HomeMy WebLinkAbout20231849.tiffWELD COUNTY WARRANTS
AS OF: JULY 5, 2023
This is to certify that all accounting and budgeting procedures have been completed on
the above listed claims as shown on the attached nine (9) Check and Electronic Transmittal
Registers, numbering twenty-one (21) pages, and dated June 30, 2023; and that payments
should be to the respective vendors listed in the amount set opposite their names, with the
total amount of $2,022,110.47. Dated this 5th day of July, 2023.
eounty Fi"ancial Officer
SUBSCRIBED • ND SWORN TO before me this 5th day of July, 2023.
otary Public
My Commission Expires: 08/ OS /2oz3
MARIAN N HIGGINS
NOTARY PUBUC
STATE OF COLORADO
NOTARY ID 20194029616
MY COMMISSION EXPIRES AUGUST 5, 2023
We, the Board of County Commissioners of Weld County, Colorado, hereby approve
the claims as set forth above and warrants in payment thereof are hereby ordered drawn upon
the Weld County Treasurer, totaling $2,022,110.47. Dated this 5th day of July, 2023.
ATTEST: di„ JC,llo%,1
Weld County Clerk to the Board
BY:O 1A.
Deputy Clerk to the Board
APPROVED
ounty Attorney
Date of signature: O7/o5/23
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
EXCUSED
Per Luck, Pro-Tem
S tt K. James
an, Chair
XCUSED
Kevin D. Ross
Lori Sain
2023-1849
Check Register
Date : 06/30/2023
Chec.ate CheckNumber
Department Name
Payee
Weld County
Flexible Benefits
*Check run processed 6/30/2023 by mhiggins
Amount
Flexible Benefits
063023FDV
7/5/2023
Inmate Services
8095448 Derek Stephen Ward $37.50
Check Register Summary
Transaction Total: 1
Amount Total: $37.50
2023-1849
1 / I
Check Register
Date : 06/30/2023
CheckStatus CheckDate CheckNumber
Weld County
Human Services
°Check run processed 6/30/2023 by mhiggins
Payee
Amount
Human Services
063023HS
Normal 6/30/2023
5034504 ADAMS COUNTY $64.00
Normal 6/30/2023
5034505 MITZI BIRSE $246.60
Normal 6/30/2023
5034506 ESTHER DENNIS $1,050.00
Normal 6/30/2023
5034507 DEPARTMENT OF JUSTICE $15.00
Normal 6/30/2023
5034508 DEPARTMENT OF JUSTICE $15.00
Normal 6/30/2023
5034509 ZAFU GEBREHIWOT $400.00
Normal 6/30/2023
5034510 BEATRIZ N. GUIJOSA $93.35
Normal 6/30/2023
5034511 IDEA FORUM, INC $1,647.00
Normal 6/30/2023
5034512 IDEMIA IDENTITY & SECURITY USA LLC $3,215.50
Normal 6/30/2023
5034513 INTERVENTION INC $6,008.00
Normal 6/30/2023
5034514 KPJ FIRST SERVICES, LLC $356.25
Normal 6/30/2023
5034515 LABORATORY CORPORATION OF AMERICA HOLDINGS $38.51
Normal 6/30/2023
5034516 LABORATORY CORPORATION OF AMERICA HOLDINGS $528.00
Normal 6/30/2023
5034517 LABORATORY CORPORATION OF AMERICA HOLDINGS $480.00
Normal 6/30/2023
5034518 LARIMER COUNTY $50.00
Normal 6/30/2023
5034519 JOHN MEASNER $1,814.80
Normal 6/30/2023
5034520 MEDICAL SERVICES AND COMPLIANCE LLC $44.00
Normal 6/30/2023
5034521 OLIVA BILINGUAL SERVICES $800.00
Normal 6/30/2023
5034522 PAPER CHASE $311.00
Normal 6/30/2023
5034523 DESTINY SANCHEZ $1,440.00
Normal 6/30/2023
5034524 UABA LLC $3,721.00
1 \ 2
CheckStatus CheckDate CheckNumber
Payee Amount
Normal 6/30/2023
5034525 NAOMI VIALPANDO $388.80
Normal 6/30/2023
5034526 WATERTOWN REGIONAL MEDICAL CENTER $475.00
Check Register Summary
Transaction Total: 23
Amount Total: $23,201.81
Check Register
Date : 06/30/2023
CheckDate CheckNumber Payee
Department Descripti
Weld County
Payroll
*Check run processed 6/30/2023 by mhiggins
Amount
Payroll
063023PR
6/30/2023 95444 Alyssa Renee Ann Galarza
Public Health Communication
$367.34
Check Register Summary
Transaction Total: 1
Amount Total: $367.34
1 / 1
Check Register
Date : 06/30/2023
CheckDate CheckNumber Payee
Weld County
Weld County
*Check run processed 6/30/2023 by mhiggins
Amount
Weld County, Colorado
063023WELD
6/30/2023
3385416 24 HOUR SIGN LANGUAGE SERVICE $975.00
6/30/2023
3385417 A&C RADIATOR SERVICE INC $161.00
6/30/2023
3385418 ACCELA $25,941.61
6/30/2023
3385419 AETNA INC $1,206.00
6/30/2023
3385420 ALLIED UNIVERSAL SECURITY SERVICES $5,238.24
6/30/2023
3385421 AMERISOURCE RECEIVABLES FINANCIAL CORP (ARFC) $0.08
6/30/2023
3385422 AVCOMM SOLUTIONS INC $2,560.70
6/30/2023
3385423 BERRYDUNN $1,050.00
6/30/2023
3385424 BETA HEALTH ASSOCIATION, INC $6,713.50
6/30/2023
3385425 BOBCAT OF THE ROCKIES $1,605.41
6/30/2023
3385426 MICHAEL BOULTER $197.60
6/30/2023
3385427 BRATTONS OFFICE EQUIPMENT INC $954.29
6/30/2023
3385428 BROWN GRAIN & LIVESTOCK $340.00
6/30/2023
3385429 BARBARA BURKE $255.00
6/30/2023
3385430 ELSIE BURNETT $135.00
6/30/2023
3385431 ARNOLD BURRON $1,500.00
6/30/2023
3385432 CAPITAL BUSINESS SYSTEMS INC $12.61
6/30/2023
3385433 CARTEGRAPH SYSTEMS LLC $62,590.92
6/30/2023
3385434 CCS FACILITY SERVICES $14,162.00
6/30/2023
3385435 CDW GOVERNMENT INC $17,400.00
6/30/2023
3385436 CENTRAL WELD COUNTY WATER DISTRICT $217.45
1 $ 6
Chec.ate CheckNumber
Payee Amount
6/30/2023
3385437 CHARM-TEX $2,591.50
6/30/2023 3385438 CHEMATOX CONSULTING
$800.00
6/30/2023
3385439 CITY OF GREELEY $469.74
6/30/2023
3385440 COALRIDGE ANIMAL HOSPITAL $398.10
6/30/2023
3385441 COLORADO ANALYTICAL LABORATORIES INC $220.00
6/30/2023
3385442 COLORADO DEPARTMENT OF REVENUE $250.00
6/30/2023
3385443 COLORADO DEPARTMENT OF REVENUE $984.35
6/30/2023
3385444 COLORADO STATE UNIVERSITY $53,578.57
6/30/2023
3385445 CPP ENGINEERING INC $21,515.75
6/30/2023
3385446 BONNIE DIETZ $90.00
6/30/2023
3385447 ROXANNE DIETZ $120.00
6/30/2023
3385448 DISCOUNT TIRE $583.00
6/30/2023
3385449 EARTH ENGINEERING CONSULTANTS $680.60
6/30/2023
3385450 ENGLISH COLOR & SUPPLY LLC $335.65
6/30/2023
3385451 EXECUTIVE INFORMATION SYSTEMS $26,128.00
6/30/2023
3385452 FIRST ARMORED SERVICES $17,781.18
6/30/2023
3385453 FORCE AMERICA DISTRIBUTING LLC $35.57
6/30/2023
3385454 FORT COLLINS DODGE CHRYSLER JEEP $1,614.03
6/30/2023
3385455 GALETON WATER AND SANITATION DISTRICT $42.00
6/30/2023
3385456 LINDA GASPERS $180.00
6/30/2023
3385457 GREAT WESTERN RAILWAY OF COLORADO $5,469.78
6/30/2023
3385458 GREENWOOD REAL ESTATE INC $1,000.00
6/30/2023
3385459 GROUND ENGINEERING CONSULTANTS, INC $19,915.00
2 $ 6
CheckDate CheckNumber
Payee Amount
6/30/2023
3385460 ALONA GUIZAR $100.00
6/30/2023
3385461 PHYLLIS E. HANSBERRY $85.00
6/30/2023
3385462 HOTSY EQUIPMENT OF NORTHERN COLORADO $19.60
6/30/2023
3385463 INSIGHT PUBLIC SECTOR INC $7,508.07
6/30/2023
3385464 INTERMOUNTAIN DATA CORP $297.50
6/30/2023
3385465 J -U -B ENGINEERS $27,193.80
6/30/2023
3385466 JEFFERSON CAPITAL SYSTEMS LLC $1,128.67
6/30/2023
3385467 TERRY L. JOHNSON $185.00
6/30/2023
3385468 KEEFE COMMISSARY NETWORK SALES $1,420.80
6/30/2023
3385469 CAROL KEEFER $175.00
6/30/2023
3385470 LITTLE THOMPSON WATER DISTRICT $34.77
6/30/2023
3385471 LITTLER MENDELSON PC $5,220.00
6/30/2023
3385472 VICKIE LOPEZ $475.00
6/30/2023
3385473 JACKLYN MARLING $131.70
6/30/2023
3385474 CELESTE MAULDIN $135.00
6/30/2023
3385475 MAVERICK DISPOSAL LLC $255.00
6/30/2023
3385476 JEAN MCALLISTER, MSW $420.00
6/30/2023
3385477 MCCANDLESS INTL TRUCKS $1,027.56
6/30/2023
3385478 JANICE MCLELAND $289.20
6/30/2023
3385479 MDS ASSOCIATES INC $1,690.00
6/30/2023
3385480 MEDICAL SERVICES AND COMPLIANCE LLC $176.00
6/30/2023
3385481 MEDLINE INDUSTRIES INC $573.88
6/30/2023
3385482 JANET L. MEISINGER $300.00
3 \ 6
CheckDate CheckNumber
Payee Amount
6/30/2023
3385483 MIKE MAROONE FORD LONGMONT $374.63
6/30/2023
3385484 MIKE SHAW CDJR $334.70
6/30/2023
3385485 MOTOROLA SOLUTIONS INC $418,468.05
6/30/2023
3385486 MOTOROLA SOLUTIONS INC $3,916.85
6/30/2023
3385487 MOUNTAIN PEAK LAW GROUP PC $801.10
6/30/2023
3385488 NAE4-HYDP $565.00
6/30/2023
3385489 NATRONA COUNTY CIRCUIT COURT $2.00
6/30/2023
3385490 NCI INC. $446.67
6/30/2023
3385491 ONE CALL LOCATORS, LTD $2,617.04
6/30/2023
3385492 ONE TECHNOLOGY CORPORATION $19,068.83
6/30/2023
3385493 PERKINELMER US LLC $1,064.00
6/30/2023
3385494 PERKINELMER US LLC $2,174.00
6/30/2023
3385495 CARMELLA PISANO $330.00
6/30/2023
3385496 POUDRE VALLEY REA $722.87
6/30/2023
3385497 PRIORITY DISPATCH CORPORATION $40,800.00
6/30/2023
3385498 PROFESSIONAL FINANCE COMPANY $1,105.33
6/30/2023
3385499 JANET RATZLAFF $40.00
6/30/2023
3385500 REDMARK CNG SERVICES LLC $250.00
6/30/2023
3385501 NELLIE C. REYES $69.00
6/30/2023
3385502 RISE ABOVE COLORADO $6,702.00
6/30/2023
3385503 ROADSAFE TRAFFIC SYSTEMS $832.00
6/30/2023
3385504 ROBERT SHREVE ARCHITECTS & PLANNERS INC $53,285.00
6/30/2023
3385505 LAUREN E. ROSETTA $65.00
4 \ 6
Chec.ate Chec.umber
Payee Amount
6/30/2023 3385506 TAD ROTHMAN
$300.00
6/30/2023 3385507 SAM'S CLUB
$55.90
6/30/2023 3385508 SAM'S CLUB
$376.29
6/30/2023 3385509 SCANNER ONE
$5,418.00
6/30/2023
3385510 KEVIN SCHWARTZ
$60.00
6/30/2023
3385511 KATHY SEARLE
$100.00
VoID
no
6/30/2023
3385513 SENERGY PETROLEUM
$77,361.16
6/30/2023
3385514 JERRY SHORT
$30.00
6/30/2023 3385515 SO LOW TRANSPORT INC
$63,883.00
6/30/2023 3385516 SOUTHLAND MEDICAL LLC
$151.31
6/30/2023 3385517 TOWN OF GROVER
$119.58
6/30/2023 3385518 TRI STATE TOWING LLC
$1,300.00
6/30/2023 3385519 TRINITY SERVICES GROUP INC
$25,434.16
6/30/2023
3385520 TURN KEY HEALTH CLINICS LLC $418,266.97
6/30/2023
3385521 UTILITY NOTIFICATION CENTER OF COLORADO $154.80
6/30/2023
3385522 VERMEER SALES AND SERVICE OF COLORADO, INC $283.27
6/30/2023
3385523 VIAVI SOLUTIONS INC $4,366.00
6/30/2023
3385524 VSW TRANSCRIPTION INC $1,028.25
6/30/2023
3385525 WEBB REPAIR $151.51
6/30/2023
3385526 LOIS D. WEBER $37.5.00
6/30/2023
3385527 MARILYN WHITE $335.00
6/30/2023
3385528 XCEL ENERGY $24,600.14
5 $ 6
Amount
Check Register Summary
Transaction Total: 113
Amount Total: $1,525,025.19
6 \ 6
Report ID: WDV003
Benefit Year 2023
From Date: 07/05/2023 Thru Date: 07/05/2023
Check No. Check Date
8095445 07/05/2023
8095446 07/05/2023
8095447 07/05/2023
8095449 07/05/2023
8095450 07/05/2023
8095451 07/05/2023
8095452 07/05/2023
8095453 07/05/2023
8095454 07/05/2023
8095455 07/05/2023
8095456 07/05/2023
Payment Type Total
Check Amount
$90.39
$139.00
$65.00
$344.00
$80.03
$$4
$283.00
$153.50
$329.00
$76.49
$2,079.41
Employee Name
Lacy Wells
Michael Joseph McRoberts
xirsten L Waldschmidt
Morgan Pamela Tice
Michele S Cervantes
xyle Richard Moore
Jessica Joanne Throwe
Aaron J Walker
Marta Marie Arndt
Aleksei Churyk
Lisa Salazar
'k
K DENTAL/VISION CHECREGISTER
Employee ID Svc Type Direct Deposit
10135 V Vision Y
10460 D Dental Y
10553 D Dental Y
10938 D Dental Y
12157 D DentaY
12349 D Dentall Y
12524 V Vision Y
5959 D Dental Y
6615 V Vision Y
8440 D Dental Y
9921 V Vision Y
REPORT FABCHKR Weld County BNPD Data
RUN DATE: 06/30/2023
FISCAL YEAR 2023 Batch Disbursement Register
TIME: 02:49 PM
BANK: 01 TREASURER -ACCOUNTS PAYABLE Direct Deposit Run:
06/30/2023 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: 06/30/2023
FISCAL YEAR 2023 Batch Disbursement Register
TIME: 02:49 PM
BANK: 01 TREASURER -ACCOUNTS PAYABLE Direct Deposit Run:
06/30/2023 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
!0042566 AVALOS, IVETT
82.39 0.00 0.00
!0042567 CARR, JEFFREY W
80.04 0.00 0.00
!0042568 CHURYK, ALEKSEI
49.78 0.00 0.00
I2309344 AVALOS061423
82.39 D
I2309566
80.04 D
I2309436 PEAPR23
49.78 D
!0042569 DANFORTH, DEVIN I2309568
33.06 0.00
!0042570 EASTWOOD, KIM
553.71 0.00
73.87
0.00 33.06 D
0.00
0.00 0.00
I2309551
553.71 D
I2309571
73.87 D
DEPOSIT
TOTAL 627.58
!0042571 KOHLGRAF, SONJA
31.46 0.00 0.00
!0042572 LENTZ, AMY
79.91 0.00
0.00
I2309634
31.46 D
I2309572
79.91 D
!0042573 MACIAS, JENIFER L I2309733 MI062823
243.84 0.00 0.00 243.84 D
!0042574 MEYER, CHRIS
175.77 0.00
!0042575 ONG, BRANDON
223.34 0.00
!0042576 POLLARD, MARK
96.24 0.00
0.00
0.00
0.00
!0042577 POULSEN, ZACH
88.01 0.00 0.00
!0042578 POWELL, TINA
774.68 0.00
I2309567
175.77 D
I2309623
223.34 D
I2309563
96.24 D
I2309565
88.01 D
I2309708 POWELL063023
0.00 774.68 D
!0042579 STEWARD, WENDY I2309585 061523
15.00 0.00 0.00 15.00 D
!0042580 THOMPSON, MICHAEL
191.94 0.00 0.00
I2309564
191.94 D
10042581 TOVAR, GABRIELLA I2309627 MI062223
116.08 0.00 0.00
116.08 D
!0042582 WICKS, JAMES I2309752 MULTIPLE
431.17 0.00
0.00 431.17 D
!0042583 WOLFF, PATTI J I2309624 MI062723
44.96 0.00
0.00 44.96 D
!0042584 WELD COUNTY REVOLVING FUND I2309647 MULTIPLE
1,432.07 0.00 0.00
T
REPORT FABCHKR
FISCAL YEAR 2023
06/30/2023
BANK TOTAL 4,817.32
1,432.07 D
RUN DATE: 06/30/2023
TIME: 02:49 PM
PAGE:
RPTNAME: FABCHKR
PARAMETER SEQUENCE NUMBER: 358289
NUMBER OF PRINTED LINES PER PAGE: 52
Weld County BNPD Data
Batch Disbursement Register
Check Run:
3
* * * REPORT CONTROL INFORMATION * *
REPORT FABCHKR Weld County BNPD Data
RUN DATE: 06/30/2023
FISCAL YEAR 2023 Batch Disbursement Register
TIME: 02:50 PM
BANK: 02 TREASURER -SOCIAL SERVICES Direct Deposit Run:
06/30/2023 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: 06/30/2023
FISCAL YEAR 2023 Batch Disbursement Register
TIME: 02:50 PM
BANK: 02 TREASURER -SOCIAL SERVICES Direct Deposit Run:
06/30/2023 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
!0042585 CHAVEZ, ALBA
415.48 0.00 0.00
!0042586 FLACHS, AMY
111.53 0.00 0.00
!0042587 FLACHS, MATTHEW
19.05 0.00 0.00
I2309671 MI062023
415.48 D
I2309673 MI062023
111.53 D
I2309734 MI062723
19.05 D
!0042588 GRAHAM, MEGAN I2309628 MI062023
70.17 0.00 0.00 70.17 D
!0042589 GUADARRAMA, KAREN I2309630 MI62723
38.10 0.00 0.00 38.10 D
!0042590 PARKER, JR, ROBERT I2309731 MI053023
546.74 0.00 0.00 546.74 D
!0042591 REED, ADRIANNA I2309629 MI061923
90.42 0.00 0.00 90.42 D
!0042592 TAPIA, DAMIAN I2309729 MI052623
481.33 0.00 0.00 481.33 D
!0042593 WALKER, HEATHER D I2309626 MI052523
57.10 0.00 0.00 57.10 D
!0042594 WILEY, HANNAH R I2309728 MI062723
306.71 0.00 0.00 306.71 D
!0042595 PREPAID EXPENSE CARD SOLUTIONS I2309618 6/01-15 GC C
29.47 0.00 0.00 29.47 D
BANK TOTAL 2,166.10
T
REPORT FABCHKR
FISCAL YEAR 2023
06/30/2023
RUN DATE: 06/30/2023
TIME: 02:50 PM
PAGE:
RPTNAME: FABCHKR
PARAMETER SEQUENCE NUMBER: 358294
NUMBER OF PRINTED LINES PER PAGE: 52
Weld County BNPD Data
Batch Disbursement Register
Check Run:
3
* * * REPORT CONTROL INFORMATION * *
REPORT FABCHKR Weld County BNPD Data
RUN DATE: 06/30/2023
FISCAL YEAR 2023 Batch Disbursement Register
TIME: 02:42 PM
BANK: El TREASURER -AP ELECTRONIC PAYMENTS Check Run:
06/30/2023 PAGE: 1
< 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
T
REPORT FABCHKR Weld County BNPD Data
RUN DATE: 06/30/2023
FISCAL YEAR 2023 Batch Disbursement Register
TIME: 02:42 PM
BANK: El TREASURER -AP ELECTRONIC PAYMENTS Check Run:
06/30/2023 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
E0003184 GALLS INC I2309517 MULTIPLE
651.46 0.00
T
REPORT FABCHKR
FISCAL YEAR 2023
0.00 651.46 B
RUN DATE: 06/30/2023
TIME: 02:42 PM
Weld County BNPD Data
Batch Disbursement Register
Check Run:
06/30/2023
RPTNAME: FABCHKR
PARAMETER SEQUENCE NUMBER: 358284
NUMBER OF PRINTED LINES PER PAGE: 52
PAGE: 3
* * * REPORT CONTROL INFORMATION * *
vaetna-
Re: Funds Transfer Confirmation
Prepared Date: Wednesday, June 28, 2023
Contractholder Name: WELD COUNTY GOV
Attention: S FREY/R FIELDER
RE:MEDICAL CLAIMS
Reference#: 54-23178-0466
Activity of: Tuesday, June 27, 2023
Debit/Pull Amount: $127,319.65
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.3.0.7.0
For any questions, please send emails to Banking-SAMP@aetna.com or call a contact listed below.
1IV t't,i}t..._ jetflr
Kimberly Settle
Banking Consultant Phone 330-659-8333
J2300898
06/28/2023
Daphne Fentress
Banking Consultant Phone 904-351-5504
Proprietary
vaetna-
Re: Funds Transfer Confirmation
Prepared Date: Thursday, June 29, 2023
Contractholder Name: WELD COUNTY GOV
Attention: S FREY/R FIELDER
RE:MEDICAL CLAIMS
Reference#: 54-23179-0653
Activity of: Wednesday, June 28, 2023
Debit/Pull Amount: $270,705.78
Account Name:
Credit Bank:
Bank Address:
SFGP/ASC Contractholders Account
Bank Of America Connecticut
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.3.0.7.0
For any questions, please send emails to Banking-SAMP@aetna.com or call a contact listed below.
t t1Jmtt.,__r
Kimberly Settle Daphne Fentress
Banking Consultant Phone 330-659-8333 Banking Consultant Phone 904-351-5504
J2300904
06/29/2023
Proprietary
vaetna-
Re: Funds Transfer Confirmation
Prepared Date: Friday, June 30, 2023
Contractholder Name: WELD COUNTY GOV
Attention: S FREY/R FIELDER
RE:MEDICAL CLAIMS
Reference#: 54-23180-0388
Activity of: Thursday, June 29, 2023
Debit/Pull Amount: $65,738.91
Account Name:
Credit Bank:
Bank Address:
SFGP/ASC Contractholders Account
Bank Of America Connecticut
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.3.0.7.0
For my questions, please send emails to Banking-SAMP@aetna.com or call a contact listed below.
Urnbc ll,_' r
Kimberly Settle
Banking Consultant Phone 330-659-8333
J2300908
06/30/2023
Daphne Fentress
Banking Consultant Phone 904-351-5504
Proprietary
..0..
37.5 +
23,201.81 +
367.34 +
1,525,025.19 +
2,079.41 +
4,817.32 +
2,166.1 +
651.46 +
127,319.65 +
270:705.78 +
65,738.91 +
2,022,110.47 *
37.5 +
23.201.81 +
367.34 +
1,525,025.19 +
2,079.41 +
4,817.32 +
2,166.1 +
651.46 +
127,319.65 +
270,705.78 +
65,738.91 +
2,022,110.47 *
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