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Home My WebLink About20194422.tiffWELD COUNTY WARRANTS AS OF: OCTOBER 7, 2019 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 sixteen (16) pages, and dated October 4, 2019; and that payments should be to the respective vendors listed in the amount set opposite their names, with the total amount of $1,397,830.07. Dated this 7th day of October, 2019. Weld County Financial O SUBSCRIBED AND SWORN TO before me this 7th day of October, 2019. N My Commission Expires: O'/OS/ 2.O 23 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 $1,397,830.07. Dated this 7th day of October, 2019. AEST: datife4)•� Weld County Clerk to the Board BY: Deputy Clerk to the Board APP : ED AS oun ' ttorney Date of signature: to 10"1119 BOARD OF COUNTY COMMISSIONERS W D COUNTY, CO ORADO arbara Kirkmeyer, Chair tt K. James Steve Moreno 2019-4422 Check Register Date : 10/04/2019 CheckDate CheckNumber Payee Department Name Weld County Flexible Benefits *Check run processed 10/4/2019 by mhiggins Amount Flexible Benefits 100419FDV 10/7/2019 County Attorney 8088205 Bruce T. Barker $266.70 Check Register Summary Transaction Total: 1 Amount Total: $266.70 ao iq - `N 1 \ 1 Check Register Date : 10/04/2019 Weld County Human Services *Check run processed 10/4/2019 by mhiggins CheckStatus Checkmate CheckNumber Payee Amount Human Services 100419HS Normal 10/7/2019 5024004 ADAMS COUNTY $64.00 Normal 10/7/2019 5024005 MIKELLE K. ANGIULI $30.00 Normal 10/7/2019 5024006 ARAPAHOE COUNTY $37.00 Normal 10/7/2019 5024007 BOULDER COUNTY $20.40 oI.D io 0. Normal 10/7/2019 5024009 BRATTONS OFFICE EQUIPMENT INC $1,632.79 Normal 10/7/2019 5024010 NORI BRUCH $201.87 Normal 10/7/2019 5024011 CAPITAL BUSINESS SYSTEMS INC $37.79 Normal 10/7/2019 5024012 COLORADO RECOVERY PROPERTIES, LTD V PARTNERSHIP $4,555.00 Normal 10/7/2019 5024013 KAYLA CUSHING $30.00 Normal 10/7/2019 5024014 HEARTSMART, INC $110.00 Normal 10/7/2019 5024015 IDEA FORUM, INC $527.00 Normal 10/7/2019 5024016 EDEN KLINGENSMITH-LAPLANDER $30.00 Normal 10/7/2019 5024017 ALEXIS LOMA $30.00 Normal 10/7/2019 5024018 OFFICE DEPOT BUSINESS SRVS DIV $147.53 Normal 10/7/2019 5024019 PAPER CHASE $66.60 Normal 10/7/2019 5024020 RECOVERY ABUSE PROGRAM LLC $575.00 Normal 10/7/2019 5024021 SOCIAL SECURITY ADMINISTRATION $1,043.56 Normal 10/7/2019 5024022 STRONG FOUNDATIONS LLC $950.00 Normal 10/7/2019 5024023 US POSTMASTER $299.94 Normal 10/7/2019 5024024 TANYA VIEZCAS-VALDEZ $30.00 1 \ 2 CheckStatus CheckDate CheckNumber Payee Amount Check Register Summary Transaction Total: 21 Amount Total: $10,418.48 2 \ 2 Check Register Date : 10/04/2019 CheckDate CheckNumber Department Descripti Payee Weld County Payroll *Check run processed 10/4/2019 by mhiggins Amount Payroll 100419PR 10/4/2019 Security 88202 Jonathan Patrick Rodriguez $500.00 10/4/2019 Victim Assistance 88203 Daisy Haro $200.00 Check Register Summary Transaction Total: 2 Amount Total: $700.00 1 \ 1 Check Register Date : 10/04/2019 CheckDate CheckNumber Payee Weld County Weld County *Check run processed 10/4/2019 by mhiggins Amount Weld County, Colorado 100419WELD 10/7/2019 3348279 ABC LEGAL SERVICES INC $15.00 10/7/2019 3348280 ADAMSON POLICE PRODUCTS $19,198.02 10/7/2019 3348281 AETNA INC $113,827.35 10/7/2019 3348282 AMAZON CAPITAL SERVICES INC $57.99 10/7/2019 3348283 DAVID S. ANDERSON $5,180.00 10/7/2019 3348284 ANDREA'S ANGELS INC $187.50 10/7/2019 3348285 MARY ARAGON $165.00 10/7/2019 3348286 ATMOS ENERGY $58.21 10/7/2019 3348287 AUDIOLOGY ASSOCIATES OF GREELEY INC $1,000.00 10/7/2019 3348288 AVENU INSIGHTS & ANALYTICS LLC $77,092.06 10/7/2019 3348289 BATTERIES PLUS $1,688.35 10/7/2019 3348290 BENTLEY SYSTEMS, INC $6,651.18 �.�-f ULJl nne�z� VOID 10/7/2019 3348292 BRATTONS OFFICE EQUIPMENT INC $3,759.15 10/7/2019 3348293 BRINKS INC $75.00 10/7/2019 3348294 CACCB (COLORADO ASSOC. OF COMMUNITY CORRECTIONS B $120.00 10/7/2019 3348295 CAE4-HA $335.00 10/7/2019 3348296 CARTEGRAPH SYSTEMS INC $5,500.00 10/7/2019 3348297 CDW GOVERNMENT INC $10,841.59 10/7/2019 3348298 CENTRAL WELD COUNTY WATER DISTRICT $286.20 10/7/2019 3348299 CENTURY LINK $16,981.16 1 \ 5 CheckDate CheckNumber Payee Amount 10/7/2019 3348300 CENTURY LINK $6,631.91 10/7/2019 3348301 CINTAS FIRST AID AND SAFETY $391.30 10/7/2019 3348302 CITY OF GREELEY $36,714.92 10/7/2019 3348303 COLORADO 4-H FOUNDATION $4,750.00 10/7/2019 3348304 COLORADO ANALYTICAL LABORATORIES INC $80.00 10/7/2019 3348305 COLORADO DEPT OF PUBLIC HEALTH/ENVIRONMENT $1,255.50 10/7/2019 3348306 COLORADO WEED MANAGEMENT ASSOCIATION (CWMA) $250.00 10/7/2019 3348307 CONTEMPORARY COOK $210.00 10/7/2019 3348308 CREDITRON $2,500.00 10/7/2019 3348309 DAVIS GRAHAM & STUBBS LLP $12,276.00 10/7/2019 3348310 DEERE CREDIT INC $11,889.21 10/7/2019 3348311 DICTOGUARD SECURITY SYSTEMS, INC $150.00 10/7/2019 3348312 DLT SOLUTIONS LLC $2,131.02 10/7/2019 3348313 MATT DORENKAMP $820.80 10/7/2019 3348314 EAST COLORADO SBDC $16,250.00 10/7/2019 3348315 EMERGENT LLC $1,022.79 10/7/2019 3348316 ENSIGHT SKILLS CENTER INC $1,337.60 10/7/2019 3348317 ENVISION $9,556.25 10/7/2019 3348318 EXPRESS TOLL SERVICES CENTER $170.90 10/7/2019 3348319 FEDEX KINKO'S $474.22 10/7/2019 3348320 FRONT RANGE RAYNOR DOOR COMPANY $1,178.80 10/7/2019 3348321 GILBARCO VEEDER-ROOT $3,125.00 10/7/2019 3348322 GLAXOSMITHKLINE PHARMACEUTICALS $1,612.00 2 \ 5 CheckDate CheckNumber Payee Amount 10/7/2019 3348323 GMCO CORPORATION $85,015.79 10/7/2019 3348324 GREELEY PATHOLOGISTS DBA SUMMIT PATHOLOGY $30.79 10/7/2019 3348325 GREELEY WINSUPPLY CO $744.09 10/7/2019 3348326 SANDRA K. HASCH $295.21 10/7/2019 3348327 LISA HETTINGER $94.64 10/qA@..#1.O , ^ ^ ^ ,.,.,.,., VOI ID 10/7/2019 3348329 HILL PETROLEUM $27,683.47 10/7/2019 3348330 CHARLOTTE INGALLS $25.00 10/7/2019 3348331 INSIGHT PUBLIC SECTOR INC $49,602.39 10/7/2019 3348332 INTERIORS ONE $564.00 10/7/2019 3348333 TERRY L. JOHNSON $105.00 10/7/2019 3348334 JOHNSTOWN, TOWN OF $70.25 10/7/2019 3348335 PAT R. LAMICA $241.00 10/7/2019 3348336 LITTLE THOMPSON WATER $27.32 10/7/2019 3348337 LIVE FULLY LLC $837.50 10/7/2019 3348338 LONG BUILDING TECHNOLOGIES, INC $376.66 10/7/2019 3348339 RICARDO LOPEZ $450.00 10/7/2019 3348340 MCDONALD FARMS ENTERPRISES, INC $1,915.00 15/7t2CI _ VQ1 J U . 10/7/2019 3348342 MCKEE MEDICAL CENTER $15,756.00 10/7/2019 3348343 NMS LABS $24,115.00 10/7/2019 3348344 NORTH COLORADO HEALTH ALLIANCE $171.77 10/7/2019 3348345 NORTH RANGE BEHAVIORAL HEALTH 3 \ 5 $30,250.00 CheckDate CheckNumber Payee Amount 10/7/2019 3348346 NORTH RANGE BEHAVIORAL HEALTH $5,000.00 10/7/2019 3348347 NORTHERN COLORADO PEST AND WILDLIFE CONTROL CORP $375.00 10/7/2019 3348348 NORTHWEST PARKWAY $21.05 10/7/2019 3348349 OFFICE DEPOT BUSINESS SRVS DIV $142.27 10/7/2019 3348350 RAQUEL ORELLANA $15.00 10/7/2019 3348351 OTTEM ELECTRONICS, INC $330.00 10/7/2019 3348352 PEAR LLC $206,508.55 10/7/2019 3348353 PERKINELMER HEALTH SCIENCES INC $753.35 10/7/2019 3348354 POUDRE VALLEY REA $141.03 10/7/2019 3348355 POWER SYSTEMS WEST $1,751.00 10/7/2019 3348356 QUALITY WELL AND PUMP $177.40 10/7/2019 3348357 READYOP $6,000.00 10/7/2019 3348358 RICHARDSON CONSOLIDATED INC $26,441.70 10/7/2019 3348359 SAM'S CLUB $98.08 10/7/2019 3348360 SECURUS TECHNOLOGIES $378.00 10/7/2019 3348361 SERVITECH INC $1,630.90 10/7/2019 3348362 SEVERANCE, TOWN OF $15.45 10/7/2019 3348363 SHERATON $2,182.47 10/7/2019 3348364 JERRY SHORT $110.00 10/7/2019 3348365 SORENSEN PEST MANAGMENT, INC $1,430.00 10/7/2019 3348366 SOUND RELIEF HEARING CENTER $1,000.00 10/7/2019 3348367 SPECIALIZED PATHOLOGY CONSULTANTS PC $14,150.00 10/7/2019 3348368 STURGEON ELECTRIC COMPANY, INC $24,758.63 4 \ 5 CheckDate CheckNumber Payee Amount 10/7/2019 3348369 SUNRISE ENVIRONMENTAL $3,286.74 10/7/2019 3348370 THE HEARING CENTER INC $998.00 10/7/2019 3348371 THE HOME DEPOT PRO $772.56 10/7/2019 3348372 TOOL & ANCHOR SUPPLY, INC $36.50 10/7/2019 3348373 TRIBRIDGE HOLDINGS LLC $5,162.50 10/7/2019 3348374 TYLER TECHNOLOGIES, INC/EAGLE DIVISION $51,429.50 10/7/2019 3348375 UNITED POWER, INC $234.55 10/7/2019 3348376 UNITED RENTALS (NORTH AMERICA) INC $513.12 10/7/2019 3348377 UNITED WAY $20.00 10/7/2019 3348378 UPSTATE COLORADO ECONOMIC DEVELOPMENT $8,333.33 10/7/2019 3348379 UPSTATE COLORADO ECONOMIC DEVELOPMENT $4,166.67 10/7/2019 3348380 VANCE BROTHERS INC $13,936.53 10/7/2019 3348381 JESSICA VELASQUEZ $19.00 10/7/2019 3348382 WASTE MANAGEMENT OF NORTHERN COLORADO $2,745.53 10/7/2019 3348383 WESTERN PAPER DISTRIBUTORS $4,167.87 10/7/2019 3348384 WORKPLACE RESOURCE $2,716.51 10/7/2019 3348385 XCEL ENERGY $358.47 Check Register Summary Transaction Total: 107 Amount Total: $1,008,475.12 PeopleSoft Report ID: WDV003 DENTAL/VISION CHECK REGISTER Benefit Year 2019 From Date: 10/07/2019 Thru Date: 10/07/2019 Check No. Check Date Check Amount Employee Name Employee ID Svc Type Direct Deposit 8088204 10/07/2019 $43.50 Richard G. Wayman 1327 D Dental Y 8088206 10/07/2019 $113.00 Laurel Speck 2826 D Dental Y 8088207 10/07/2019 $220.00 Laurel Speck 2826 D Dental Y 8088208 10/07/2019 $256.00 Paige Stapleton Lawlor 4277 D Dental Y 8088209 10/07/2019 $200.00 Paige Stapleton Lawlor 4277 D Dental Y 8088210 10/07/2019 $72.60 Maria I. Figueroa 477 V Vision Y 8088211 10/07/2019 $80.00 Brenda Lee Glover 6767 D Dental Y 8088212 10/07/2019 $295.50 Kelly Sue Cogswell 7123 D Dental Y 8088213 10/07/2019 $72.60 Rosalie A Everett 776 V Vision Y Payment Type Total $1,353.20 Page No. 1 Run Date 10/04/2019 Run Time 13:44:08 10/4/2019 Weld AP Control 10072019.htm REPORT FABCHKR FISCAL YEAR 2019 BANK: El TREASURER -AP ELECTRONIC PAYMENTS Weld County BNPD Data Batch Disbursement Register Check Run: 10/07/2019 RUN DATE: 10/04/2019 TIME: 01:47 PM PAGE: 1 CHECK/ ADVICE NUMBER PAYEE/VENDOR NAME CHECK REGISTER > < APPROVED AMOUNTS > CHK DISCOUNT/ WITHHOLDING/ TYP A/P DOC# VENDOR INV# GROSS PREV PAID ADDL CHG/TAX NET IND E0001354 ENVIROTECH SERVICES INC. I1914451 MULTIPLE REPORT FABCHKR FISCAL YEAR 2019 RPTNAME: FABCHKR PARAMETER SEQUENCE NUMBER: 310877 NUMBER OF PRINTED LINES PER PAGE: 52 7,825.52 0.00 Weld County BNPD Data Batch Disbursement Register Check Run: 10/07/2019 * * * REPORT CONTROL INFORMATION * * * 0.00 7,825.52 B RUN DATE: 10/04/2019 TIME: 01:47 PM PAGE: 2 file:///C:/Users/mhiggins/AppData/Local/Microsoft/Windows/INetCache/Content.Outlook/F2EUYX24/Weld AP Control 10072019.htm 1/1 10/7/2019 Weld ACH 10072019.htm REPORT FABCHKR FISCAL YEAR 2019 BANK: 01 TREASURER -ACCOUNTS PAYABLE CHECK/ ADVICE NUMBER PAYEE/VENDOR NAME Weld County BNPD Data Batch Disbursement Register Direct Deposit Run: 10/07/2019 DIRECT DEPOSIT REGISTER A/P DOC# VENDOR INV# GROSS 10032316 ARMSTRONG, KRIS I1914575 MI091619 10032317 BENTLEY, ALYSSA I1914685 MI092619 10032318 BOOTON, GARY I1914642 10032319 BOYD, STEPHANIE L I1914687 MI092619 10032320 BOYER, STEPHANIE I1914726 MI092619 10032321 BURNS, DAVID I1913806 PXC-DAV-091719 10032322 CAMPBELL, ROXANNE I1914691 MI092619 10032323 COSTIN, TATE I1914553 TC 100119 10032324 EMSLIE, JEAN I1914721 MI093019 10032325 FINCH, JENNIFER I1914543 10032326 FLORES, VANESSA VALDEZ I1914486 MI092419 18032327 rRCCMAN, MTKF U.914y7B 10032328 GEARHART, AMY I1914315 10032329 HILL, TERESA I1914489 MI092419 10033330 KIRKMEYER, BARBARA J 11914577 10032331 MALDONADO, RAEGAN L I1914690 MI093019 10032332 MARQUEZ, GRACIE I1913924 EXC-091719-GM 10032333 MATEJKA, MICHELLE I1914728 MI092619 10032334 MAXEY, JASON S I1914636 10032335 MCCALL, MICHAEL I1914448 SB092419 10032336 NAVA, TIM I1914730 MI082219 10032337 PAXTON, VERONICA I1914488 MI083019 REPORT FABCHKR FISCAL YEAR 2019 BANK: 01 TREASURER -ACCOUNTS PAYABLE CHECK/ ADVICE NUMBER 10032338 10032339 10032340 PAYEE/VENDOR NAME APPROVED AMOUNTS RUN DATE: 10/04/2019 TIME: 01:49 PM PAGE: 1 DISCOUNT/ WITHHOLDING/ PREV PAID ADDL CHG/TAX > CHK TYP NET IND 67.20 0.00 0.00 127.68 0.00 0.00 326.76 0.00 0.00 111.44 0.00 0.00 179.70 0.00 0.00 189.33 0.00 0.00 75.04 0.00 0.00 165.76 0.00 0.00 95.70 0.00 0.00 95.31 0.00 0.00 18.59 0.00 0.00. 67.20 D 127.68 D 326.76 D 111.44 D 179.70 D 189.33 D 75.04 D 165.76 D 95.70 D 95.31 D 18.59 D ,-N 33&.40 D 77.74 0.00 0.00 77.74 D 207.76 0.00 0.00 207.76 D p as 1 paw a��. 155.68 0.00 0.00 155.68 D 236.29 0.00 0.00 236.29 D 233.52 0.00 0.00 233.52 D 396.52 0.00 0.00 396.52 D 100.00 0.00 0.00 100.00 D 299.82 0.00 0.00 299.82 D 174.83 0.00 0.00 174.83 D . 84-00 _ Weld County BNPD Data Batch Disbursement Register Direct Deposit Run: 10/07/2019 PFEILER, LAURIE RIVAS, JACQUELINE SEWARD, NICHOLE 10032341 WRIGHT, CINDE REPORT FABCHKR FISCAL YEAR 2019 DIRECT DEPOSIT REGISTER A/P DOC# VENDOR INV# I1914590 PFEILER093019 I1914699 MI093019 I1914709 MI093019 I1914558 AIRFARE REIMB GROSS APPROVED AMOUNTS RUN DATE: 10/04/2019 TIME: 01:49 PM PAGE: 2 DISCOUNT/ WITHHOLDING/ PREV PAID ADDL CHG/TAX NET > CHK TYP IND 160.22 87.47 76.72 315.97 Weld County BNPD Data Batch Disbursement Register Check Run: 10/07/2019 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 BANK TOTAL 160.22 D 87.47 D 76.72 D 315.97 D 5,376.29 RUN DATE: 10/04/2019 TIME: 01:49 PM PAGE: 3 file:///C:/Users/mhiggins/AppData/Local/Microsoft/Windows/INetCache/Content.Outlook/F2EUYX24/Weld ACH 10072C 2019-4423 1/2 10/7/2019 Weld ACH 10072019.htm * * * REPORT CONTROL INFORMATION * * * RPTNAME: FABCHKR PARAMETER SEQUENCE NUMBER: 310882 NUMBER OF PRINTED LINES PER PAGE: 52 358. t -to t $ l io°to7 .$9 I,`1ot.07`1 -61, loi. ay 3r9-t5•os file:///C:/Users/mhiggins/AppData/Local/Microsoft/Windows/ILIetCache/Content.Outlook/F2EUYX24/Weld ACH 10072019.htm 2/2 10/4/2019 SS ACH 10072019.htm REPORT FABCHKR FISCAL YEAR 2019 BANK: 02 TREASURER -SOCIAL SERVICES CHECK/ ADVICE NUMBER PAYEE/VENDOR NAME Weld County BNPD Data Batch Disbursement Register Direct Deposit Run: 10/07/2019 10032342 BAKER, KELLEE 10032343 BERRY, JESSICA !0032344 BRIDDLE, JAMEY !0032345 COLAVOLPE, JILL 10032346 CORDOVA, KATIE M 10032347 DAY, MAITRI 10032348 DEAN, BARBARA !0032349 DENNING, TRAVIS !0032350 DOMINGUEZ, LIZZETT !0032351 JACOBY, DEVAN 10032352 JUVERA, AMANDA 10032353 ORTIZ, TAMMIE JO !0032354 RAMOS, KORTNIE !0032355 SILVA, MICHAEL !0032356 SOMARRIBA, VANESSA L !0032357 TITUS, ASHLEIGH !0032358 VILLAN-ORTIZ, JACQUELINE 10032359 WEISSHAAR, LORI !0032360 WICK, MEGAN M !0032361 WISDOM-VIDAL, RACHEL E REPORT FABCHKR FISCAL YEAR 2019 RPTNAME: FABCHKR PARAMETER SEQUENCE NUMBER: 310887 NUMBER OF PRINTED LINES PER PAGE: 52 DIRECT DEPOSIT REGISTER > RUN DATE: 10/04/2019 TIME: 01:51 PM PAGE: 1 < APPROVED AMOUNTS > CHK DISCOUNT/ WITHHOLDING/ TYP A/P DOC# VENDOR INV# GROSS PREV PAID ADDL CHG/TAX NET IND I1914682 MI092719 81.44 0.00 0.00 81.44 D I1914484 MI091719 76.61 0.00 0.00 76.61 D I1914724 MI090319 131.04 0.00 0.00 131.04 D I1914693 MI092719 159.48 0.00 0.00 159.48 D I1914736 MI092519 101.92 0.00 0.00 101.92 D I1914695 MI090519 165.33 0.00 0.00 165.33 D I1914733 MI092719 327.82 0.00 0.00 327.82 D I1914731 MI080719 61.60 0.00 0.00 61.60 D I1914485 MI082919 318.98 0.00 0.00 318.98 D I1914714 MI082119 462.40 0.00 0.00 462.40 D I1914723 MI091919 32.48 0.00 0.00 32.48 D I1914483 MI091219 59.58 0.00 0.00 59.58 D I1914482 MI081619 227.30 0.00 0.00 227.30 D I1914576 MI092719 129.92 0.00 0.00 129.92 D 21914713 MI083019 556.64 0.00 0.00 556.64 D I1914711 MI092719 95.20 0.00 0.00 95.20 D I1914717 MI092619 282.22 0.00 0.00 282.22 D I1914480 MI091919 337.79 0.00 0.00 337.79 D I1914481 MI092419 569.58 0.00 0.00 569.58 D I1914487 MI080219 73.92 0.00 0.00 73.92 D Weld County BNPD Data Batch Disbursement Register Check Run: 10/07/2019 * * * REPORT CONTROL INFORMATION * * * BANK TOTAL 4,251.25 RUN DATE: 10/04/2019 TIME: 01:51 PM PAGE: 2 file:///C:/Users/mhiggins/AppData/Local/Microsoft/Windows/INetCache/Content.Outlook/F2EUYX24/SS ACH 10072019.htm 1/1 vaetna Re: Funds Transfer Confirmation Prepared Date: Contractholder Name: Attention: Reference#: Activity of: Debit/Pull Amount: Account Name: Credit Bank: Bank Address: Thursday, October 03, 2019 WELD COUNTY GOV S FREY/R FIELDER RE:MEDICAL CLAIMS 54-19275-1117 Wednesday, October 02, 2019 $351,458.08 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. s ) t Kimberly Settle Banking Consultant Phone 330-659-8333 Proprietary IJ�G(aFI4-+ &?t1 Alison Simpson Banking Consultant Phone 860-273-2581 J1901680 10.03.19 vaetna Re: Funds Transfer Confirmation Prepared Date: Tuesday, October 01, 2019 Contractholder Name: Attention: WELD COUNTY GOV S FREY/R FIELDER RE:MEDICAL CLAIMS Reference#: 54-19273-2224 Activity of: Monday, September 30, 2019 Debit/Pull Amount: $9,106.67 Account Name: SFGP/ASC Contractholders Account Credit Bank: Bank Of America Connecticut Bank Address: 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, pleasesend mails to � Banking-SAMP@yaetna.comorcall a contact listedbelow. c �t4+.-- LJVPJJIJt.�t WW -k. £.��)i# VI Kimberly Settle Banking Consultant Phone 330-659-8333 Proprieta ry Alison Simpson Banking Consultant Phone 860-273-2581 J1901671 10.01.19 266.70 + 10,418.48 + 730.00 + 1,008,475.12 + 1,353.20 + 7,825.52 + 3,975.05 + 4,251.25 + 351,458.08 + 9,106.67 + 1,397,830.07 * 266.70 + 1.0,418.48 + 700.00 + 1,008,475.12 + 1,353.20 + 7,825.52 + 3,975.05 + 4,251.25 + 351,458.08 + 9,106.67 + 1,397,830.07 * Hello