HomeMy WebLinkAbout20232504.tiffWELD COUNTY WARRANTS
AS OF: AUGUST 28, 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 (20) pages, and dated August 25, 2023; and that payments
should be to the respective vendors listed in the amount set opposite their names, with the
tot mount of _,675,177.62. Dated this 28th day of August, 2023.
e : oun 3 inancial Officer
SUBSCRIBED AND SWORN TO before me this 28th day of August, 2023.
otary Public
My Commission Expires: Og/OS/2027
MARIAN N HIGGINS
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 20194029616
MY COMMISSION EXPIRES AUGUST 5, 2027
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 $1,675,177.62. Dated this 28th day of August, 2023.
ATTEST:deign, •
Weld County Clerk to the Board
Deputy Clerk to the Board
APP ::VED
Coun Attorney
Date of signature: ovnta3
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
- - an, Clad
erry B�ck, Pro-Tem
Scott K. Ja
2023-2504
Check Register
Date : 08/25/2023
CheckDate CheckNumber Payee
Weld County
Airport
°Check run processed 8/25/2023 by mhiggins
Amount
Greeley -Weld Airport Authority
082523AP
8/28/2023
2014120 ALPHA NETWORK SYSTEMS $875.00
8/28/2023
2014121 CENTURY LINK $847.26
8/28/2023
2014122 FIDELITY SECURITY LIFE $347.36
8/28/2023
2014123 UNITED HEALTHCARE $391.07
Check Register Summary
Transaction Total: 4
Amount Total: $2,460.69
1 / 1
2023-2504
Check Register
Date : 08/25/2023
CheckDate CheckNumber
Department Name
Payee
Weld County
Flexible Benefits
*Check run processed 8/25/2023 by mhiggins
Amount
Flexible Benefits
082523FDV
8/28/2023
Booking
8095640 Julie Ann Fagerberg $588.50
Check Register Summary
Transaction Total: 1
Amount Total: $588.50
1 \ 1
Check Register
Date : 08/25/2023
CheckStatus CheckDate CheckNumber
Weld County
Human Services
°Check run processed 8/25/2023 by mhiggins
Payee
Amount
Human Services
082523HS
Normal 8/28/2023
5034770 CALIFORNIA DEPARTMENT OF JUSTICE $15.00
Normal 8/28/2023
5034771 GREELEY SEVENTH DAY ADVENTIST CHURCH $1,400.00
Normal 8/28/2023
5034772 IDEA FORUM, INC $1,326.00
Normal 8/28/2023
5034773 INTERMOUNTAIN DATA CORP $322.50
Normal 8/28/2023
5034774 INTERVENTION INC $5,230.00
Normal 8/28/2023
5034775 ARTHUR MARTINEZ $2,000.00
Normal 8/28/2023
5034776 NORTHERN COLORADO PEST AND WILDLIFE CONTROL CORP $518.00
Normal 8/28/2023
5034777 NORTHGLENN NORTH PARK APARTMENTS VENTURE $1,473.00
Normal 8/28/2023
5034778 OAK 140 LLLP $964.00
Normal 8/28/2023
5034779 THIRD WAY CENTER $156.12
Normal 8/28/2023
5034780 UABA LLC $4,262.00
Check Register Summary
Transaction Total: 11
Amount Total: $17,666.62
1 \ 1
Check Register
Date : 08/25/2023
CheckDate CheckNumber Payee
Weld County
Weld County
*Check run processed 8/25/2023 by mhiggins
Amount
Weld County, Colorado
082523WELD
8/28/2023
3386945 A TURNING POINT OF COLORADO SPRINGS INC $40.00
8/28/2023
3386946 ADAMSON POLICE PRODUCTS $3,310.00
8/28/2023
3386947 WESLEY ADKINS $30.00
8/28/2023
3386948 ADT COMMERCIAL LLC $1,112.00
8/28/2023
3386949 AIRGAS USA LLC $161.40
8/28/2023
3386950 PATRICIA ANDERSEN $306.90
8/28/2023
3386951 FRANCES ANDERSON $75.00
8/28/2023
3386952 ANDREA'S ANGELS INC $1,645.75
8/28/2023
3386953 ASPHALT SPECIALTIES CO INC $196,387.20
8/28/2023
3386954 ATMOS ENERGY $13.82
8/28/2023
3386955 BENICH WELDING $500.00
8/28/2023
3386956 BI INC $3,705.00
8/28/2023
3386957 SHAUNAH BREUER $100.00
8/28/2023
3386958 BRIGHTSTAR CARE OF GREELEY $1,307.30
8/28/2023
3386959 CACCB-COLORADO ASSOC OF COMMUNITY CORRECTIONS BOAR $1,200.00
8/28/2023
3386960 CAPITAL BUSINESS SYSTEMS INC $45.27
8/28/2023
3386961 CARRIER WEST $10,418.66
8/28/2023
3386962 HECTOR CASTANEDA $27.00
8/28/2023
3386963 CENTERPLACE DENTAL CARE $347.00
8/28/2023
3386964 CINTAS CORPORATION $693.02
8/28/2023
3386965 COLORADO DEPT OF PUBLIC HEALTH/ENVIRONMENT $1,059.50
1 \ 6
Chec.ate CheckNumber
Payee Amount
8/28/2023
3386966 COLORADO PAINT COMPANY $33,750.00
8/28/2023
3386967 COMPASSIONATE CONNECTION LLC $3,567.00
8/28/2023
3386968 KAMIE COOLEY $19.05
8/28/2023
3386969 ISAIAH CORDOVA $185.00
8/28/2023
3386970 CREDIT SERVICE COMPANY INC $25.00
8/28/2023
3386971 CREDIT SYSTEMS INC $15.00
8/28/2023
3386972 DBE MANUFACTURING & SUPPLY LLC $33,887.62
8/28/2023
3386973 DC GROUP INC $2,673.47
8/28/2023
3386974 ALONDRA DELGADO $15.00
8/28/2023
3386975 DICTOGUARD SECURITY SYSTEMS, INC $35.00
8/28/2023
3386976 DRUG TESTING INC $40.00
8/28/2023
3386977 ECOLAB $12,928.65
8/28/2023
3386978 ELEVATE HOME CARE $870.00
8/28/2023
3386979 JAMES ELWELL $150.00
8/28/2023
3386980 EYEMART EXPRESS $350.00
8/28/2023
3386981 RYLAND FERRIS $15.00
8/28/2023
3386982 STEPHANIE M. FERRIS $275.00
8/28/2023
3386983 FIRST LIGHT HOME CARE $754.00
8/28/2023
3386984 FRANCY LAW FIRM $15.00
8/28/2023
3386985 FRONT RANGE INDUSTRIAL & CONSTRUCTION SUPPLY $419.03
8/28/2023
3386986 GALETON WATER AND SANITATION DISTRICT 042.00
8/28/2023
3386987 GEO REENTRY SERVICES, LLC $1,278.00
8/28/2023
3386988 GPS SERVERS LLC $45.00
2 $ 6
CheckDate CheckNumber
Payee Amount
8/28/2023
3386989 GREELEY AUTOMOTIVE MACHINE INC $70.00
8/28/2023
3386990 GREELEY EYE DOCTORS $150.00
8/28/2023
3386991 GREELEY LOCK AND KEY $898.99
8/28/2023
3386992 SANICOLE GREULICH $15.00
8/28/2023
3386993 GRISWOLD CONSTRUCTION AND OVERHEAD DOOR LLC $4,899.99
8/28/2023
3386994 HILLYARD $203.08
8/28/2023
3386995 MARK HOLDRIDGE $15.00
8/28/2023
3386996 HOLST & TEHRANI LLP $15.00
8/28/2023
3386997 IDEA FORUM, INC $15.00
8/28/2023
3386998 IDEXX DISTRIBUTION, INC $4,664.58
8/28/2023
3386999 INTERMOUNTAIN DATA CORP $247.50
8/28/2023
3387000 INTERNATIONAL FACILITY MANAGEMENT ASSOCIATION $414.00
8/28/2023
3387001 INTERVENTION COMMUNITY CORRECTIONS SERVICES $83,887.35
8/28/2023
3387002 INTERVENTION INC $1,221.00
8/28/2023
3387003 IOME LLC $15,125.00
8/28/2023
3387004 J & F CONCRETE LLC $7,350.00
8/28/2023
3387005 JOHNSON CONTROLS SECURITY SOLUTIONS LLC $1,762.33
8/28/2023
3387006 KELLY SPICERS INC $383.70
8/28/2023
3387007 KEN GARFF FORD GREELEY $162,585.00
8/28/2023
3387008 LANDPOINT HOLDINGS LLC $800.00
8/28/2023
3387009 LANGUAGE LINE SERVICES INC $136.28
8/28/2023
3387010 LARIMER COUNTY $30.00
8/28/2023
3387011 LAW OFFICE OF ED FRADS LLC $5,142.50
3 \ 6
CheckDate CheckNumber
Payee Amount
8/28/2023
3387012 LAW OFFICES OF FRANK J BALL $15.00
8/28/2023
3387013 LIVE FULLY LLC $2,711.50
8/28/2023
3387014 JACLYN MALDONADO $15.00
8/28/2023
3387015 MARK A LEACHMAN P.C. $32.00
8/28/2023
3387016 VERONICA MARKLEY $15.00
8/28/2023
3387017 MARTINDALE CONSULTANTS INC $2,413.75
8/28/2023
3387018 MCS INC C/0 CSI $4,169.41
8/28/2023
3387019 MEDICAL SERVICES AND COMPLIANCE LLC $286.00
8/28/2023
3387020 MEDICO -MART INC $10,195.20
8/28/2023
3387021 METRO COLLECTION SERVICE $15.00
8/28/2023
3387022 METRO MAINTENANCE INC $1,882.62
8/28/2023
3387023 MILE HIGH SENIORS INC $812.00
8/28/2023
3387024 MILLER & MILLER PC $15.00
8/28/2023
3387025 MONTANA H2O LLC $750.00
8/28/2023
3387026 NORTHERN SMILES FAMILY DENTAL PC $1,000.00
8/28/2023
3387027 OBAND'S JANITORIAL COMPANY $32,360.00
8/28/2023
3387028 SANDRA PEREZ $15.00
8/28/2023
3387029 ELIZABETH PERKINS $150.00
8/28/2023
3387030 EVAN PINKHAM $176.91
8/28/2023
3387031 POUDRE VALLEY REA $245.59
8/28/2023
3387032 PRO STEEL INC $4,500.00
8/28/2023
3387033 PROFESSIONAL TRAFFIC GRAPHICS, INC $1,500.00
8/28/2023
3387034 R & R DRYWALL $15.00
4 5 6
CheckDate CheckNumber
Payee Amount
8/28/2023 3387035 RAMMS LLC
$14.00
8/28/2023 3387036 RAPTOR MATERIALS LLC
$3,349.00
8/28/2023
3387037 REDWOOD TOXICOLOGY LABORATORY INC $509.08
8/28/2023 3387038 REMY CORPORATION
$8,500.00
8/28/2023 3387039 REPUBLIC SERVICES INC
$7,398.58
8/28/2023
3387040 ROCKY MOUNTAIN AQUA TECH LLC $300.00
8/28/2023 3387041 SANOFI PASTEUR INC
$149.49
8/28/2023
3387042 SCAN AIR FILTERS, INC
$2,702.83
8/28/2023
3387043 SCANNER ONE
$1,205.62
Voit-
$ .0
8/28/2023 3387047 GARY J. SIEVERS
$220.00
8/28/2023 3387048 CLARICE SIRIO
$15.00
8/28/2023 3387049 SO LOW TRANSPORT INC
$80,960.00
8/28/2023 3387050 SQUEEGEE SQUAD
$8,997.00
8/28/2023 3387051 STANLEY ACCESS TECH LLC
$1,971.32
8/28/2023 3387052 STERICYCLE INC
$54.68
8/28/2023 3387053 SUMURI LLC
$1,350.00
8/28/2023 3387054 THE HOME DEPOT PRO
$766.56
8/28/2023
3387055 THE HOME DEPOT PRO $95.64
8/28/2023
3387056 THE JELLYVISION LAB INC $45,361.00
8/28/2023
3387057 THE MAINE SIGN LLC $90.00
5 \ 6
CheckDate CheckNumber
Payee Amount
8/28/2023 3387058 HUGO TORRES
$90.00
8/28/2023
3387059 TOTAL FIRE PROTECTION INC $180.00
8/28/2023
3387060 TRANSWEST TRUCK TRAILER RV $430.00
8/28/2023
3387061 TRINITY SERVICES GROUP INC $2,145.34
8/28/2023 3387062 UABA LLC
$109.00
8/28/2023 3387063 ALEXANDER VALDEZ
$91.00
8/28/2023 3387064 VANCE BROTHERS INC
$120,969.33
8/28/2023 3387065 VILLA WEST
$2,587.12
8/28/2023 3387066 THERESA WEBB
$202.50
8/28/2023
3387067 WESTERN PAPER DISTRIBUTORS
$5,746.51
8/28/2023
3387068 WIZ -QUIZ DRUG SCREENING
$30.00
VOID
s
8/28/2023
3387070 XCEL ENERGY
$24,517.70
8/28/2023
3387071 CHERIE YOUNG
$15.00
8/28/2023 3387072 ZTL PARTNERS INC
$14,632.50
8/28/2023 3387073 ZTL PARTNERS INC
$14,632.50
Check Register Summary
Transaction Total: 129
Amount Total: $1,097,137.16
6 $ 6
Report ID: WDV003
Benefit Year 2023
From Date: 08/28/2023 Thru Date: 08/28/2023
Check No. Check Date
8095637 08/28/2023
8095638 08/28/2023
8095639 08/28/2023
8095641 08/28/2023
8095642 08/28/2023
8095643 08/28/2023
8095644 08/28/2023
8095645 08/023
8095646 08/28/228/203
PeopleSof
DENTAL/VISION CHECK REGISTER
Check Amount Employee Name Employee ID Svc Type Direct Deposit
$20.96 Jazmyn Coree Trujillo Martinez 10970 V Von
$78.00 Elise Johann Murphy 11231 D Dental
$78.00 Elise Johann Murphy 11231 D Dental Y
$233.70 Cynthia K Horn 3345 D Dental
$178.50 Jennifer A Fogg 4256 Dental Y
$375.00 Leslie Galindo 4477 D Dental
$82.50 Ryan Axtman 8120 V Vision
$115.00 Latisha Rodriguez 8172 Dental
$448.00 David A Springer 9931 D Dental
Payment Type Total $1,609.66
REPORT FABCHKR Weld County BNPD Data
RUN DATE: 08/25/2023
FISCAL YEAR 2023 Batch Disbursement Register
TIME: 02:57 PM
BANK: 01 TREASURER -ACCOUNTS PAYABLE Direct Deposit Run:
08/28/2023 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
!0043079 BACHENBERG, BEATRICE
935.00 0.00 0.00
!0043080 EASTWOOD, KIM
503.87 0.00 0.00
!0043081 FORD, DAREN
10.69 0.00 0.00
!0043082 GEISER, TANYA
1,310.75 0.00 0.00
!0043083 IBARRA, ELISEO
146.55 0.00 0.00
!0043084 JOHNSON, TERESA
197.64 0.00 0.00
570.03 0.00 0.00
I2312234 08262023-082620
935.00 D
24
I2312428
503.87 D
I2312479 DFORD-AUG23
10.69 D
I2312464 0815-081823
1,310.75 D
I2312451 CL08172023
146.55 D
I2312429
197.64 D
I2312430
570.03 D
TOTAL 767.67
!0043085 KOCHEVAR, KAYLEIGH I2312393 0710-073123
368.24 0.00 0.00
368.24 D
DEPOSIT
!0043086 LEUHR, LAURA
159.00 0.00
!0043087 LUNA, JACOB
100.52 0.00
I2312478 0515-081523
0.00 159.00 D
0.00
!0043088 MARQUEZ, LORENA
199.39 0.00 0.00
!0043089 MARRS, CONNIE
31.75 0.00
0.00
!0043090 NORTHRUP, SCOTT
86.36 0.00 0.00
!0043091 ROBERTS, MARVIN E
95.25 0.00 0.00
!0043092 SCHIEL, ADRIA
335.00 0.00
0.00
!0043093 STEWART, LAWRENCE E
29.85 0.00 0.00
!0043094 WILLIAMS, LOUIS M
38.61 0.00 0.00
!0043095 WELD COUNTY REVOLVING FUND
119.23 0.00 0.00
4,359.17
0.00 0.00
I2312526 MI082223
100.52 D
I2312394 0701-072823
199.39 D
I2312395 070123
31.75 D
I2312377 MI08032023
86.36 D
I2312378 MI08042023
95.25 D
I2312409 AS 082323
335.00 D
I2312379 MI08032023
29.85 D
I2312540 MI073123
38.61 D
I2312450 17198
119.23 D
I2312485 17201
4,359.17 D
TOTAL 4,478.40
T
REPORT FABCHKR
FISCAL YEAR 2023
08/28/2023
BANK TOTAL 9,596.90
RUN DATE: 08/25/2023
TIME: 02:57 PM
PAGE:
DEPOSIT
Weld County BNPD Data
Batch Disbursement Register
Check Run:
2
* * * REPORT CONTROL INFORMATION * *
RPTNAME: FABCHKR
PARAMETER SEQUENCE NUMBER: 359859
NUMBER OF PRINTED LINES PER PAGE: 52
REPORT FABCHKR Weld County BNPD Data
RUN DATE: 08/25/2023
FISCAL YEAR 2023 Batch Disbursement Register
TIME: 02:58 PM
BANK: 02 TREASURER -SOCIAL SERVICES Direct Deposit Run:
08/28/2023 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: 08/25/2023
FISCAL YEAR 2023 Batch Disbursement Register
TIME: 02:58 PM
BANK: 02 TREASURER -SOCIAL SERVICES Direct Deposit Run:
08/28/2023 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
!0043096 CARTER, STEPHANIE I2311303 MI072623
67.24 0.00 0.00
67.24 D
!0043097 CONNER, DIANE ELIZABETH I2312534 MI080123
265.24 0.00 0.00
265.24 D
!0043098 DOMINGUEZ, KHENNYA I2312530 MI082223
77.47 0.00 0.00
77.47 D
!0043099 DURAN, YESENIA I2312499 MI073123
381.34 0.00 0.00 381.34 D
!0043100 IBUADO, ERIKA I2312531 MI072023
34.29 0.00 0.00 34.29 D
!0043101 JAEB, ANASTASIA I2312536 MI082123
80.01 0.00 0.00 80.01 D
!0043102 LUCERO, BOBBY J I2312529 MI081823
162.56 0.00 0.00 162.56 D
!0043103 MORAN-AYRES, ALEXANDRA I2312497 MI062923
140.97 0.00 0.00 140.97 D
I2312498 MI072723
242.44 0.00 0.00 242.44 D
DEPOSIT
TOTAL 383.41
!0043104 STAPLETON-LAWLOR, PAIGE
621.08 0.00 0.00
!0043105 VEGA-CUESTA, DEISY
297.43 0.00 0.00
!0043106 WILSON, SHAWNA
179.59 0.00
0.00
!0043107 WISDOM-VIDAL, RACHEL E
121.02 0.00 0.00
!0043108 WITKOWSKI, JULIE
72.39 0.00 0.00
I2312539 MI072623
621.08 D
I2312532 MI082223
297.43 D
I2312535 MI073123
179.59 D
I2312537 MI072823
121.02 D
I2312533 MI072723
72.39 D
!0043109 PREPAID EXPENSE CARD SOLUTIONS I2312519 8/1-15 GC C
87.93 0.00 0.00 87.93 D
BANK TOTAL 2,831.00
T
REPORT FABCHKR Weld County BNPD Data
RUN DATE: 08/25/2023
FISCAL YEAR 2023 Batch Disbursement Register
TIME: 02:58 PM
Check Run:
08/28/2023 PAGE: 3
* * * REPORT CONTROL INFORMATION *
RPTNAME: FABCHKR
PARAMETER SEQUENCE NUMBER: 359864
NUMBER OF PRINTED LINES PER PAGE: 52
REPORT FABCHKR Weld County BNPD Data
RUN DATE: 08/25/2023
FISCAL YEAR 2023 Batch Disbursement Register
TIME: 02:53 PM
BANK: El TREASURER -AP ELECTRONIC PAYMENTS Check Run:
08/28/2023 PAGE: 1
CHECK/
ADVICE
DISCOUNT/ WITHHOLDING/
NUMBER PAYEE/VENDOR NAME
PREV PAID ADDL CHG/TAX NET
APPROVED AMOUNTS
<
TYP
A/P DOC#
IND
CHECK REGISTER
> CHK
VENDOR INV#
T
REPORT FABCHKR
RUN DATE: 08/25/2023
FISCAL YEAR 2023
GROSS
Weld County BNPD Data
Batch Disbursement Register
TIME: 02:53 PM
BANK: El TREASURER -AP ELECTRONIC PAYMENTS Check Run:
08/28/2023 PAGE: 2
CHECK/
ADVICE
DISCOUNT/ WITHHOLDING/
NUMBER PAYEE/VENDOR NAME
PREV PAID ADDL CHG/TAX NET
APPROVED AMOUNTS
TYP
A/P DOC#
IND
CHECK REGISTER
> CHK
VENDOR INV#
E0003225 VOID CHECK - TEST PATTERN
E0003226 ENVIROTECH SERVICES INC.
7,107.32 0.00 0.00
13,748.12
23,346.15
0.00 0.00
0.00 0.00
I2312382 MULTIPLE
7,107.32 B
I2312457 MULTIPLE
13,748.12 B
I2312482 MULTIPLE
23,346.15 B
GROSS
CHECK
TOTAL 44,201.59
E0003227 WESTERN DETENTION PRODUCTS INC I2311882 20231896
547.00 0.00 0.00 547.00 B
BANK TOTAL 44,748.59
T
REPORT FABCHKR
FISCAL YEAR 2023
08/28/2023
RUN DATE: 08/25/2023
TIME: 02:53 PM
PAGE:
RPTNAME: FABCHKR
PARAMETER SEQUENCE NUMBER: 359854
NUMBER OF PRINTED LINES PER PAGE: 52
Weld County BNPD Data
Batch Disbursement Register
Check Run:
3
* * * REPORT CONTROL INFORMATION *
vaetna-
Re: Funds Transfer Confirmation
Prepared Date: Thursday, August 24, 2023
Contractholder Name: WELD COUNTY GOV
Attention: S FREY/R FIELDER
RE:MEDICAL CLAIMS
Reference#: 54-23235-0655
Activity of: Wednesday, August 23, 2023
Debit/Pull Amount: $271,252.39
Account Name: SFGP/ASC Contractholders Account
Credit Bank: Bank Of America Connecticut
Bank Address: 2611 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.
Kimberly Settle
Banking Consultant Phone 330-659-8333
Daphne Fentress
Banking Consultant Phone 904-351-5504
J2301125
08/24/2023
Proprietary
vaetna
Re: Funds Transfer Confirmation
Prepared Date: Friday, August 25, 2023
Contractholder Name: WELD COUNTY GOV
Attention: S FREY/R FIELDER
RE:MEDICAL CLAIMS
Reference#: 54-23236-0442
Activity of: Thursday, August 24, 2023
Debit/Pull Amount: $227,286.11
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.
Kimberly Settle Daphne Fentress
Banking Consultant Phone 330-659-8333 Banking Consultant Phone 904-351-5504
J2301126
08/25/2023
Proprietary
..0..
2,460.69 +
588.5 +
17,666.62 4-
1s-097,137.16 +
1,609.66 +
9,596.9 +
2,831•
44,748.59 +
271,252.39 +
227,286.11 +
1,675,177.62 *
2,460.69 +
588.5 +
17,666.62 +
1,097,137.16 +
1,609.66 +
9,596.9 4-
21831.
+
44,748.59 +
271,252.39 +
227,286.11 +
1,675,177.62 *
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