HomeMy WebLinkAbout20202663.tiffWELD COUNTY WARRANTS
AS OF: AUGUST 31, 2020
This is to certify that all accounting and budgeting procedures have been completed on
the above listed claims as shown on the attached eight (8) Check and Electronic Transmittal
Registers, numbering nineteen (19) pages, and dated August 28, 2020; and that payments
should be to the respective vendors listed in the amount set opposite their names, with the
total amount of $3,471,950.15. Dated this 31st day of August, 2020.
Weld County Financial Off
SUBSCRIBED AN
My Commission Expires: D'/05/2O23
SWORN TO before me this 31st day of August, 2020.
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 $3,471,950.15. Dated this 31st day of August, 2020.
ATTEST: deethA) ..fdtd;eik
Weld County Clerk to the Board
BY:
uty Clerk to the Board
APPROVED AS TO F
c, 4-V. County Attorney
Date of signature: 087311 RO
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
miLac,
Mike Freeman, Chair
Steve A •repo, Pro -Tern
. James
Kevin D. Ross
2020-2663
Check Register
Date : 08/28/2020
CheckStatus CheckDate CheckNumber
Weld County
Human Services
*Check run processed 8/28/2020 by mhiggins
Payee
Amount
Human -Services
082820HS
Normal 8/31/2020
5025245 COBB COUNTY $50.00
Normal 8/31/2020
5025246 COLORADO DEPARTMENT OF HUMAN SERVICES $9,348.00
Normal 8/31/2020
5025247 JOE A. GUTIERREZ $800.00
Normal 8/31/2020
5025248 HEARTSMART, INC $165.00
Normal 8/31/2020
5025249 IDEMIA IDENTITY & SECURITY USA LLC $3,118.50
Normal 8/31/2020
5025250 KPJ FIRST SERVICES, LLC $1,200.00
Normal 8/31/2020
5025251 MUNICODE $342.00
Normal 8/31/2020
5025252 PAPER CHASE $125.00
Normal 8/31/2020
5025253 RIVERSIDE COUNTY $40.00
Normal 8/31/2020
5025254 SASSI INSTITUTE $282.00
Normal 8/31/2020
5025255 SOCIAL SECURITY ADMINISTRATION $5,141.00
Normal 8/31/2020
5025256 SOCIAL SECURITY ADMINISTRATION $783.00
Check Register Summary
Transaction Total: 12
Amount Total: $21,394.50
2020-2663
1 \ 1
Check Register
Date : 08/28/2020
CheckDate CheckNumber Payee
Weld County
Weld County
*Check run processed 8/28/2020 by mhiggins
Amount
-Weld-County, Color -ado- -- --
082820WELD
8/31/2020
3357316 120 85 LLC $10,316.69
8/31/2020
3357317 4 RIVERS EQUIPMENT $17,550.00
8/31/2020
3357318 AETNA INC $135,156.42
8/31/2020
3357319 OLUWAGBENGA D. AGBOOLA $1,860.00
8/31/2020
3357320 AMES CONSTRUCTION INC $1,770,106.72
8/31/2020
3357321 ARAMARK CORPORATION $46,607.75
8/31/2020
3357322 AVCOMM SOLUTIONS INC $1,385.13
8/31/2020
3357323 DANIELLE BACKER $15.00
8/31/2020
3357324 FRANK BALL $15.00
8/31/2020
3357325 LINDA BANGHART $75.00
8/31/2020
3357326 BETA HEALTH ASSOCIATION, INC $11,263.00
8/31/2020
3357327 BI INC $5,256.40
8/31/2020
3357328 BLUE HORSE GRAPHIC DESIGN $30.00
8/31/2020
3357329 CAPITAL BUSINESS SYSTEMS INC $3,877.64
8/31/2020
3357330 CAREERS WORLD WIDE INC $4,200.00
8/31/2020
3357331 CATHOLIC CHARITIES NORTHERN $12,589.00
8/31/2020
3357332 CHILD SUPPORT SERVICES OF WYOMING $15.00
8/31/2020
3357333 DR DAVID CHRISTIANSEN $1,700.00
8/31/2020
3357334 CMI-LONGMONT COMMUNITY TREATMENT CENTER $2,485.30
8/31/2020
3357335 COLORADO ANALYTICAL LABORATORIES INC $155.00
8/31/2020
3357336 COLORADO DEPT OF PUBLIC HEALTH/ENVIRONMENT $5,847.00
1 \ 5
CheckDate CheckNumber
Payee Amount
8/31/2020
3357337 COLORADO DEPT OF PUBLIC HEALTH/ENVIRONMENT $430.00
8/31/2020
3357338 COLORADO LEGAL SERVICES $4,210.00
8/31/2020
3357339 COLORADO STATE UNIVERSITY $15.00
8/31/2020
3357340 COMCOR INC $2,973.52
8/31/2020
3357341 COMMISSION NOW LLC $9,230.00
8/31/2020
3357342 CONFIDENTIAL COUNSELING LLC $11,667.00
8/31/2020
3357343 CREATIVE COUNSELING SERVICES $200.00
8/31/2020
3357344 NANSI CROM $89.24
8/31/2020
3357345 DELL MARKETING L.P. $5,862.15
8/31/2020
3357346 ENHANCE PRINTING LLC $70.00
8/31/2020
3357347 ENSIGHT SKILLS CENTER INC $398.35
8/31/2020
3357348 EZ MESSENGER $15.00
8/31/2020
3357349 KZ MESSENGER $15.00
8/31/2020
3357350 FHM MATERIAL HANDLING SOLUTIONS $101.20
8/31/2020
3357351 FISHER SCIENTIFIC $400.14
8/31/2020
3357352 FRANCY LAW FIRM $15.00
8/31/2020
3357353 BARBARA GALLEGOS $300.00
8/31/2020
3357354 GEO REENTRY SERVICES, LLC $529.50
8/31/2020
3357355 GORILLA STATIONERS $272,000.00
8/31/2020
3357356 GREELEY HOUSING AUTHORITY $536.05
8/31/2020
3357357 KENNA HAUN $15.00
8/31/2020
3357358 HEARING REHABILITATION CENTER, INC $1,500.00
8/31/2020
3357359 HECKENBACH SUAZO LLP $15.00
2 \ 5
CheckDate CheckNumber
-Payee - - - _ _Amount
VOID
n n
8/31/2020
3357361 HILL PETROLEUM
$28,052.70
8/31/2020
3357362 HOLOGIC
$494.00
8/31/2020 3357363 HOLST BOETTCHER & TEHRANI LLP
$30.00
8/31/2020 3357364 IAA()
$250.00
8/31/2020
3357365 IDEA FORUM, INC $34.00
8/31/2020 3357366 INTERMOUNTAIN DATA CORP
$350.00
8/31/2020
3357367 INTERVENTION COMMUNITY CORRECTIONS SERVICES $218,320.50
8/31/2020 3357368 INTERVENTION INC
$990.00
8/31/2020 3357369 J2 CONTRACTING
$21,906.23
8/31/2020 3357370 JAMES G ANDERSON PC
$17.00
8/31/2020 3357371 ASHLEY KILCOIN
$1.00
8/31/2020 3357372 CODY KNIPP
$15.00
8/31/2020
3357373 LANGUAGE LINE SERVICES INC $43.82
8/31/2020
3357374 LARIMER COUNTY $517.00
8/31/2020
3357375 LIVE FULLY LLC $1,080.00
8/31/2020
3357376 MARTIN MARIETTA MATERIALS INC $232,690.17
8/31/2020
3357377 CINDY MASCARENAS $115.00
8/31/2020
3357378 CELESTE MAULDIN $125.00
8/31/2020
3357379 MCKINNEY TRAILER RENTALS $3,600.00
8/31/2020
3357380 MEALS ON WHEELS $29,468.03
8/31/2020
3357381 MESA COUNTY $1,486.76
8/31/2020
3357382 MILLAGE BROS. INC $534.37
3 \ 5
CheckDate CheckNumber
Payee Amount
8/31/2020
3357383 MOUNTAIN CONSTRUCTORS, INC. $29,603.04
8/31/2020
3357384 MY EDUCATIONAL RESOURCES, INC $350.00
8/31/2020
3357385 NELSON & KENNARD $15.00
8/31/2020
3357386 NORTH COLORADO MEDICAL CENTER (NCMC) $103.22
8/31/2020
3357387 NORTH RANGE BEHAVIORAL HEALTH $9,092.16
8/31/2020
3357388 NORTH RANGE BEHAVIORAL HEALTH $18,046.57
8/31/2020
3357389 NSI LAB SOLUTIONS $770.00
8/31/2020
3357390 OLDCASTLE PRECAST, INC $420.76
8/31/2020
3357391 ONE CALL LOCATORS, LTD $2,408.30
8/31/2020
3357392 PEAR LLC $8,065.18
8/31/2020
3357393 QIAGEN INC $628.32
8/31/2020
3357394 BEATRICE RANSON $75.00
8/31/2020
3357395 RECOVERY MONITORING SOLUTIONS CORP $56.00
8/31/2020
3357396 DARION REYES $5.00
8/31/2020
3357397 RICHARDSON CONSOLIDATED INC $49,520.05
8/31/2020
3357398 ROCKY MOUNTAIN AQUA TECH LLC
$150.00
8/31/2020
3357399 JEREMY SCHAEFFER $100.00
8/31/2020
3357400 HENRY SCHEIN $288.99
8/31/2020
3357401 SENIOR RESOURCE SERVICES $7,556.95
8/31/2020
3357402 SHERWIN WILLIAMS $84.97
8/31/2020
3357403 STATE OF COLORADO $17,401.46
8/31/2020
3357404 KEITH STINSON $45.00
8/31/2020
3357405 TECHNICHE AMERICAS LLC $14,600.00
4 \ 5
CheckDate CheckNumber
Payee Amount
8/31/2020
3357406 THE IMAGING CENTER $2,400.00
8/31/2020
3357407 THERMO FLUIDS, INC $393.30
8/31/2020
3357408 TIME TO CHANGE $3,531.08
8/31/2020
3357409 TOTAL FIRE PROTECTION INC $380.00
8/31/2020
3357410 TYLER TECHNOLOGIES, INC/EAGLE DIVISION $10,333.33
8/31/2020
3357411 UABA LLC $34.00
8/31/2020
3357412 UNITED PARCEL SERVICES $10.76
8/31/2020
3357413 UNIVERSITY OF COLORADO AT DENVER $600.00
8/31/2020
3357414 UNIVERSITY OF NORTHERN COLORADO $51,179.37
8/31/2020
3357415 VANCE BROTHERS INC $24,521.50
8/31/2020
3357416 VISUALUTIONS INC $80.00
8/31/2020
3357417 VWR INTERNATIONAL $69.00
8/31/2020
3357418 WAKEFIELD AND ASSOCIATES $15.00
8/31/2020
3357419 XCEL ENERGY $3,785.23
8/31/2020
3357420 XEROX CORPORATION $194.14
Check Register Summary
Transaction Total: 105
Amount Total: $3,138,186.46
PeopleSoft
Report ID: WDV003 DENTAL/VISION CHECK REGISTER
Benefit Year 2020
From Date: 08/31/2020 Thru Date: 08/31/2020
Check No. Check Date Check Amount Employee Name
8090615 08/31/2020 $409.71 Alyssa Bentley
8090616 08/31/2020 $139.98 Jerry Anthony Aguirre Jr.
8090617 08/31/2020 $300.00 John E. Kruse
8090618 08/31/2020 $172.30 Donald Lewis Patch
8090619 08/31/2020 $213.40 Staci Lynn Devore
8090620 08/31/2020 $66.00 Concepcion Rodriguez
8090621 08/31/2020 $66.00 Concepcion Rodriguez
8090622 08/31/2020 $37.50 Concepcion Rodriguez
8090623 08/31/2020 $72.00 Concepcion Rodriguez
8090624 08/31/2020 $66.00 Tyler Nava
8090625 08/31/2020 $183.50 Dennis Scott Chambers
8090626 08/31/2020 $86.50 Ashleigh Renae Titus
8090627 08/31/2020 $139.00 Jason Payne
8090628 08/31/2020 $62.39 Angela Snyder
8090629 08/31/2020 $77.50 Angela Snyder
8090630 08/31/2020 $97.00 Angela Snyder
Payment Type Total $2,188.78
Year Total $2,188.78
Grand Total $2,188.78
==>Direct Deposit Total $2,188.78
==>Paper Check Total $0.00
16
0
Employee ID Svc Type Direct Deposit
10811 D Dental Y
2934 V Vision Y
3510 V Vision Y
3648 V Vision Y
4690 D Dental Y
5375 V Vision Y
5375 V Vision Y
5375 V Vision Y
5375 V Vision Y
5630 V Vision Y
6337 V Vision Y
7121 V Vision Y
8728 D Dental Y
9843 V Vision Y
9843 V Vision Y
9843 V Vision Y
End of Report
Page No. 1
Run Date 08/28/2020
Run Time 11:54:44
REPORT FABCHKR Weld County BNPD Data
RUN DATE: 08/28/2020
FISCAL YEAR 2020 Batch Disbursement Register
TIME: 03:03 PM
BANK: 01 TREASURER -ACCOUNTS PAYABLE Direct Deposit Run:
08/31/2020 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
10034926 ANTUNA, KEVIN I2011340 0703-080420
96.02 0.00
0.00 96.02 D
!0034927 BACHENBERG, BEATRICE I2011318 081120
2,201.00 0.00 0.00
2,201.00 D
!0034928 BASCH, ANNALISE I2011317 0701-073120
467.31 0.00
0.00 467.31 D
!0034929 BRECHEISEN, RON I2011529 SB&LICENSE
250.00 0.00
!0034930 BRINKMAN, RONNA
300.00 0.00
0.00 250.00 D
0.00
I2011394
300.00 D
!0034931 CHANG, LILA I2011405 0729-073120
19.98 0.00
0.00 19.98 D
!0034932 FLORES, VANESSA VALDEZ I2011568 MI082620
4.44 0.00 0.00
4.44 D
10034933 GARVEY, DANA I2011337 071020
12.43 0.00
0.00 12.43 D
!0034934 GUADARRAMA, GUADALUPE I2011569 MULTIPLE
66.60 0.00 0.00
66.60 D
!0034935 HOUGHTON, ABBY I2011312 0701-073120
301.92 0.00
0.00 301.92 D
!0034936 HUTCHINS, CASEY I2011334 071620
3.83 0.00 0.00
10034937 JOHNSON, TERESA
129.11 0.00
45.89 0.00
498.17 0.00
0.00
0.00
0.00
3.83 D
I2011370
129.11 D
I2011371
45.89 D
I2011372
498.17 D
TOTAL 673.17
10034938 LENTZ, AMY
184.93 0.00 0.00
10034939 MARTINEZ, KELLY
13.32 0.00 0.00
10034940 NESS, NICOLE
66.60 0.00 0.00
10034941 NOSKO, CINDY
57.11 0.00 0.00
10034942 PAGE, MEGAN
6.55 0.00 0.00
10034943 ROBERTS, TRACY
51.62 0.00 0.00
10034944 STERKEL, KIM
396.00 0.00
0.00
I2011513
184.93 D
I2011339 0709-072020
13.32 D
I2011409 0722-073120
66.60 D
I2011414
57.11 D
I2011407 0717-072420
6.55 D
I2011343 0724-073020
51.62 D
I2011416
396.00 D
DEPOSIT
REPORT FABCHKR Weld County BNPD Data
RUN DATE: 08/28/2020
FISCAL YEAR 2020 Batch Disbursement Register
TIME: 03:03 PM
BANK: 01 TREASURER -ACCOUNTS PAYABLE Direct Deposit Run:
08/31/2020 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
!0034945 THEISEN, CASSANDRA I2011336 0702-072320
63.83 0.00 0.00
63.83 D
!0034946 URLIK, CANDACE I2011486 0701-073120
331.34 0.00
0.00 331.34 D
!0034947 VOGT, CASEY LEVI I2011335 0701-073120
401.27 0.00
0.00 401.27 D
!0034948 WITKOWSKI, JULIE I2011383 TA08132020
300.00 0.00
0.00 300.00 D
!0034949 YOUNG, CAITLIN I2011330 0701-073120
44.40 0.00
REPORT FABCHKR
FISCAL YEAR 2020
08/31/2020
0.00 44.40 D
BANK TOTAL 6,313.67
RUN DATE: 08/28/2020
TIME: 03:03 PM
PAGE:
RPTNAME: FABCHKR
PARAMETER SEQUENCE NUMBER: 323534
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: 08/28/2020
FISCAL YEAR 2020 Batch Disbursement Register
TIME: 02:59 PM
BANK: El TREASURER -AP ELECTRONIC PAYMENTS Check Run:
08/31/2020 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
E0001843 COBITCO INC I2011459 00057856
2,293.50 0.00
0.00 2,293.50 B
E0001844 LABORATORY CORPORATION OF AMER I2011572 66580056
929.37 0.00 0.00 929.37 B
E0001845 MY OFFICE ETC. I2011400 269651-0
310.00 0.00
0.00 310.00 B
E0001846 RESERVOIRS ENVIRONMENTAL, INC I2011262 469954-2
20.00 0.00 0.00 20.00 B
I2011264 469954-1
40.00 0.00 0.00 40.00 B
TOTAL 60.00
E0001847 REVELATION STEEL, LLC I2011460 MULTIPLE
151.14 0.00 0.00
BANK TOTAL 3,744.01
151.14 B
CHECK
REPORT FABCHKR Weld County BNPD Data
FISCAL YEAR 2020
08/31/2020
*
RUN DATE: 08/28/2020
TIME: 02:59 PM
PAGE:
RPTNAME: FABCHKR
PARAMETER SEQUENCE NUMBER: 323524
NUMBER OF PRINTED LINES PER PAGE: 52
Batch Disbursement Register
Check Run:
2
* * * REPORT CONTROL INFORMATION * *
REPORT FABCHKR Weld County BNPD Data
RUN DATE: 08/28/2020
FISCAL YEAR 2020 Batch Disbursement Register
TIME: 03:05 PM
BANK: 02 TREASURER -SOCIAL SERVICES Direct Deposit Run:
08/31/2020 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
!0034950 DURAN, YESENIA I2011461 MI072420
284.60 0.00
0.00 284.60 D
10034951 LEMMENS, KIM 5 I2011535 MI073120
63.83 0.00
0.00 63.83 D
10034952 OVERSHINER, JAZMIN I2011462 MI081420
300.81 0.00 0.00
300.81 D
10034953 RAMIREZ, GABRIELLA I2011534 MI081220
131.54 0.00 0.00
131.54 D
!0034954 SALAZAR, LISA I2011567 MI073120
296.09 0.00 0.00 296.09 D
10034955 WEISSHAAR, LORI I2011463 MULTIPLE
77.70 0.00
0.00 77.70 D
10034956 WILEY, HANNAH R I2011570 08/11 1898545
207.45 0.00
0.00 207.45 D
BANK TOTAL 1,362.02
T
REPORT FABCHKR Weld County BNPD Data
RUN DATE: 08/28/2020
FISCAL YEAR 2020 Batch Disbursement Register
TIME: 03:05 PM
Check Run:
08/31/2020
*
RPTNAME: FABCHKR
PARAMETER SEQUENCE NUMBER: 323539
NUMBER OF PRINTED LINES PER PAGE: 52
PAGE: 2
* * * REPORT CONTROL INFORMATION * *
REPORT FABCHKR Weld County BNPD Data
RUN DATE: 08/28/2020
FISCAL YEAR 2020 Batch Disbursement Register
TIME: 03:01 PM
BANK: E2 TREASURER -SS ELECTRONIC PAYMENTS Check Run:
08/31/2020 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
E0001848 LABORATORY CORPORATION OF AMER I2011477 MULTIPLE
152.00 0.00 0.00 152.00 B
REPORT FABCHKR Weld County BNPD Data
RUN DATE: 08/28/2020
TIME: 03:01 PM
08/31/2020 PAGE:
FISCAL YEAR 2020
*
RPTNAME: FABCHKR
PARAMETER SEQUENCE NUMBER: 323529
NUMBER OF PRINTED LINES PER PAGE: 52
Batch Disbursement Register
Check Run:
2
* * * REPORT CONTROL INFORMATION * *
Re: Funds Transfer Confirmation
Prepared Date:
Contractholder Name:
Attention:
Reference#:
Activity of:
Debit/Pull Amount:
Account Name:
Credit Bank:
Bank Address:
Monday, August 24, 2020
WELD COUNTY GOV
S FREY/R FIELDER
RE:MEDICAL CLAIMS
54-20234-0381
Friday, August 21, 2020
$51,604.68
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.
1'f /id f/f
Kimberly Settle
Banking Consultant Phone 330-659-8333
Alison Simpson
Banking Consultant Phone 860-273-2581
J2001249
08.24.20
Proprietary
a
Re: Funds Transfer Confirmation
Prepared Date:
Contractholder Name:
Attention:
Reference#:
Activity of:
Debit/Pull Amount:
Account Name:
Credit Bank:
Bank Address:
Wednesday, August 26, 2020
WELD COUNTY GOV
S FREY/R FIELDER
RE:MEDICAL CLAIMS
54-20238-0588
Tuesday, August 25, 2020
$87,281.25
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.
Kimberly Settle
Banking Consultant Phone 330-659-8333
Alison Simpson
Banking Consultant Phone 860-273-2581
J2001256
08.26.20
Proprietary
Re: Funds Transfer Confirmation
Prepared Date:
Contractholder Name:
Attention:
Reference#:
Activity of:
Thursday, August 27, 2020
WELD COUNTY GOV
S FREY/R FIELDER
RE:MEDICAL CLAIMS
54-20239-0847
Wednesday, August 26, 2020
Debit/Pull Amount: $136,946.42
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.
Kimberly Settle
Banking Consultant Phone 330-659-8333
Alison Simpson
Banking Consultant Phone 860-273-2581
J2001262
08.27.20
Proprietary
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:
Friday, August 28, 2020
WELD COUNTY GOV
S FREY/R FIELDER
RE:MEDICAL CLAIMS
54-20240-0439
Thursday, August 27, 2020
$22,776.36
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.
Lid,.1.1-7//61
Kimberly Settle
Banking Consultant Phone 330-659-8333
O146144-, Nee"
Alison Simpson
Banking Consultant Phone 860-273-2581
J2001266
08.28.20
Proprietary
21,394.50 +
3,138,186.46 +
2,138.78 +
6,313.67 +
3,744.01 +
1,362.02 +
152.00 +
51,604.68 +
87,281.25 +
136,946.42 +
22,776.36 +
3,471,950.15 *
21,394.50 +
3,138,186.46 +
2,128.78 +
6,313.67 +
3,744.01 +
1,362.02 +
152.00 +
51,604.68 +
87,281.25 +
136,946.42 +
22,776.36 +
3,471,950.15 *
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