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Home My WebLink About20210894.tiffWELD COUNTY WARRANTS AS OF: MARCH 29, 2021 This is to certify that all accounting and budgeting procedures have been completed on the above listed claims as shown on the attached eleven (11) Check and Electronic Transmittal Registers, numbering nineteen (19) pages, and dated March 26, 2021; and that payments should be to the respective vendors listed in the amount set opposite their names, with the total amount of $1,826,053.67. Dated this 29th day of March, 2021. Zska dtga Weld County Finacer SUBSCRIBED ' ND SWORN TO before me this 29th day of March, 2021. Notary Public My Commission Expires: OS/o5/2O.3 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 $1,826,053.67. Dated this 29th day of March, 2021. ATTEST: dititiov Weld County Clerk to the Board B •) eputy Clerk to the Board APPROVE ounty Attorney Date of signature: Q.3/3O/ 'j BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO 2021-0894 Check Register Date : 03/26/2021 CheckDate CheckNumber Weld County Airport *Check run processed 3/26/2021 by mhiggins Payee Amount Greeley -Weld Airport Authority 032621 AP 3/29/2021 2013464 GENESIS LAMP CORPORATION $635.06 3/29/2021 2013465 PITNEY BOWES $500.00 3/29/2021 2013466 PITNEY BOWES $132.00 3/29/2021 2013467 POWER EQUIPMENT COMPANY $75.47 3/29/2021 2013468 VORTEX COLORADO INC $3,565.81 Check Register Summary Transaction Total: 5 Amount Total: $4,908.34 2021-0894 1 \ 1 Check Register Date : 03/26/2021 CheckDate CheckNumber Payee Department Name Weld County Flexible Benefits *Check run processed 3/26/2021 by mhiggins Amount Flexible Benefits 032621 FDV 3/29/2021 PW Trucking 8091733 Jhawn Paul Torrez $281.98 3/29/2021 Facilities Department 8091735 Sterling R Geesaman $497.50 Check Register Summary Transaction Total: 2 Amount Total: $779.48 1 \ 1 Check Register Weld County I)ate : 03/26/2021 Human Services *Check run processed 3/26/2021 by mhiggins CheckStatus CheckDate CheckNumber Payee Amount Human Services 032621 HS Normal 3/29/2021 5026616 24 HOUR SIGN LANGUAGE SERVICE $1,710.00 Normal 3/29/2021 5026617 ATMOS ENERGY $407.61 Normal 3/29/2021 5026618 ATMOS ENERGY $83.55 Normal 3/29/2021 5026619 HARVEY D. BLAIR $3,300.00 Normal 3/29/2021 5026620 BNK REI LLC $3,675.00 Normal 3/29/2021 5026621 CENTENNIAL MENTAL HEALTH CENTER INC $75.00 Normal 3/29/2021 5026622 CITY OF GREELEY $912.91 Normal 3/29/2021 5026623 COUNTRY ESTATES $2,440.00 Normal 3/29/2021 5026624 D & S ENTERPRIZES LLC $1,840.00 Normal 3/29/2021 5026625 RODNEY V. DE FOE $5,375.00 Normal 3/29/2021 5026626 DENVER SHERIFF DEPARTMENT $62.20 Normal 3/29/2021 5026627 FREMONT COUNTY SHERIFF'S OFFICE $46.70 Normal 3/29/2021 5026628 HOLIDAY VILLAGE MOBILE HOME PARK $380.00 Normal 3/29/2021 5026629 CATHERINE HUERTA $11,600.00 Normal 3/29/2021 5026630 IDEMIA IDENTITY & SECURITY USA LLC $3,118.50 Normal 3/29/2021 5026631 INTERMOUNTAIN DATA CORP $504.50 Normal 3/29/2021 5026632 JMP'S CORPORATION LLC $2,250.00 Normal 3/29/2021 5026633 LARIMER COUNTY $1,302.00 Normal 3/29/2021 5026634 LEGAL FILES SOFTWARE, INC $4,231.00 Normal 3/29/2021 5026635 JEREMY J. LONG $3,670.00 Normal 3/29/2021 5026636 NEW DIRECTION TRUST COMPANY $3,600.00 1 \ 2 CheckStatus CheckDate CheckNumber Payee Amount Normal 3/29/2021 5026637 NORTH RANGE BEHAVIORAL HEALTH $7,521.87 Normal 3/29/2021 5026638 ONE WAY PROPERTY MANAGEMENT LLC $925.00 -VOX D ee . 00 _ Normal 3/29/2021 5026640 PAPER CHASE $1,400.00 Normal 3/29/2021 5026641 PINE MEADOWS APARTMENTS $1,400.00 Normal 3/29/2021 5026642 PLAINS PROPERTY MANAGEMENT, LLC $3,462.00 Normal 3/29/2021 5026643 RAYMOND V. ROMERO $3,000.00 Normal 3/29/2021 5026644 IAN TEMPLE $5,800.00 Normal 3/29/2021 5026645 TRANSCRIBING SOLUTIONS LLC $206.25 Normal 3/29/2021 5026646 VINTAGE CORPORATION $3,055.00 Normal 3/29/2021 5026647 VINTAGE CORPORATION $4,125.00 Normal 3/29/2021 5026648 WOODLANDS EAST MOBILE HOME PARK $1,631.71 Normal 3/29/2021 5026649 XCEL ENERGY $61.15 Normal 3/29/2021 5026650 XCEL ENERGY $950.40 Normal 3/29/2021 5026651 XCEL ENERGY $328.68 Normal 3/29/2021 5026652 XCEL ENERGY $945.98 Normal 3/29/2021 5026653 XCEL ENERGY $207.11 Normal 3/29/2021 5026654 XCEL ENERGY $284.48 Normal 3/29/2021 5026655 XCEL ENERGY $442.31 Check Register Summary Transaction Total: 40 Amount Total: $86,330.91 2 \ 2 Check Register Date : 03/26/2021 CheckDate CheckNumber Payee Weld County Weld County *Check run processed 3/26/2021 by mhiggins Amount Weld County, Colorado 032621 WELD1 3/29/2021 3362988 ACCURATE FAB & FINISH LLC $280.50 3/29/2021 3362989 AIRGAS USA LLC $247.54 3/29/2021 3362990 AMAZON CAPITAL SERVICES INC $3,557.62 3/29/2021 3362991 AMERICAN SOCIETY OF CANINE TRAINERS (ASCT) $2,765.00 3/29/2021 3362992 ANDA INC $10.90 3/29/2021 3362993 ANDREA'S ANGELS INC $729.00 3/29/2021 3362994 ANDREW R MORTENSEN DMD PC $707.00 3/29/2021 3362995 ARAMARK CORPORATION $22,793.48 3/29/2021 3362996 ATMOS ENERGY $2,987.42 3/29/2021 3362998 BRATTONS OFFICE EQUIPMENT INC $1,985.81 3/29/2021 3362999 BUFFALO LANDSCAPING $1,575.90 3/29/2021 3363000 CAPITAL BUSINESS SYSTEMS INC $57.21 3/29/2021 3363001 CENTENNIAL MENTAL HEALTH CENTER INC $15.00 3/29/2021 3363002 SALLY CHACON $150.00 3/29/2021 3363003 CITY OF GREELEY $124.71 3/29/2021 3363004 COLLINS DOOR & HARDWARE, INC $60.00 3/29/2021 3363005 COLORADO ANALYTICAL LABORATORIES INC $155.00 3/29/2021 3363006 COLORADO DEPARTMENT OF REVENUE $250.00 3/29/2021 3363007 COLORADO DEPARTMENT OF REVENUE $100.00 3/29/2021 3363008 COLORADO DEPARTMENT OF REVENUE $795.86 1 \ 5 CheckDate CheckNumber Payee Amount 3/29/2021 3363009 COLORADO STATE UNIVERSITY $65.00 3/29/2021 3363010 COMBAT CARTRIDGE $1,205.00 3/29/2021 3363011 COMMISSION NOW LLC $9,168.50 3/29/2021 3363012 CORHIO $75.00 3/29/2021 3363013 CREATIVE COUNSELING SERVICES $600.00 3/29/2021 3363014 DH PACE COMPANY INC $8,404.45 3/29/2021 3363015 DK DESIGN OF GREELEY LLC $114.00 3/29/2021 3363016 EASY AUTO SPA $965.05 3/29/2021 3363017 ECKSTINE ELECTRIC COMPANY $5,104.00 3/29/2021 3363018 EDMONDS & LOGUE PC $726.14 3/29/2021 3363019 ENSIGHT SKILLS CENTER INC $56.70 3/29/2021 3363020 EVIDENT INC $177.00 3/29/2021 3363021 EXCEL DRIVER SERVICES, LLC $4,500.00 3/29/2021 3363022 EXODUS MOVING AND STORAGE INC $8,258.50 3/29/2021 3363023 FEDEX KINKO'S $143.68 3/29/2021 3363024 FRANCY LAW FIRM $30.00 3/29/2021 3363025 LARISSA FRITZ $5,047.67 3/29/2021 3363026 FRONT RANGE INDUSTRIAL & CONSTRUCTION SUPPLY $1,645.92 3/29/2021 3363027 GALETON WATER AND SANITATION DISTRICT $42.00 3/29/2021 3363028 GALLEGOS SANITATION INC $6,676.71 3/29/2021 3363029 GEO REENTRY SERVICES, LLC $765.00 3/29/2021 3363030 GRAINGER $31.98 3/29/2021 3363031 GREELEY LOCK AND KEY $459.00 2 \ 5 CheckDate CheckNumber Payee Amount 25:17/2O ") , VOID 3/29/2021 3363033 HILL PETROLEUM $47,418.53 3/29/2021 3363034 HOLOGIC $10,315.48 3/29/2021 3363035 HORROCKS ENGINEERS INC $71,813.02 3/29/2021 3363036 IDEMIA IDENTITY & SECURITY USA LLC $11,000.00 3/29/2021 3363037 IDEXX DISTRIBUTION, INC $19.04 3/29/2021 3363038 INTERMOUNTAIN DATA CORP $245.00 3/29/2021 3363039 INTERVENTION INC $750.00 3/29/2021 3363040 IOME LLC $8,000.00 3/29/2021 3363041 J -U -B ENGINEERS $1,268.35 3/29/2021 3363042 TERRY L. JOHNSON $65.00 3/29/2021 3363043 LITTLE THOMPSON WATER DISTRICT $28.77 3/29/2021 3363044 LIVE FULLY LLC $270.00 3/29/2021 3363045 LONG BUILDING TECHNOLOGIES, INC $2,616.00 3/29/2021 3363046 MARTIN & REED $36.00 3/29/2021 3363047 MARTIN MARIETTA MATERIALS INC $368.15 3/29/2021 3363048 DONNA M. MCMILLEN $35.00 3/29/2021 3363049 MEDCERTS LLC $4,000.00 3/29/2021 3363050 SHERI MENDEZ $15.00 3/29/2021 3363051 HAZEL MITZEL $200.00 3/29/2021 3363052 NORTH RANGE BEHAVIORAL HEALTH $5,550.00 3/29/2021 3363053 OFFICE DEPOT BUSINESS SRVS DIV $21.90 3/29/2021 3363054 OFFICE DEPOT, INC $285.32 3 \ 5 CheckDate CheckNumber Payee Amount 3/29/2021 3363055 OLDCASTLE PRECAST, INC $951.84 3/29/2021 3363056 PEAK ELEVATOR LLC $2,216.54 3/29/2021 3363057 PEAR LLC $15,365.04 3/29/2021 3363058 PERKINELMER HEALTH SCIENCES INC $2,001.00 3/29/2021 3363059 PETTY CASH $12.88 3/29/2021 3363060 PHLEBOTOMY TRAINING SPECIALISTS USA LLC $995.00 3/29/2021 3363061 POUDRE VALLEY REA $249.75 3/29/2021 3363062 PRAIRIE MOUNTAIN MEDIA $698.57 3/29/2021 3363063 PREMIER EARTHWORKS & INFRASTRUCTURE $125,364.38 3/29/2021 3363064 RECOVERY MONITORING SOLUTIONS CORP $84.00 3/29/2021 3363065 RG SERVICES $1,650.00 3/29/2021 3363066 ROCKY MOUNTAIN AQUA TECH LLC $150.00 3/29/2021 3363067 ROCKY MOUNTAIN LOW VOLTAGE INC $50.00 3/29/2021 3363068 CARMEN RODRIGUEZ $135.00 3/29/2021 3363069 RONEY LAW FIRM $100.00 3/29/2021 3363070 JACKIE ROWE $660.00 3/29/2021 3363071 JOSE A. SALAZAR ALEMAN $15.00 3/29/2021 3363072 HENRY SCHEIN $628.80 3/29/2021 3363073 SELECT ROOFING CONTRACTORS LLC $2,700.00 3/29/2021 3363074 SENIOR HELPERS $324.00 3/29/2021 3363075 SIGNS FIRST $134.80 3/29/2021 3363076 HARRY L. SIMON $13.00 3/29/2021 3363077 SJ WARD LANDSCAPES $4,923.75 4 \ 5 CheckDate CheckNumber Payee Amount 3/29/2021 3363078 STOKES & WOLF PC $300.00 3/29/2021 3363079 SUMABLES $1,407.28 3/29/2021 3363080 THE HOME DEPOT PRO $928.78 3/29/2021 3363081 THE HOME DEPOT PRO $47.08 3/29/2021 3363082 THE HOME DEPOT PRO $126.60 3/29/2021 3363083 THE HOME DEPOT PRO $17.05 3/29/2021 3363084 THE SAGE CORPORATION $3,610.00 3/29/2021 3363085 TURN KEY HEALTH CLINICS LLC $383,167.53 3/29/2021 3363086 UABA LLC $70.00 3/29/2021 3363087 UNITED PARCEL SERVICES $66.97 3/29/2021 3363088 JEANETTE VANDEWEGHE $90.00 3/29/2021 3363089 VISITING ANGELS LIVING ASSISTANCE SERVICES $1,188.00 3/29/2021 3363090 WAGNER EQUIPMENT COMPANY $282,940.42 3/29/2021 3363091 WESTERN PAPER DISTRIBUTORS $16,584.36 3/£90. 924 33C4Q?2 VO1-1) ---1".s- 3/29/2021 3363093 XCEL ENERGY $45,245.32 3/29/2021 3363094 ZIVARO INC $234,506.70 Check Register Summary Transaction Total: 107 Amount Total: $1,387,649.25 Check Register Date : 03/26/2021 CheckDate CheckNumber Payee Weld County Weld County *Check run processed 3/26/2021 by mhiggins Amount Weld County, Colorado 032621 WELD2 3/29/2021 3363095 COLORADO DEPARTMENT OF REVENUE $919.37 Check Register Summary Transaction Total: 1 Amount Total: $919.37 1 \ 1 PeopleSoft Report ID: WDV003 DENTAL/VISION CHECK REGISTER Benefit Year 2021 From Date: 03/29/2021 Thru Date: 03/29/2021 Check No. Check Date Check Amount Employee Name 8091734 03/29/2021 $257.00 Gabriel B Kalousek 8091736 03/29/2021 $153.00 Lauren Gayle Light 8091737 03/29/2021 $300.00 Donald Lewis Patch 8091738 03/29/2021 $94.00 Donald Lewis Patch 8091739 03/29/2021 $149.00 Amy Antuna 8091740 03/29/2021 $58.00 Kimberly K McClain 8091741 03/29/2021 $113.75 Lee J. Falconburg 8091742 03/29/2021 $83.50 Tyler Nava 8091743 03/29/2021 $149.00 Kevin R. Antuna 8091744 03/29/2021 $261.50 Kevin R. Antuna 8091745 03/29/2021 $149.00 Kevin R. Antuna 8091746 03/29/2021 $72.00 Nance Olsen Kelly 8091747 03/29/2021 $260.00 Troy Puchan 8091748 03/29/2021 $260.00 Troy Puchan 8091749 03/29/2021 $166.50 Troy Puchan 8091750 03/29/2021 $155.00 Flor Munoz 8091751 03/29/2021 $270.00 Lillie May Parker 8091752 03/29/2021 $178.00 Amber A Guerrero Payment Type Total $3,129.25 Employee ID Svc Type Direct Deposit 11100 D Dental Y 3533 D Dental Y 3648 V Vision Y 3648 V Vision Y 4587 D Dental Y 5094 V Vision Y 527 V Vision Y 5630 V Vision Y 5760 D Dental Y 5760 D Dental Y 5760 D Dental Y 8016 V Vision Y 8436 D Dental Y 8436 D Dental Y 8436 D Dental Y 9150 D Dental Y 9482 D Dental Y 9811 D Dental Y Page No. 1 Run Date 03/26/2021 Run Time 14:14:50 REPORT FABCHKR Weld County BNPD Data RUN DATE: 03/26/2021 FISCAL YEAR 2021 Batch Disbursement Register TIME: 02:36 PM BANK: 01 TREASURER -ACCOUNTS PAYABLE Direct Deposit Run: 03/29/2021 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 !0036184 LAUDICK, CASEY SHAWN I2104114 031321 75.00 0.00 0.00 75.00 D !0036185 POST, JOEL A I2103821 PEFEB21 67.07 0.00 0.00 67.07 D !0036186 WILLIAMS, LOUIS M I2104131 MI022621 24.62 0.00 0.00 BANK TOTAL 166.69 24.62 D REPORT FABCHKR Weld County BNPD Data RUN DATE: 03/26/2021 TIME: 02:36 PM 03/29/2021 PAGE: FISCAL YEAR 2021 * RPTNAME: FABCHKR PARAMETER SEQUENCE NUMBER: 331463 NUMBER OF PRINTED LINES PER PAGE: 52 Batch Disbursement Register Check Run: 2 * * * REPORT CONTROL INFORMATION * * REPORT FABCHKR Weld County BNPD Data RUN DATE: 03/26/2021 FISCAL YEAR 2021 Batch Disbursement Register TIME: 02:37 PM BANK: 02 TREASURER -SOCIAL SERVICES Direct Deposit Run: 03/29/2021 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 !0036187 FAULKNER, LAURA I2104098 MI021221 12.69 0.00 0.00 12.69 D !0036188 FIGUEROA, MARIEFRI I2104173 MI022621 67.07 0.00 0.00 67.07 D !0036189 FLEENER, ANDREA I2104130 MI022621 25.38 0.00 0.00 25.38 D !0036190 MARTINEZ, RON C I2104080 MI022521 228.96 0.00 0.00 228.96 D !0036191 RAMIREZ, GABRIELLA I2104172 MI030921 250.56 0.00 0.00 250.56 D !0036192 TAYLOR, ANGELA I2104171 MULTIPLE 247.21 0.00 0.00 247.21 D !0036193 VILLAN-ORTIZ, JACQUELINE I2104133 MI021821 158.11 0.00 0.00 158.11 D 10036194 WILEY, HANNAH R I2104086 MI022521 240.30 0.00 0.00 240.30 D !0036195 WOLF, KRIS 22104132 MI030921 32.94 0.00 0.00 32.94 D BANK TOTAL 1,263.22 REPORT FABCHKR FISCAL YEAR 2021 03/29/2021 RUN DATE: 03/26/2021 TIME: 02:37 PM PAGE: RPTNAME: FABCHKR PARAMETER SEQUENCE NUMBER: 331468 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: 03/26/2021 FISCAL YEAR 2021 Batch Disbursement Register TIME: 02:29 PM BANK: El TREASURER -AP ELECTRONIC PAYMENTS Check Run: 03/29/2021 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 E0002163 GALLS INC I2103955 MULTIPLE 1,912.71 0.00 E0002164 MY OFFICE ETC. 127.96 0.00 63.98 255.92 287.91 0.00 0.00 0.00 0.00 1,912.71 B 0.00 0.00 0.00 0.00 I2104058 277300-0 127.96 B I2104066 277299-0 63.98 B I2104069 277295-0 255.92 B I2104070 277294-0 287.91 B CHECK TOTAL 735.77 E0002165 RESERVOIRS ENVIRONMENTAL, INC I2104060 486744-1 50.00 0.00 0.00 50.00 B I2104063 486760-1 70.00 0.00 0.00 70.00 B I2104065 486760-2 10.00 0.00 0.00 10.00 B CHECK TOTAL 130.00 E0002166 REVELATION STEEL, LLC I2104142 MULTIPLE 882.19 0.00 0.00 E0002167 SETPOINT SYSTEMS CORP 6,016.00 0.00 0.00 6,336.00 0.00 0.00 882.19 B I2104178 3388.1 6,016.00 B I2104179 3388.2 6,336.00 B TOTAL 12,352.00 E0002168 VARRA COMPANIES INC I2104140 MULTIPLE 7,870.00 0.00 0.00 REPORT FABCHKR FISCAL YEAR 2021 03/29/2021 * BANK TOTAL 23,882.67 7,870.00 B RUN DATE: 03/26/2021 TIME: 02:29 PM PAGE: RPTNAME: FABCHKR PARAMETER SEQUENCE NUMBER: 331452 NUMBER OF PRINTED LINES PER PAGE: 52 CHECK Weld County BNPD Data Batch Disbursement Register Check Run: 2 * * * REPORT CONTROL INFORMATION * * REPORT FABCHKR Weld County BNPD Data RUN DATE: 03/26/2021 FISCAL YEAR 2021 Batch Disbursement Register TIME: 02:30 PM BANK: E2 TREASURER -SS ELECTRONIC PAYMENTS Check Run: 03/29/2021 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 E0002169 LABORATORY CORPORATION OF AMER I2104087 MULTIPLE 152.00 0.00 0.00 152.00 B I2104169 68991265 76.00 0.00 0.00 76.00 B CHECK TOTAL 228.00 REPORT FABCHKR Weld County BNPD Data RUN DATE: 03/26/2021 TIME: 02:30 PM 03/29/2021 PAGE: FISCAL YEAR 2021 * RPTNAME: FABCHKR PARAMETER SEQUENCE NUMBER: 331456 NUMBER OF PRINTED LINES PER PAGE: 52 Batch Disbursement Register Check Run: 2 * * * REPORT CONTROL INFORMATION * vaetna- Re: Funds Transfer Confirmation Prepared Date: Contractholder Name: Attention: Reference#: Activity of: Debit/Pull Amount: Account Name: Credit Bank: Bank Address: Thursday, March 25, 2021 WELD COUNTY GOV S FREY/R FIELDER RE:MEDICAL CLAIMS 54-21083-0902 Wednesday, March 24, 2021 $290,109.18 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. L�Y1�irR Kimberly Settle Banking Consultant Phone 330-659-8333 J2100503 03/25/2021 Daphne Fentress Banking Consultant Phone 904-351-5504 Proprietary vaetna- Re: Funds Transfer Confirmation Prepared Date: Contractholder Name: Attention: Reference#: Activity of: Friday, March 26, 2021 WELD COUNTY GOV S FREY/R FIELDER RE:MEDICAL CLAIMS 54-21084-0426 Thursday, March 25, 2021 Debit/Pull Amount: $26,687.31 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. LiWkX ei )r� fec 3 Kimberly Settle Daphne Fentress Banking Consultant Phone 330-659-8333 Banking Consultant Phone 904-351-5504 J2100514 03/26/2021 Proprietary 4,908.34 + 779.48 + 86)330.91 + 1,387,649.25 + 219.37 + 3)129.25 + 165.69 + 1'263.22 + 23)882.57 + 229.00 + 290)109.18 + 26,687.31 + 1)825)053.67 4)908.34 + 779.48 + 86)330.91 + 1)387,649.25 + 919.37 + 3)129.25 + 1:6.69 + 1)263.22 + 231882.67 + 228.00 + 290)109.18 + 26)687.31 + 1)826)053.57 Hello