-off Bad Debt Trip Date: 04/30/09 0009-A Deposit Date: 10/05/09 Write -Off First Party Rec Trip Date: 04/30/09 0014-A Deposit Date: 10/28/09 Write-off Bad Debt Trip Date: 04/30/09 0030-A Deposit Date: 10/05/09 Write -Off First Party Rec Trip Date: 04/30/09 0047-A Deposit Date: 10/28/09 Write-off Bad Debt Trip Date: 05/01/09 0001-A Deposit Date: 10/05/09 Write -Off First Party Rec Trip Date: 05/01/09 0003-A Deposit Date: 10/05/09 Write -Off First Party Rec Trip Date: 05/01/09 0009-A Deposit Date: 10/05/09 Write -Off First Party Rec Trip Date: 05/01/09 0012-A Deposit Date: 10/28/09 Write-off Bad Debt Trip Date: 05/01/09 0013-A Deposit Date: 10/28/09 Write-off Bad Debt Trip Date: 05/01/09 0015-A Deposit Date: 10/05/09 Write -Off First Party Rec Trip Date: 05/01/09 0019-A Deposit Date 10/05/09 Write -Off First Party Rec Trip Date: 05/03/09 0010-A Deposit Date: 10/05/09 Write -Off First Party Rec Trip Date: 05/03/09 0033-A Deposit Date: 10/05/09 Write -Off First Party Rec Trip Date: 05/06/09 0014-A Deposit Date: 10/28/09 Write-off Bad Debt Trip Date: 05/06/09 0030-A Deposit Date: 10/05/09 Write -Off First Party Rec Trip Date: 05/07/09 0030-A Deposit Date 10/05/09 Write-off Bad Debt Trip Date: 05/08/09 0007-A Deposit Date: 10/28/09 Write-off Bad Debt Trip Date: 05/08/09 0024-A Deposit Date: 10/05/09 Write -Off First Party Rec Trip Date: 05/10/09 0039-A Deposit Date: 10/05/09 Write-off Bad Debt Trip Date. 05/16/09 0017-A Deposit Date: 10/05/09 Write-off Bad Debt Trip Date: 05/26/09 0010-A Deposit Date: 10/28/09 Write-off Bad Debt Trip Date: 06/09/09 0032-A Deposit Date: 10/05/09 Write-off Bad Debt Trip Date: 06/10/09 0044-A Deposit Date: 10/08/09 Write-off Bad Debt Trip Date: 06/15/09 0020-A Deposit Date: 10/28/09 Write-off Bad Debt Trip Date: 06/25/09 0042-A Deposit Date: 10/28/09 Write-off Bad Debt Trip Date: 07/04/09 0036-A Deposit Date: 10/28/09 Write-off Bad Debt Trip Date: 07/08/09 0004-A Deposit Date: 10/05/09 Write-off Bad Debt Trip Date: 07/13/09 0035-A Deposit Date: 10/28/09 Write-off Bad Debt Trip Date: 07/15/09 0012-A Deposit Date: 10/05/09 Write-off Bad Debt Trip Date: 07/15/09 0015-A Deposit Date: 10/05/09 Write-off Bad Debt Trip Date: 08/06/09 0011-A Deposit Date: 10/08/09 Write-off Bad Debt Trip Date: 08/09/09 0044-A Deposit Date: 10/05/09 Write-off Bad Debt Trip Date: 08/12/09 0041-A Deposit Date: 10/05/09 Write-off Bad Debt Trip Date: 08/30/09 0002-A Deposit Date: 10/05/09 Write-off Bad Debt Trip Date: 09/02/09 0019-A Deposit Date: 10/05/09 Write-off Bad Debt Trip Date: 09/03/09 0043-A Deposit Date: 10/28/09 Write-off Bad Debt Trip Date: 09/04/09 0053-A Deposit Date: 10/05/09 Write-off Bad Debt Trip Date: 09/07/09 0017-A Deposit Date: 10/05/09 Write-off Bad Debt Trip Date: 09/07/09 0025-A Deposit Date: 10/28/09 Write-off Bad Debt Trip Date: 09/08/09 0018-A Deposit Date: 10/05/09 Write-off Bad Debt Trip Date: 09/09/09 0021-A Deposit Date: 10/05/09 Write-off Bad Debt Trip Date: 09/10/09 0013-A Deposit Date: 10/05/09 Write-off Bad Debt 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 $ 1,536.00 $ 1,873.67 $ 303.14 $ 1,608.00 $ 1,603.22 $ 1,336.00 $ 1,801.61 $ 930.00 $ 1,810.61 $ 1,724.00 $ 1,035.37 $ 1,572.00 $ 1,515.62 $ 1,518.00 $ 1,315.04 $ 1,472.00 $ 1,599.37 $ 1,752.00 $ 1,626.00 $ 1,554.00 $ 1,460.99 $ 1,526.06 $ 1,454.00 $ 1,518.00 $ 1,436.00 $ 1,474.38 $ 98.47 $ 1,590.00 $ 1,549.46 $ 152.59 $ 1,536.00 $ 1,682.24 $ 1,589.97 $ 152.44 $ 1,788.00 $ 1,572.00 $ 1,455.91 $ 94.37 $ 88.31 $ 86.93 $ 1,536.00 $ 85.56 $ 43.59 $ 100.00 $ 1,590.00 $ 772.00 $ 1,236.00 $ 1,372.00 $ 150.00 $ 1,536.00 $ 1,472.00 $ 75.00 $ 1,472.00 $ 1,436.00 $ 1,518.00 RescueNetTM Printed On: 12/15/2009 at 4:34:03PM \\ZOLL-BILL\RESCUENET\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Page 5 Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200910; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date: 09/12/09 0015-A Deposit Date: 10/05/09 Write-off Bad Debt 1 $ 1,536.00 Trip Date: 09/14/09 0001-A Deposit Date: 10/05/09 Write-off Bad Debt 1 $ 1,572.00 Trip Date: 09/15/09 0009-A Deposit Date: 10/05/09 Write-off Bad Debt 1 $ 1,536.00 Trip Date: 09/16/09 0031-A Deposit Date: 10/05/09 Write-off Bad Debt 1 $ 1,536 00 Trip Date: 09/17/09 0019-A Deposit Date: 10/05/09 Write-off Bad Debt 1 $ 1,218.00 Trip Date: 09/17/09 0028-A Deposit Date: 10/05/09 Write-off Bad Debt 1 $ 1,372.00 Trip Date: 09/20/09 0029-A Deposit Date: 10/05/09 Write-off Bad Debt 1 $ 1,318.00 Trip Date: 09/23/09 0001-A Deposit Date: 10/28/09 Write-off Bad Debt 1 $ 1,372.00 Trip Date: 09/23/09 0027-A Deposit Date: 10/28/09 Write-off Bad Debt 1 $ 75.24 Trip Date: 09/23/09 0034-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 1,354.00 Trip Date: 09/24/09 0019-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 1.490.00 Trip Date: 09/25/09 0026-A Deposit Date: 10/05/09 Write-off Bad Debt 1 $ 2,040.00 Trip Date: 09/25/09 0040-A Deposit Date: 10/28/09 Write-off Bad Debt 1$ 49.09 Trip Date: 09/26/09 0016-A Deposit Date: 10/28/09 Write-off Bad Debt 1 $ 1,092.00 Trip Date: 09/26/09 0026-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 1,272.00 Trip Date: 09/26/09 0027-A Deposit Date: 10/28/09 Write-off Bad Debt 1 $ 1,554.00 Trip Date: 09/30/09 0046-A Deposit Date: 10/28/09 Write-off Bad Debt 1 $ 1,372.00 Trip Date: 10/02/09 0007-A Deposit Date: 10/28/09 Write-off Bad Debt 1 $ 1,572.00 Trip Date: 10/02/09 0031-A Deposit Date: 10/28/09 Write-off Bad Debt 1 $ 1,372.00 Trip Date: 10/03/09 0029-A Deposit Date: 10/08/09 Write-off Bad Debt 1 $ 1,236.00 Trip Date: 10/04/09 0032-A Deposit Date: 10/28/09 Write-off Bad Debt 1 $ 1.416.00 Trip Date: 10/05/09 0025-A Deposit Date: 10/28/09 Write-off Bad Debt 1 $ 1.704.00 Trip Date: 10/05/09 0034-A Deposit Date: 10/28/09 Write-off Bad Debt 1 $ 1,572.00 Trip Date: 10/06/09 0026-A Deposit Date: 10/28/09 Write-off Bad Debt 1 $ 1,536.00 Trip Date: 10/07/09 0021-A Deposit Date: 10/28/09 Write-off Bad Debt 1 $ 1,572.00 Trip Date: 10/07/09 0022-A Deposit Date: 10/28/09 Write-off Bad Debt 1 $ 804.00 Trip Date: 10/07/09 0024-A Deposit Date: 10/28/09 Write-off Bad Debt 1 S 1,336.00 Trip Date: 10/09/09 0048-A Deposit Date: 10/28/09 Write-off Bad Debt 1S 1.272.00 Trip Date: 10/10/09 0037-A Deposit Date: 10/28/09 Write-off Bad Debt 1 $ 1,354 00 Trip Date: 10/10/09 0063-A 'Deposit Date: 10/28/09 Write-off Bad Debt 1 $ 1,572.00 Trip Date: 1.0/12/09 0038-A Deposit Date: 10/28/09 Write-off Bad Debt 1 $ 1,572.00 Trip Date: 10/13/09 0045-A Deposit Date: 10/28/09 Write-off Bad Debt 1 S 1.390.00 Trip Date: 10/20/09 0016-A Deposit Date: 10/28/09 Write-off Bad Debt 1 S 1,236.00 Totals For Type Totals For Bill Patient Company Totals 303 $ 350,229.93 303 $ 350,229.93 303 i $ 350,229.93 RescueNetTM Printed On: 12/15/2009 at 4:34:03PM \\ZOLL-BILL\RESCUENET\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Page 6 Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200910; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec Totals 303 1 $ 350,229.93 RescueNetTM Printed On: 12/15/2009 at 4:34:03PM 11ZOLL-BILLIRESCUENETIREPORTS321BILLING\CREDITSICREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Page 7 Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200911; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Payor Bill Patient Pavor/Credit TvpelCredit Code Writeoffs Trip Date: 10/06/07 0033-A Deposit Date: 11/09/09 Trip Date: 10/09/07 0021-A Deposit Date: 11/04/09 Trip Date: 02/02/08 0036-A Deposit Date: 11/09/09 Trip Date: 03/06/08 0007-A Deposit Date: 11/09/09 Trip Date: 08/16/08 0003-A Deposit Date: 11/09/09 Trip Date: 08/30/08 0030-A Deposit Date: 11/09/09 Trip Date: 09/25/08 0014-A Deposit Date: 11/25/09 Trip Date: 09/30/08 0042-A Deposit Date: 11/09/09 Trip Date: 12/30/08 0021-A Deposit Date: 11/09/09 Trip Date: 12/30/08 0032-A Deposit Date: 11/09/09 Trip Date: 01/05/09 0002-A Deposit Date: 11/09/09 Trip Date: 01/05/09 0006-A Deposit Date: 11/09/09 Trip Date: 01/05/09 0034-A Deposit Date: 11/09/09 Trip Date: 01/07/09 0028-A Deposit Date: 11/09/09 Trip Date: 01/07/09 0039-A Deposit Date: 11/09/09 Trip Date: 01/12/09 0057-A Deposit Date: 11/09/09 Trip Date: 01/23/09 0041-A Deposit Date: 11/09/09 Trip Date: 02/19/09 0028-A Deposit Date: 11/09/09 Trip Date: 02/22/09 0004-A Deposit Date: 11/25/09 Trip Date: 02/27/09 0051-A Deposit Date: 11/09/09 Trip Date: 02/28/09 0007-A Deposit Date: 11/09/09 Trip Date: 03/12/09 0041-A Deposit Date: 11/09/09 Trip Date: 03/19/09 0014-A Deposit Date: 11/09/09 Trip Date: 04/01/09 0012-A Deposit Date: 11/09/09 Trip Date: 04/01/09 0026-A Deposit Date 11/04/09 Trip Date: 04/04/09 0026-A Deposit Date 11/04/09 Trip Date: 04/09/09 0001-A Deposit Date: 11/09/09 Trip Date: 04/10/09 0005-A Deposit Date: 11/09/09 Trip Date: 04/11/09 0003-A Deposit Date: 11/09/09 Trip Date: 04/11/09 0024-A Deposit Date: 11/09/09 Trip Date: 04/12/09 0009-A Deposit Date: 11/09/09 Trip Date: 04/15/09 0016-A Deposit Date: 11/09/09 Trip Date: 04/15/09 0028-A Deposit Date: 11/09/09 Trip Date: 04/16/09 0049-A Deposit Date: 11/04/09 Trip Date: 04/18/09 0019-A Deposit Date: 11/09/09 Trip Date: 04/20/09 0006-A Deposit Date: 11/25/09 Trip Date: 04/21/09 0010-A Deposit Date: 11/25/09 Trip Date: 04/23/09 0019-A Deposit Date: 11/09/09 Trip Date: 04/25/09 0009-A Deposit Date: 11/04/09 Trip Date: 04/25/09 0033-A Deposit Date: 11/09/09 Trip Date: 04/28/09 0037-A Deposit Date: 11/09/09 Trip Date: 04/29/09 0004-A Deposit Date: 11/09/09 Trip Date: 04/29/09 0005-A Deposit Date: 11/09/09 Trip Date: 04/30/09 0019-A Deposit Date: 11/09/09 Trip Date: 04/30/09 0026-A Deposit Date: 11/09/09 Trip Date: 04/30/09 0035-A Deposit Date: 11/09/09 Trip Date: 05/02/09 0004-A Deposit Date: 11/25/09 Trip Date: 05/02/09 0013-A Deposit Date: 11/04/09 Trip Date: 05/02/09 0034-A Deposit Date: 11/04/09 Trip Date: 05/03/09 0012-A Deposit Date: 11/04/09 Write-off Bad Debt Write -Off First Party Rec Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write -Off First Party Rec Write -Off First Party Rec Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write -Off First Party Rec Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write -Off First Party Rec Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Count Dollars 1 $ 559.27 1 $ 1,221.23 1 $ 140.14 1 $ 1,402.40 1 $ 258.45 1 $ 101.72 1 $ 35.34 1 $ 93.80 1 $ 1,207.64 1 $ 523.74 1 $ 1,260.70 1 $ 507.90 1 $ 88.19 1 $ 1,050.14 1 $ 545.55 1 $ 204.47 1 $ 119.07 1 $ 195.38 1 $ 1,562.75 1 $ 628.78 1 $ 1,120.05 1 $ 203.52 1 $ 278.60 1 $ 1,855.76 1 $ 1,572.00 1 $ 1,436.00 1 $ 198.30 1 $ 1,441.75 1 $ 60.18 1 $ 458.58 1 $ 1,070.02 1 $ 451.22 1 $ 1,591.35 1 $ 1,454.00 1 $ 1,534.26 1 $ 85.61 1 $ 1,727.57 1 $ 780.38 1 $ 1,698.00 1 $ 101.88 1 $ 1,295.27 1 $ 152.59 1 $ 180.87 1 $ 121.18 1 $ 397.58 1 $ 1,529.78 1 $ 1,580.55 1 $ 1,472.00 1 $ 1,472.00 1 $ 1,390.00 RescueNetTM Printed On: 12/15/2009 at 4:34:38PM \\ZOLL-BILL\RESCUENET\REPORTS32\BILLING \ CREDITS \CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Page 1 Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200911; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date: 05/03/09 Trip Date: 05/04/09 Trip Date: 05/04/09 Trip Date: 05/04/09 Trip Date: 05/04/09 Trip Date: 05/04/09 Trip Date: 05/05/09 Trip Date: 05/05/09 Trip Date: 05/05/09 Trip Date: 05/05/09 Trip Date: 05/05/09 Trip Date: 05/05/09 Trip Date: 05/06/09 Trip Date: 05/06/09 Trip Date: 05/06/09 Trip Date: 05/06/09 Trip Date: 05/06/09 Trip Date: 05/06/09 Trip Date: 05/07/09 Trip Date: 05/07/09 Trip Date: 05/07/09 Trip Date: 05/07/09 Trip Date: 05/07/09 Trip Date: 05/07/09 Trip Date: 05/08/09 Trip Date: 05/09/09 Trip Date: 05/09/09 Trip Date: 05/09/09 Trip Date: 05/09/09 Trip Date: 05/09/09 Trip Date: 05/10/09 Trip Date: 05/10/09 Trip Date: 05/10/09 Trip Date: 05/11/09 Trip Date: 05/11/09 Trip Date: 05/11/09 Trip Date: 05/12/09 Trip Date: 05/12/09 Trip Date: 05/12/09 Trip Date: 05/12/09 Trip Date: 05/12/09 Trip Date: 05/12/09 Trip Date: 05/12/09 Trip Date: 05/13/09 Trip Date: 05/14/09 Trip Date: 05/14/09 Trip Date: 05/15/09 Trip Date: 05/15/09 Trip Date: 05/15/09 Trip Date: 05/15/09 Trip Date: 05/15/09 Trip Date: 05/16/09 Trip Date: 05/16/09 Trip Date: 05/16/09 Trip Date: 05/16/09 0032-A Deposit Date: 11/09/09 0004-A Deposit Date: 11/04/09 0011-A Deposit Date: 11/04/09 0038-A Deposit Date: 11/04/09 0041-A Deposit Date: 11/04/09 0042-A Deposit Date: 11/04/09 0002-A Deposit Date: 11/04/09 0006-A Deposit Date: 11/04/09 0014-A Deposit Date: 11/04/09 0018-A Deposit Date: 11/04/09 0033-A Deposit Date: 11/04/09 0039-A Deposit Date 11/09/09 0002-A Deposit Date: 11/04/09 0016-A Deposit Date: 11/04/09 0028-A Deposit Date: 11/04/09 0034-A Deposit Date: 11/25/09 0042-A Deposit Date: 11/09/09 0046-A Deposit Date: 11/04/09 0006-A Deposit Date: 11/04/09 0016-A Deposit Date: 11/04/09 0042-A Deposit Date: 11/04/09 0044-A Deposit Date: 11/04/09 0045-A Deposit Date: 11/09/09 0046-A Deposit Date: 11/04/09 0019-A Deposit Date: 11/04/09 0001-A Deposit Date: 11/04/09 0005-A Deposit Date: 11/04/09 0009-A Deposit Date: 11/04/09 0036-A Deposit Date: 11/04/09 0041-A Deposit Date: 11/04/09 0002-A Deposit Date: 11/04/09 0016-A Deposit Date: 11/04/09 0025-A Deposit Date: 11/04/09 0005-A Deposit Date: 11/04/09 0030-A Deposit Date: 11/25/09 0033-A Deposit Date: 11/04/09 0002-A Deposit Date: 11/04/09 0008-A Deposit Date: 11/04/09 0016-A Deposit Date: 11/04/09 0032-A Deposit Date: 11/04/09 0036-A Deposit Date: 11/04/09 0040-A Deposit Date: 11/09/09 0045-A Deposit Date: 11/04/09 0006-A Deposit Date: 11/04/09 0041-A Deposit Date: 11/04/09 0045-A Deposit Date: 11/09/09 0004-A Deposit Date: 11/04/09 0023-A Deposit Date: 11/04/09 0024-A Deposit Date: 11/04/09 0025-A Deposit Date: 11/04/09 0041-A Deposit Date: 11/04/09 0001-A Deposit Date: 11/04/09 0007-A Deposit Date: 11/04/09 0014-A Deposit Date: 11/04/09 0021-A Deposit Date: 11/04/09 Write-off Bad Debt Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write-off Bad Debt Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write-off Bad Debt Write-off Bad Debt Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write-off Bad Debt Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write-off Bad Debt Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write-off Bad Debt Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write-off Bad Debt Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec RescueNetTM Printed On: 12/15/2009 at 4:34:38PM \\ZOLL-BILL\RESCUENET\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 $ 60.61 $ 1,572.00 $ 1,336.00 $ 1,500.00 $ 1,652.00 $ 1,480.00 $ 1,472.00 $ 1,454.00 $ 1,454.00 $ 1,454.00 $ 1,716.00 $ 88.19 $ 1,236.00 $ 1,580.00 $ 1,254.00 $ 1,359.11 $ 347.66 $ 1,436.00 $ 1,554.00 $ 1,734.00 $ 1,536.00 $ 1,454.00 $ 152.75 $ 1,724.00 $ 1,536.00 ,$ 1,608.00 $ 1,704.00 $ 1,490.00 $ 1,536.00 $ 1,554.00 $ 1,554.00 $ 1,472.00 $ 1,336.00 $ 1,554.00 $ 85.64 $ 1,868.00 $ 1,436.00 $ 1,572.00 $ 1,554.00 $ 1,418.00 $ 150.00 $ 1,563.43 $ 1,518.00 $ 1,536.00 $ 1,436.00 $ 76.08 $ 1,418.00 $ 1,254.00 $ 1,436.00 $ 1,518.00 $ 1,554.00 $ 1,236.00 $ 1,236.00 $ 1,554.00 $ 1,572.00 Page 2 Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200911; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date: 05/16/09 0026-A Deposit Date: 11/04/09 Write -Off First Party Rec 1 $ 1,742.00 Trip Date: 05/16/09 0030-A Deposit Date: 11/04/09 Write -Off First Party Rec 1 $ 1,536.00 Trip Date: 05/16/09 0036-A Deposit Date: 11/04/09 Write -Off First Party Rec 1 $ 1,454.00 Trip Date: 05/16/09 0038-A Deposit Date: 11/25/09 Write-off Bad Debt 1 $ 1,582.27 Trip Date: 05/16/09 0047-A Deposit Date: 11/04/09 Write -Off First Party Rec 1 $ 1,462.00 Trip Date: 05/16/09 0049-A Deposit Date: 11/09/09 Write-off Bad Debt 1 $ 2,167.09 Trip Date: 05/16/09 0054-A Deposit Date: 11/04/09 Write -Off First Party Rec 1 $ 1,454.00 Trip Date: 05/16/09 0055-A Deposit Date: 11/09/09 Write-off Bad Debt 1 $ 150.20 Trip Date: 05/17/09 0025-A Deposit Date: 11/09/09 Write-off Bad Debt 1 $ 1,735.72 Trip Date: 05/18/09 0022-A Deposit Date: 11/04/09 Write -Off First Party Rec 1 $ 1,472.00 Trip Date: 05/18/09 0027-A Deposit Date: 11/04/09 Write -Off First Party Rec 1 $ 1,518.00 Trip Date: 05/18/09 0040-A Deposit Date: 11/04/09 Write -Off First Party Rec 1 $ 1,536.00 Trip Date: 05/19/09 0004-A Deposit Date: 11/09/09 Write-off Bad Debt 1 $ 2,435.34 Trip Date: 05/19/09 0005-A Deposit Date: 11/04/09 Write -Off First Party Rec 1 $ 1,536.00 Trip Date: 05/19/09 0017-A Deposit Date: 11/04/09 Write -Off First Party Rec 1 $ 1,590.00 Trip Date: 05/19/09 0035-A Deposit Date: 11/04/09 Write -Off First Party Rec 1 $ 1,536.00 Trip Date: 05/20/09 0001-A Deposit Date: 11/04/09 Write -Off First Party Rec 1 $ 1,454.00 Trip Date: 05/20/09 0003-A Deposit Date: 11/04/09 Write -Off First Party Rec 1 $ 1,472.00 Trip Date: 05/20/09 0006-A Deposit Date: 11/04/09 Write -Off First Party Rec 1 $ 1,454.00 Trip Date: 05/20/09 0015-A Deposit Date: 11/04/09 Write -Off First Party Rec 1 $ 1,572.00 Trip Date: 05/20/09 0045-A Deposit Date: 11/04/09 Write -Off First Party Rec 1 $ 1,518.00 Trip Date: 05/21/09 0001-A Deposit Date: 11/04/09 Write -Off First Party Rec 1 $ 1,452.00 Trip Date: 05/21/09 0004-A Deposit Date: 11/04/09 Write -Off First Party Rec 1 $ 2,084.00 Trip Date: 05/21/09 0023-A Deposit Date: 11/04/09 Write -Off First Party Rec 1 $ 1,454.00 Trip Date: 05/21/09 0032-A Deposit Date: 11/25/09 Write-off Bad Debt 1 $ 254.64 Trip Date: 05/21/09 0033-A Deposit Date: 11/25/09 Write-off Bad Debt 1 $ 254.64 Trip Date: 05/21/09 0038-A Deposit Date: 11/09/09 Write-off Bad Debt 1 $ 1,460.99 Trip Date:.05/22/09 0007-A Deposit Date: 11/04/09 Write -Off First Party Rec 1 $ 1.454.00 Trip Date: 05/22/09 0012-A Deposit Date: 11/04/09 Write -Off First Party Rec 1 $ 1,572.00 Trip Date: 05/22/09 0018-A Deposit Date: 11/04/09 Write -Off First Party Rec 1 $ 1,500.00 Trip Date: 05/22/09 0019-A Deposit Date: 11/04/09 Write -Off First Party Rec 1 $ 1,616.00 Trip Date: 05/22/09 0032-A Deposit Date: 11/04/09 Write -Off First Party Rec 1 $ 1,896.00 Trip Date: 05/23/09 0003-A Deposit Date: 11/04/09 Write -Off First Party Rec 1 $ 1.454.00 Trip Date: 05/23/09 0004-A Deposit Date: 11/04/09 Write -Off First Party Rec 1 $ 1.354.00 Trip Date: 05/23/09 0032-A Deposit Date: 11/04/09 Write -Off First Party Rec 1 $ 1,472.00 Trip Date: 05/23/09 0043-A Deposit Date: 11/04/09 Write -Off First Party Rec 1 $ 1,608.00 Trip Date: 05/24/09 0015-A Deposit Date: 11/04/09 Write -Off First Party Rec 1 $ 1,472.00 Trip Date: 05/24/09 0022-A Deposit Date: 11/04/09 Write -Off First Party Rec 1 $ 1,536.00 Trip Date: 05/24/09 0025-A Deposit Date: 11/04/09 Write -Off First Party Rec 1 $ 1,536.00 Trip Date: 05/24/09 0030-A Deposit Date: 11/04/09 Write -Off First Party Rec 1 $ 1,472.00 Trip Date: 05/24/09 0033-A Deposit Date: 11/04/09 Write -Off First Party Rec 1 $ 1,804.00 Trip Date: 05/25/09 0008-A Deposit Date: 11/04/09 Write -Off First Party Rec 1 $ 1,354.00 Trip Date: 05/25/09 0026-A Deposit Date: 11/04/09 Write -Off First Party Rec 1 $ 1,770.00 Trip Date: 05/25/09 0027-A Deposit Date: 11/25/09 Write-off Bad Debt 1 $ 444.80 Trip Date: 05/26/09 0002-A Deposit Date: 11/04/09 Write -Off First Party Rec 1 $ 1,580.00 Trip Date: 05/27/09 0004-A Deposit Date: 11/25/09 Write-off Bad Debt 1 $ 1,388.13 Trip Date: 05/27/09 0008-A Deposit Date: 11/04/09 Write -Off First Party Rec 1 $ 1,554.00 Trip Date: 05/28/09 0004-A Deposit Date: 11/04/09 Write -Off First Party Rec 1 $ 1,516.00 Trip Date: 05/28/09 0012-A Deposit Date: 11/09/09 Write-off Bad Debt 1 $ 152.59 Trip Date: 05/28/09 0018-A Deposit Date: 11/04/09 Write -Off First Party Rec 1 $ 1,236.00 Trip Date: 05/28/09 0028-A Deposit Date: 11/04/09 Write -Off First Party Rec 1 $ 1,626.00 Trip Date: 05/29/09 0017-A Deposit Date: 11/04/09 Write -Off First Party Rec 1 $ 1,472.00 Trip Date: 05/29/09 0033-A Deposit Date: 11/04/09 Write -Off First Party Rec 1 $ 1,842.00 Trip Date: 05/30/09 0014-A Deposit Date: 11/04/09 Write -Off First Party Rec 1 $ 1,436.00 Trip Date: 05/30/09 0019-A Deposit Date: 11/09/09 Write-off Bad Debt 1 $ 1,830.44 RescueNetTM Printed On: 12/15/2009 at 4:34:38PM \\ZOLL-BILL\RESCUENET\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Page 3 Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200911; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date: 05/30/09 Trip Date: 05/30/09 Trip Date: 05/31/09 Trip Date: 06/02/09 Trip Date: 06/04/09 Trip Date: 06/04/09 Trip Date: 06/05/09 Trip Date: 06/08/09 Trip Date: 06/11/09 Trip Date: 06/11/09 Trip Date: 06/16/09 Trip Date: 06/17/09 Trip Date: 06/18/09 Trip Date: 06/18/09 Trip Date: 06/24/09 Trip Trip Trip Trip Trip Trip Trip Trip Trip Date: 06/29/09 Date: 06/29/09 Date: 06/29/09 Date: 07/04/09 Date: 07/07/09 Date: 07/19/09 Date: 07/27/09 Date: 07/27/09 Date: 07/29/09 Trip Date: 08/03/09 Trip Date: 08/06/09 Trip Date: 08/17/09 Trip Date: 08/31/09 Trip Date: 09/05/09 Trip Date: 09/06/09 Trip Date: 09/18/09 Trip Date: 10/17/09 Trip Date: 10/21/09 Trip Date: 10/23/09 Trip Date: 10/23/09 Trip Date: 11/09/09 Trip Date: 11/22/09 Totals For Type Totals For Bill Patient Company Totals 0047-A 0048-A 0003-A 0013-A 0031-A 0033-A 0047-A 0045-A 0035-A 0037-A 0021-A 0041-A 0002-A 0036-A 0025-A 0009-A 0017-A 0030-A 0056-A 0018-A 0024-A 0002-A 0021-A 0021-A 0002-A 0002-A 0010-A 0042-A 0005-A 0032-A 0013-A 0012-A 0001-A 0003-A 0014-A 0006-A 0009-A Deposit Date: 11/04/09 Deposit Date: 11/04/09 Deposit Date: 11/04/09 Deposit Date: 11/04/09 Deposit Date: 11/25/09 Deposit Date: 11/25/09 Deposit Date: 11/04/09 Deposit Date: 11/04/09 Deposit Date: 11/04/09 Deposit Date: 11/04/09 Deposit Date: 11/25/09 Deposit Date: 11/25/09 Deposit Date: 11/25/09 Deposit Date: 11/25/09 Deposit Date: 11/09/09 Deposit Date: 11/25/09 Deposit Date: 11/25/09 Deposit Date: 11/25/09 Deposit Date: 11/25/09 Deposit Date: 11/25/09 Deposit Date: 11/09/09 Deposit Date: 11/25/09 Deposit Date: 11/25/09 Deposit Date: 11/25/09 Deposit Date: 11/25/09 Deposit Date: 11/25/09 Deposit Date: 11/25/09 Deposit Date: 11/25/09 Deposit Date: 11/25/09 Deposit Date: 11/09/09 Deposit Date: 11/09/09 Deposit Date: 11/09/09 Deposit Date: 11/09/09 Deposit Date: 11/25/09 Deposit Date 11/25/09 Deposit Date: 11/25/09 Deposit Date: 11/25/09 Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write-off Bad Debt Write-off Bad Debt Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt 1 $ 1,436.00 1 $ 1,554.00 1 $ 1,661.25 1 $ 1,336.00 1 $ 1,464.19 1 $ 1,599.20 1 $ 1,354.00 1 $ 1,536.00 1 $ 1,680.00 1 $ 1,779.00 1 $ 1,566.16 1 $ 1,566.50 1 $ 30.51 1 $ 1,584.51 1 $ 86.93 1 $ 1,362.08 1 $ 768.71 1 $ 1,488.82 1 $ 131.81 1 $ 394.48 1 $ 75.24 1 $ 151.60 1 $ 1,366.19 1 $ 1,427.63 1 $ 59.17 .1 $ 1,261.69 1 $ 84.18 1 $ 813.00 1 $ 1,236.00 1 $ 326.80 1 $ 150.00 1 $ 1,678.00 1 $ 1,472.00 1 $ 1,254.00 1 $ 1,918.00 1 $ 1,372.00 1 $ 1,372.00 197 $ 234,041.48 197 $ 234,041.48 1 J $ 234,041.48 RescueNetT" Printed On. 12/15/2009 at 4:34:38PM 11ZOLL-BILL\RESCUENETIREPORTS321BILLINGICREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Page 4 Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009: AND Period IS 200911: AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Wnte-off Bad Debt OR Write -Off First Party Rec Totals 197 1 $ 234,041.48 RescueNetTM Printed On: 12/15/2009 at 4:34:38PM 1\ZOLL-BILL\RESCUENETIREPORTS321BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE RPT Page f. Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200912; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Payor Bill Patient Pavor/Credit Type/Credit Code Count Dollars Writeoffs Trip Date: 01/17/08 0012-A Deposit Dale: 12/07/09 Write-off Bad Debt 1 $ 453.39 Trip Date: 10/22/08 0014-A Deposit Date: 12/07/09 Write-off Bad Debt 1 $ 101.99 Trip Date: 10/24/08 0002-A Deposit Date: 12/07/09 Write-off Bad Debt 1 $ 634.65 Trip Date: 11/02/08 0025-A Deposit Date: 12/07/09 Write-off Bad Debt 1 $ 986.70 Trip Date: 11/29/08 0019-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,226.03 Trip Date: 12/31/08 0003-A Deposit Date: 12/07/09 Write-off Bad Debt 1 $ 2,052.00 Trip Date: 01/08/09 0026-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,392.00 Trip Date: 01/26/09 0014-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 926.59 Trip Date: 02/18/09 0012-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,380.50 Trip Date: 03/21/09 0027-A Deposit Date: 12/07/09 Write-off Bad Debt 1 $ 93.59 Trip Date: 03/24/09 0001-A Deposit Date: 12/07/09 Write-off Bad Debt 1 $ 1,017.69 Trip Date: 03/28/09 0015-A Deposit Date: 12/07/09 Write-off Bad Debt 1 $ 1,299.58 Trip Dale: 04/01/09 0011-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,500.00 Trip Date: 04/01/09 0028-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,572.00 Trip Date: 04/22/09 0032-A Deposit Date: 12/07/09 Write-off Bad Debt 1 $ 153.29 Trip Date: 04/23/09 0030-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,390.25 Trip Date: 04/30/09 0039-A Deposit Date: 12/07/09 Write-off Bad Debt 1 $ 1,800.90 Trip Date: 04/30/09 0046-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,536.00 Trip Date: 05/01/09 0002-A Deposit Date: 12/07/09 Write-off Bad Debt 1 $ 380.13 Trip Date: 05/01/09 0022-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,436.00 Trip Date: 05/01/09 0023-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,536.00 Trip Date: 05/01/09 0032-A Deposit Date: 12/07/09 Write-off Bad Debt 1 $ 87.10 Trip Date: 05/02/09 0040-A Deposit Date: 12/07/09 Write-off Bad Debt 1 $ 592.05 Trip Date: 05/03/09 0021-A Deposit Date: 12/07/09 Write-off Bad Debt 1 $ 1,539.78 Trip Date: 05/05/09 0047-A Deposit Date. 12/07/09 Write-off Bad Debt 1 $ 2,528.70 Trip Date: 05/07/09 0043-A Deposit Date: 12/07/09 Write-off Bad Debt 1 $ 134.88 Trip Date: 05/08/09 0005-A Deposit Date: 12/07/09 Write-off Bad Debt 1 $ 529.24 Trip Date: 05/09/09 0004-A Deposit Date: 12/07/09 Write-off Bad Debt 1 $ 417.02 Trip Date: 05/09/09 0026-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,472.00 Trip Date: 05/12/09 0022-A Deposit Date: 12/07/09 Write-off Bad Debt 1 $ 189.88 Trip Date: 05/14/09 0015-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,590.00 Trip Date: 05/15/09 0014-A Deposit Date: 12/07/09 Write-off Bad Debt 1 $ 1,584.85 Trip Date: 05/16/09 0005-A Deposit Date: 12/07/09 Write-off Bad Debt 1 $ 725.36 Trip Date: 05/16/09 0009-A Deposit Date: 12/07/09 Write-off Bad Debt 1 $ 1,054.81 Trip Date: 05/16/09 0041-A Deposit Date: 12/07/09 Write-off Bad Debt 1 $ 87.25 Trip Date: 05/16/09 0045-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,436.00 Trip Date: 05/16/09 0048-A Deposit Date: 12/07/09 Write-off Bad Debt 1 $ 1,113.97 Trip Date. 05/17/09 0001-A Deposit Date: 12/07/09 Write-off Bad Debt 1 $ 156.25 Trip Date. 05/17/09 0002-A Deposit Date: 12/07/09 Write-off Bad Debt 1 $ 1,516.11 Trip Date: 05/17/09 0003-A Deposit Date: 12/07/09 Write-off Bad Debt 1 $ 1,133.55 Trip Date: 05/19/09 0007-A Deposit Date: 12/07/09 Write-off Bad Debt 1 $ 152.77 Trip Date: 05/19/09 0015-A Deposit Date: 12/07/09 Write-off Bad Debt 1 $ 1,566.49 Trip Date: 05/20/09 0038-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,418.00 Trip Date: 05/21/09 0008-A Deposit Date: 12/07/09 Write-off Bad Debt 1 $ 1,527.40 Trip Date: 05/21/09 0036-A Deposit Date: 12/07/09 Write-off Bad Debt 1 $ 1,527.44 Trip Date: 05/22/09 0002-A Deposit Date: 12/07/09 Write-off Bad Debt 1 $ 50.91 Trip Date: 05/22/09 0010-A Deposit Date: 12/07/09 Write-off Bad Debt 1 $ 1,564.62 Trip Date: 05/23/09 0005-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,454.00 Trip Date: 05/23/09 0010-A Deposit Date: 12/07/09 Write-off Bad Debt 1 $ 1,819.31 Trip Date: 05/23/09 0044-A Deposit Date: 12/07/09 Write-off Bad Debt 1 $ 1,800.82 RescueNetTM Printed On: 12/15/2009 at 4:34:51PM 1\ZOLL-BILL\RESCUENET\REPORTS32\BILLING \ CREDITS \CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Page 1 Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200912; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date: 05/25/09 0001-A Deposit Date: 12/07/09 Write-off Bad Debt 1 Trip Date: 05/25/09 0016-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 Trip Date: 05/26/09 0001-A Deposit Date: 12/07/09 Write-off Bad Debt 1 Trip Date: 05/26/09 0031-A Deposit Date: 12/07/09 Write-off Bad Debt 1 Trip Date: 05/27/09 0006-A Deposit Date: 12/07/09 Write-off Bad Debt 1 Trip Date: 05/27/09 0026-A Deposit Date: 12/07/09 Write-off Bad Debt 1 Trip Date: 05/28/09 0020-A Deposit Date: 12/07/09 Write-off Bad Debt 1 Trip Date: 05/29/09 0039-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 Trip Date: 05/30/09 0003-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 Trip Date: 05/30/09 0009-A Deposit Date: 12/07/09 Write-off Bad Debt 1 Trip Date: 05/30/09 0026-A Deposit Date: 12/07/09 Write-off Bad Debt 1 Trip Date: 05/31/09 0005-A Deposit Date: 12/07/09 Write-off Bad Debt 1 Trip Date: 05/31/09 0011-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 Trip Date: 05/31/09 0017-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 Trip Date: 05/31/09 0018-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 Trip Date: 05/31/09 0033-A Deposit Date: 12/07/09 Write-off Bad Debt 1 Trip Date: 06/01/09 0005-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 Trip Date: 06/01/09 0015-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 Trip Date: 06/01/09 0019-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 Trip Date: 06/01/09 0036-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 Trip Date: 06/01/09 0037-A Deposit Date: 12/07/09 Write-off Bad Debt 1 Trip Date: 06/02/09 0002-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 Trip Date: 06/02/09 0030-A Deposit Date: 12/07/09 Write-off Bad Debt 1 Trip Date: 06/02/09 0032-A Deposit Date: 12/07/09 Write-off Bad Debt 1 Trip Date: 06/02/09 0033-A Deposit Date: 12/07/09 Write-off Bad Debt 1 Trip Date: 06/02/09 0034-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 Trip Date: 06/03/09 0001-A Deposit Date: 12/07/09 Write-off Bad Debt 1 Trip Date: 06/03/09 0016-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 Trip Date: 06/03/09 0021-A Deposit Date: 12/07/09 Write-off Bad Debt 1 Trip Date: 06/03/09 0024-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 Trip Date: 06/03/09 0027-A Deposit Date: 12/07/09 Write-off Bad Debt 1 Trip Date: 06/04/09 0007-A Deposit Date: 12/07/09 Write-off Bad Debt 1 Trip Date: 06/04/09 0013-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 Trip Date: 06/04/09 0023-A Deposit Date: 12/07/09 Write-off Bad Debt 1 Trip Date: 06/04/09 0034-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 Trip Date: 06/04/09 0035-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 Trip Date: 06/05/09 0018-A Deposit Date: 12/07/09 Write-off Bad Debt 1 Trip Date: 06/05/09 0022-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 Trip Date: 06/05/09 0030-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 Trip Date: 06/05/09 0035-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 Trip Date: 06/05/09 0039-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 Trip Date: 06/05/09 0043-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 Trip Date: 06/06/09 0002-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 Trip Date: 06/06/09 0005-A Deposit Date: 12/07/09 Write-off Bad Debt 1 Trip Date: 06/06/09 0016-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 Trip Date: 06/06/09 0039-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 Trip Date: 06/06/09 0042-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 Trip Date: 06/07/09 0005-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 Trip Date: 06/07/09 0009-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 Trip Date: 06/07/09 0014-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 Trip Date: 06/07/09 0028-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 Trip Date: 06/08/09 0002-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 Trip Date: 06/08/09 0017-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 Trip Date: 06/08/09 0032-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 Trip Date: 06/08/09 0041-A Deposit Date: 12/07/09 Write-off Bad Debt 1 $ 295.85 $ 1,472.00 $ 1,242.18 $ 85.63 $ 542.33 $ 1,526.95 $ 1,462.76 $ 1,536.00 $ 1,744.00 $ 1,515.56 $ 1,546.96 $ 1,256.73 $ 1,590.00 $ 1,590.00 $ 1,590.00 $ 1,602.00 $ 1,554.00 $ 1,436.00 $ 1.470.00 $ 1,354.00 $ 1,589.27 $ 150.00 $ 1,260.39 $ 2,024.88 $ 1.460.08 $ 1,51800 $ 1,718.33 $ 1.536.00 S 1.377 58 $ 1.634.00 $ 1.085.35 $ 1,203.15 $ 1.572.00 $ 1.804 96 $ 1,472.00 $ 1,536.00 $ 144.68 $ 1,626.00 $ 1,536.00 $ 1,398.00 $ 1,536.00 $ 1,536.00 $ 1,454.00 $ 101.89 $ 1,534.00 $ 1,788.00 $ 1,443.00 $ 1,536.00 $ 1,560.00 $ 1,418.00 $ 1,536.00 $ 1,734.00 $ 1,236.00 $ 2,372.00 $ 1,878.37 RescueNetTM Printed On: 12/15/2009 at 4:34:51PM \\ZOLL-BILL\RESCUENET\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Page 2 Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200912; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date: 06/09/09 0004-A Deposit Date: 12/07/09 Write-off Bad Debt 1 $ 1,695.00 Trip Date: 06/09/09 0007-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,436.00 Trip Date: 06/09/09 0021-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,554.00 Trip Date: 06/09/09 0028-A Deposit Date: 12/07/09 Write-off Bad Debt 1 $ 2,264.08 Trip Date: 06/09/09 0033-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,544.00 Trip Date: 06/09/09 0034-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,554.00 Trip Date: 06/10/09 0001-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,336.00 Trip Date: 06/11/09 0021-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,554.00 Trip Date: 06/11/09 0042-A Deposit Date 12/10/09 Write -Off First Party Rec 1 $ 1,236.00 Trip Date: 06/12/09 0002-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,516.00 Trip Date: 06/12/09 0007-A Deposit Date: 12/07/09 Write-off Bad Debt 1 $ 1,694.82 Trip Date: 06/12/09 0010-A Deposit Date: 12/07/09 Write-off Bad Debt 1 $ 1,603.04 Trip Date: 06/12/09 0011-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,236.00 Trip Date: 06/12/09 0016-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,590.00 Trip Date: 06/12/09 0019-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,254.00 Trip Date: 06/12/09 0035-A Deposit Date: 12/07/09 Write-off Bad Debt 1 $ 44.35 Trip Date: 06/12/09 0040-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,590.00 Trip Date: 06/13/09 0003-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,536.00 Trip Date: 06/13/09 0018-A Deposit Date: 12/07/09 Write-off Bad Debt 1 $ 117.52 Trip Date: 06/13/09 0031-A Deposit Date: 12/07/09 Write-off Bad Debt 1 $ 1,253.54 Trip Date: 06/13/09 0033-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,662.00 Trip Date: 06/13/09 0034-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,572.00 Trip Date: 06/14/09 0002-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,716.00 Trip Date: 06/14/09 0003-A Deposit Date: 12/07/09 Write-off Bad Debt 1 $ 1,479.49 Trip Date: 06/14/09 0004-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,354.00 Trip Date: 06/14/09 0011-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,554.00 Trip Date: 06/14/09 0018-A Deposit Date: 12/07/09 Write-off Bad Debt 1 $ 1,501.07 Trip Date: 06/14/09 0019-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,236.00 Trip Date: 06/14/09 0021-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1.472.00 Trip Date: 06/14/09 0024-A Deposit Date: 12/07/09 Write-off Bad Debt 1 $ 1,260.39 Trip Date: 06/14/09 0036-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 240.04 Trip Date: 06/15/09 0001-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,554.00 Trip Date: 06/15/09 0004-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,554.00 Trip Date: 06/15/09 0009-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,272.00 Trip Date: 06/15/09 0036-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,336.00 Trip Date: 06/15/09 0038-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,518.00 Trip Date: 06/16/09 0006-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,590.00 Trip Date: 06/16/09 0015-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,572.00 Trip Date: 06/16/09 0031-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,472.00 Trip Date: 06/16/09 0035-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,580.00 Trip Date: 06/17/09 0005-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,362.00 Trip Date: 06/17/09 0017-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 804.00 Trip Date: 06/17/09 0024-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,236.00 Trip Date: 06/17/09 0046-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,536.00 Trip Date: 06/18/09 0005-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,454.00 Trip Date: 06/18/09 0006-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,986.00 Trip Date: 06/18/09 0008-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,536.00 Trip Date: 06/18/09 0023-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,536.00 Trip Date: 06/18/09 0030-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,454.00 Trip Date: 06/18/09 0040-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,436.00 Trip Date: 06/19/09 0003-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,354.00 Trip Date: 06/19/09 0011-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,536.00 Trip Date: 06/19/09 0024-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,608.00 Trip Date: 06/19/09 0026-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,608.00 Trip Date: 06/20/09 0002-A Deposit Date: 12/10/09 Write -Off First Party Rec 1 $ 1,218.00 RescueNetTM Printed On: 12/15/2009 at 4:34.51PM Page 3 \\ZOLL-BILL\RESCUENET\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200912; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date: 06/20/09 Trip Date: 06/20/09 Trip Date: 06/20/09 Trip Date: 06/20/09 Trip Date: 06/20/09 Trip Date: 06/20/09 Trip Date: 06/21/09 Trip Date: 06/21/09 Trip Date: 06/21/09 Trip Date: 06/22/09 Trip Date: 06/22/09 Trip Date: 06/22/09 Trip Date: 06/23/09 Trip Date: 06/23/09 Trip Date: 06/23/09 Trip Date: 06/24/09 Trip Date: 06/24/09 Trip Date: 06/24/09 Trip Date: 06/25/09 Trip Date: 06/25/09 Trip Date: 06/25/09 Trip Date: 06/25/09 Trip Date: 06/25/09 Trip Date: 06/25/09 Trip Date: 06/26/09 Trip Date: 06/26/09 Trip Date: 06/27/09 Trip Date: 06/27/09 Trip Date: 06/27/09 Trip Date: 06/27/09 Trip Date: 06/28/09 Trip Date: 06/28/09 Trip Date: 06/28/09 Trip Date: 06/28/09 Trip Date: 06/29/09 Trip Date: 06/29/09 Trip Date: 06/29/09 Trip Date: 06/29/09 Trip Date: 06/30/09 Trip Date: 06/30/09 Trip Date: 06/30/09 Trip Date: 07/01/09 Trip Date: 07/02/09 Trip Date: 07/08/09 Trip Date: 07/13/09 Trip Date: 08/28/09 Trip Date: 09/06/09 Trip Date: 09/14/09 Trip Date: 10/05/09 Trip Date: 10/10/09 Trip Date: 10/24/09 Trip Date: 11/01/09 Trip Date: 11/05/09 Trip Date: 11/06/09 Trip Date: 11/08/09 0003-A Deposit Date: 12/10/09 0010-A Deposit Date: 12/07/09 0012-A Deposit Date: 12/10/09 0021-A Deposit Date. 12/07/09 0024-A Deposit Date: 12/10/09 0025-A Deposit Date: 12/10/09 0002-A Deposit Date: 12/10/09 0019-A Deposit Date: 12/10/09 0030-A Deposit Date: 12/10/09 0001-A Deposit Date: 12/10/09 0016-A Deposit Date: 12/10/09 0036-A Deposit Date: 12/10/09 0006-A Deposit Date: 12/10/09 0027-A Deposit Date: 12/07/09 0033-A Deposit Date: 12/10/09 0006-A Deposit Date: 12/10/09 0038-A Deposit Date: 12/10/09 0053-A Deposit Date: 12/10/09 0007-A Deposit Date: 12/10/09 0036-A Deposit Date: 12/10/09 0040-A Deposit Date: 12/10/09 0045-A Deposit Date: 12/10/09 0047-A Deposit Date: 12/10/09 0050-A Deposit Date 12/10/09 0001-A Deposit Date 12/10/09 0036-A Deposit Date: 12/10/09 0021-A Deposit Date: 12/07/09 0037-A Deposit Date 12/10/09 0051-A Deposit Date 12/10/09 0054-A Deposit Date: 12/10/09 0010-A Deposit Date: 12/10/09 0023-A Deposit Date: 12/10/09 0033-A Deposit Date: 12/10/09 0042-A Deposit Date: 12/10/09 0010-A Deposit Date. 12/10/09 0039-A Deposit Date: 12/10/09 0042-A Deposit Date: 12/10/09 0046-A Deposit Date: 12/10/09 0018-A Deposit Date: 12/02/09 0021-A' Deposit Date: 12/10/09 0048-A Deposit Date: 12/10/09 0016-A Deposit Date: 12/07/09 0022-A Deposit Date: 12/10/09 0003-A Deposit Date: 12/10/09 0027-A Deposit Date: 12/02/09 0018-A Deposit Date: 12/02/09 0037-A Deposit Date: 12/02/09 0004-A Deposit Date: 12/02/09 0036-A Deposit Date: 12/02/09 0005-A Deposit Date: 12/02/09 0020-A Deposit Date: 12/02/09 0009-A Deposit Date: 12/02/09 0036-A Deposit Date: 12/02/09 0027-A Deposit Date: 12/02/09 0002-A Deposit Date: 12/02/09 Write -Off First Party Rec Write-off Bad Debt Write -Off First Party Rec Write-off Bad Debt Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write-off Bad Debt Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec • Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write-off Bad Debt Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write -Off First Party Rec Write-off Bad Debt Write -Off First Party Rec Write -Off First Party Rec Write-off Bad Debt Write -Off First Party Rec Write -Off First Party Rec Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt Write-off Bad Debt $ 1,490.00 $ 661.82 $ 1,536.00 $ 1,874.07 $ 1,572.00 $ 1,436.00 $ 1,590.00 $ 1,500.00 $ 1,536.00 $ 1,570.00 $ 1,536.00 $ 1,236.00 $ 1,572.00 $ 1,744.53 $ 1,572.00 $ 1,608.00 $ 1,572.00 $ 1,436.00 $ 1,824.00 $ 1,770.00 $ 1,218.00 $ 1,454.00 $ 1,554.00 $ 1,518.00 $ 1,436.00 $ 1,472.00 $ 1,065.22 $ 1,788.00 $ 1,524.00 $ 1,436.00 $ 1,454.00 $ 1,662.00 $ 808.00 $ 1,436.00 $ 1,670:00 $ 1,254.00 $ 1,572.00 $ 1,572.00 $ 1,518.47 $ 1,590.00 $ 1,436.00 $ 303.33 $ 1,472.00 $ 1,236.00 $ 1,540.90 $ 62.81 $ 51.83 $ 1,572.00 $ 2,498.00 $ 68.01 $ 1,290.00 $ 1,290.00 $ 181.86 $ 1,418.00 $ 1,236.00 RescueNet"^ \�ZOLL-BILL\RES Printed On: 12/15/2009 at 4:34:51PM CUENET\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Page 4 Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200912; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec WELD COUNTY PARAMEDIC SERVICES Trip Date: 11/09/09 0034-A Trip Date: 11/15/09 0002-A Trip Date: 11/24/09 0003-A Totals For Type Totals For Bill Patient Company Totals Deposit Date: 12/02/09 Write-off Bad Debt Deposit Date: 12/02/09 Write-off Bad Debt Deposit Date: 12/02/09 Write-off Bad Debt 1 1 1 $ 1,572.00 $ 1,454.00 $ 1,454.00 218 $ 287,904.91 218 $ 287,904.91 218 I $ 287,904.91 RescueNetTM Printed On: 12/15/2009 at 4:34:51PM \\ZOLL-BILL\RESCUENETIREPORTS321BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Page E Credit As Type Detail by Payor (Deposit Date) Deposit Date IS BETWEEN 02/01/2003 AND 12/15/2009; AND Period IS 200912; AND Company IS WELD COUNTY PARAMEDIC SERVICES; AND Credits IS Write-off Bad Debt OR Write -Off First Party Rec Totals 218 I $ 287,904.91 RescueNetTM Printed On: 12/15/2009 at 4:34:51PM \\ZOLL-BILL\RESCUENET\REPORTS32\BILLING\CREDITS\CREDIT TYPE DETAIL BY PAYOR DEPOSIT DATE.RPT Page Hello