HomeMy WebLinkAbout20220006.tiffWELD COUNTY WARRANTS
AS OF: JANUARY 3, 2022
This is to certify that all accounting and budgeting procedures have been completed on
the above listed claims as shown on the attached ten (10) Check and Electronic Transmittal
Registers, numbering twenty-three (23) pages, and dated December 30, 2021; and that
payments should be to the respective vendors listed in the amount set opposite their names,
with the total amount of $2,628,614.05. Dated this 3rd day of January, 2022.
eld County Financial Officer
SUBSCRIBED AND SWORN TO before me this 3rd day of January, 2022.
kAA:7rt.
otary Public
My Commission Expires: S t 5 2023
T
MARIAH 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 $2,628,614.05. Dated this 3rd day of January, 2022.
ATTEST: day,A,��
Weld County Clerk to the Bard
BY:
Deputy Cl
APP
i
County Attorney
Date of signature: t /4/2 -.3 -
pzo
BOARD OF COUNTY COMMISSIONERS
WELD COUTY, COLORADO
Scoames, Chair
taaLL
Mian, Pro-Tem
Lori
2022-0006
Check Register
Date : 12/30/2021
CheckDate CheckNumber Payee
Department Name
Weld County
Flexible Benefits
*Check run processed 12/30/2021 by mhiggins
Amount
Flexible Benefits
123021FDV
12/30/2021
PW Maintenance Support
8092950 Jacy Dickens $81.50
Check Register Summary
Transaction Total: 1
Amount Total: $81.50
2022-0006
1 \ 1
Check Register
Date : 12/30/2021
Weld County
Human Services
*Check run processed 12/30/2021 by mhiggins
CheckStatus CheckDate CheckNumber Payee Amount
Human Services
123021 HS
Normal
12/30/2021 5029826 2424 PARTNERSHIP LLC
$7,256.95
Normal
12/30/2021 5029827 ADAMS COUNTY
$32.00
Normal
12/30/2021 5029828 ATMOS ENERGY
$658.25
Normal
12/30/2021
5029829 TERRY L. BEARD
$7,410.00
Normal
12/30/2021
5029830 BRADLEY BODA
$270.00
Vamp
Normal
12/30/2021
5029832 BRATTONS OFFICE EQUIPMENT INC
$1,794.28
Normal
12/30/2021
5029833 VANESSA M. BRETZ
$6,900.00
Normal
12/30/2021 5029834 CAPITAL BUSINESS SYSTEMS INC
$126.73
Normal
12/30/2021 5029835 CATHOLIC CHARITIES NORTHERN
$4,572.47
Normal
12/30/2021 5029836 CITY OF GREELEY
$2,730.00
Normal
12/30/2021 5029837 ESTHER DENNIS
$870.00
Normal 12/30/2021
5029838 DEPARTMENT OF CHILDREN, YOUTH AND FAMILIES $20.00
Normal
12/30/2021 5029839 DISPATCH LEGAL
$130.00
Normal 12/30/2021
5029840 DS PROPERTY SOLUTIONS LLC $9,260.00
Normal 12/30/2021
5029841 DSHS CHILDREN'S ADMN $20.00
Normal 12/30/2021
5029842 DAVID L. GAUNT $2,900.00
Normal 12/30/2021
5029843 INTERMOUNTAIN DATA CORP $500.00
Normal 12/30/2021
5029844 KIDS AT HEART $2,825.00
Normal 12/30/2021
5029845 LARIMER COUNTY $57.00
Normal 12/30/2021
5029846 LINCOLN COUNTY $46.00
1 \ 3
CheckStatus CheckDate CheckNumber
Payee Amount
Normal 12/30/2021
5029847 LOGAN COUNTY SHERIFF'S OFFICE $10.00
Normal 12/30/2021
5029848 CHARLES MCFARLIN $3,100.00
Normal 12/30/2021
5029849 MEEKER COMMONS MHA, LTD $7,899.00
Normal 12/30/2021
5029850 MIMG XXXIV VILLAGE GREEN LLC $3,443.25
Normal 12/30/2021
5029851 MONTESSORI ACADEMY OF NORTHERN COLORADO $1,895.95
Normal 12/30/2021
5029852 NORTHERN COLORADO CREMATORY, INC. $1,500.00
VOID
Normal 12/30/2021
5029854 PAPER CHASE $1,145.00
Normal 12/30/2021
5029855 PARK HOMES LLC DBA FAIRWAY HOMES $8,055.20
Normal 12/30/2021
5029856 PEAR LLC $48,466.99
Normal 12/30/2021
5029857 PEEK GOLDSTONE LLC $4,212.00
Normal 12/30/2021
5029858 RMR HOLDINGS $5,235.00
Normal 12/30/2021
5029859 ROYAL GARDENS APARTMENTS LLC $2,619.88
Normal 12/30/2021
5029860 SAM'S CLUB $105.90
Normal 12/30/2021
5029861 SUMMIT GREELEY APTS LLC $6,178.03
Normal 12/30/2021
5029862 TRANSITIONS PSYCHOLOGY GROUP, LLC $120.00
Normal 12/30/2021
5029863 UNITED WAY $16,006.60
Normal 12/30/2021
5029864 VINTAGE CORPORATION $5,823.25
Normal 12/30/2021
5029865 VSW TRANSCRIPTION INC $60.00
Normal 12/30/2021
5029866 XCEL ENERGY $331.23
Normal 12/30/2021
5029867 XCEL ENERGY $35.88
Normal 12/30/2021
5029868 XCEL ENERGY $653.78
2 \ 3
CheckStatus CheckDate CheckNumber Payee Amount
Check Register Summary
Transaction Total: 43
Amount Total: $165,275.62
Check Register
Date : 12/30/2021
CheckDate CheckNumber Payee
Department Descripti
Weld County
Payroll
*Check run processed 12/30/2021 by mhiggins
Amount
Payroll
123021PR
12/30/2021
Work Release
92924 Patrick Gomez Jr $277.05
12/30/2021
Communications
92925 Ashley Allsup $277.05
12/30/2021
Security
92926 Brandi Yvonne Bendele $277.05
12/30/2021
Ordinance Enforcement
92927 Rebeca Mae Farris $277.05
12/30/2021
Security
92928 Rebekah Lillian Goolsby $277.05
Check Register Summary
Transaction Total: 5
Amount Total: $1,385.25
1 \ 1
Check Register
Date : 12/30/2021
CheckDate CheckNumber
Weld County
Weld County
*Check run processed 12/30/2021 by mhiggins
Payee Amount
Weld County, Colorado
123021 WELD
12/30/2021
3370565 ABSOLUTE STANDARDS $220.00
12/30/2021
3370566 ACADEMY FOR DENTAL ASSISTING CAREERS $2,995.00
12/30/2021
3370567 ACTION TARGET, INC $1,928.20
12/30/2021
3370568 ADAMSON POLICE PRODUCTS $5,460.00
12/30/2021
3370569 AESTHETIC ALTERNATIVE RECYCLING INC $20,986.00
12/30/2021
3370570 AIRGAS USA LLC $124.43
12/30/2021
3370571 AIRGAS USA LLC $680.47
12/30/2021
3370572 ALL COWBOY EROSION CONTROL LLC $15,045.63
12/30/2021
3370573 AMERICAN CONSTRUCTION SERVICES LLC $42,755.52
12/30/2021
3370574 AMERICAN SOCIETY OF CANINE TRAINERS (ASCT) $520.00
12/30/2021
3370575 ARAMARK CORPORATION $28,453.26
12/30/2021
3370576 ATMOS ENERGY $110.69
12/30/2021
3370577 BRADY INDUSTRIES OF COLORADO $221.21
12/30/2021
3370578 BRATTONS OFFICE EQUIPMENT INC $177.00
12/30/2021
3370579 CAPITAL BUSINESS SYSTEMS INC $1,257.52
12/30/2021
3370580 CARTEGRAPH SYSTEMS LLC $5,300.00
12/30/2021
3370581 CCS FACILITY SERVICES $740.62
12/30/2021
3370582 CDW GOVERNMENT INC $3,413.12
12/30/2021
3370583 CENTRAL WELD COUNTY WATER DISTRICT $495.78
12/30/2021
3370584 CITY OF GREELEY $960.00
12/30/2021
3370585 CML SECURITY $1,450.00
1 \ 5
CheckDate CheckNumber
Payee Amount
12/30/2021
3370586 COALRIDGE ANIMAL HOSPITAL $210.80
12/30/2021
3370587 COLORADO DEPARTMENT OF REVENUE $1,183.23
12/30/2021
3370588 COLORADO DEPARTMENT OF REVENUE $250.00
12/30/2021
3370589 COLORADO DEPARTMENT OF REVENUE $200.00
12/30/2021
3370590 COLORADO DEPARTMENT OF REVENUE $724.47
12/30/2021
3370591 COLORADO DEPARTMENT OF REVENUE $1,359.74
12/30/2021
3370592 COLORADO DEPARTMENT OF REVENUE $1,688.47
12/30/2021
3370593 COLORADO DEPARTMENT OF REVENUE $942.91
12/30/2021
3370594 COLORADO DEPARTMENT OF REVENUE $796.96
12/30/2021
3370595 COLORADO DEPARTMENT OF REVENUE $60.00
12/30/2021
3370596 COLORADO DEPARTMENT OF REVENUE $250.00
12/30/2021
3370597 COMPUTER SYSTEMS DESIGN COMPANY $4,300.00
12/30/2021
3370598 COREN PRINTING INC $1,540.00
12/30/2021
3370599 COBBLE COSPER $45.00
12/30/2021
3370600 CUSHMAN & WAKEFIELD INC $4,400.00
12/30/2021
3370601 CHRISTOPHER DALZELL $41.00
12/30/2021
3370602 DAPTIV $31,545.44
12/30/2021
3370603 DELL MARKETING L.P. $131,180.00
12/30/2021
3370604 DH PACE COMPANY INC $1,402.63
12/30/2021
3370605 DICTOGUARD SECURITY SYSTEMS, INC $155.00
12/30/2021
3370606 DXP ENTERPRISES INC $136.35
12/30/2021
3370607 ECKSTINE ELECTRIC COMPANY $70.00
12/30/2021
3370608 ECOLAB $4,807.00
2 \ 5
CheckDate CheckNumber
Payee Amount
12/30/2021
3370609 EXPRESS SERVICES INC $3,990.00
12/30/2021
3370610 EXPRESS TOLL SERVICES CENTER $260.29
12/30/2021
3370611 GUADALUPE FLORES-MURPHY $120.00
12/30/2021
3370612 GALETON WATER AND SANITATION DISTRICT $42.00
12/30/2021
3370613 GLAXOSMITHKLINE PHARMACEUTICALS $3,326.84
12/30/2021
3370614 GREELEY LOCK AND KEY $124.00
12/30/2021
3370615 GREENWOOD PRODUCTS INC $712.66
12/30/2021
3370616 GROWLING BEAR COMPANY, INC $267,136.70
12/30/2021
3370617 HACH COMPANY $479.95
12/30/2021
3370618 ZACH HERNANDEZ $15.00
12/30/2021
3370619 IML SECURITY $1,590.03
12/30/2021
3370620 INDUSTRIAL HEALTH SERVICES NETWORK, INC $87.00
12/30/2021
3370621 INTERMOUNTAIN DATA CORP $1,085.00
12/30/2021
3370622 INTRADO LIFE & SAFETY SOLUTIONS CORP $86,875.58
12/30/2021
3370623 KEIBON INC DBA ROTO-ROOTER $485.00
12/30/2021
3370624 LAW OFFICES OF WYN TAYLOR $15.00
12/30/2021
3370625 DORIS LEWIS $100.00
12/30/2021
3370626 LITTLE THOMPSON WATER DISTRICT $61.69
12/30/2021
3370627 MCS INC C/O CSI $3,716.40
12/30/2021
3370628 MEDICAL SERVICES AND COMPLIANCE LLC $36.00
12/30/2021
3370629 MERCK SHARP & DOHME CORP $2,959.35
12/30/2021
3370630 METRO MAINTENANCE INC $6,808.29
12/30/2021
3370631 METROHM USA INC $2,033.52
5
CheckDate CheckNumber
Payee Amount
12/30/2021
3370632 MOTOROLA SOLUTIONS INC $600.00
12/30/2021
3370633 MOUNTAINWOOD PET HOSPITAL $89.00
12/30/2021
3370634 NORTH COLORADO HEALTH ALLIANCE $799.89
12/30/2021
3370635 NORTH RANGE BEHAVIORAL HEALTH $120.00
12/30/2021
3370636 ONE CALL LOCATORS, LTD $2,358.55
12/30/2021
3370637 ONE WAY INC $153.83
12/30/2021
3370638 OTTEM ELECTRONICS, INC $700.00
12/30/2021
3370639 PETS EMERGENCY HOSPITAL $405.00
12/30/2021
3370640 PITNEY BOWES $307.23
12/30/2021
3370641 POUDRE VALLEY REA $36.39
12/30/2021
3370642 POUDRE VALLEY REA $6,561.91
12/30/2021
3370643 PROFESSIONAL FINANCE COMPANY $855.51
12/30/2021
3370644 PUBLIC DEFENDERS OFFICE $22.50
12/30/2021
3370645 QIAGEN LLC $31,546.00
12/30/2021
3370646 ROCHE CONSTRUCTORS, INC $298,910.85
12/30/2021
3370647 ROCKY MOUNTAIN AQUA TECH LLC $150.00
12/30/2021
3370648 RONEY LAW FIRM $50.00
12/30/2021
3370649 SYLVIA F. ROWE $75.00
12/30/2021
3370650 SCAN AIR FILTERS, INC $1,772.36
12/30/2021
3370651 HARRY L. SIMON $15.00
12/30/2021
3370652. SIRCHIE $146.70
12/30/2021
3370653 SOUTHLAND MEDICAL LLC $1,151.60
12/30/2021
3370654 SPRING CREEK ELECTRIC INC $1,150.00
4 \ 5
CheckDate CheckNumber
Payee Amount
12/30/2021
3370655 STATE OF COLORADO $6,380.58
12/30/2021
3370656 SUMABLES $5,448.45
12/30/2021
3370657 TAT CONSTRUCTION LLC $205,615.44
12/30/2021
3370658 THE HOME DEPOT PRO $3,807.84
12/30/2021
3370659 TOTAL FIRE PROTECTION INC $402.45
12/30/2021
3370660 TRI $1,293.00
12/30/2021
3370661 TROXELL COMMUNICATIONS $725.00
12/30/2021
3370662 UNITED PARCEL SERVICES $21.12
12/30/2021
3370663 JEANETTE VANDEWEGHE $70.00
12/30/2021
3370664 VARGO & JANSON PC $696.35
12/30/2021
3370665 VWR INTERNATIONAL $94.32
12/30/2021
3370666 SHERI WAY $300.00
12/30/2021
3370667 WESTERN PAPER DISTRIBUTORS $14,949.90
Check Register Summary
Transaction Total: 103
Amount Total: $1,290,425.52
PeopleSoft
Report ID: WDV003 DENTAL/VISION CHECK REGISTER
Benefit Year 2021
From Date: 12/30/2021 Thru Date: 12/30/2021
Check No. Check Date Check Amount Employee Name
8092929 12/30/2021 $115.98 Charlotte DeBrock
8092930 12/30/2021 $129.98 Carla K Nevarez
8092931 12/30/2021 $166.50 Kimberly Sue Holley
8092932 12/30/2021 $654.50 Kimberly Sue Holley
8092933 12/30/2021 $199.49 Elba J Ceja Trujillo
8092934 12/30/2021 $59.00 Alexis D Garza
8092935 12/30/2021 $99.50 Mark Melvin Mellon
8092936 12/30/2021 $247.50 Matthew James Elbe
8092937 12/30/2021 $205.20 Matthew James Elbe
8092938 12/30/2021 $144.00 Sara Torres
8092939 12/30/2021 $337.50 Sara Torres
8092940 12/30/2021 $108.00 Jennifer A Fogg
8092941 12/30/2021 $162.00 Paige Stapleton Lawlor
8092942 12/30/2021 $221.99 Leslie Galindo
8092943 12/30/2021 $1,000.00 Charles Vetter
8092944 12/30/2021 $42.50 Donna J. McNamara
8092945 12/30/2021 $234.00 Kelly M. Martinez
8092946 12/30/2021 $236.50 Douglas Peter Erler
8092947 12/30/2021 $130.00 Leticia Cervantes
8092948 12/30/2021 $120.00 Mary Truslow
8092949 12/30/2021 $153.50 Skyler Whitmore
Payment Type Total $4,767.64
Employee ID Svc Type Direct Deposit
1035 V Vision Y
10428 V Vision Y
10543 D Dental Y
10543 D Dental Y
11314 V Vision Y
11538 D Dental Y
3267 D Dental Y
3578 D Dental Y
3578 D Dental Y
3849 V Vision Y
3849 D Dental Y
4256 D Dental Y
4277 D Dental Y
4477 V Vision Y
5505 D Dental Y
5764 V Vision Y
5833 D Dental Y
6700 D Dental Y
8145 V Vision Y
8596 D Dental Y
8734 D Dental Y
Page No. 1
Run Date 12/30/2021
Run Time 13:53:56
REPORT FABCHKR Weld County BNPD Data
RUN DATE: 12/30/2021
FISCAL YEAR 2021 Batch Disbursement Register
TIME: 02:31 PM
BANK: 02 TREASURER -SOCIAL SERVICES Direct Deposit Run:
12/30/2021 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
!0038147 CROSLEY, MONITA I2119831 MI122221
77.00 0.00 0.00
!0038148 NAVA, TYLER
187.92 0.00
227.88
0.00
0.00 0.00
77.00 D
I2119832 MI122221
187.92 D
I2119834 MI112221
227.88 D
DEPOSIT
TOTAL 415.80
!0038149 RAGLAND, KYLE N I2119830 MI112921
278.64 0.00
0.00 278.64 D
BANK TOTAL 771.44
T
REPORT FABCHKR Weld County BNPD Data
RUN DATE: 12/30/2021
TIME: 02:31 PM
12/30/2021 PAGE:
FISCAL YEAR 2021
Batch Disbursement Register
Check Run:
2
* * * REPORT CONTROL INFORMATION * *
*
RPTNAME: FABCHKR
PARAMETER SEQUENCE NUMBER: 340895
NUMBER OF PRINTED LINES PER PAGE: 52
REPORT FABCHKR Weld County BNPD Data
RUN DATE: 12/30/2021
FISCAL YEAR 2021 Batch Disbursement Register
TIME: 02:30 PM
BANK: 01 TREASURER -ACCOUNTS PAYABLE Direct Deposit Run:
12/30/2021 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
10038137 CHADWICK, ANDREW I2119835 MI122021
79.43 0.00 0.00
79.43 D
!0038138 ENGELHART, ALLISON I2119311 CIT 2021
181.28 0.00 0.00
181.28 D
10038139 FORD, DAREN I2119755 AXIOM 250
638.75 0.00
0.00 638.75 D
10038140 HILBURN, DAVID I2119737 MI12132021
45.36 0.00
0.00 45.36 D
!0038141 JAKINO, DEBRA K I2119514 12/28/21MI
47.05 0.00
0.00 47.05 D
!0038142 MOYLAN, JOSEPH 0 I2119565 122121MOYLAN
84.00 0.00 0.00
!0038143 NISWENDER, JARED
40.50 0.00 0.00
84.00 D
I2119819
40.50 D
!0038144 WAGNER, HERB I2119903 REFUND AFLAC
137.58 0.00
0.00 137.58 D
10038145 WILSON, TRACY I2119312 PREA 2021
189.65 0.00
0.00 189.65 D
10038146 ZWETZIG, TODD I2119756 AXIOM 250
126.57 0.00
0.00 126.57 D
BANK TOTAL 1,570.17
T
REPORT FABCHKR
FISCAL YEAR 2021
12/30/2021
*
RUN DATE: 12/30/2021
TIME: 02:30 PM
PAGE:
RPTNAME: FABCHKR
PARAMETER SEQUENCE NUMBER: 340890
NUMBER OF PRINTED LINES PER PAGE: 52
Weld County BNPD Data
Batch Disbursement Register
Check Run:
2
* * * REPORT CONTROL INFORMATION * *
REPORT FABCHKR Weld County BNPD Data
RUN DATE: 12/30/2021
FISCAL YEAR 2021 Batch Disbursement Register
TIME: 02:27 PM
BANK: E2 TREASURER -SS ELECTRONIC PAYMENTS Check Run:
12/30/2021 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
E0002562 LABORATORY CORPORATION OF AMER I2119873 MULTIPLE
190.00 0.00 0.00 190.00 B
REPORT FABCHKR Weld County BNPD Data
RUN DATE: 12/30/2021
TIME: 02:27 PM
12/30/2021 PAGE:
FISCAL YEAR 2021
*
RPTNAME: FABCHKR
PARAMETER SEQUENCE NUMBER: 340885
NUMBER OF PRINTED LINES PER PAGE: 52
Batch Disbursement Register
Check Run:
2
* * * REPORT CONTROL INFORMATION * *
REPORT FABCHKR Weld County BNPD Data
RUN DATE: 12/30/2021
FISCAL YEAR 2021 Batch Disbursement Register
TIME: 02:25 PM
BANK: El TREASURER -AP ELECTRONIC PAYMENTS Check Run:
12/30/2021 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
E0002558 CLEAN DESIGNS I2119809 62525
730.04 0.00
0.00 730.04 B
E0002559 FISHER MECHANICAL CONTRACTORS, I2119812 4917
3,597.00 0.00 0.00 3,597.00 B
E0002560 GALLS INC I2119575 BC1512937
13.00 0.00
E0002561 MY OFFICE ETC.
810.94 8.11
-13.50
15.70
40.71
0.00
0.16
0.00
0.00 13.00 B
I2119769 284713-0
0.00 802.83 B
I2119783 C 285313-0
0.00 -13.50 B
I2119817 284972-1
0.00 15.54 B
I2119818 284943-1
0.00 40.71 B
TOTAL 845.58
BANK TOTAL 5,185.62
T
CHECK
REPORT FABCHKR
FISCAL YEAR 2021
12/30/2021
*
RUN DATE: 12/30/2021
TIME: 02:25 PM
PAGE:
RPTNAME: FABCHKR
PARAMETER SEQUENCE NUMBER: 340881
NUMBER OF PRINTED LINES PER PAGE: 52
Weld County BNPD Data
Batch Disbursement Register
Check Run:
2
* * * REPORT CONTROL INFORMATION * *
vaetnam
Re: Funds Transfer Confirmation
Prepared Date:
Contractholder Name:
Attention:
Reference#:
Activity of:
Debit/Pull Amount:
Account Name:
Credit Bank:
Bank Address:
Thursday, December23, 2021
WELD COUNTY GOV
S FREY/R FIELDER
RE:MEDICAL CLAIMS
54-21356-0813
Wednesday, December 22, 2021
$596,866.17
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.comor call a contact listedbelow.
€ !IN1lbtebt,,r y€ t tc
Kimberly Settle
Banking Consultant Phone 330-659-8333
J2101633
12/23/21
Daphne Fentress
Banking Consultant Phone 904-351-5504
Proprietary
vaetnam
Re: Funds Transfer Confirmation
Prepared Date:
Contractholder Name:
Attention:
Reference#:
Activity of:
Friday, December 24, 2021
WELD COUNTY GOV
S FREY/R FIELDER
RE:MEDICAL CLAIMS
54-21357-0457
Thursday, December 23, 2021
Debit/Pull Amount: $28,746.16
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 s end emails to Banking-SAMP@a��A
eettna.comor call a contact listedbelow.
\i��n��404" I)
Kimberly Settle Daphne Fentress
Banking Consultant Phone 330-659-8333 Banking Consultant Phone 904-351-5504
J2101634
12/24/2021
Proprietary
vaetna-
Re: Funds Transfer Confirmation
Prepared Date:
Contractholder Name:
Attention:
Reference#:
Activity of:
Debit/Pull Amount:
Account Name:
Credit Bank:
Bank Address:
Account Number:
ACH ABA Number:
Monday, December 27, 2021
WELD COUNTY GOV
S FREY/R FIELDER
RE:MEDICAL CLAIMS
54-21358-0480
Friday, December 24, 2021
$179,325.05
SFGP/ASC Contractholders Account
Bank Of America Connecticut
2601 West Broad Street
Richmond VA 23220
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 Z U ±1 ) .ci.
Kimberly Settle
Banking Consultant Phone 330-659-8333
J2101635
12/27/21
Daphne Fentress
Banking Consultant Phone 904-351-5504
Proprietary
vaetna-
Re: Funds Transfer Confirmation
Prepared Date:
Contractholder Name:
Attention:
Reference#:
Activity of:
Tuesday, December 28, 2021
WELD COUNTY GOV
S FREY/R FIELDER
RE:MEDICAL CLAIMS
54-21361-0431
Monday, December 27, 2021
Debit/Pull Amount: $24,594.78
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.
-
,r2%r
Kimberly Settle
Banking Consultant Phone 330-659-8333
J2101637
12/28/2021
Daphne Fentress
Banking Consultant Phone 904-351-5504
Proprietary
vaetna-
Re: Funds Transfer Confirmation
Prepared Date:
Contractholder Name:
Attention:
Reference#:
Activity of:
Debit/Pull Amount:
Account Name:
Credit Bank:
Bank Address:
Account Number:
ACH ABA Number:
Thursday, December 30, 2021
WELD COUNTY GOV
S FREY/R FIELDER
RE:MEDICAL CLAIMS
54-21363-0789
Wednesday, December 29, 2021
$329,429.13
SFGP/ASC Contractholders Account
Bank Of America Connecticut
2601 West Broad Street
Richmond VA 23220
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
Kimberly Settle
Banking Consultant Phone 330-659-8333
J2101659
12/30/2021
Daphne Fentress
Banking Consultant Phone 904-351-5504
Proprietary
81.59 +
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],296,42'52 +
4,727.54
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1,578.17 +
102.98 +
2,185.52 +
59,825.17 +
29,742.12 +
179,3 5.05 +
2+,594.78 +
322,429.13 1
2,628,614.05
81.50 +
15,275.62 +
1,383.25 +
1,290,422'52
6,77.54 +
771.4 +
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