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Home My WebLink About20211118.tiffWELD COUNTY WARRANTS AS OF: APRIL 26, 2021 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 nineteen (19) pages, and dated April 23, 2021; and that payments should be to the respective vendors listed in the amount set opposite their names, with the total amount of $1,961,002.70. Dated this 26th day of April, 2021. latz_ eabibik Weld County FinanCi' f er SUBSCRIBED AND SWORN TO before me this 26th day of April, 2021. otary Public My Commission Expires: O'/oS /2o 2 3 MARIAN N HIGGINS NOTARY PUBLIC 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 $1,961,002.70. Dated this 26th day of April, 2021. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: dAsetAmi „(.4.;„k Stev More o, Chair Weld County Clerk to the Board BY eepputy Clerk to the Board ames, Pr erry L. /C uck APP' s . s AS ounty Attorney i Saine Date of signature: dM l aQ:. / O1 2021-1118 Check Register Date : 04/23/2021 CheckDate CheckNumber Weld County Airport *Check run processed 4/23/2021 by mhiggins Payee Amount Greeley -Weld Airport Authority 042321 AP 4/26/2021 2013491 CENTURY LINK $58.42 4/26/2021 2013492 MY OFFICE ETC. $127.94 Check Register Summary Transaction Total: 2 Amount Total: $186.36 2021-1118 1 \ 1 Check Register Date : 04/23/2021 CheckStatus CheckDate CheckNumber Weld County Human Services *Check run processed 4/23/2021 by mhiggins Payee Amount Human Services 042321 HS Normal 4/26/2021 5026838 24 HOUR SIGN LANGUAGE SERVICE $935.00 Normal 4/26/2021 5026839 ASCENTIA REAL ESTATE HOLDING COMPANY LLC $5,596.74 Normal 4/26/2021 5026840 ATLAS REAL ESTATE LLC $4,000.00 Normal 4/26/2021 5026841 CANDELYIA CAMPA $20.00 Normal 4/26/2021 5026842 CAMPUS CREST AT GREELEY LLC $5,715.08 Normal 4/26/2021 5026843 CITY OF FORT LUPTON $964.94 Normal 4/26/2021 5026844 CITY OF GREELEY $198.19 Normal 4/26/2021 5026845 WENDY M. CLARK $1,440.00 Normal 4/26/2021 5026846 COLEMAN'S CAPCO SERVICES LLC $7,459.88 Normal 4/26/2021 5026847 MEGAN CONLEY $60.00 Normal 4/26/2021 5026848 DONE ON TIME LLC $2,445.00 Normal 4/26/2021 5026849 JACOB GARDNER $184.80 Normal 4/26/2021 5026850 GATEWAY PLACE APARTMENTS $1,890.00 Normal 4/26/2021 5026851 HCCC $31,834.00 Normal 4/26/2021 5026852 HEARTSMART, INC $1,180.00 Normal 4/26/2021 5026853 HOME PARTNERS OF AMERICA INC $16,031.81 Normal 4/26/2021 5026854 HOYMAN GRANDCHILDREN'S TRUST $3,711.63 Normal 4/26/2021 5026855 IDEA FORUM, INC $1,615.00 Normal 4/26/2021 5026856 IDEMIA IDENTITY & SECURITY USA LLC $3,267.00 Normal 4/26/2021 5026857 INTERMOUNTAIN DATA CORP $38.00 Normal 4/26/2021 5026858 INTERVENTION INC $13,252.00 1 \ 3 CheckStatus CheckDate CheckNumber Payee Amount Normal 4/26/2021 5026859 MATTHEW JOHNSON $3,800.00 Normal 4/26/2021 5026860 ORLAN KOEHN $3,400.00 Normal 4/26/2021 5026861 SUZANNE M. LAMBERT -MAINE $3,600.00 Normal 4/26/2021 5026862 LARIMER COUNTY $37.20 Normal 4/26/2021 5026863 LEGEND FLATS $1,411.00 Normal 4/26/2021 5026864 LICE CLINICS OF AMERICA $236.00 Normal 4/26/2021 5026865 LIVE THE VICTORY INC $3,100.00 Normal 4/26/2021 5026866 NORTH RANGE BEHAVIORAL HEALTH $7,437.60 Normal 4/26/2021 5026867 SHANTIEL OLIVAS $25.60 Normal 4/26/2021 5026868 PAPER CHASE $44.80 Normal 4/26/2021 5026869 ROYAL GARDENS APARTMENTS LLC $2,957.22 Normal 4/26/2021 5026870 ROYAL GARDENS APARTMENTS LLC $5,861.30 Normal 4/26/2021 5026871 ROYALTY PROPERTY MAINTENANCE LLC $2,900.00 Normal 4/26/2021 5026872 RSB LLC $900.00 Normal 4/26/2021 5026873 SC RENTALS $3,280.00 Normal 4/26/2021 5026874 SERENITY VILLAGE APARTMENTS LLLP $3,586.50 Normal 4/26/2021 5026875 SERENTIY VILLAGE APTS LLLP $850.00 Normal 4/26/2021 5026876 SUN HOME SERVICES INC $1,316.00 Normal 4/26/2021 5026877 THE LAW OFFICES OF DAVID S ANDERSON $5,343.00 Normal 4/26/2021 .5026878 THE RESERVE AT WEST T-BONE APTS $4,452.40 Normal 4/26/2021 5026879 UABA LLC $6,078.00 Normal 4/26/2021 5026880 VALLEY VILLAGE MOBILE HOME $3,005.55 Normal 4/26/2021 5026881 STEVEN VELUSCEK $5,800.00 2 \ 3 CheckStatus CheckDate CheckNumber Payee Amount Normal 4/26/2021 5026882 WELD COUNTY SCHOOL DISTRICT RE -5J $575.53 Normal 4/26/2021 5026883 WOODSIDE VILLAGE APTS $1,482.00 Normal 4/26/2021 5026884 WOODSIDE VILLAGE APTS $208.00 Normal 4/26/2021 5026885 XCEL ENERGY $412.02 Normal 4/26/2021 5026886 XCEL ENERGY $610.22 Normal 4/26/2021 5026887 XCEL ENERGY $1,245.02 Check Register Summary Transaction Total: 50 Amount Total: $175,794.03 Check Register Date : 04/23/2021 CheckDate CheckNumber Weld County Weld County *Check run processed 4/23/2021 by mhiggins Payee Amount Weld County, Colorado 042321 WELD 4/26/2021 3363773 A TURNING POINT OF COLORADO SPRINGS INC $20.00 4/26/2021 3363774 ADVANTAGE TREATMENT CENTER INC $60.00 4/26/2021 3363775 AMAZON CAPITAL SERVICES INC $1,284.27 4/26/2021 3363776 AMERICAN INCOME LIFE INSURANCE COMPANY $35.40 4/26/2021 3363777 JUDITH ARMSTRONG $135.00 4/26/2021 3363778 ATP OILFIELD SERVICES LLC $7,952.47 4/26/2021 3363779 AXIOM ACCIDENT & HAIL REPAIR $3,278.40 4/26/2021 3363780 BOBCAT OF THE ROCKIES $1,066.95 4/26/2021 3363781 C & L WATER SOLUTIONS INC $36,097.00 4/26/2021 3363782 C2D ARCHITECTS LLC $5,662.50 4/26/2021 3363783 CATHOLIC CHARITIES NORTHERN $425.00 4/26/2021 3363784 CENTENNIAL MENTAL HEALTH CENTER INC $35.00 4/26/2021 3363785 CIMA COMPANIES, INC $503.80 4/26/2021 3363786 CITY OF AURORA $125.00 4/26/2021 3363787 COLORADO COUNSELOR TRAINING $1,240.00 4/26/2021 3363788 DICTOGUARD SECURITY SYSTEMS, INC $13,995.00 4/26/2021 3363789 BONNIE DIETZ $60.00 4/26/2021 3363790 DK DESIGN OF GREELEY LLC $276.00 4/26/2021 3363791 EASY AUTO SPA $964.00 4/26/2021 3363792 EDUCATIONAL TOURS INC $25,020.24 4/26/2021 3363793 ENSIGHT SKILLS CENTER INC $400.00 1 \ 4 CheckDate CheckNumber Payee Amount 4/26/2021 3363794 MICHAEL FEIGNY $15.00 4/26/2021 3363795 CHARLOTTE FROID $100.00 4/26/2021 3363796 FRONT RANGE INDUSTRIAL & CONSTRUCTION SUPPLY $87.37 4/26/2021 3363797 FRONT RANGE LANDFILL $204.78 4/26/2021 3363798 GALLEGOS SANITATION INC $2,107.66 4/26/2021 3363799 CELIA GARCIA $327.25 4/26/2021 3363800 GEO REENTRY SERVICES, LLC $550.50 4/26/2021 3363801 GERIATRIC EDUCATION CENTER $1,015.66 4/26/2021 3363802 ENRIQUE GUTIERREZ $1,237.50 4/26/2021 3363803 CHRIS D. HEFTY $15.00 VOID VoiD --- 021 _ 4/26/2021 3363807 HILL PETROLEUM Yot D $36,539.21 4/26/2021 3363808 HOLST BOETTCHER & TEHRAN' LLP $15.00 4/26/2021 3363809 HOME INSTEAD FORT COLLINS $111.00 4/26/2021 3363810 HONNEN EQUIPMENT $228.70 4/26/2021 3363811 IML SECURITY $1,773.16 4/26/2021 3363812 INTERNAL REVENUE SERVICE (IRS) $32.47 4/26/2021 3363813 INTERVENTION COMMUNITY CORRECTIONS SERVICES $8,980.00 4/26/2021 3363814 INTERVENTION INC $820.00 4/26/2021 3363815 J2 CONTRACTING $167,880.20 4/26/2021 3363816 LANGUAGE LINE SERVICES INC $161.08 2 \ 4 CheckDate CheckNumber Payee Amount 4/26/2021 3363817 MARK A LEACHMAN P.C. $15.00 4/26/2021 3363818 MARTIN MARIETTA MATERIALS INC $7,698.54 4/26/2021 3363819 MIKE MAROONE FORD LONGMONT $1,239.70 4/26/2021 3363820 PRES MONTOYA $70.00 4/26/2021 3363821 MOTOROLA SOLUTIONS INC $25,592.93 4/26/2021 3363822 NATIONAL ASSOCIATION OF WORKFORCE BOARDS $2,361.60 4/26/2021 3363823 NORTH COLORADO MEDICAL CENTER (NCMC) $75.00 4/26/2021 3363824 DAVID PORTER $36.50 4/26/2021 3363825 POUDRE VALLEY REA $5,072.27 4/26/2021 3363826 RECOVERY MONITORING SOLUTIONS CORP $28.00 4/26/2021 3363827 RED MOUNTAIN INC $714.65 4/26/2021 3363828 ROCKY MOUNTAIN POWERTRAIN $11,987.48 4/26/2021 3363829 ROCKY MTN WORKFORCE DEVELOPMENT ASSOC $1,287.00 4/26/2021 3363830 ROCKY MTN WORKFORCE DEVELOPMENT ASSOC $1,500.00 4/26/2021 3363831 SAM'S CLUB $102.34 4/26/2021 3363832 LORETTA SCHIML $260.00 4/26/2021 3363833 ELIZABETH SCHNEIDER $230.00 4/26/2021 3363834 SUPERVACUUM MANUFACTURING CO INC $1,341.99 4/26/2021 3363835 TARKETT USA INC $9,928.05 4/26/2021 3363836 TRANSWEST TRAILERS $961,026.00 4/26/2021 3363837 TRI STATE TOWING LLC $825.00 4/26/2021 3363838 UC HEALTH $169.56 4/26/2021 3363839 UNITED RENTALS (NORTH AMERICA) INC $2,011.20 3 \ 4 CheckDate CheckNumber Payee Amount 4/26/2021 3363840 VAISALA INC $1,000.00 4/26/2021 3363841 VERMEER SALES AND SERVICE OF COLORADO, INC $1,664.78 4/26/2021 3363842 WARD ENERGY SOLUTIONS LLC $2,138.75 4/26/2021 3363843 ROBERT WEBER $15.00 4/26/2021 3363844 WHC FTC LLC $30.00 4/26/2021 3363845 WRANGLERS $105.00 VOID 4/26/2021 3363847 XCEL ENERGY $41,728.29 4/26/2021 3363848 EVANGELINA ZAMUDIO $45.00 Check Register Summary Transaction Total: 76 Amount Total: $1,401,137.20 PeopleSoft Report ID: WDV003 DENTAL/VISION CHECK REGISTER Benefit Year 2021 From Date: 04/26/2021 Thru Date: 04/26/2021 Check No. Check Date Check Amount Employee Name 8091848 04/26/2021 $209.50 Cynthia Henderson 8091849 04/26/2021 $235.50 Annalise Veronica Sankar 8091850 04/26/2021 $325.92 Alison Sackerson Pegg 8091851 04/26/2021 $159.00 Terri Lynn Mohrlang 8091852 04/26/2021 $251.00 Douglas G. White 8091853 04/26/2021 $135.00 Sara Torres 8091854 04/26/2021 $78.50 Kris A Armstrong 8091855 04/26/2021 $300.00 B. Renee Fielder 8091856 04/26/2021 $550.00 Kelly John Madden 8091857 04/26/2021 $100.00 Mayra Silva 8091858 04/26/2021 $100.00 Mayra Silva 8091859 04/26/2021 $114.00 Gregory Cordova 8091860 04/26/2021 $51.00 Gregory Cordova 8091861 04/26/2021 $244.00 Naomi Garcia 8091862 04/26/2021 $176.00 Mary -Cecelia Tharp 8091863 04/26/2021 $25.00 Karina L. Amaya 8091864 04/26/2021 $177.00 Marta Marie Arndt 8091865 04/26/2021 $177.00 Marta Marie Arndt 8091866 04/26/2021 $219.60 Christie Marie Peters 8091867 04/26/2021 $502.50 Jose J Gonzalez 8091868 04/26/2021 $24.50 Tiffany Ann Lewis 8091869 04/26/2021 $24.50 Tiffany Ann Lewis 8091870 04/26/2021 $176.50 Tiffany Ann Lewis 8091871 04/26/2021 $407.94 Nathan Allan Scudder 8091872 04/26/2021 $300.00 Ronell Heitman 8091873 04/26/2021 $78.00 Amanda Petzold Payment Type Total $5,141.96 Year Total $5,141.96 Grand Total $5,141.96 ==>Direct Deposit Total $5,141.96 ==>Paper Check Total $0.00 26 0 Employee ID Svc Type Direct Deposit 10536 V Vision Y 10765 D Dental Y 11612 D Dental Y 1759 D Dental Y 1937 V Vision Y 3849 D Dental Y 418 V Vision Y 422 V Vision Y 4686 D Dental Y 5127 D Dental Y 5127 D Dental Y 5612 D Dental Y 5612 D Dental Y 5786 D Dental Y 5815 D Dental Y 5938 V Vision Y 6615 D Dental Y 6615 D Dental Y 7559 D Dental Y 8183 D Dental Y 8729 V Vision Y 8729 V Vision Y 8729 V Vision Y 8911 D Dental Y 9357 V Vision Y 9710 D Dental Y End of Report Page No. 1 Run Date 04/23/2021 Run Time 11:50:10 REPORT FABCHKR Weld County BNPD Data RUN DATE: 04/23/2021 FISCAL YEAR 2021 Batch Disbursement Register TIME: 03:05 PM BANK: 02 TREASURER -SOCIAL SERVICES Direct Deposit Run: 04/26/2021 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 10036363 FIGUEROA, MARIEFRI I2105637 MI033121 78.25 0.00 0.00 78.25 D 10036364 GARCIA, EMMALISA I2105639 MI031021 32.40 0.00 0.00 32.40 D 10036365 HUBERT, JESSE I2105630 MI033121 286.74 0.00 0.00 286.74 D 10036366 LOMA, ALYSSA I2105671 MI032921 144.18 0.00 0.00 144.18 D 10036367 MADDEN, KELLY I2105627 MI033021 549.62 0.00 0.00 549.62 D 10036368 MCLAVEY, JO I2105636 MI041621 32.51 0.00 0.00 32.51 D 10036369 NORAKER, NICHOLE I2105631 MI041321 172.80 0.00 0.00 172.80 D 10036370 RODRIGUEZ, JANE M I2105640 MI033121 97.20 0.00 0.00 97.20 D 10036371 TIMOTHY-FELICE, ANGELA I2105633 MI032621 359.64 0.00 0.00 359.64 D 10036372 WEISSHAAR, LORI I2105628 MI041421 64.26 0.00 0.00 64.26 D !0036373 WILEY, HANNAH R I2105673 MI040221 207.36 0.00 0.00 207.36 D !0036374 WOLF, KRIS I2105635 MI040821 32.94 0.00 0.00 32.94 D BANK TOTAL 2,057.90 T REPORT FABCHKR Weld County BNPD Data RUN DATE: 04/23/2021 TIME: 03:05 PM 04/26/2021 PAGE: FISCAL YEAR 2021 * RPTNAME: FABCHKR PARAMETER SEQUENCE NUMBER: 332444 NUMBER OF PRINTED LINES PER PAGE: 52 Batch Disbursement Register Check Run: 2 * * * REPORT CONTROL INFORMATION * * REPORT FABCHKR Weld County BNPD Data RUN DATE: 04/23/2021 FISCAL YEAR 2021 Batch Disbursement Register TIME: 03:02 PM BANK: 01 TREASURER -ACCOUNTS PAYABLE Direct Deposit Run: 04/26/2021 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 !0036354 CARPENTER, LISA 15.00 0.00 0.00 I2105544 15.00 D !0036355 DANFORTH, DEVIN I2105666 DANFORTH042321 19.55 0.00 0.00 !0036356 GIOE, ANTONIO 143.00 0.00 0.00 19.55 D I2105557 SB2021 143 143.00 D 10036357 HALLORAN, KEVIN I2105487 OIS INVESTIGATI 34.45 0.00 !0036358 JOHNSON, TERESA 194.88 0.00 14.86 0.00 0.00 34.45 D 0.00 0.00 I2105510 194.88 D I2105511 14.86 D DEPOSIT TOTAL 209.74 10036359 LENTZ, AMY 92.45 0.00 0.00 I2105509 92.45 D 10036360 SKOGLUND, MEREDITH M I2105634 MULTIPLE 375.63 0.00 0.00 375.63 D 10036361 SPENCE, THERESA I2105512 64.80 0.00 !0036362 STERKEL, KIM 64.68 0.00 T REPORT FABCHKR FISCAL YEAR 2021 04/26/2021 * 0.00 64.80 D 0.00 I2105508 64.68 D BANK TOTAL 1,019.30 RUN DATE: 04/23/2021 TIME: 03:02 PM PAGE: RPTNAME: FABCHKR PARAMETER SEQUENCE NUMBER: 332439 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: 04/23/2021 FISCAL YEAR 2021 Batch Disbursement Register TIME: 03:18 PM BANK: E2 TREASURER -SS ELECTRONIC PAYMENTS Check Run: 04/26/2021 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 E0002214 LABORATORY CORPORATION OF AMER I2105570 69091399 38.00 0.00 0.00 38.00 B E0002215 PATHWAYS MANAGEMENT LLC I2105613 2/4/21COMPFATIG 300.00 0.00 0.00 T REPORT FABCHKR FISCAL YEAR 2021 04/26/2021 * BANK TOTAL 338.00 300.00 B RUN DATE: 04/23/2021 TIME: 03:18 PM PAGE: RPTNAME: FABCHKR PARAMETER SEQUENCE NUMBER: 332465 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: 04/23/2021 FISCAL YEAR 2021 Batch Disbursement Register TIME: 03:15 PM BANK: El TREASURER -AP ELECTRONIC PAYMENTS Check Run: 04/26/2021 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 E0002211 GALLS INC -216.00 0.00 1,932.55 0.00 0.00 0.00 I2105464 018077052 -216.00 B I2105550 MULTIPLE 1,932.55 B CHECK TOTAL 1,716.55 E0002212 MY OFFICE ETC. 323.65 0.00 163.70 0.00 0.00 0.00 I2105505 277923-0 323.65 B I2105506 277921-0 163.70 B CHECK TOTAL 487.35 E0002213 PUBLIC AGENCY TRAINING COUNCIL I2105485 255352 1,785.00 0.00 0.00 1,785.00 B BANK TOTAL 3,988.90 T REPORT FABCHKR Weld County BNPD Data RUN DATE: 04/23/2021 TIME: 03:15 PM 04/26/2021 PAGE: FISCAL YEAR 2021 * RPTNAME: FABCHKR PARAMETER SEQUENCE NUMBER: 332461 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: Monday, April 19, 2021 WELD COUNTY GOV S FREY/R FIELDER RE:MEDICAL CLAIMS 54-21106-0484 Friday, April 16, 2021 Debit/Pull Amount: $81,072.18 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.comor call a contact listedbelow. ( Kimberly Settle Daphne Fentress Banking Consultant Phone 330-659-8333 Banking Consultant Phone 904-351-5504 J2100636 04.1921 Proprietary vaetna- Re: Funds Transfer Confirmation Prepared Date: Contractholder Name: Attention: Reference#: Activity of: Wednesday, April 21, 2021 WELD COUNTY GOV S FREY/R FIELDER RE:MEDICAL CLAIMS 54-21110-0443 Tuesday, April 20, 2021 Debit/Pull Amount: $149,879.93 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 Four any questions, please send emails to Banking-SAMP@aetnnacomorcall a contact listedbelow. t C11Y1 t� ` r DatO.c Kimberly Settle Daphne Fentress Banking Consultant Phone 330-659-8333 Banking Consultant Phone 904-351-5504 J2100644 04.21.21 Proprieta ry vaetna- Re: Funds Transfer Confirmation Prepared Date: Contractholder Name: Attention: Reference#: Activity of: Thursday, April 22, 2021 WELD COUNTY GOV S FREY/R FIELDER RE:MEDICAL CLAIMS 54-21111-0808 Wednesday, April 21, 2021 Debit/Pull Amount: $140,386.94 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. UVik,I k Kimberly Settle Banking Consultant Phone 330-659-8333 Daphne Fentress Banking Consultant Phone 904-351-5504 J2100650 04.22.21 Proprietary 186.36 + 175,794.03 + 1,401,137.20 + 5,141.96 + 2,057.90 + 1,019.30 + 338.00 + 3,938.90 + 31,072.13 + 149, 379.93 140,386.94 + 1,961,902.70 * 186.36 + 175,794.03 + 19401,137.20 + 5,141.96 + 2,057.90 + 1,019.30 + 338.00 + 3,988.90 + 81,072.18 + 149 879.93 + 140,386.94 + 1,961,;902_•70 * Hello