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Resolution 382-2013
Emergency Services RESOLUTION NO. 382 -2013 A RESOLUTION OF THE BOARD OF GOVERNORS OF FIRE AND AMBULANCE DISTRICT 1 OF MONROE COUNTY,FLORIDA AUTHORIZING THE WRITE-OFF OF FIRE RESCUE GROUND AMBULANCE ACCOUNTS RECEIVABLE FOR CALENDAR YEARS 2009 AND 2010 WHEREAS,Monroe County Fire Rescue Services provides ground ambulance service; and WHEREAS, the Board of County Commissioners of Monroe County contracts with Advanced Data Processing, Inc. (ADPI) for Rescue Ambulance Billing and Related Professional Services; and WHEREAS, after 210 days of billing, accounts are placed with Municipal Services Bureau, a collection agency,to further attempt collection; and WHEREAS, once a period of 3 years from the date of the billable incident has elapsed, and all efforts of collecting the debt have been exhausted, Monroe County Finance Department directs the write-off of these debts; and WHEREAS, a report was provided by Municipal Services Bureau on accounts that met the above criteria, and were deemed uncollectible, for the time period of January 2009 through December 2010; and WHEREAS, a report was provided by Advanced Data Processing, Inc. on accounts that it was determined that further collection efforts are fruitless as insurance has paid the maximum allowable on these claims, and the service recipients are now either deceased with no available funds in the estate, in the estate, in bankruptcy, a minor with no guardian or patient found, have uncollectible balances of Medicaid/Medicare, and/or have small exceptions balances for the time period of January 2009 through December 2009. WHEREAS, it is desired that these uncollectible ground ambulance service accounts receivable be written off at this time; NOW, THEREFORE,BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY,FLORIDA: Receivables for ground ambulance service accounts listed on attached Exhibit A in the amount.of $351,618.38 be deleted from the Fire Rescue District 1 Fund Account 141-115002. .� o CD C., PASSED AND ADOPTED by the Board of Governors, Fire and Ambulance Dtstric 1t 1 o 4onr e County Florida, at a regular meeting of said Board held on the 20th day of November,2013. --i-a, N -ri r, CAI o (SEAL) BOARD OF GOVERNORS OF FrE-A 1D AMIUL4 CE - A� ,' Q AMY HEAVILIN,CLERK DISTRICT 1 OF MONROE COUNTY;FL -s rn fr‘ ' `' B r--\--j-Q)Z\ ::<11-1 CD : c . c-. .• «"r ayor/Chairpers n j . M - _ t y Mayor of Monroe County Sylvia Murphy Yes T" . ./ Mayor of Layton,Norm Anderson Yes Deputy Clerk ii • Councilman Clark Snow Yes MONROE COUNTY ATTORNEY o Pro PROVED AS 0 F RM: Mayr Tem Danny Kolhage • Yes . C.Y.N..T...HIA.._.L.._..................._..... . - ..... Commissioner David Rice Yes ASSISANT COUNTY ATTORNEY................................................__.........................................._. Date 31=--- --- Exhibit A Monroe County Fire Rescue Ground Ambulance CY 2009 Account Receivables Write-Offs Original balance(or Balance when sent to Acct# DOS collections) Adjustments Payments Final Balance These accounts are with MSB (DOS=01/01/2009- 12/31/2009) 1 990003-01 1/01/09 $612.00 $0.00 $0.00 $612.00 2 . 830003-03 1/01/09 $840.00 $0.00 $0.00 $840.00 3 980005-02 1/02/09 $648.00 $0.00 $0.00 $648.00 4 930009-01 1/03/09 $804.00 $0.00 $0.00 $804.00 5 930007-02 1/03/09 $347.00 $0.00 $0.00 $347.00 6 970003-01 1/04/09 $840.00 $0.00 $0.00 $840.00 7 910004-04 1/04/09 $592.00 $0.00 $0.00 $592.00 8 990007-03 1/05/09 $684.00 $0.00 $0.00 $684.00 9 980018-01 1/11/09 . $612.00 $0.00 $0.00 $612.00 10 930023-01 1/11/09 $924.00 $0.00 $0.00 $924.00 11 980025-01 1/14/09 $612.00 $0.00 $0.00 $612.00 12 980032-01 1/16/09 $636.00 $0.00 $0.00 $636.00 13 930033-01 1/16/09 $840.00 $0.00 $0.00 $840.00 14 990014-01 1/16/09 $636.00 $0.00 $0.00 $636.00 15 920021-01 1/19/09 $612.00 $0.00 $0.00 $612.00 16 900037-01 1/19/09 $636.00 $0.00 $0.00 $636.00 17 900040-01 1/19/09 $612.00 $0.00 $0.00 $612.00 18 990017-01 1/19/09 $624.00 $0.00 $0.00 $624.00 19 980041-01 1/20/09 $612.00 $0.00 $0.00 $612.00 20 980042-02 1/20/09 $20.00 $0.00 $0.00 $20.00 21 910028-01 1/22/09 $804.00 $0.00 $0.00 $804.00 22 980045-01 1/22/09 $636.00 $0.00 $0.00 $636.00 23 990019-01 1/23/09 $720.00 $0.00 $0.00 $720.00 24 990020-03 1/23/09 $136.80 $0.00 $0.00 $136.80 25 990020-02 1/23/09 $136.80 $0.00 $0.00 $136.80 26 30275 1/25/09 $660.00 $0.00 $0.00 $660.00 27 970015-01 1/25/09 $780.00 $0.00 $0.00 $780.00 28 990029-01 1/28/09 $612.00 $0.00 $0.00 $612.00 29 990058-01 1/28/09 $612.00 $0.00 $0.00 $612.00 30 990030-01 1/28/09 $648.00 $0.00 $0.00 $648.00 31 980063-01 1/29/09 $636.00 $0.00 $0.00 $636.00 32 980064-01 1/29/09 $92.27 $0.00 $0.00 $92.27 33 910038-01 1/31/09 $804.00 $0.00 $0.00 $804.00 34 930052-01 1/31/09 $133.91 $0.00 $0.00 $133.91 35 930051-01 1/31/09 $828.00 $0.00 $0.00 $828.00 36 970020-01 2/01/09 $545.53 $0.00 $0.00 $545.53 37 910044-01 2/04/09 $864.00 $0.00 $0.00 $864.00 38 910046-01 2/04/09 $852.00 $0.00 $0.00 $852.00 39 920035-01 2/04/09 $512.00 $0.00 $0.00 $512.00 40 990037-01 2/05/09 $732.00 $0.00 $0.00 $732.00 41 980076-01 2/06/09 $624.00 $0.00 $0.00 $624.00 42 980079-01 2/08/09 $660.00 $0.00 $0.00 $660.00 43 980080-01 2/09/09 $624.00 $0.00 $0.00 $624.00 44 980081-01 2/09/09 $612.00 $0.00 $0.00 $612.00 45 910052-01 2/10/09 $672.00 $0.00 $0.00 $672.00 46 980084-01 2/10/09 $612.00 $0.00 $0.00 $612.00 47 930067-01 2/11/09 $864.00 $0.00 $0.00 $864.00 48 980088-01 2/11/09 $624.00 $0.00 . $0.00 $624.00 49 910055-01 2/11/09 $113.39 $0.00 $0.00 $113.39 50 920042-01 2/12/09 $612.00 $0.00 $0.00 $612.00 51 930071-01 2/12/09 $864.00 $0.00 $0.00 $864.00 52 930075-01 2/13/09 $792.00 $0.00 $0.00 $792.00 53 980090-01 2/13/09 $624.00 $0.00 $0.00 $624.00 1 • Exhibit A Monroe County Fire Rescue Ground Ambulance CY 2009 Account Receivables Write-Offs 54 910059-01 2/14/09 $828.00 $0.00 $0.00 $828.00 55 990055-01 2/15/09 $780.00 $0.00 $0.00 $780.00 56 980097-01 2/15/09 $624.00 $0.00 $0.00 $624.00 57 970029-01 2/16/09 $960.00 $0.00 $0.00 $960.00 58 990058-02 2/16/09 $612.00 $0.00 $0.00 $612.00 59 930088-01 2/17/09 $804.00 $0.00 $0.00 $804.00 60 990060-01 2/17/09 $696.00 $0.00 $0.00 $696.00 61 980102-01 2/18/09 $612.00 $0.00 $0.00 $612.00 62 910066-01 2/18/09 $840.00 $0.00 $0.00 $840.00 63 930090-01 2/18/09 $816.00 $0.00 $0.00 $816.00 64 930092-01 2/19/09 $840.00 $0.00 $0.00 $840.00 65 980107-01 2/20/09 $648.00 $0.00 $0.00 $648.00 66 970035-01 2/20/09 $840.00 $0.00 $0.00 $840.00 67 920052-01 2/21/09 $756.00 $0.00 $0.00 $756.00 68 930097-01 2/23/09 $900.00 $0.00 $0.00 $900.00 69 930099-01 2/24/09 $612.00 $0.00 $0.00 $612.00 70 980111-01 2/24/09 $648.00 $0.00 $0.00 $648.00 71 930100-01 2/24/09 $696.00 $0.00 $0.00 $696.00 72 910072-01 2/25/09 $852.00 $0.00 $0.00 $852.00 73 930102-01 2/26/09 $525.60 $0.00 $0.00 $525.60 74 980113-01 2/26/09 $624.00 $0.00 $0.00 $624.00 75 910076-01 2/27/09 $792.00 $0.00 $0.00 $792.00 76 920059-01 2/27/09 $648.00 $0.00 $0.00 $648.00 77 990071-01 2/28/09 $672.00 $0.00 $0.00 $672.00 78 910077-01 2/28/09 $133.91 $0.00 $0.00 $133.91 79 930113-01 3/01/09 $330.35 $0.00 $0.00 $330.35 80 980127-01 3/02/09 $612.00 $0.00 $0.00 $612.00 81 980128-01 3/04/09 $222.64 $0.00 $0.00 $222.64 82 990082-02 3/07/09 $624.00 $0.00 $0.00 $624.00 83 930119-01 3/07/09 $948.00 $0.00 $0.00 $948.00 84 980138-01 3/09/09 $624.00 $0.00 $0.00 $624.00 85 920071-01 3/11/09 $612.00 $0.00 $0.00 $612.00 86 990088-01 3/12/09 $612.00 $0.00 $0.00 $612.00 87 910089-01 3/12/09 $840.00 $0.00 $0.00 $840.00 88 980145-01 3/12/09 $672.00 $0.00 $0.00 $672.00 89 910090-01 3/13/09 $233.06 $0.00 $0.00 $233.06 90 980150-01 3/14/09 $624.00 $0.00 $0.00 $624.00 91 990090-01 3/14/09 $660.00 $0.00 $0.00 $660.00 92 980146-01 3/14/09 $648.00 $0.00 $0.00 $648.00 93 910098-01 3/16/09 $840.00 $0.00 $0.00 $840.00 94 910099-01 3/17/09 $804.00 $0.00 $0.00 $804.00 95 910101-01 3/18/09 $100.00 $0.00 $0.00 $100.00 96 930138-01 3/19/09 $900.00 $0.00 $0.00 $900.00 97 920078-02 3/20/09 $684.00 $0.00 $0.00 $684.00 98 990094-01 3/22/09 $672.00 $0.00 $0.00 $672.00 99 920082-01 3/22/09 $612.00 $0.00 $0.00 $612.00 __ 100 930145-01 3/23/09 $131.13 $0.00 $0.00 $131.13 101 980161-01 3/24/09 $612.00 $0.00 $0.00 $612.00 102 980165-01 3/25/09 $612.00 $0.00 $0.00 $612.00 103 980163-01 3/25/09 $612.00 $0.00 $0.00 $612.00 104 980167-01 3/26/09 $612.00 $0.00 $0.00 $612.00 105 930148-01 3/26/09 $125.58 $0.00 $0.00 $125.58 106 920087-01 3/28/09 $624.00 $0.00 $0.00 $624.00 107 980171-01 3/29/09 $612.00 $0.00 $0.00 $612.00 108 930156-01 3/31/09 $128.35 $0.00 $0.00 $128.35 109 980178-01 4/01/09 $624.00 $0.00 $0.00 $624.00 110 990103-01 4/01/09 $612.00 $0.00 $0.00 $612.00 111 990104-01 4/02/09 $660.00 $0.00 $0.00 $660.00 112 910123-01 4/04/09 $658.79 $0.00 $0.00 $658.79 2 Exhibit A Monroe County Fire Rescue • Ground Ambulance CY 2009 Account Receivables Write-Offs • 113 980186-01 4/05/09 $648.00 $0.00 $0.00 $648.00 114 930167-01 4/06/09 $828.00 $0.00 $0.00 $828.00 115 980188-01 4/06/09 $624.00 $0.00 $0.00 $624.00 116 930172-01 4/07/09 $840.00 $0.00 $0.00 $840.00 117 980192-02 4/08/09 $624.00 $0.00 $0.00 $624.00 118 980194-01 4/10/09 $612.00 $0.00 $0.00 $612.00 119 980195-01 4/11/09 $612.00 $0.00 $0.00 $612.00 120 980199-01 4/12/09 $636.00 $0.00 $0.00 $636.00 121 980201-01 4/13/09 $612.00 $0.00 $0.00 $612.00 122 980203-01 4/14/09 $636.00 $0.00 $0.00 $636.00 123 930184-01 4/14/09 $82.80 $0.00 $0.00 $82.80 124 980207-01 4/16/09 $612.00 $0.00 $0.00 $612.00 125 980209-01 4/16/09 $612.00 $0.00 $0.00 $612.00 126 920116-01 -4/17/09 $624.00 $0.00 $0.00 $624.00 127 980213-01 4/18/09 $860.00 $0.00 $0.00 $860.00 128 930194-01 4/19/09 $864.00 $0.00 $0.00 $864.00 129 970067-01 4/19/09 $804.00 $0.00 $0.00 $804.00 130 910138-01 4/21/09 $768.00 $0.00 $0.00 $768.00 131 930200-01 4/21/09 $912.00 $0.00 $0.00 $912.00 132 990131-01 4/23/09 ' $624.00 $0.00 $0.00 $624.00 133 920125-01 4/23/09 $612.00 $0.00 $0.00 $612.00 134 910142-01 4/24/09 $992.00 $0.00 $0.00 $992.00 135 930205-01 4/24/09 $122.80 $0.00 $0.00 $122.80 136 980224-01 4/25/09 $624.00 $0.00 $0.00 $624.00 137 910145-01 4/26/09 $888.00 $0.00 $0.00 $888.00 138 970074-01 4/27/09 $600.00 $0.00 $0.00 $600.00 139 930214-01 4/28/09 $840.00 $0.00 $0.00 $840.00 140 980227-01 4/28/09 $624.00 $0.00 $0.00 $624.00 141 ` 980229-01 4/29/09 $612.00 $0.00 $0.00 $612.00 142 970077-01 4/29/09 $828.00 $0.00 $0.00 $828.00 143 980233-01 5/01/09 $612.00 $0.00 $0.00 $612.00 144 970080-01 5/01/09 $756.00 $0.00 $0.00 $756.00 145 80232-01 5/01/09 $612.00 $0.00 $0.00 $612.00 146 930225-01 5/03/09 $816.00 $0.00 $0.00 $816.00 147 980245-01 5/04/09 $612.00 $0.00 $0.00 $612.00 148 990143-01 5/04/09 $624.00 $0.00 $0.00 $624.00 149 910147-01 5/04/09 $876.00 $0.00 $0.00 $876.00 150 980244-01 5/04/09 $612.00 $0.00 $0.00 $612.00 151 930234-01 5/05/09 $852.00 $0.00 $0.00 $852.00 152 980248-01 5/06/09 $612.00 $0.00 $0.00 $612.00 153 930236-01 5/07/09 $648.00 $0.00 $0.00 $648.00 154 800848-01 5/10/08 $518.00 $0.00 $0.00 $518.00 155 980259-01 5/11/09 $672.00 $0.00 $0.00 $672.00 156 980260-01 5/12/09 $612.00 $0.00 $0.00 $612.00 157 980262-01 5/12/09 $612.00 $0.00 ,') $0.00 $612.00 158 -980264-01 5/13/09 $624.00 $0.00 1 $0.00 $624.00- - 159 990157-01 5/13/09 $107.20 $0.00 $0.00 $107.20 160 980263-01 5/13/09 $612.00 $0.00 $0.00 $612.00. 161 920148-01 5/14/09 $636.00 $0.00 $0.00 $636.00 162 970089-01 5/15/09 $142.00 $0.00 $0.00 $142.00 163 990159-01 5/15/09 $612.00 $0.00 $0.00 $612.00 164 930250-01 5/15/09 $340.00 $0.00 $0.00 $340.00 165 930254-01 5/16/09 $828.00 $0.00 $0.00 $828.00 166 980270-01 5/17/09 $612.00 $0.00 $0.00 $612.00 167 930257-01 5/17/09 $828.00 $0.00 $0.00 $828.00 168 970093-01 5/17/09 $300.58 $0.00 $0.00 $300.58 169 990164-01 5/17/09 $194.40 $0.00 $0.00 $194.40 170 980269-01 5/17/09 $624.00 $0.00 $0.00 $624.00 171 930258-01 5/17/09 $636.00 $0.00 $0.00 $636.00 3 Exhibit A Monroe County Fire Rescue Ground Ambulance CY 2009 Account Receivables Write-Offs 172 910167-01 5/17/09 $184.80 $0.00 $0.00 $184.80 173 980272-01 5/18/09 $624.00 $0.00 $0.00 $624.00 174 930260-01 5/18/09 $936.00 $0.00 $0.00 $936.00 175 980273-01 5/19/09 $612.00 $0.00 $0.00 $612.00 176 930264-01 5/20/09 $852.00 $0.00 $0.00 $852.00 177 910169-01 5/20/09 $297.74 $0.00 $0.00 $297.74 178 980276-01 5/21/09 $624.00 $0.00 $0.00 $624.00 179 970097-01 5/22/09 $744.00 $0.00 $0.00 $744.00 180 970098-01 5/23/09 $756.00 $0.00 . $0.00 $756.00 181 980278-01 5/23/09 $612.00 $0.00 $0.00 $612.00 182 910172-01 5/23/09 $370.72 $0.00 $0.00 $370.72 183 920159-01 5/24/09 $612.00 $0.00 $0.00 $612.00 184 980280-01 5/24/09 $612.00 $0.00 $0.00 $612.00 185 930269-01 5/25/09 $840.00 $0.00 $0.00 $840.00 186 930273-01 5/29/09 $696.00 $0.00 $0.00 $696.00 187 930272-01 5/29/09 $87.10 $0.00 $0.00 $87.10 188 990183-01 5/31/09 $231.47 $0.00 $0.00 $231.47 189 970106-01 5/31/09 $780.00 $0.00 $0.00 $780.00 190 920168-01 5/31/09 $624.00 $0.00 $0.00 $624.00 191 980294-01 6/01/09 $624.00 $0.00 $0.00 $624.00 192 920169-01 6/01/09 $696.00 $0.00 $0.00 $696.00 193 920171-01 6/01/09 $812.00 $0.00 $0.00 $812.00 194 980300-01 6/02/09 $624.00 $0.00 $0.00 $624.00 195 980299-01 6/02/09 $612.00 $0.00 $0.00 $612.00 196 980302-01 6/04/09 $101.40 $0.00 $0.00 $101.40 197 980303-01 6/04/09 $612.00 $0.00 $0.00 $612.00 198 980305-01 6/05/09 $624.00 $0.00 $0.00 $624.00 199 930291-01 6/06/09 $816.00 $0.00 $0.00 $816.00 200 990195-01 6/07/09 $732.00 $0.00 $0.00 $732.00 201 990193-01 6/07/09 $756.00 $0.00 $0.00 $756.00 202 910191-01 6/07/09 $744.00 $0.00 $0.00 $744.00 203 930295-01 6/07/09 $900.00 $0.00 $0.00 $900.00 204 970113-01 6/07/09 $780.00 $0.00 $0.00 $780.00 205 930299-01 6/09/09 $840.00 $0.00 $0.00 $840.00 206 910195-01 6/09/09 $980.00 $0.00 $0.00 $980.00 207 930302-01 6/10/09 $840.00 $0.00 $0.00 $840.00 208 909198-01 6/10/09 $660.00 $0.00 $0.00 $660.00 209 980312-01 6/10/09 $612.00 $0.00 $0.00 $612.00 210 970117-01 6/11/09 $696.00 $0.00 $0.00 $696.00 211 930303-01 6/11/09 $852.00 $0.00 $0.00 $852.00 212 980315-01 6/12/09 $624.00 $0.00 $0.00 $624.00 213 990202-01 6/13/09 $660.00 $0.00 $0.00 $660.00 214 990201-01 6/13/09 $660.00 $0.00 $0.00 $660.00 215 980317-01 6/13/09 $624.00 $0.00 $0.00 $624.00 216 920178-01 6/13/09 $612.00 $0.00 $0.00 $612.00 217 930307-01 6/13/09 $864.00 $0.00 $0.00 $864.00 218 980321-01 6/15/09 $624.00 $0.00 $0.00 $624.00 219 930315-01 6/15/09 $816.00 $0.00 $0.00 $816.00 220 930316-01 6/16/09 $864.00 $0.00 $0.00 $864.00 221 980327-01 6/18/09 $624.00 $0.00 $0.00 $624.00 222 910213-01 6/20/09 $780.00 $0.00 $0.00 $780.00 223 980331-01 6/20/09 $624.00 $0.00 $0.00 $624.00 224 930324-01 6/20/09 $828.00 $0.00 $0.00 $828.00 225 970126-01 6/20/09 $840.00 $0.00 $0.00 $840.00 226 990209-01 6/20/09 $660.00 $0.00 $0.00 $660.00 227 980335-01 6/21/09 $624.00 $0.00 $0.00 $624.00 228 980334-01 6/21/09 $624.00 $0.00 $0.00 $624.00 229 980333-01 6/21/09 $624.00 $0.00 $0.00 $624.00 230 990210-01 6/21/09 $272.68 $0.00 $0.00 $272.68 4 • Exhibit A Monroe County Fire Rescue Ground Ambulance CY 2009 Account Receivables Write-Offs 231 980338-01 6/23/09 $636.00 $0.00 $0.00 $636.00 232 920194-01 6/23/09 $612.00. $0.00 $0.00 $612.00 233 930331-01 6/24/09 $828.00 $0.00 $0.00 $828.00 234 930332-01 6/25/09 $924.00 $0.00 $0.00 $924.00 235 930333-01 6/26/09 $876.00 $0.00 $0.00 $876.00 236 980340-01 6/27/09 $636.00 $0.00 $0.00 $636.00 237 930334-01 6/27/09 $828.00 $0.00 $0.00 $828.00 238 990214-01 6/29/09 $612.00 $0.00 $0.00 $612.00 239 970131-01 6/30/09 $27.34 $0.00 $0.00 $27.34 240 930343-01 7/01/09 $170.40 $0.00 $0.00 $170.40 241 980343-01 7/01/09 $121.00 $0.00 $0.00 $121.00 242 980345-01 7/02/09 $624.00 $0.00 $0.00 $624.00 243 930348-01 7/03/09 $912.00 $0.00 $0.00 $912.00 244 980349-01 7/04/09 $624.00 $0.00 $0.00 $624.00 245 930352-01 7/06/09 $804.00 $0.00 $0.00 $804.00 246 980351-01 7/07/09 $648.00 $0.00 $0.00 $648.00 247 980352-01 7/08/09 $624.00 $0.00 $0.00 $624.00 248 980355-01 7/09/09 $660.00 $0.00 $0.00 $660.00 249 980354-01 7/09/09 $612.00 $0.00 $0.00 $612.00 250 930362-01 7/10/09 $648.00 $0.00 $0.00 $648.00 251 980360-01 7/11/09 $624.00 $0.00 $0.00 $624.00 252 930367-01 7/12/09 $840.00 $0.00 $0.00 $840.00 253 930370-01 7/13/09 $612.00 $0.00 $0.00 $612.00 254 970143-01 7/13/09 $756.00 $0.00 $0.00 $756.00 255 920227-01 7/14/09 $624.00 $0.00 $0.00 $624.00 256 980364-01 7/14/09 $624.00 $0.00 $0.00 $624.00 257 930371-01 7/14/09 $944.00 $0.00 $0.00 $944.00 258 980368-01 7/16/09 $612.00 $0.00 $0.00 $612.00 259 930379-01 7/17/09 ' $828.00 $0.00 $0.00 $828.00 260 910237-02 7/17/09 $95.00 $0.00 $0.00 $95.00 261 980374-01 7/18/09 $612.00 $0.00 $0.00 $612.00 262 980373-01 7/18/09 $612.00 $0.00 $0.00 $612.00 263 910239-01 7/18/09 $121.41 $0.00 $0.00 $121.41 264 980379-01 7/20/09 $624.00 $0.00 $0.00 $624.00 265 990231-01 7/21/09 $672.00 $0.00 $0.00 $672.00 266 930390-01 7/21/09 $828.00 $0.00 $0.00 $828.00 267 920231-02 7/21/09 $612.00 $0.00 $0.00 $612.00 268 920231-01 7/21/09 $612.00 $0.00 $0.00 $612.00 269 980385-01 7/23/09 $624.00 $0.00 $0.00 $624.00 270 990236-01 7/24/09 $104.76 $0.00 $0.00 $104.76 271 920237-01 7/25/09 $648.00 $0.00 $0.00 $648.00 272 910246-01 7/25/09 $792.00 $0.00 $0.00 $792.00 273 980388-01 7/27/09 $624.00 $0.00 -$0.00 $624.00 274 920242-01 7/28/09 $624.00 $0.00 . $0.00 $624.00 275 980395-01 7/29/09 $612.00 $0.00 $0.00 $612.00 276 910253-02 7/31/09 $936.00 $0.00 $0.00 $936.00 277 930408-01 7/31/09 $912.00 $0.00 $0.00 $912.00 278 970157-01 8/01/09 $852.00 $0.00 $0.00 $852.00 279 980401-01 8/01/09 $624.00 $0.00 $0.00 $624.00 280 970158-01 8/01/09 $888.00 $0.00 $0.00 $888.00 281 910256-01 8/02/09 $624.00 $0.00 $0.00 $624.00 282 980402-01 8/02/09 $672.00 $0.00 $0.00 $672.00 283 980410-01 8/04/09 $672.00 $0.00 $0.00 $672.00 284 990250-01 8/04/09 $211.55 $0.00 $0.00 $211.55 285 910262-01 8/05/09 $864.00 $0.00 $0.00 $864.00 286 980413-01 8/05/09 $624.00 $0.00 $0.00 $624.00 287 930417-01 8/05/09 $912.00 $0.00 $0.00 $912.00 288 990253-01 8/05/09 $672.00 $0.00 $0.00 $672.00 289 930423-01 8/07/09 $840.00 $0.00 $0.00 $840.00 5 • Exhibit A Monroe County Fire Rescue Ground Ambulance CY 2009 Account Receivables Write-Offs 290 930426-01 8/08/09 $828.00 $0.00 $0.00 $828.00 291 980420-01 8/08/09 $624.00 $0.00 $0.00 $624.00 292 980422-01 8/09/09 $624.00 $0.00 $0.00 $624.00 293 990259-01 8/10/09 $648.00 $0.00 $0.00 $648.00 294 990263-01 8/12/09 $720.00 $0.00 $0.00 $720.00 295 990266-01 8/13/09 $672.00 $0.00 $0.00 $672.00 296 980431-01 8/13/09 $612.00 $0.00 $0.00 $612.00 297 970167-01 8/14/09 $756.00 $0.00 $0.00 $756.00 298 930436-01 8/15/09 $840.00 $0.00 $0.00 $840.00 299 980436-01 8/16/09 $672.00 $0.00 $0.00 $672.00 300 910277-01 8/18/09 $852.00 $0.00 $0.00 $852.00 301 980440-01 8/18/09 $624.00 $0.00 $0.00 $624.00 302 980442-01 8/20/09 $624.00 $0.00 $0.00 $624.00 303 990271-01 8/21/09 $732.00 $0.00 $0.00 $732.00 304 910285-01 8/22/09 $828.00 $0.00 $0.00 $828.00 305 920264-01 8/22/09 $612.00 $0.00 $0.00 $612.00 306 970176-01 8/22/09 $756.00 $0.00 $0.00 $756.00 307 930453-01 8/24/09 $792.00 $0.00 $0.00 $792.00 308 980450-01 8/24/09 $624.00 $0.00 $0.00 $624.00 309 990272-01 8/24/09 $660.00 $0.00 $0.00 $660.00 310 930452-01 8/24/09 $864.00 $0.00 $0.00 ' $864.00 311 930456-01 8/26/09 $924.00 $0.00 $0.00 $924.00 312 980461-01 8/27/09 $624.00 $0.00 $0.00 $624.00 313 930460-01 8/28/09 $816.00 $0.00 $0.00 $816.00 314 920269-01 8/28/09 $648.00 $0.00 $0.00 $648.00 315 980463-01 8/28/09 $624.00 $0.00 $0.00 $624.00 316 980466-01 8/29/09 $612.00 $0.00 $0.00 $612.00 317 930461-01 8/29/09 $900.00 $0.00 $0.00 $900.00 318 980468-01 8/29/09 $624.00 $0.00 $0.00 $624.00 319 980470-01 8/30/09 $624.00 $0.00 $0.00 $624.00 320 920270-01 8/30/09 $636.00 $0.00 $0.00 $636.00 321 930466-01 8/31/09 $852.00 $0.00 $0.00 $852.00 322 980471-01 8/31/09 $624.00 $0.00 $0.00 $624.00 323 980477-01 9/02/09 $624.00 $0.00 $0.00 $624.00 324 8078-01 9/03/09 $624.00 $0.00 $0.00 $624.00 325 910294-01 9/04/09 $804.00 $0.00 $0.00 $804.00 326 980486-01 9/05/09 $660.00 $0.00 $0.00 $660.00 327 980483-01 9/05/09 $648.00 $0.00 $0.00 $648.00 328 930474-01 9/06/09 $792.00 $0.00 $0.00 $792.00 329 980493-01 9/09/09 $624.00 $0.00 $0.00 $624.00 330 980494-01 9/09/09 $612.00 $0.00 $0.00 $612.00 331 980500-01 9/12/09 $624.00 $0.00 $0.00 $624.00 332 930484-01 9/12/09 $840.00 $0.00 $0.00 $840.00 333 940005-01 9/14/08 $689.00 $0.00 $0.00 $689.00 334 930492-01 9/16/09 $443.00 $0.00 $70.00 $373.00 335 910309-01 9/18/09 $900.00 $0.00 $0.00 $900.00 336 910315-02 9/19/09 $804.00 $0.00 $0.00 $804.00 337 980513-01 9/19/09 $612.00 $0.00 $0.00 $612.00 338 980512-01 9/19/09 ,. $612.00 $0.00 $0.00 $612.00 339 990297-01 9/20/09 $684.00 $0.00 $0.00 $684.00 340 980514-01 9/20/09 $624.00 $0.00 $0.00 $624.00 341 980515-01 9/20/09 $612.00 $0.00 $0.00 $612.00 342 930506-01 9/21/09 $245.06 $0.00 $0.00 $245.06 343 920278-01 9/21/09 $720.00 $0.00 $0.00 $720.00 344 930507-01 9/22/09 $876.00 $0.00 $0.00 $876.00 345 930509-01 9/22/09 $876.00 $0.00 $0.00 $876.00 346 930510-01 9/22/09 $880.00 $0.00 $0.00 $880.00 347 930512-01 9/23/09 $840.00 $0.00 $0.00 $840.00 348 930513-01 9/24/09 $840.00 $0.00 $0.00 $840.00 6 Exhibit A Monroe County Fire Rescue • Ground Ambulance CY 2009 Account Receivables Write-Offs 349 910321-02 9/26/09 $357.64 $0.00 $0.00 $357.64 350 980525-01 9/26/09 $624.00 $0.00 $0.00 $624.00 351 930524-01 9/28/09 $804.00 $0.00 $0.00 $804.00 352 930528-01 9/30/09 $924.00 $0.00 $0.00 $924.00 353 910325-03 10/01/09 $828.00 $0.00 $0.00 $828.00 354 980530-01 10/02/09 $660.00 $0.00 $0.00 $660.00 355 970194-01 10/03/09 $852.00 $0.00 $0.00 $852.00 356 990308-01 10/04/09 $624.00 $0.00 $0.00 $624.00 357 930533-01 10/04/09 $792.00 $0.00 $0.00 $792.00 358 980536-01 10/05/09 $624.00 $0.00 $0.00 $624.00 359 980538-01 10/05/09 $612.00 $0.00 $0.00 $612.00 360 930537-01 10/05/09 $828.00 $0.00 $0.00 $828.00 361 980542-02 10/06/09 $672.00 $0.00 $0.00 $672.00 362 990310-01 10/06/09 $684.00 $0.00 $0.00 $684.00 363 970197-01 10/07/09 $840.00 $0.00 $0.00 $840.00 364 980548-01 10/07/09 $624.00 $0.00 $0.00 $624.00 365 990312-01 10/07/09 $696.00 $0.00 $0.00 $696.00 366 930538-01 10/08/09 $804.00 $0.00 $0.00 $804.00 367 990314-01 10/08/09 $379.46 $0.00 $0.00 $379.46 368 930539-01 10/09/09 $852.00 $0.00 $0.00 $852.00 369 980555-01 10/10/09 $612.00 $0.00 $0.00 $612.00 370 980557-01 10/10/09 $612.00 $0.00 $0.00 $612.00 371 980558-01 10/11/09 $624.00 $0.00 $0.00 $624.00 372 970200-01 10/11/09 $223.06 $0.00 $0.00 $223.06 373 980563-01 10/13/09 $449.00 $0.00 $0.00 $449.00 374 980564-01 10/14/09 $664.23 $0.00 $0.00 $664.23 375 910343-01 10/14/09 $840.00 $0.00 $0.00 $840.00 376 930545-01 10/15/09 $900.00 $0.00 $0.00 $900.00 377 ' 930547-01 10/16/09 $816.00 $0.00 $0.00 $816.00 378 980568-01 10/16/09 $612.00 $0.00 $0.00 $612.00 379 970201-01 10/17/09 $780.00 $0.00 $0.00 $780.00 380 920297-01 10/18/09 $848.00 $0.00 $0.00 $848.00 381 920298-01 10/18/09 $96.43 $0.00 $0.00 $96.43 382 980572-01 10/19/09 $624.00 $0.00 $0.00 $624.00 383 910350-01 10/19/09 . $150.00 $0.00 $0.00 $150.00 384 990328-01 10/19/09 $720.00 $0.00 $0.00 $720.00 385 910352-01 10/19/09 $804.00 $0.00 $0.00 $804.00 386 980575-01 10/22/09 $660.00 $0.00 $0.00 $660.00 387 920301-01 10/23/09. $744.00 $0.00 $0.00 $744.00 388 980578-01 10/23/09 $624.00 $0.00 $0.00 $624.00 389 930557-01 10/23/09 $888.00 $0.00 . $0.00 $888.00 390 980583-01 10/24/09 $624.00 $0.00 $0.00 $624.00 391 980584-01 10/24/09 $76.60 $0.00 $0.00 $76.60 392 980581-01 10/24/09 $612.00 $0.00 $0.00 $612.00 393 920304-01 10/25/09 $624.00 ' $0.00 $0.00 $624.00 394 920307-01 10/26/09 $612.00 $0.00 $0.00 $612.00 395 980590-01 10/27/09 $612.00 $0.00 $0.00 $612.00 396 920308-01 10/28/09 $624.00 $0.00 $0.00 $624.00 397 980598-01 10/29/09 $672.00 $0.00 $0.00 $672.00 398 930568-02 10/31/09 $828.00 $0.00 $0.00 $828.00 399 980602-01 10/31/09 $624.00 $0.00 $0.00 $624.00 400 930568-01 10/31/09 $828.00 $0.00 $0.00 $828.00 401 980600-01 10/31/09 $624.00 $0.00 $0.00 $624.00 402 970206-01 10/31/09 $888.00 $0.00 $0.00 $888.00 403 970205-01 10/31/09 $768.00 $0.00 $0.00 $768.00 404 980604-01 11/01/09 $612.00 $0.00 $0.00 $612.00 405 930570-01 11/01/09 $828.00 $0.00 $0.00 $828.00 406 980607-01 11/01/09 $612.00 $0.00 $0.00 $612.00 407 970207-01 11/01/09 $136.32 $0.00 $0.00 $136.32 7 • Exhibit A Monroe County Fire Rescue Ground Ambulance CY 2009 Account Receivables Write-Offs 408' 980608-01 11/02/09 $90.18 $0.00 $0.00 $90.18 409 920310-01 11/02/09 , $624.00 $0.00 $0.00 $624.00 410 920311-01 11/03/09 $624.00 $0.00 $0.00 $624.00 411 980616-01 11/07/09 $612.00 $0.00 $0.00 $612.00 412 930579-01 11/08/09 $816.00 $0.00 $0.00 $816.00 413 980619-01 11/09/09 $201.06 $0.00 $0.00 $201.06 414 990354-02 11/11/09 $708.00 $0.00 $0.00 $708.00 415 990353-01 11/11/09 $600.00 $0.00 $0.00 $600.00 416 910374-01 11/11/09 $304.12 $0.00 $0.00 $304.12 417 _ 920321-01 11/12/09 $624.00 $0.00 $0.00 $624.00 418 980622-01 11/12/09 $636.00 $0.00 $0.00 $636.00 419 980625-01 11/12/09 $624.00 $0.00 $0.00 $624.00 420 910377-01 11/13/09 $876.00 $0.00 $0.00 $876.00 421 980628-01 11/13/09 $624.00 $0.00 $0.00 $624.00 422 910378-01 11/13/09 $792.00 $0.00 $0.00 $792.00 423 980630-01 11/14/09 $624.00 $0.00 $0.00 $624.00 424 920323-01 11/14/09 $624.00 $0.00 $0.00 $624.00 425 980632-01 11/15/09 $624.00 $0.00 $0.00 $624.00 426 980633-01 11/15/09 $612.00 $0.00 $0.00 $612.00 427 990361-02 11/15/09 $624.00 $0.00 $0.00 $624.00 428 970214-01 11/15/09 $780.00 $0.00 $0.00 $780.00 _ 429 _ 910381-01 11/15/09 $122.40 $0.00 $0.00 $122.40 430 980639-01 11/17/09 $624.00 $0.00 $0.00 $624.00 431 990364-01 11/18/09 $684.00 $0.00 $0.00 $684.00 432 930594-01 11/18/09 $864.00 $0.00 $0.00 $864.00 433 980640-01 11/18/09 $636.00 $0.00 $0.00 $636.00 434 980642-01 11/20/09 $648.00 $0.00 $0.00 $648.00 435 930598-01 11/20/09 $840.00 $0.00 $0.00 $840.00 436 920325-01 11/20/09 $612.00 $0.00 $0.00 $612.00 437 980643-01 11/20/09 $624.00 $0.00 $0.00 $624.00 438 920328-01 11/21/09 $612.00 $0.00 $0.00 $612.00 439 930601-01 11/22/09 $816.00 $0.00 $0.00 $816.00 440 930603-01 11/23/09 $924.00 $0.00 $0.00 $924.00 441 980651-01 11/23/09 $648.00 $0.00 $0.00 $648.00 442 980653-01 11/24/09 $612.00 $0.00 $0.00 $612.00 443 980654-01 11/25/09 $624.00 $0.00 $0.00 $624.00 444 930607-01 11/26/09 $720.00 $0.00 $0.00 $720.00 445 980660-01 11/29/09 $672.00 $0.00 $0.00 $672.00 446 970221-01 11/29/09 $612.00 $0.00 $0.00 $612.00 447 930614-01 11/29/09 $732.00 $0.00 $0.00 $732.00 448 930615-01 11/29/09 $1,136.00 $0.00 $0.00 $1,136.00 449 980663-01 11/30/09 $117.25 $0.00 $0.00 $117.25 450 980661-01 11/30/09 $636.00 $0.00 $0.00 $636.00 451 970222-01 12/03/09 $744.00 $0.00 $0.00 $744.00 452 980667-01 12/03/09 $624.00 $0.00 $0.00 $624.00 453 980669-01 12/03/09 $624.00 $0.00 $0.00 $624.00 454 980666-01 12/03/09 $624.00 $0.00 $0.00 $624.00 455 990384-01 12/03/09 $207.06 $0.00 $0.00 $207.06 456 980672-01 12/04/09 $612.00 $0.00 $0.00 $612.00 457 990389-01 12/07/09 $660.00 $0.00 $0.00 $660.00 458 990392-01 12/08/09 $1,028.00 $0.00 $0.00 $1,028.00 459 930629-01 12/09/09 $708.00 $0.00 $0.00 $708.00 460 980683-01 12/09/09 $648.00 $0.00 $0.00 $648.00 461 930631-01 12/09/09 $936.00 $0.00 $0.00 $936.00 462 930632-01 12/09/09 $912.00 $0.00 $0.00 $912.00 463 990395-01 12/12/09 $684.00 $0.00 $0.00 $684.00 464 930636-01 12/13/09 $792.00 $0.00 $0.00 $792.00 465 980688-01 12/13/09 $624.00 $0.00 $0.00 $624.00 466 980693-01 12/15/09 $624.00 $0.00 $0.00 $624.00 8 Exhibit A Monroe County Fire Rescue • Ground Ambulance CY 2009 Account Receivables Write-Offs 467 980694-01 12/15/09 '$612.00 $0.00 $0.00 $612.00 468 10420-01 12/16/09 $816.00 $0.00 $0.00 $816.00 469 930642-01 12/16/09 $100.00 $0.00 $0.00 $100.00 470 980697-01 12/18/09 $612.00 $0.00 $0.00 $612.00 471 910422-01 12/18/09 $756.00 $0.00 $0.00 $756.00 _ 472 990400-01 12/20/09 $612.00 $0.00 $0.00 $612.00 473 930649-01 12/20/09 $948.00 $0.00 $0.00 . $948.00 474 930651-01 12/20/09 $524.00 $0.00 $0.00 $524.00 475 930652-01 12/21/09 $525.00 $0.00 $0.00 $525.00 476 980704-01 12/22/09 $612.00 $0.00 $0.00 $612.00 477 980708-01 12/23/09 $660.00 $0.00 $0.00 $660.00 478 980706-01 12/23/09 $636.00 $0.00 $0.00 $636.00 479 980710-01 12/25/09 $624.00 $0.00 $0.00 $624.00 480 990404-01 12/26/09 $720.00 $0.00 $0.00 $720.00 481 910429-01 12/26/09 $804.00 $0.00 $0.00 $804.00 482 970236-01 12/27/09 $756.00 $0.00 $0.00 $756.00 483 980716-01 12/30/09 $612.00 $0.00 $0.00 $612.00 484 930666-01 12/31/09 $780.00 $0.00 . .$0.00 $780.00 485 : - 910436-01 12/31/09 $107.83 $0.00 $0.00 . :. $107.83 485 MSB Write Offs Ground CY 2009 $314,416.96 $0.00. $70.00 $314,346.96 Original balance(or Balance when sent to Acct#: DOS collections) . . ' Adjustments Payments Final Balance These accounts:are with MSB 1 . . .-.20187-01 . .. .6/06/10 $612.00 . $0.00 $0.00.. ... .. $612.00 2 . 80378-01 6/21/10 $611.91 $0.00 $0.00 .. $611.91 3 10334-01- 8/14/10 $840.00 $0.00 ' $0.00' $840.00 ' 3 Chapter 7 Bankruptcies •$2,063.91 $0.00 $0.00 $2,063.91 488 TOTAL MSB GROUND WRITE OFFS CY 2009/2010 $316,410.87 - Date of Original Balance(or. Account Number Balance when sent to. Adjustments Payments Final Balance Service Collections) These accounts are with MSB (DOS=01/01/2009- 12/31/2009) 1 : 930008-01 01/03/09 $804.00 . . $0.00 $0.00 $804.00 2 910026-01 01/19/09 . . $768.00 $0.00 ...$0.00 . $768.00 3 970012-01 01/20/09 . ._$840.00 $0.00 $0.00 . . $840.00 4 990020-01 . 0.1/23/09 . $684.00 $0.00 $547.20 $136.80 5 930048-01 _ 01/28/09 $816.00 $269.90 $436.88 $109.22 6 980066-01 01/30/09 $612.00 $0.00 $0.00 $612.00 7 990039-01 02/10/09 .$720.00 $0.00: $719.68 $0.32 8 990040-01 02/10/09 $612.00 $0.00 . . ..$0.00 $612.00 9 930072-01 02/12/09 $840.00 .. : $0.00 $672.00 $1.68.00- 10 . 910064-01 02/16/09 $852.00 $0.00 $0.00. .. . $852.00 11 920045-01 .02/17/09 $648.00 $0.00. $0.00 .. $648.00 12 980122-01 02/28/09 $612.00 . $0.00 $0.00 $612.00 13 990075-01 03/03/09 $660.00 $245.76 $412.19 . $2.05 14 980131-01 03/05/09 $660.00 $177.85 $385.72 $96.43 15 910091-01 03/14/09 ':$624.00 $0.00 $0.00 $624.00 16 980169-01 03/26/09 $624.00 $240.99 $306.41 $76.60 17 920086-01 03/28/09 $612.00 $171.49: $440.46 $0.05 18 980173-02 03/30/09 $636.00 $0.00 $0.00 $636.00 19 910116-02 03/31/09 $756.00 $0.00 $0.00 ' $756.00 9 • Exhibit A Monroe County Fire Rescue • Ground Ambulance CY 2009 Account Receivables Write-Offs 20 990101-02 03/31/09 $648.00 $0.00 $0.00 $648.00 21 980185-01 04/04/09 $624.00 $0.00 $0.00 $624.00 22 920102-01 04/07/09 $648.00 $176.26 $377.39 $94.35 23 980192-01 04/09/09 $812.00 $0.00 , $0.00 $812.00 24 980198-01 04/11/09 $612.00 $171.49 $352.41 $88.10 25 980205-01 04/15/09 $612.00 $171.49 $352.41 $88.10 26 990126-01 04/18/09 . $660.00 $177.85 $385.72 $96.43 27 980215-01 04/21/09 $612.00 $0.00 $0.00 $612.00 28 930226-01 05/03/09 $756.00 $0.00 $0.00 $756.00 29 910151-01 05/05/09 $804.00 $0.00 $0.00 $804.00 30 910152-01 05/07/09 $1,040.00 $219.69 $621.37 $198.94 31 970082-01 05/10/09 $792.00 $0.00 $791.89 $0.11 32 920146-01 05/11/09 $648.00 $194.59 $403.41 $50.00 33 930261-01 05/19/09 $924.00 $0.00 $739.20 $184.80 34 930286-01 06/03/09 $852.00 $217.17 $507.86 $126.97 35 990198-01 06/10/09 $660.00 $0.00 $0.00 $660.00 36 970116-01 06/11/09 $744.00 $0.00 $595.20 $148.80 37 920181-01 06/15/09 $624.00 $0.00 $0.00 $624.00 38 930323-01 06/19/09 $840.00 $0.00 $0.00 $840.00 39 920192-01 06/22/09 $624.00 $251.59 $322.41 $50.00 40 910217-01 06/26/09 $816.00 $0.00 $0.00 $816.00 41 970129-01 06/26/09 $816.00 $201.99 $491.21 $122.80 42 930336-01 06/28/09 $816.00 $201.99 $610.10 $3.91 43 920205-01 07/01/09 $636.00 $259.72 $329.28 $47.00 44 970132-01 07/01/09 $768.00 $0.00 $0.00 $768.00 45 930349-01 07/03/09 $852.00 $0.00 $0.00 $852.00 46 970134-01 07/03/09 $768.00 $0.00 $767.80 $0.20 47 930350-01 07/04/09 $732.00 $0.00 $632.83 $99.17 48 980356-01 07/09/09 $624.00 $0.00 $5.60 $618.40 49 930377-01 07/16/69 $684.00 $0.00 $0.00 $684.00 50 910238-01 07/18/09 $768.00 $0.00 $0.00 $768.00 51 920233-01 07/22/09 $612.00 $0.00 $0.00 $612.00 52 910248-02 07/26/09 $780.00 $290.68 $391.46 $97.86 53 930400-01 07/27/09 $900.00 $0.00 $0.00 $900.00 54 970156-01 07/31/09 $756.00 $0.00 $0.00 $756.00 55 910264-01 08/06/09 $1,028.00 $0.00 $205.20 $822.80 56 980418-01 08/06/09 $612.00 $0.00 $489.60 $122.40 57 920256-01 08/13/09 $848.00 $0.00 $0.00 $848.00 58 920268-01 08/28/09 $648.00 $261.85 $336.15 $50.00 59 990279-01 08/29/09 $684.00 $0.00 $0.00 $684.00 60 980520-01 09/21/09 $624.00 $0.00 $0.00 $624.00 61 930525-01 09/29/09 $840.00 $0.00 $0.00 $840.00 62 980002-02 10/01/09 $756.00 $0.00 $0.00 $756.00 63 920284-01 10/02/09 $612.00 $0.00 $0.00 $612.00 64 920286-01 10/03/09 $624.00 $184.33 $389.67 $50.00 65 920288-01 10/03/09 $624.00 $0.00 $0.00 $624.00 66 980532-01 10/03/09 $612.00 $239.40 $298.08 $74.52 67 970195-01 10/07/09 $756.00 $0.00 $0.00 $756.00 68 980017-01 10/09/09 $636.00 $0.00 $400.00 $236.00 69 980553-01 10/09/09 $624.00 $0.00 $0.00 $624.00 70 980562-01 10/13/09 $612.00 $0.00 $0.00 $612.00 71 910356-01 10/23/09 $852.00 $0.00 $0.00 $852.00 72 980597-01 10/29/09 $624.00 $0.00 $0.00 $624.00 73 990345-01 11/04/09 $672.00 $179.44 $394.05 $98.51 74 980626-01 11/13/09 $624.00 $0.00 $623.36 $0.64 75 990361-01 11/15/09 $624.00 $0.00 $499.20 $124.80 76 920330-01 11/28/09 $648.00 $261.85 $336.15 $50.00 77 990373-01 11/28/09 $792.00 $0.00 $0.00 $792.00 78 980657-01 11/29/09 $612.00 $0.00 $489.60 $122.40 10 • Exhibit A Monroe County Fire Rescue • Ground Ambulance CY 2009 Account Receivables Write-Offs 79 930619-01 11/30/09 $864.00 $222.23 $513.42 $128.35 80 910400-01 12/03/09 $780.00 $193.75 $469.00 $117.25 81 930657-01 12/26/09 $840.00 $0.00 $0.00 $840.00 82 810348-01 1/11/308 $816.00 $233.86 $465.71. $116.43 82 ADP Write Offs Ground CY 2009 $59,132.00 $5,417.21 $18,507.28 $35,207.51 82 TOTAL ADP GROUND WRITE OFFS CY 2009 $35,207.51 t,570(aROUNDAff it,14;GE-WRITE O,FFSrCY 20 GR1ND1^T©T/1L, ;I' _;fib $s 51,618.38 • 11 -