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Home My WebLink About20251479.tiffWeld County Warrants Dated: June 2, 2025 This is to certify that all accounting and budgeting procedures have been completed on the above listed claims as shown on the attached six (6) Check and Electronic Transmittal Registers, numbering seventeen (17) pages, and dated May 28 and 30, 2025; and that payments should be to the respective vendors listed in the amount set opposite their names, with the total amount of $1,332,974.80. Now therefore be it resolved by the Board of County Commissioners of Weld County, Colorado, that the claims as set forth above and warrants in payment thereof, be, and hereby are, ordered drawn upon the Weld County Treasurer, totaling $1,332,974.80. The Board of County Commissioners of Weld County, Colorado, approved the above and foregoing Warrants, on motion duly made and seconded, by the following vote on the 2nd day of June, A.D., 2025: Perry L. Buck, Chair: Aye »..� � Scott K. James, Pro-Tem: Excused Jason S. Maxey: Aye Lynette Peppler: Aye Kevin D. Ross: Aye ''�� Approved as to Funding: � � Cheryl Pattelli, Chief Financial OfFicer Attest: Esther E. Gesick, Clerk to the Board 2025-1479 Payment Printing Run 10:36 AM 05/28/2025 Page 1 of 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Payment Printing Run Payroll On-Cycle Payment - Pay_05.30.25 - 05/28/2025 09:27 AM Setflement Run WELD_490774_05282025.txt Payment Group Payroll On-Cycle Payment(Check) for Wells Fargo : Payroll On-Cyde Payment - Pay_05.30.25 - 05/28/2025 09:27 AM.pdf Status Completed :............................_ ....................................................................................................................................................................................... , ................: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . � Process Inforrnation Name of Submitter Mariah Higgins Actual Start Date and Time 05/28/2025 10:27 AM ; 100% Total Processing Time (hour:min:sec) � 00:00:11 Response Message : Integration Corr�plefed. Payments Payment i�ayment D"ate Check Number' Payment Amount Currency �� ! ;.Payee ° i;:' Payroll Payment: Brady Gordon 05/30/2025 97447 719.55 USD Brady Gordon (14398) (14398) - 2025 45 30 Payroll Payment: Maricella Cantu 05/30/2025 97448 709.32 USD Maricella Cantu (14384) - 2025 Ct5 30 (14384) Payroll Payment: Matthew Branch 05/30/2025 97449 620.43 USD Matthew Branch 14302 - 2025 Q.5 3�J 14302 Positive Pay Files ' Positive Pay'File Payment Positive Pay Fite Amount Total Account Currency Count Positive Pay File for Wells Fargo on 05/28/2025, 9:27 3 2,049.30 USD AM 2025-1479 Check Re�ister - Weld County Greeley-Weld Airport Authority Date : 0S/30/2025 Airport 053025AP *Check run processed 5/30/2025 by mhiggins CheckDate CheckNumber Payee Amount 6/2/2025 2017577 CANON FINANCIAL SERVICES INC $272.21 6/2/2025 2017578 CENTURY LINK $902.99 6/2/2025 6/2/2025 6/2/20?5 6/2/2025 2017579 EXPRESS TOLL SERVICES CENTER 2017580 PITNEY BOWES 2017581 PITNEY BOWES 2017582 QTPOD PETROLEUM ON DEMAND Check Re�ister Summary Transaction Total: 6 Amount Total: $2,514.11 � � � 56.25 591.29 $46.37 $1,195.00 Check Register Weld County Weld County, Colorado Date : 0S/30/2025 Weld County 053025WELD *Check run processed 5/30/2025 by mhiggins CheckDate CheckNumber Payee Amourit 6/2/2025 3408329 21ST CENTURY EQUIPMENT LLC $4,281.25 6/2/2025 3408330 A&C RADIATOR SERVICE INC $150.00 6/2/2025 3408331 KIMBERLY ADAMICH $420.88 6/2/2025 3408332 ADAMS COUNTY $5,208.00 6/2/2025 3408333 AIMS COMMUNITY COLLEGE $2,995.00 6/2/2025 3408334 AIMS CONIIKUNITY COLLEGE $500.00 6/2/2025 3408335 AMERICA'S BEST CONTACTS & EYEGLASSES $481.95 6/2/2025 3408336 AMERICAN TOWING $699.45 6/2/2025 6/2/2025 6/2/2025 6/2/2025 6/2/2025 6/2/2025 6/2/2025 6/2/2025 6/2/2025 6/2/2025 6/2/2025 6/2/2025 6/2/2025 3408337 ANDERSON & HINZE LAW 3408338 ARMORED KNIGHTS INC 3408339 ATKINS REALIS USA INC 3408340 AYRES ASSOCIATES 3408341 BC SERVICES INC 3408342 BINTI INC 3408343 CAPITAL BUSINESS SYSTEMS INC 3408344 CATHOLIC CHARITIES NORTHERN 3408345 CATHOLIC CHARITIES NORTHERN 3408346 CENTENNIAL MENTAL HEALTH CENTER INC 3408347 CHOICE TOWING LLC 3408348 CINTAS CORPORATION 3408349 CITY OF GREELEY 1 � 6 $3,880.00 $3,114.87 $11,560.50 $11,132.50 $15.00 550,852.11 5388.57 $8,150.00 $5,798.42 $34.00 $1,242.00 $550.96 $1,544.01 CheckDate. CheckNumber Payee Amount 6/2/2025 3408350 COMPLETE WIRELESS TECHNOLOGIES $5,127.80 6/2/2025 3408351 CONCRETE PUMP PARTNERS LLC $1,262.80 6/2/2025 3408352 CUMMINS ROCKY M0UNTAIN POWER GENERATION BRANCH $840.00 6/2/2025 3408353 CUSTOMER CONTACT SERVICES $55.05 6/2/2025 3408354 DELL MARKETING L.P. $4,268,2$ 6/2/2025 3408355 DENVER FIRE ALARM SYSTEMS INC $39,074.15 6/2/2025 3408356 DIAMOND VOGEL INC $68,375.00 6/2/2025 3408357 BONNIE DIETZ $116.00 6/2/2025 3408358 DIVISION OF OIL AND PUBLIC SAFETY $840.00 6/2/2025 3408359 DOUBLE TUFF TRUCK TARPS INC $469.19 6/2/2025 3408360 EARTH ENERGY ENVIRONMENT $1,860.00 6/2/2025 3408361 EATON SALES & SERVICE, LLC $287.37 6/2/2025 6/2/2025 6/2/2025 6/2/2025 6/2/2025 6/2/2025 6/2/2025 6/2/2025 6/2/2025 6/2/2025 3408362 ENVIROTECH SERVICES LLC 3408363 ERP ANALYSTS INC 3408364 FARIS MACHINERY COMPANY 3408365 FIRST ARMORED SERVICES 3408366 FRONT RANGE COMMUNITY COLLEGE 3408367 FRONT RANGE INDUSTRIAL & CONSTRUCTION SUPPLY 3408368 GATEWAY PLACE PHASE II LTD 3408369 GREELEY AUTOMOTIVE SERVICE 3408370 HOLST & TEHRANI LLP 3408371 HSS SECURITY LLC 6/2/2025 3408372 INTERMOUNTAI[V DATA CORP 2 \ 6 555,243.22 $16,950.50 $3,996.18 5600.00 $3,835.90 $49.98 $5,493.49 $885.83 $15.00 $2,646.54 $283.50 CheckDate CheckNumber Payee Amount 6/2/2025 3408373 INTERNATIONAL ACADEMIES OF EMERGENCY DISPATCH $165.00 6/2/2025 3408374 INTFRV�NTI�N INC $2,854.00 6/2/2025 3408375 IVM SOLUTIONS LLC $200,000.00 6/2/2025 3408376 JOE JOHNSON EQUIPMENT LLC $915.23 6/2/2025 3408377 JOHNSON MUFFLY & DAUSTER PC 530.00 6/2/2025 3408378 JOHNSON AUTO PLAZA INC $2,685.16 6/2/2025 3408379 KEEFE COMMISSARY NETWORK SALES $1,152.00 6/2/2025 3408380 KEEP SWIMMING LLC $300.00 6/2/2025 3408381 KIDS AT HEART $2,500.00 6/2/2025 3408382 ANGELA KNOPF CASTLE $600.00 6/2/2025 3408383 LARIMER COUNTY $32.60 6/2/2025 3408384 LAW OFFICE OF WYN TAYLOR $15.00 6/2/2025 3408385 LUMENSERVE INC $32,199.00 6/2/2025 3408386 M ARTHUR GENSLER JR & ASSOCIATES INC $19,462.50 6/2/2025 3408387 MARTIN MARIETTA MATERIALS INC $7,716.35 6/2/2025 3408388 JANET L. MEISINGER $275.00 6/2/2025 3408389 MERCHANTS OFFICE FURNITURE $7,674.26 6/2/2025 3408390 MERJENT INC 525,686.13 6/2/2025 3408391 MIKE MAROONE FORD LONGMONT 5637.39 6/2/2025 3408392 MOBILITYWORKS $10,000.00 6/2/2025 3408393 MONTEZUMA COUNTY $100.00 6/2/2025 3408394 MONTEZUMA COUNTY $100.00 6/2/2025 3408395 MONTEZUMA COUNTY $300.00 3 \ 6 CheckDate CheckNumber Payee Amount 6/2/2025 3408396 MONTEZUMA COUNTY $100.00 6/2/2025 34Q8397 JQHN MOORE ¢15.00 6/2/2025 3408398 SHIRLEY MORENO, $275.00 6/2/2025 3408399 MOTOROLA SOLUTIONS INC $12,361.12 6/2/2025 3408400 KATHLEEN MUTH $150.00 6/2/2025 3408401 NAGI LUTA ENTERPRISES LLC $150.00 6/2/2025 3408402 NATIONAL ASSOCIATION OF WORKFOCE BOARDS $3,000.00 3408403 NELSON & KENNARD 3408404 NORTHERN HORIZON BEHAVIORAL HEALTH 3408405 NORTHSTAR PROCESS SERVERS 3408406 OLIVA BILINGUAL SERVICES 3408407 OMAHA TRACK INC 3408408 ONE CALL LOCATORS, LTD 3408409 OTTEM ELECTRONICS, INC 3408410 PAPER CHASE 3408411 PETS EMERGENCY HOSPITAL 3408412 PIRTEK NOCO 3408413 POWER MOTIVE 3408414 PRAIRIE MOUNTAIN MEDIA 3408415 MACHADO PRAXEDES JR 3408416 PROFESSIONAL SERVICE INDUSTRIES INC 3408417 PROPERTY TECHNICA 3408418 PROVEST LLC 4 � 6 $30.00 $185.00 $330.00 $159.00 $90,869.30 $3,248.68 51,649.00 $132.00 5650.00 $1,782.45 $1,491.05 $710.41 $15.00 $303.00 $1,025.00 $15.00 CheckDate CheckNumber Payee Amount 6/2/2025 3408419 ALICIA RAMIREZ $227_00 6/2/2025 3408420 RAPTQR MATERIALS LLC $2,720.00 6/2/2025 3408421 RAPTOR MATERIALS LLC $2,795.00 6/2/2025 3408422 RAPTOR MATERIALS LLC $1,670.00 6/2/2025 3408423 RAPTOR MATERIALS LLC $1,670.00 6/2/2025 3408424 RAPTOR MATERIALS LLC $4,923.75 6/2/2025 3408425 REEDESIGN CONCEPT LLC $127.40 6/2/2025 3408426 ROMEY LAW FIRM PC $15.00 6/2/2025 3408427 SULEMA SAENZ SArICHEZ $450.00 6/2/2025 3408428 SAM'S CLUB $12.84 6/2/2025 3408429 SAM'S CLUB $40.02 6/2/2025 3408430 SENERGY PETROLEUM $581.75 6/2/2025 6/2/2025 6/2/2025 6/2/2025 6/2/2025 6/2/2025 6/2/2025 6/2/2025 6/2/2025 6/2/2025 6/2/2025 3408431 STACY G. SEVIER 3408432 SHORELAND INC 3408433 SO LOW TRANSPORT INC 3408434 SOUNDOFF SIGNAL 3408435 SUNRISE LUMBER COMPANY 3408436 SWARCO REFLEX INC 3408437 TEAM PETROLEUM LLC 3408438 THERMO FLUIDS, INC 3408439 TOTAL TOOL SUPPLY, INC 3408440 TRACE3 GOVERNMENT LLC 3408441 TRINITY SERVICES GROUP INC 5 \ 6 $1,250.00 $1,025.00 $66,058.67 $3,650.24 $63.90 $23,540.00 534,021.15 $430.00 $6.23 $37,419.03 $27,314_31 CheckDate CheckNumber Payee Amount 6/2/2025 3408442 UABACO LLC $7,214.00 6/2/2025 3408443 UCHEALTH GREELEY HOSPITAL $2,137.64 6/2/2025 3408444 US STANDARD SIGN CO $3,315.90 6/2/2025 3408445 VOIANCE LANGUAGE SERVICES LLC $229.54 6/2/2025 3408446 WASTE MANAGEMENT OF NORTHERN COLORADO $417.75 6/2/2025 3408447 WATERTOWN REGIONAL MEDICAL CENTER $475.00 6/2/2025 3408448 AMANDA WRIGHT $194.66 6/2/2025 3408449 YOLO FOUNDATION $16,926.87 Check Re�ister Summary Transaction Total: 121 Amount Total: $1,000,543.53 � REPORT FABCHKR Weld County BNPD Data RUN DATE: 05/30/2025 FISCAL YEAR 2025 Batch Disbursement Register TIME: 02:52 PM BANK: 01 TREASURER-ACCOUNTS PAYABLE Direct Deposit Run: 06/02/2025 PAGE: 1 <------------------- DIRECT DEPOSIT REGISTER --------------------> CHECK/ <------------------- APPROVED AMOUNTS --------------------> CHK ADVICE DISCOUNT/ WITHHOLDING/ TYP NUMBER PAYEE/VENDOR NAME A/P DOC# VENDOR INV# GROSS PREV PAID ADDL CHG/TAX NET IND -------- ------------------------------ -------- --------------- ---------------- ------------ ------------ ---------------- --- T REPORT FABCHKR Weld County BNPD Data RUN DATE: 05/30/2025 FISCAL YEAR 2025 Batch Disbursement Register TIME: 02:52 PM BANK: 01 TREASURER-ACCOUNTS PAYABLE Direct Deposit Run: 06/02/2025 PAGE: 2 <------------------- DIRECT DEPOSIT REGISTER --------------------> CHECK/ <------------------- APPROVED AMOUNTS --------------------> CHK ADVICE DISCOUNT/ WITHHOLDING/ TYP NUMBER PAYEE/VENDOR NAME A/P DOC# VENDOR INV# GROSS PREV PAID ADDL CHG/TAX NET IND -------- ------------------------------ -------- --------------- ---------------- ------------ ------------ ---------------- --- !0049716 BARRON, SHANNON I2507467 MI041425 189.85 0.00 0.00 189.85 D !0049717 BENNETT, SHAWN I2507289 DD BENNETT FTO 529.00 0.00 0.00 529.00 D CERT CANON CITY ,CO !0049718 BLOOMFIELD, TARYN I2507469 MI051925 356.51 0.00 0.00 356.51 D !0049719 BROWN, QUINCY 522.24 � 0.00 0.00 !0049720 CASTILLO, APRIL 167.28 0.00 0.00 !0049721 DEBOER, RUTH 21.90 0.00 0.00 !0049722 FENNER, ROCHELLE 39.90 0.00 0.00 !0049723 FLACHS, AMY 123.80 0.00 0.00 !0049724 FULLER, JENNIFER LYNN 32.75 0.00 0.00 !0049725 GALLARZA, NORMA 42.00 0.00 0.00 !0049726 GARCIA, NAOMI 29.40 0.00 0.00 !0049727 GARCIA, NICHOLE 157.01 0.00 0.00 !0049728 GILLIAM, MELISSA 88.20 0.00 0.00 152.60 0.00 0.00 I2507211 0401-042925 522.24 D I2507364 MI042225 167.28 D I2507365 MI042125 21.90 D I2507398 39.90 D I2507464 MI052025 123.80 D I2506908 NOTARY25 32.75 D I2507487 MI52225 42.00 D I2507463 MI051425 29.40 D I2507459 MI042425 157.01 D I2507460 MI043025 88.20 D I2507461 MI052025 152.60 D DEPOSIT T0TAL 240.80 !0049729 HOOVER, CATHY I2507212 043025 92.40 0.00 0.00 92.40 D , !0049732 MCDONALD, MEGAN I2507458 MI041925 16.86 0.00 0.00 16.86 D !0049733 OROZCO, VALERIE 42.00 0.00 !0049734 ORTIZ, TAMMIE JO 157.99 0.00 0.00 0.00 I2507488 MI050925 42.00 D I2507455 MI051325 157.99 D T REPORT FABCHKR Weld County BNPD Data RUN DATE: 05/30/2025 FISCAL YEAR 2025 Batch Disbursement Register TIME: 02:52 PM BANK: 01 TREASURER-ACCOUNTS PAYABLE Direct Deposit Run: 06/02/2025 PAGE: 3 <------------------- DIRECT DEPOSIT REGISTER --------------------> CHECK/ <------------------- APPROVED AMOUNTS --------------------> CHK ADVICE DISCOUNT/ WITHHOLDING/ TYP NUMBER PAYEE/VENDOR NAME A/P DOC# VENDOR INV# PREV PAID ADDL CHG/TAX NET IND -------- ------------------------------ -------- --------------- ---------------- ------------ ------------ ---------------- --- !0049735 OSBORN, ALEXANDREA I2507453 MI042325 399.77 0.00 0.00 399.77 D I2507454 MI042925 41.86 0.00 0.00 41.86 D TOTAL !0049736 PFLEIGER, MEGAN M 216.58 0.00 0.00 !0049737 POWELL, DAVID 64.20 0.00 0.00 !0049738 REYNOLDS, RILEY 214.20 0.00 0.00 !0049739 SHAW, MISTI 294.00 0.00 0.00 441.63 I2507457 MI052225 216.58 D I2507399 5/28/25 64.20 D I2507305 FIRE RESISTANT 214.20 D OUTERWEAR I2507483 MI052725 294.00 D GRO55 DEPOSIT !0049740 SKINNER, ROBIN 405.14 0.00 0.00 !0049741 SMITH, LEIGHA 126.00 0.00 0.00 !0049742 STAPLETON-LAWLOR, PAIGE 217.90 0.00 0.00 !0049743 VELAZQUEZ, ASHLEY 283.80 0.00 0.00 !0049744 WEBSTER, EDWARD 228.20 0.00 0.00 !0049745 WHITTAKER, PEYTON 194.39 0.00 0.00 !0049746 WILLIAM5, LOUIS M 60.25 0.00 0.00 9.38 0.00 0.00 TOTAL !0049747 WILSON, SHAWNA 310.00 0.00 50.32 0.00 69.65 0.00 TOTAL I2507234 MI042425 405.14 D I2507456 MI051525 126.00 D I2507489 MI050825 217.90 D I2507470 MI042525 283.80 D I2507484 MI052025 228.20 D I2507452 MI051925 194.39 D I2507392 MI042525 60.25 D I2507393 MI043025 9.38 D ---------------- 69.63 I2507471 MI042225 0.00 310.00 D I2507485 MI042525 0.00 50.32 D I2507486 MI043025 0.00 69.65 D 429.97 DEPOSIT DEPOSIT !0049748 SPECIALIZED PATHOLOGY CONSULTA I2507518 1015 �� 0� 6�O . I� 14,337.00 0.00 0.00 14,337.00 D -�261.4�3 ________________ - � i 3� . 62 BANK TOTAL ��O, � �(� , 33 O T REPORT FABCHKR Weld County BNPD Data RUN DATE: 05/30/2025 FISCAL YEAR 2025 Batch Disbursement Register TIME: 02:52 PM Check Run: 06/02/2025 PAGE: 4 * * * REPORT CONTROL INFORMATION * * RPTNAME: FABCHKR PARAMETER SEQUENCE NUMBER: 380286 NUMBER OF PRINTED LINES PER PAGE: 52 REPORT FABCHKR Weld County BNPD Data RUN DATE: 05/30/2025 FISCAL YEAR 2025 Batch Disbursement Register TIME: 02:47 PM BANK: E1 TREASURER-AP ELECTRONIC PAYMENTS Check Run: 06/02/2025 PAGE: 1 <------------------- CHECK REGISTER --------------------> CHECK/ <------------------- APPROVED AMOUNTS --------------------> CHK ADVICE DISCOUNT/ WITHHOLDING/ TYP NUMBER PAYEE/VENDOR NAME A/P DOC# VENDOR INV# GRO55 PREV PAID ADDL CHG/TAX NET IND -------- ------------------------------ -------- --------------- ---------------- ------------ ------------ ---------------- --- T REPORT FABCHKR Weld County BNPD Data RUN DATE: 05/30/2025 FISCAL YEAR 2025 Batch Disbursement Register TIME: 02:47 PM BANK: E1 TREASURER-AP ELECTRONIC PAYMENTS Check Run: 06/02/2025 PAGE: 2 <------------------- CHECK REGISTER --------------------> CHECK/ <------------------- APPROVED AMOUNTS --------------------> CHK ADVICE DISCOUNT/ WITHHOLDING/ TYP NUMBER PAYEE/VENDOR NAME A/P DOC# VENDOR INV# GROSS PREV PAID ADDL CHG/TAX NET IND -------- ------------------------------ -------- --------------- ---------------- ------------ ------------ ---------------- --- E0003657 ALSCO I2507255 LLAR1731812 440.70 0.00 0.00 440.70 B E0003658 FAIRBANK EQUIPMENT - WICHITA B I2507407 52572098.001 20.72 0.00 0.00 20.72 B I2507435 52577350.001 38.69 0.00 0.00 38.69 B CHECK TOTAL E0003659 MY OFFICE ETC. 140.97 0.00 140.97 0.00 234.95 0.00 140.97 0.00 469.90 0.00 281.94 0.00 1,127.76 0.00 TOTAL T REPORT FABCHKR FISCAL YEAR 2025 06/02/2025 * 0.00 0.00 0.00 0.00 0.00 0.00 0.00 59.41 I2507163 308615-0 140.97 B I2507165 308562-0 140.97 B I2507168 308560-0 234.95 B I2507169 308494-0 140.97 B I2507181 308495-0 469.90 B I2507188 308222-0 281.94 B I2507273 308561-0 1,127.76 B 2,537.46 ---------------- ---------------- BANK TOTAL 3,037.57 RUN DATE: 05/30/2025 TIME: 02:47 PM PAGE: RPTNAME: FABCHKR PARAMETER SEQUENCE NUMBER: 380281 NUMBER OF PRINTED LINES PER PAGE: 52 CHECK Weld County BNPD Data Batch Disbursement Register Check Run: 3 * * * REPORT CONTROL INFORMATION * * �►a�� na� Re: Funds Transfer Confirmation Prepared Date: Wednesday, May 28, 2025 Contractholder Name: WELD COLJNTY GOV Attention: A PALMER RE:MEDICAL CLAIMS Reference#: 54-25147-0466 Activity of: Tuesday, May 27, 2025 Debit/Pull Amount: $111,558.24 Account Name: SFGP/ASC Contractholders Account Credit Bank: Bank Of America Connecticut Bank Address: 2601 West Broad Street Richmond VA 23220 Account l�umber: Please make available for debit the requested funds immediately to avoid late funding interest charges, suspension of services, or termination for nonpayment pursuant to the terms of your contract. ver.1.0.0.0 For any questions, please send emails to Banking-SAMP@aefia.com or call a contact listed below. c- �� t t�ti1��,. �-�� Kimberly Settle Daphne Fentress Banking Consultant Phone 330-659-8333 Banking Consultant Phone 904-351-5504 J2500710 5.28.2025 Proprietary �►a� na Re: Funds Transfer Confirmation Prepared Date: Thursday, May 29, 2025 Contractholder Name: WELD COUNTY GOV Attention: A PALMER RE:MEDICAL CLAIMS Reference#: 54-25148-0568 Activity of: Wednesday, May 28, 2025 Debit/Pull Amount: $192,987.72 Account Name: SFGP/ASC Contractholders Account Credit Bank: Bank Of America Connecticut Bank Address: 2601 West Broad Street Richmond VA 23220 Account Number: Please make available for debit the requested funds immediately to avoid late funding interest charges, suspension of services, or termination for nonpayment pursuant to the terms of your contract. ver.1.0.0.0 For any questions, please send emails to Banking-SAMP@aefia.com or call a contact listed below. �1 �_ , �!�,��,, i i �rnky�t�� . ��t�t Kimberly Settle Daphne Fentress Banking Consultant Phone 330-659-8333 Banking Consultant Phone 904-351-5504 J2500716 5.29.2025 . Proprietary e� 0 e• e� 0�• 2�049•3 + 2,049•3 + 2,514•11 + 2�514•11 + 1,000,543•53 + 1��00�543•53 + 20,284•33 + 20�284•33 + 3,037•57 + 3�037•57 + 111,558•24 + 111,558•24 + 192,987•72 + 192,987•72 + 1,332,974•8 * 1:332�974•8 * Hello