HomeMy WebLinkAbout20201599.tiffWELD COUNTY WARRANTS
AS OF: JUNE 1, 2020
This is to certify that all accounting and budgeting procedures have been completed on
the above listed claims as shown on the attached twelve (12) Check and Electronic Transmittal
Registers, numbering twenty-three (23) pages, and dated May 29, 2020; and that payments
should be to the respective vendors listed in the amount set opposite their names, with the
total amount of $1,316,105.53. Dated this 1st day of June, 2020.
Weld County Financial Offi
SUBSCRIBED AND SWORN TO before me this 1st day of June, 2020.
Iv i(
Notary Public
My Commission Expires: o 3 /oSf2023
MARIAH 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 $1,316,105.53. Dated this 1st day of June, 2020.
ATTEST: i jehou
Weld County Clerk to the Board
Deputy Clerk to the Board
APPR
ounty Attorney
Date of signature: () 1 I OJ
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
Mike Freeman, Chair
Steve ►' ore e, Pro-Tem
Scott K. James
Kevin D. Ross
2020-1599
Check Register
Date : 05/29/2020
CheckDate CheckNumber Payee
Weld County
Airport
*Check run processed 5/29/2020 by mhiggins
Amount
Greeley -Weld Airport Authority
052920AP
6/1/2020
2013221 ATMOS ENERGY $71.99
6/1/2020
2013222 CENTURY LINK $48.36
6/1/2020
2013223 DICTOGUARD SECURITY SYSTEMS, INC $76.00
6/1/2020
2013224 XCEL ENERGY $1,615.93
Check Register Summary
Transaction Total: 4
Amount Total: $1,812.28
1 \ 1
Check Register
Date : 05/29/2020
CheckDate CheckNumber Payee
Department Name
Weld County
Flexible Benefits
*Check run processed 5/29/2020 by mhiggins
Amount
Flexible Benefits
052920FDV
6/1/2020
PW Motor Grader
8090160 Elmer A Turner $150.00
Check Register Summary
Transaction Total: 1
Amount Total: $150.00
1 \ 1
Check Register
Date : 05/29/2020
CheckStatus CheckDate CheckNumber
Weld County
Human Services
*Check run processed 5/29/2020 by mhiggins
Payee
Amount
Human Services
052920HS
Normal
6/1/2020
5024898 ADAMS COUNTY
$39.00
Normal
6/1/2020
5024899 AGFINITY INC
$113.12
Normal
VoID
50.00
\/ozD-
Vo SD
cn nn
Normal
6/1/2020
5024903 BRATTONS OFFICE EQUIPMENT INC
$3,150.54
Normal
6/1/2020
5024904 CAPITAL BUSINESS SYSTEMS INC
$310.91
Normal
6/1/2020
5024905 COLORADO RECOVERY PROPERTIES, LTD V PARTNERSHIP $4,670.00
Normal 6/1/2020
5024906 COLORADO STATE REGISTRAR OF VITAL STATISTICS $40.00
Normal
6/1/2020 5024907 FREMONT COUNTY SHERIFF'S OFFICE
$48.45
Normal
6/1/2020 5024908 GREELEY HOUSING AUTHORITY
$247.00
Normal 6/1/2020
5024909 HEARTSMART, INC $110.00
Normal 6/1/2020
5024910 ROSA L. JAQUEZ $66.85
Normal
6/1/2020 5024911 JEFFERSON COUNTY
$28.50
Normal 6/1/2020
5024912 LEXISNEXIS RISK DATA MANAGMENT INC $315.25
Normal
6/1/2020 5024913 NEDY LOPEZ
$100.00
Normal 6/1/2020
5024914 PAPER CHASE $76.75
Normal 6/1/2020
5024915 MIKAYLA RODRIGUEZ $30.00
Normal 6/1/2020
5024916 SECURITAS SECURITY SERVICES, INC $8,347.62
Normal 6/1/2020
5024917 CHRISTINE STANLEY $39.63
Normal 6/1/2020
5024918 TRANSITIONS PSYCHOLOGY GROUP, LLC $125.00
1 \ 2
CheckStatus
CheckDate CheckNumber Payee
Amount
Normal 6/1/2020
5024919 UNITED WAY $29,656.26
Check Register Summary
Transaction Total: 22
Amount Total: $47,514.88
2 \ 2
Check Register
Date : 05/29/2020
CheckDate CheckNumber Payee
Department Descripti
Weld County
Payroll
*Check run processed 5/29/2020 by mhiggins
Amount
Payroll
052920PR
5/29/2020 90154 Dora Santillanes Estate
Public Welfare Administration
$4,297.90
Check Register Summary
Transaction Total: 1
Amount Total: $4,297.90
1 \ 1
Check Register
Date : 05/29/2020
CheckDate CheckNumber Payee
Weld County
Weld County
*Check run processed 5/29/2020 by mhiggins
Amount
Weld County, Colorado
052920WELD
6/1/2020
3354876 ADAMSON POLICE PRODUCTS $4,230.00
6/1/2020
3354877 AGGREGATE INDUSTRIES WR INC $100,098.90
6/1/2020 3354878 AIRGAS USA LLC
$187.98
6/1/2020 3354879 GUADALUPE ALEMAN
$45.00
6/1/2020 3354880 ALLES TAYLOR & DUKE LLC
$540.00
6/1/2020 3354881 ARISTOCRAT ANGUS
$214.63
6/1/2020 3354882 ATMOS ENERGY
$866.75
6/1/2020
3354883 BC SERVICES INC
$555.17
6/1/2020
3354884 BONDED ADJUSTING SERVICE
$100.00
VOID
6/1/2020
3354886 BRATTONS OFFICE EQUIPMENT INC
$1,405.46
6/1/2020
3354887 BRINKS INC
$4,852.10
6/1/2020
3354888 C2D ARCHITECTS LLC
$1,425.00
6/1/2020 3354889 CAPITAL BUSINESS SYSTEMS INC
$707.44
6/1/2020 3354890 CATHOLIC CHARITIES NORTHERN
$12,754.00
6/1/2020 3354891 CITY OF GREELEY
$120.65
6/1/2020 3354892 COLORADO CHAPTER OF ICC
$180.00
6/1/2020
3354893 COLORADO DEPARTMENT OF REVENUE $250.00
6/1/2020
3354894 COLORADO DEPARTMENT OF REVENUE
$100.00
6/1/2020
3354895 COLORADO DEPARTMENT OF REVENUE
$25.00
6/1/2020
3354896 COLORADO DEPARTMENT OF REVENUE
1 \ 5
$672.80
CheckDate CheckNumber
Payee Amount
6/1/2020
3354897 COLORADO DEPARTMENT OF REVENUE
$1,078.25
6/1/2020
3354898 COLORADO DEPARTMENT OF REVENUE $199.82
6/1/2020
3354899 COLORADO DEPARTMENT OF REVENUE $1,065.27
6/1/2020
3354900 COLORADO DEPARTMENT OF REVENUE $840.82
6/1/2020
3354901 COLORADO DEPARTMENT OF REVENUE
$918.64
6/1/2020
3354902 COLORADO DEPARTMENT OF REVENUE $1,017.55
6/1/2020
3354903 COLORADO DEPARTMENT OF REVENUE $1,838.91
6/1/2020
3354904 COLORADO LEGAL SERVICES $3,740.00
6/1/2020
3354905 COLORADO STATE UNIVERSITY $390.00
6/1/2020
3354906 COREN PRINTING INC $1,634.00
6/1/2020
3354907 DBE MANUFACTURING & SUPPLY LLC $954.54
6/1/2020
3354908 DEERE CREDIT INC $11,315.65
6/1/2020
3354909 EASY AUTO SPA $1,430.82
6/1/2020
3354910 EXPRESS TOLL SERVICES CENTER
$116.50
6/1/2020
3354911 FRANCY LAW FIRM $894.81
6/1/2020
3354912 FRONT RANGE COMMUNITY COLLEGE $13,000.00
6/1/2020
3354913 GALETON 4-H $160.00
6/1/2020
3354914 GENERAL AIR SERVICE AND SUPPLY $79.95
6/1/2020
3354915 GMCO CORPORATION $24,948.00
6/1/2020
3354916 GSG ARCHITECTURE INC $63.25
6/1/2020
3354917 HILL PETROLEUM $10,237.48
6/1/2020
3354918 HOLOGIC $138.00
6/1/2020
3354919 HUMANE SOCIETY OF WELD COUNTY $2,447.92
2 \ 5
CheckDate CheckNumber
Payee Amount
6/1/2020
3354920 IDEMIA IDENTITY & SECURITY USA LLC $1,045.00
6/1/2020
3354921 IMAGE 360 $6,950.00
6/1/2020
3354922 INTELLIGENT VIDEO SOLUTIONS $1,132.00
6/1/2020
3354923 KUCK MECHANICAL CONTRACTORS LLC $6,433.95
6/1/2020
3354924 LAMAR COMPANIES $3,150.00
6/1/2020
3354925 LEWIS PAPER PLACE $2,482.50
6/1/2020
3354926 LITTLE THOMPSON WATER DISTRICT $29.00
6/1/2020
3354927 LIVE FULLY LLC $100.00
6/1/2020
3354928 MARTIN MARIETTA MATERIALS INC $18,267.80
6/1/2020
3354929 MEALS ON WHEELS $6,410.56
6/1/2020
3354930 MEALS ON WHEELS $19,425.45
6/1/2020
3354931 MEALS ON WHEELS $36,691.50
6/1/2020
3354932 MEDICAL SERVICES AND COMPLIANCE LLC $688.00
6/1/2020
3354933 LOUISE M. MEYER $40.00
6/1/2020
3354934 MIKE SHAW CDJR $142,674.00
6/1/2020
3354935 KELLY MILLS $465.00
6/1/2020
3354936 NATIONAL ASSOCIATION OF WORKFORCE BOARDS $1,530.00
6/1/2020
3354937 NORTH COLORADO HEALTH ALLIANCE $6,967.26
6/1/2020
3354938 NORTH RANGE BEHAVIORAL HEALTH $8,500.80
6/1/2020
3354939 NORTH RANGE BEHAVIORAL HEALTH $5,890.50
6/1/2020
3354940 NORTHWEST PARKWAY $15.95
6/1/2020
3354941 PITNEY BOWES $594.75
6/1/2020
3354942 POLSINELLI PC $83,153.23
3 \ 5
CheckDate CheckNumber
Payee Amount
6/1/2020
3354943 PROMETHEUS ENERGY GROUP INC $4,561.85
6/1/2020
3354944 PV BUSINESS SOLUTIONS INC $298.50
6/1/2020
3354945 QUANTUM PLUS INC $2,100.00
6/1/2020
3354946 REYNOLDS ORAL & FACIAL SURGERY
$604.00
6/1/2020
3354947 RICHARDSON CONSOLIDATED INC $40,364.32
6/1/2020
3354948 ROBERT SHREVE ARCHITECTS & PLANNERS INC $1,624.00
6/1/2020
3354949 DIANA ROMINE $225.00
6/1/2020
3354950 SAM'S CLUB $41.04
6/1/2020
3354951 SCHAEFER ENTERPRISES INC $1,529.54
6/1/2020
3354952 SEGAL COMPANY (WESTERN STATES) INC
$5,675.00
6/1/2020
3354953 SENIOR RESOURCE SERVICES $8,903.20
6/1/2020
3354954 JERRY SHORT $120.00
6/1/2020
3354955 STATE OF COLORADO $18,302.40
6/1/2020
3354956 STENGER & STENGER $75.00
6/1/2020
3354957 CYNTHIA SULLIVAN $1,500.00
6/1/2020
3354958 SUPERIOR TOWING $717.50
6/1/2020
3354959 SYNERGY DISASTER RECOVERY LLC $3,400.80
6/1/2020
3354960 TARKETT USA INC $150.00
6/1/2020
3354961 THE GREELEY TRIBUNE $31.64
6/1/2020
3354962 THE GREELEY TRIBUNE $228.80
6/1/2020
3354963 THE HOME DEPOT PRO $73.98
6/1/2020
3354964 THE MASTER'S TOUCH LLC $1,526.54
6/1/2020
3354965 THE SAGE CORPORATION $66.80
4 \ 5
CheckDate CheckNumber
Payee Amount
6/1/2020
3354966 UNIFIED TITLE COMPANY OF NORTHERN COLORADO LLC $750.00
6/1/2020
3354967 UNITED PARCEL SERVICES $8.77
6/1/2020
3354968 UNIVERSITY OF NORTHERN COLORADO $45,176.67
6/1/2020
3354969 UNIVERSITY OF NORTHERN COLORADO $1,000.00
6/1/2020
3354970 VAN DIEST SUPPLY CO $505.45
6/1/2020
3354971 VANCE BROTHERS INC $274.16
6/1/2020
3354972 VOGEL WEST INC. / DIAMOND VOGEL PAINTS $259.75
6/1/2020
3354973 XCEL ENERGY $4,494.60
Check Register Summary
Transaction Total: 98
Amount Total: $705,067.62
Check Register
Date : 05/29/2020
CheckDate CheckNumber Payee
Department Descripti
Weld County
Payroll
*Check run processed 5/29/2020 by mhiggins
Amount
Payroll
052920PR2
5/29/2020
Area Agency on Aging
90166 Stephanie Lea Boyd $2,934.14
5/29/2020
Employment Services
90167 Karina L. Amaya $100.00
Check Register Summary
Transaction Total: 2
Amount Total: $3,034.14
1 \ 1
PeopleSoft
Report ID: WDV003 DENTAL/VISION CHECK REGISTER
Benefit Year 2020
From Date: 06/01/2020 Thru Date: 06/01/2020
Check No. Check Date Check Amount Employee Name Employee ID Svc Type Direct Deposit
8090157 06/01/2020 $71.50 David Burns 10680 V Vision Y
8090158 06/01/2020 $29.00 Jeff R Harbert 1325 V Vision Y
8090159 06/01/2020 $153.50 Mary Elizabeth Shannon 3671 D Dental Y
8090161 06/01/2020 $213.40 Jerry L. Steinbar 6048 D Dental Y
8090162 06/01/2020 $99.50 Tonya Johnson 7296 V Vision Y
8090163 06/01/2020 $210.50 Christie Marie Peters 7559 V Vision Y
8090164 06/01/2020 $97.50 Sherri R Lucas 8038 V Vision Y
8090165 06/01/2020 $159.00 Sherri R Lucas 8038 D Dental Y
Payment Type Total $1,033.90
Page No. 1
Run Date 05/29/2020
Run Time 14:31:50
Weld AP Control 06012020.txt
REPORT FABCHKR
RUN DATE: 05/29/2020
FISCAL YEAR 2020
TIME: 02:39 PM
BANK: El TREASURER -AP ELECTRONIC PAYMENTS
06/01/2020
CHECK/
ADVICE
APPROVED AMOUNTS
DISCOUNT/ WITHHOLDING/
NUMBER PAYEE/VENDOR NAME
PREV PAID ADDL CHG/TAX NET
Weld County BNPD Data
Batch Disbursement Register
Check Run:
PAGE: 1
TYP
A/P DOC#
IND
CHECK REGISTER
> CHK
VENDOR INV#
E0001703 CASTINGS, INC
1,250.00 0.00
E0001704
0.00
** VOID CHECK **
E0001705 ENVIROTECH SERVICES INC.
2,525.89 0.00 0.00
18,460.38
2,352.82
31,003.63
TOTAL
0.00
0.00
0.00
E0001706 GALLS INC
8,687.32 0.00
0.00
0.00
0.00
I2007376 63946
1,250.00 B
I2007320 CD202015893
2,525.89 B
I2007324 MULTIPLE
18,460.38 B
I2007381 CD202015945
2,352.82 B
I2007383 MULTIPLE
31,003.63 B
0.00
E0001707 REVELATION STEEL, LLC.
840.88 0.00 0.00
E0001708 SCHAEFER ENTERPRISES INC
3,300.33 0.00 0.00
54,342.72
I2007268 MULTIPLE
8,687.32 B
I2007326 MULTIPLE
840.88 B
I2007445 MULTIPLE
3,300.33 B
Page 1
GROSS
CHECK
Weld AP Control 06012020.txt
E0001709 SUNRISE LUMBER COMPANY I2007328 59406
80.00 0.00 0.00
BANK TOTAL 68,501.25
80.00 B
REPORT FABCHKR Weld County BNPD Data
RUN DATE: 05/29/2020
TIME: 02:39 PM
06/01/2020 PAGE:
FISCAL YEAR 2020
*
RPTNAME: FABCHKR
PARAMETER SEQUENCE NUMBER: 319949
NUMBER OF PRINTED LINES PER PAGE: 52
Page 2
Batch Disbursement Register
Check Run:
2
* * * REPORT CONTROL INFORMATION * *
SS AP Control 06012020.txt
REPORT FABCHKR Weld County BNPD Data
RUN DATE: 05/29/2020
FISCAL YEAR 2020 Batch Disbursement Register
TIME: 02:41 PM
BANK: E2 TREASURER -SS ELECTRONIC PAYMENTS Check Run:
06/01/2020 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
E0001710 LABORATORY CORPORATION OF AMER I2007037 66119005
38.00 0.00 0.00 38.00 B
REPORT FABCHKR Weld County BNPD Data
RUN DATE: 05/29/2020
TIME: 02:41 PM
06/01/2020 PAGE:
FISCAL YEAR 2020
*
RPTNAME: FABCHKR
PARAMETER SEQUENCE NUMBER: 319953
NUMBER OF PRINTED LINES PER PAGE: 52
Page 1
Batch Disbursement Register
Check Run:
2
* * * REPORT CONTROL INFORMATION * *
Weld ACH 06012020.txt
REPORT FABCHKR Weld County BNPD Data
RUN DATE: 05/29/2020
FISCAL YEAR 2020 Batch Disbursement Register
TIME: 02:44 PM
BANK: 01 TREASURER -ACCOUNTS PAYABLE Direct Deposit Run:
06/01/2020 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
!0034444 MULLINS, AMANDA
212.62 0.00
I2007397 0303-032420
0.00 212.62 D
!0034445 PETZOLD, AMANDA
19.98 0.00 0.00
I2007392
19.98 D
!0034446 WALL, MICHELLE LORAE I2007292 05/03/20
4.99 0.00 0.00.
4.99 D
!0034447 WILLIAMS, LOUIS M I2007290 MI043020
31.50 0.00 0.00
BANK TOTAL 1,213.81
31.50 D
T
REPORT FABCHKR Weld County BNPD Data
RUN DATE: 05/29/2020
TIME: 02:44 PM
06/01/2020 PAGE:
FISCAL YEAR 2020
Batch Disbursement Register
Check Run:
2
Page 1
Weld ACH 06012020.txt
* * * REPORT CONTROL INFORMATION * *
*
RPTNAME: FABCHKR
PARAMETER SEQUENCE NUMBER: 319958
NUMBER OF PRINTED LINES PER PAGE: 52
Page 2
SS ACH 06012020.txt
REPORT FABCHKR Weld County BNPD Data
RUN DATE: 05/29/2020
FISCAL YEAR 2020 Batch Disbursement Register
TIME: 02:46 PM
BANK: 02 TREASURER -SOCIAL SERVICES Direct Deposit Run:
06/01/2020 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
!0034448 DOMINGUEZ, LIZZETT I2007350 MI051420
483.29 0.00 0.00
483.29 D
!0034449 DUGAN, COLLEEN I2006476 MI 043020
71.04 0.00
0.00 71.04 D
!0034450 HAYES, LAUREN I2007352 MI051920
23.31 0.00
0.00 23.31 D
!0034451 HOWARD, CYNTHIA A I2007291 MI043020
324.12 0.00 0.00
324.12 D
!0034452 TIMOTHY-FELICE, ANGELA I2007351 MI051920
364.64 0.00 0.00
T
REPORT FABCHKR
FISCAL YEAR 2020
06/01/2020
BANK TOTAL 1,266.40
364.64 D
RUN DATE: 05/29/2020
TIME: 02:46 PM
PAGE:
Page 1
Weld County BNPD Data
Batch Disbursement Register
Check Run:
2
55 ACH 06012020.txt
* * * REPORT CONTROL INFORMATION * *
*
RPTNAME: FABCHKR
PARAMETER SEQUENCE NUMBER: 319963
NUMBER OF PRINTED LINES PER PAGE: 52
Page 2
vaetna-
Re: Funds Transfer Confirmation
Prepared Date: Monday, May 18, 2020
Contractholder Name: WELD COUNTY GOV
Attention: S FREY/R FIELDER
RE:MEDICAL CLAIMS
Reference#: 54-20136-0332
Activity of: Friday, May 15, 2020
Debit/Pull Amount: $29,374.78
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.
Yt Umkwh.. _ ,4/-44-C
Kimberly Settle
Banking Consultant Phone 330-659-8333
CteiGA, ...hottest -
Alison Simpson
Banking Consultant Phone 860-273-2581
J2000801
05.18.20
Proprietary
vaetna-
Re: Funds Transfer Confirmation
Prepared Date:
Contractholder Name:
Attention:
Reference#:
Activity of:
Debit/Pull Amount:
Account Name:
Credit Bank:
Bank Address:
Tuesday, May 19, 2020
WELD COUNTY GOV
S FREY/R FIELDER
RE:MEDICAL CLAIMS
54-20139-0584
Monday, May 18, 2020
$79,417.49
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.
't 1 i..
Kimberly Settle
Banking Consultant Phone 330-659-8333
Alison Simpson
Banking Consultant Phone 860-273-2581
J2000804
05.19.20
Proprietary
vaetna-
Re: Funds Transfer Confirmation
Prepared Date:
Contractholder Name:
Attention:
Reference#:
Activity of:
Thursday, May 21, 2020
WELD COUNTY GOV
S FREY/R FIELDER
RE:MEDICAL CLAIMS
54-20141-0863
Wednesday, May 20, 2020
Debit/Pull Amount: $184,263.10
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.
iuerbAN
Kimberly Settle
Alison Simpson
Banking Consultant Phone 330-659-8333 Banking Consultant Phone 860-273-2581
J2000815
05.21.20
Proprietary
vaetnam
Re: Funds Transfer Confirmation
Prepared Date:
Contractholder Name:
Attention:
Reference#:
Activity of:
Thursday, May 28, 2020
WELD COUNTY GOV
S FREY/R FIELDER
RE:MEDICAL CLAIMS
54-20148-0971
Wednesday, May 27, 2020
Debit/Pull Amount: $190,064.70
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.
thrb-Ritt 0-41#4-0
Kimberly Settle
Banking Consultant Phone 330-659-8333
Alison Simpson
Banking Consultant Phone 860-273-2581
J2000833
05.28.20
Proprietary
1,812.28
150.00
47,514.88
4,297.90
705,067.62
3,034.14
1,033.90
68,501.25
38.00
269.09
1,266.40
29,374.78
79,417.49
184,263.10
190,064.70
1,316,105.53
1,812.28 +
150.00 +
47,514.88 +
4,297.90 +
705,067.62 +
3,034.14 +
1,033.90 +
68,501.25 +
38.00 +
269.09 +
1,266.40 +
29,374.78 +
79,417.49 +
184,263.10 +
190,064.70 +
1,316,105.53 *
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