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Item F3 1 BOARD OF GOVERNORS FIRE AND AMBULANCE DISTRICT 1 AJENDA ITEM SUMMARY Meeting Date: September 16, 2009 . Division: Emergency Services Bulk Item: Yes - No X Department: F ire Rescue Staff Contact Person: Camille Dubroff AGENDA ITEM WORDING: Approval of Resolution authorizing the write-off of Fire Rescue ground ambulance accounts receivable, in the total amount of $311 ,040.13. ITEM BACKGROUND: Monroe County contracts with Advanced Data Processing Inc., (ADPI) for ambulance billing, and after 12 months of inactivity, these accounts were placed with Municipal Services Bureau, our collection agency, to further attempt collection. Once a period of3 years from the date of incident has elapsed, ~d all efforts of collecting the debt have been exhausted, Monroe County Finance Department directs we write-off these debts. The attached Resolution requests to write-off the balances of these accounts, in the total amount of $311 ,040.13, representing the period of January 2005 through December 2005 which include additional exception balances from our billing agency. (See attached Exhibit A) These debts represent 708 accounts from the following categories: HMO balances; patient financially indigent (homeless); bad address; foreign address; Cuban refugee; unwarranted transports; self pay; refusals to pay; deceased; minors; bankruptcy; Medicaid balances; Medicare balances; exception balances; and Special Medical Needs evacuees during a Hurricane; etc. Even though this is written off for accounting purposes, the collection agency will continue to attempt collections on these accounts; if payments were to be received, revenue would be reinstated. PREVIOUS RELEVANT BOG ACTION: On September 18,2002 Resolution No. 398-2002 authorized the write-off of EMS Ambulance Accounts Receivable in the total amount of $405, 100.32. On August 17, 2005 Resolution No. 312-2005 authorized the write off of EMS Ambulance Accounts Receivable in the total amount of $194,523 .24. On August 16, 2006 Resolution No. 303-2006 authorized the write off of EMS Ambulance Accounts Receivable in the total amount of $254,037.76. On August 15, 2007 Resolution No. 292-2007 authorized the write off of Fire Rescue ambulance accounts receivables in the total amount of$238,887.67. On August 20, 2008 Resolution No. 250-2008 authorized the write off of Fire Rescue ambulance accounts receivables in the total amount of $249,833.14. CONTRACTIAGREEMENT CHANGES: N/A STAFF RECOMMENDATIONS: Approval as written. TOTAL COST: N/A INDIRECT COST: BUDGETED: Yes - No - DIFFERENTIAL OF LOCAL PREFERENCE: N/A COST TO COUNTY: NIA SOURCE OF FUNDS: N/A REVENUE PRODUCING: Yes No_ 0 AMOUNTPERMONTH_ Y_ar_ APPROVED BY: County Atty-r! ~ChaSing _ Risk ManagementJ)1s.-- DOCUMENTATION: Included ----X- Not Required DISPOSITION: AGENDA ITEM # Revised 11/06 Emergency Services RESOLUTION NO. -2009 A RESOLUTION OF THE BOARD OF GOVERNORS OF FIRE AND AJ\.fBULANCE DISTRICT 1 OF MONROE COUNTY, FLORIDA AUTHORIZING THE WRITE-OFF OF FIRE RESCUE GROUND AMBULANCE ACCOUNTS RECEIVABLE FOR CALENDAR YEAR 2005 WHEREAS, Monroe County Fire Rescue Services provides ambulance service; and WHEREAS, the Board of Governors of the Fire and Ambulance District 1 of Monroe County contracts with Advanced Data Processing, Inc. (AD PI) for Rescue Ambulance Billing and Related Professional Services; and WHEREAS, after 12 months 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 2005 through December 2005; 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, m bankruptcy, a mmor with no guardian or patient found, have uncollectible balances of MedicaidIMedicare, were Special Medial Needs evacuees during a Hurricane and/or have small exceptions balances for the time period of January 2005 through December 2005. 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 GOVERNORS OF THE FIRE AND AMBULANCE DISTRICT 1 OF MONROE COUNTY, FLORIDA: Receivables for ground ambulance service accounts listed on attached Exhibit A in the amount of $311,040.13 be deleted from the Fire Rescue District 1 Fund Account 141-115002. PASSED AND ADOPTED by the Board of Governors, Fire and Ambulance District 1 of Monroe County, Florida, at a regular meeting of said Board held on the day of , 20cPi:J. :z " 0::2 Representative Norman Anderson 00: Representative William Dilley t: Alternate Representative Clark Snow ~ I- 'i ;2 Commissioner Kim Wigington I- ~ ..j ~ Commissioner Sylvia Murphy ~ ;; ~ :J~ Commissioner Heather Carruthers 8 ~ i5 8 \J UJO zl-J (SEAL) BOARD OF GOVERNORS, FIRE AND 00: 6 ~ ~ AMBULANCE DISlRICT 1 OF ~ 8:: ' MONROE COUNTY, FLORIDA 0 <( Ci5 CD :2 (I) ..... C\'l' Attest: DANNY L.KOLHAGE, Clerk By: <( a Mayor/Chairperson By Deputy Clerk Exhibit A Monroe County Fire Rescue Ground Ambulance Account Recievables for August 2009 Write off Prepared August 5,2009 " Date of Original Balance (or Balance placed in Account# Service collections) Payments Balance Due These Accounts are with MSB 90009-01 1/3/2005 $ 518.00 $ 518.00 90032-01 1/8/2005 $ 509.00 $ 509.00 90030-01 1/8/2005 $ 509.00 $ 509.00 90058-01 1/1712005 $ 176.90 $ 176.90 110027-01 1/18/2005 $ 644.00 $ 644.00 90056-01 1/16/2005 $ 509.00 $ 509.00 110030-01 1/18/2005 $ 689.00 $ 689.00 220005-01 _ 1/212005 $ 509.00 $ 509.00 90005-01 1/1/2005 $ 518.00 $ 518.00 130059-01 2/2/2005 $ - $ - 90137-01 2/9/2005 $ 50.00 $ 50.00 90180-01 2/19/2005 $ 50.00 $ 50.00 90099-01 1/29/2005 $ 509.00 $ 509.00 90068-01 112112005 $ 608.00 $ 608.00 220032-01 1/31/2005 $ 234.14 $ 234.14 90129-01 2/6/2005 $ 509.00 $ 509.00 130088-01 2/13/2005 $ 653.00 $ 653.00 90140-01 2/10/2005 $ 518.00 $ 518.00 90118-01 2/3/2005 $ 509.00 $ 509.00 130025-01 1/15/2005 $ - $ - 220036-01 2/3/2005 $ 227.16 $ 227.16 90006-01 11112005 $ 599.00 $ 599.00 90122-01 2/4/2005 $ 509.00 $ 509.00 220028-01 1/25/2005 $ 518.00 $ 518.00 220009-01 1/9/2005 $ 518.00 $ 518.00 130090-01 2/13/2005 $ 137.80 $ 137.80 90103-01 1/31/2005 $ 509.00 $ 509.00 90230-01 3/6/2005 $ 509.00 $ 509.00 220069-01 2/26/2005 $ 536.00 $ 536.00 130062-01 2/2/2005 $ 680.00 $ 680.00 90190-01 2/22/2005 $ 518.00 $ 518.00 90216-01 3/2/2005 $ 509.00 $ 509.00 90212-01 3/1/2005 $ 518.00 $ 518.00 130096-01 2/19/2005 $ 626.00 $ 626.00 130121-01 3/1/2005 $ 689.00 $ 689.00 90208-01 2/28/2005 $ 518.00 $ 518.00 110067-01 2111/2005 $ 536.00 $ 536.00 90066-01 1/26/2005 $ 509.00 $ 509.00 90126-01 2/4/2005 $ 518.00 $ 518.00 110091.01 2/23/2005 $ 707.00 $ 707.00 90185-01 2/21/2005 $ 518.00 $ 518.00 90159-01 2/14/2005 $ 599.00 $ 599.00 110092-01 2/24/2005 $ 61.60 $ 61.60 90245-01 3/11/2005 $ 518.00 $ 518.00 110075-01 2113/2005 $ 617.00 $ 617.00 90138-01 2/9/2005 $ 536.00 $ 536.00 90211-01 212812005 $ 509.00 $ 509.00 90152-01 2113/2005 $ 509.00 $ 509.00 90136-01 21912005 $ 509.00 $ 509.00 1 Exhibit A Monroe County Fire Rescue Ground Ambulance Account Recievables for August 2009 Write off Prepared August 5,2009 .' 170063-01 2/12/2005 $ 590.00 $ 590.00 90108-01 2/112005 $ 609.00 $ 609.00 90327-01 4/7/2005 $ 509.00 $ 509.00 90278-01 .3/19/2005 $ 545.00 $ 545.00 170129-01 3/23/2005 $ 249.80 $ 249.80 130256-01 4/24/2005 $ 689.00 $ 689.00 90280-01 3/20/2005 $ 509.00 $ 509.00 130143-01 3/15/2005 $ 671.00 $ 671.00 170101-01 3/7/2005 $ 639.80 $ 639.80 130100-01 2/20/2005 $ 662.00 $ 662.00 90175-01 2/18/2005 $ 545.00 $ 545.00 90352-01 4/18/2005 $ 509.00 $ 509.00 170173-01 .4/17/2005 $ 617.00 $ 617.00 90200-01 2/2612005 $ 509.00 $ 509.00 90203-01 2/27/2005 $ 509.00 $ 509.00 90239-01 3/6/2005 $ 509.00 $ 509.00 90350-01 4/16/2005 $ 509.00 $ 509.00 110070-01 2112/2005 $ 500.00 $ 500.00 90337-01 4/12/2005 $ 518.00 $ 518.00 90341-01 4/13/2005 $ 563.00 $ . 563.00 90166.01 2/21/2005 $ 509.00 $ 509.00 $ - 130219-01 4/1212005 $ 671.00 $ 671.00 90294-01 3/25/2005 $ 518.00 $ 518.00 90210-01 2/26/2005 $ 518.00 $ 518.00 130161-01 3/30f2005 $ 725.00 $ 725.00 110114-01 3/14/2005 $ 179.20 - $ - 179.20 110215.01 5/29/2005 $ 716.00 $ 716.00 220169-01 5/13/2005 $ 536.00 $ 50.00 $ 486.00 90386-01 5f5f2005 $ 518.00 $ 518.00 90400-01 5f11/2005 $ 554.00 $ 554.00 90362-01 4/22/2005 $ 205.00 $ 205.00 90428-01 5/25/2005 $ 509.00 $ 509.00 90369-01 4/26f2005 $ 527.00 $ 527.00 110215-02 5f29/2005 $ 500.00 $ 500.00 130292-01 5/11/2005 $ - $ - 90365-01 4/25/2005 $ 509.00 $ 509.00 110189.01 5/1112005 $ 527.00 $ 527.00 90381-01 5/212005 $ 509.00 $ 509.00 130305-01 5f19/2005 $ 698.00 $ 698.00 220182-01 5/28/2005 $. . 545.00 $ 545.00 170226-01 5/27/2005 $ 599.00 $ 599.00 170199-01 5/5/2005 $ 590.00 $ 590.00 110146-01 4/10/2005 $ 312.28 $ 312.28 220097-01 3f19f2005 $ 127.25 $ 127.25 90427-01 5f25/2005 $ 509.00 $ 509.00 130313-01 5/23/2005 $ 690.00 $ 690.00 130268-01 4/30/2005 $ 734.00 $ 734.00 90354-01 4/19/2005 $ 98.60 $ 98.60 170172-01 4/1712005 $ 324.70 $ 324.70 110134-01 3f27/2005 $ 117.80 $ 10.00 $ 107.80 90411-01 5/17/2005 $ - $ - 130345-01 5/22/2005 $ 210.00 $ 210.00 90426-01 5/25/2005 $ 518.00 $ 518.00 90308-01 3/30/2005 $ - $ - 2 Exhibit A Monroe County Fire Rescue Ground Ambulance Account Recrevables for August 2009 Write off " Prepared August 5, 2009 130127-01 3/3/2005 $ 140.00 $ 140.00 90384-01 5/5/2005 $ 545.00 $ 545.00 90430-01 5/26/2005 $ 509.00 $ 509.00 90410-01 . !j/15/2005 $ 554.00 $ 554.00 130178-01 3/29/2005 $ 32.00 $ 32.00 90503-01 6/20/2005 $ 509.00 $ 509.00 130382-01 6/28/2005 $ 680.00 $ 680.00 900456-01 6/1/2005 $ 509.00 $ 509.00 170079-01 2/2112005 $ 599.00 $ 599.00 90446-01 513012005 $ 518.00 $ 518.00 170254-01 6112/2005 $ 662.00 $ 662.00 90508-01 6/22/2005 $ 509.00 $ 509.00 130351-01 ..6111/2005 $ 671.00 $ 671.00 110248-01 6/30/2005 $ 680.00 $ 680.00 - - 110107-01 3/812005 $ 608.00 $ 608.00 130413-01 7/1512005 $ 680.00 $ 680.00 90358-01 4/2112005 $ 509.00 $ 509.00 130131-01 313/2005 $ - $ - 11 0225-0 1 61712005 $ 608.00 $ 608.00 110109-01 3/912005 $ 599.00 $ ....599.00 220202-01 611312005 $ 518.00 $ 518.00 90177-01 2/18/2005 $ 509.00 $ 509.00 170140-01 3129/2005 $ 590.00 $ 590.00 170313-01 7/26/2005 $ 61.70 $ 61.70 90317-01 412/2005 $ 545.00 $ 545.00 90176-01 2(18/2005 $ 554.00 - $ - 554.00 90267-01 311612005 $ 527.00 $ 527.00 90617-01 713112005 $ 581.00 $ 581.00 90271-01 3/17/2005 $ 618.00 $ 618.00 90395-01 518/2005 $ 509.00 $ 509.00 90254-01 3/13/2005 $ 518.00 $ 518.00 90485-01 6/13(2005 $ 518.00 $ 518.00 90517-01 612512005 $ 101.80 $ 101.80 90168-01 211612005 $ 509.00 $ 509.00 90224-01 3/4/2005 $ 518.00 $ 518.00 90390-01 5/6/2005 $ 563.00 $ 563.00 90405-01 5(14/2005 $ 509.00 $ 509.00 130197-01 413/2005 $ 707.00 $ 707.00 130149-01 3/18(2005 $ 662.00 $ 662.00 90264-01 3/16/2005 $. 527.00 $ 527.00 90272-01 311812005 $ 509.00 $ 509.00 90500-01 611912005 $ 572.00 $ 572.00 220096-01 3/19(2005 $ 527.00 $ 527.00 220105-01 3/2212005 $ 527.00 $ 527.00 90434-01 5/27/2005 $ - $ - 110099-01 311/2005 $ 680.00 $ 680.00 110204-01 5/2112005 $ 590.00 $ 590.00 130272-01 5/112005 $ 707.00 $ 707.00 90584-01 711912005 $ 545.00 $ 545.00 130322-01 5128/2005 $ 599.00 $ 599.00 220167-01 5/13(2005 $ 518.00 $ 518.00 170252-01 6(8/2005 $ 581.00 $ 581.00 130183-01 3/30/2005 $ 671.00 $ 671.00 90284-01 3/23/2005 $ 518.00 $ 518.00 3 Exhibit A Monroe County Fire Rescue Ground Ambulance Account Recievables for August 2009 Write off Prepared August 5,2009 '. 130240-01 4/18/2005 '$ 608.00 $ 608.00 130201-01 414/2005 $ 653.00 $ 653.00 130334-01 6/4/2005 $ - $ - 220177-01 5/21/2005 $ 527.00 $ 527.00 220208-01 6/22/2005 $ 189.03 $ 189.03 90200-02 212612005 $ 509.00 $ 509.00 90442-02 5/29/2005 $ 734.00 $ 734.00 90615-01 7/3012005 $ 509.00 $ 509.00 90420-01 5/21/2005 $ 509.00 $ 509.00 130248-01 4/21/2005 $ 662.00 $ 662.00 170227-01 5/27/2005 $ 689.00 $ 689.00 110149-01 411112005 $ 205.00 $ 205.00 220162-01 . _ 5/9/2005 $ 860.00 $ 860.00 110103-01 3/3/2005 $ 662.00 $ 662.00 130316-01 512512005 $ 653.00 $ 653.00 90349-01 4/16/2005 $ 509.00 $ 509.00 90603-01 7/25/2005 $ 509.00 $ 509.00 130232-01 4/13/2005 $ 707.00 $ 707.00 220187-01 5/31/2005 $ 518.00 $ 518.00 90417-01 5/20/2005 $ 509.00 $ .... 509.00 110175-01 4/30/0205 $ 653.00 $ 653.00 90214-01 3/1/2005 $ 545.00 $ 545.00 130221-01 4/1212005 $ 201.30 $ 201.30 90287 -01 3/23/2005 $ 509.00 $ 509.00 90302-01 3/2812005 $ 554.00 $ 554.00 90277-01 3/19/2005 $ 608.00 $ 608.00 90274-01 3/19/2005 $ 509.00 $ 509.00 220083-01 3/7/2005 $ 509.00 $ 509.00 220080-01 3/4/2005 $ 545.00 $ 545.00 90290-01 3/24/2005 $ 518.00 $ 518.00 790133-01 2/2712007 $ 509.00 $ 509.00 110127-01 3/23/05 $ 200.00 $ 200.00 110073-01 2113/05 $ 505.40 $ 505.40 130740-01 12125/05 $ 653.00 $ 653.00 90917-01 11/16/05 $ 545.00 $ 545.00 110281-01 7/29/05 $ 680.00 $ 680.00 130750-01 12/27105 $ 662.00 $ 662.00 170367-01 9/03/05 $ 626.00 $ 626.00 130753-01 12/29/05 $. 653.00 $ 653.00 90718-01 9106/05 $ 509.00 $ 509.00 90676-01 8/20/05 $ 518.00 $ 518.00 130721-01 12112105 $ 662.00 $ 662.00 170450-01 11/12/05 $ 833.00 $ 833.00 170462-01 11/18/05 $ 671.00 $ 671.00 90853-01 10126/05 $ 518.00 $ 518.00 110240-01 6/24/05 $ 896.00 $ 896.00 220393-02 12/10/05 $ 680.00 $ 680.00 110003-01 1/03105 $ 644.00 $ 644.00 130385-01 6/29/05 $ 662.00 $ 662.00 90910-01 11/13/05 $ 518.00 $ 518.00 90535-01 7/04/05 $ 518.00 $ 518.00 90479-01 6111105 $ 554.00 $ 554.00 91008-01 12/17105 $ 554.00 $ 554.00 4 Exhibit A Monroe County Fire Rescue Ground Ambulance Account RecievabJes for August 2009 Write off Prepared August 5, 2009 " 110354-01 1 Of 01 f05 $ 896.00 $ 896.00 110325-01 9f05f05 $ 689.00 $ 689.00 90665-02 81.14/05 $ 518.00 $ 518.00 90949.01 11/26/05 $ 536.00 $ 536.00 90989-01 12/10/05 $ 509.00 $ 509.00 130472-01 8/13/05 $ 770.00 $ 770.00 110262-01 711 Of05 $ 662.00 $ 662.00 90738-01 9f13f05 $ 509.00 $ 509.00 90347-01 4/15/05 $ 509.00 $ 509.00 220295-01 9/02/05 $ 536.00 $ 536.00 130331-01 6f01f05 $ 653.00 $ 653.00 90894-01 11/P9/05 $ 518.00 $ 518.00 90490-01 6/14/05 $ 518.00 $ 518.00 90624-01 10/17105 $ 518.00 $ 518.00 90833-01 10/19/05 $ 518.00 $ 518.00 90772-01 9/24/05 $ 545.00 $ 545.00 110457-01 12f15f05 $ 698.00 $ 698.00 170254-02 6/12/05 $ 662.00 $ 662.00 130649-01 11/07/05 $ 662.00 $ 662.00 90672-01 10f31f05 $ 518.00 $ 518.00 130361-01 6/28/05 $ 680.00 $ 680.00 90602-01 7/25/05 $ 509.00 $ 509.00 220237-01 7f14f05 $ 536.00 $ 536.00 130709-01 12/08/05 $ 662.00 $ 662.00 90593-01 7/23/05 $ 590.00 $ 590.00 130656-01 11/10/05 $ 635.00 $ 635.00 90668-01 8/27/05 $ 518.00 $ 518.00 90617-01 10/13/05 $ 518.00 $ 518.00 90639-01 8/07/05 $ 509.00 $ 509.00 110243-01 6/25/05 $ 671.00 $ 671.00 170469-01 11f23/05 $ 617.00 $ 617.00 110407-01 11/04/05 $ 680.00 $ 680.00 130470-01 8/11f05 $ 671.00 $ 671.00 90507-01 6f21/05 $ 545.00 $ 545.00 90526-01 6/30/05 $ 554:00 $ 554.00 90681-01 8/24/05 $ 545.00 $ 545.00 90435-01 5/27/05 $ 518.00 $ 518.00 110434-01 11/20/05 $, 635.00 $ 635.00 220294-01 9/01/05 $ 536.00 $ 536.00 90730-01 9/08/05 $ 123.00 $ 123.00 110478-01 12/29/05 $ 635.00 $ 635.00 90652-01 8/10/05 $ 518.00 $ 518.00 130510-01 9/07/05 $ 662.00 $ 662.00 170365-01 9/01/05 $ 662.00 $ 662.00 690507-01 6/01/06 $ 554.00 $ 554.00 90533-01 7/03/05 $ 509.00 $ 509.00 130686-01 11/26/05 $ 662.00 $ 662.00 170368-01 9/05f05 $ 680.00 $ 680.00 110155-01 4f14f05 $ 878.00 $ 878.00 130228-01 4/14/05 $ 662.00 $ 150.00 $ 512.00 90830-01 10/18/05 $ 554.00 $ 554.00 130377-01 6/25/05 $ 671.00 $ 671.00 5 Exhibit A Monroe County Fire Rescue Ground Ambulance Account Recievables for August 2009 Write off Prepared August 5, 2009 '. 130576-01 10/15/05 $ 680.00 $ 680.00 220322-01 10/01/05 $ 518.00 $ 518.00 110273-01 7/22/05 $ 653.00 $ 653.00 170872-01 91.08/05 $ 518.00 $ 518.00 130478-02 8/16/05 $ 581.00 $ 581.00 110335-01 9116105 $ 590.00 $ 590.00 91024-01 12123/05 $ 554.00 $ 554.00 130736-01 12/22/05 $ 662.00 $ 662.00 170335-01 8/13/05 $ 690.00 $ 690.00 130565-01 10/11/05 $ 644.00 $ 644.00 130448-01 7/29105 $ 662.00 $ 662.00 130477-01 8/16/05 $ 689.00 $ 689.00 90786-01 10/03/05 $ 509.00 $ 509.00 90598-01 7125105 $ 518.00 $ 518.00 90619-01 8/01105 $ 599.00 $ 599.00 90787-01 10/03/05 $ 518.00 $ 518.00 130652-01 11/08/05 $ 734.00 $ 734.00 110330-01 9/09/05 $ 671.00 $ 671.00 $ - 130674-01 11/21/05 $ 671.00 $ 671.00 130425-01 7/20/05 $ 698.00 $ .698.00 90697-01 8/29/05 $ 545.00 $ 545.00 90719-01 9/06/05 $ 518.00 $ 518.00 130671-01 11/19105 $ 662.00 $ 662.00 110421-01 11/13/05 $ 518.00 $ 518.00 90642-01 6106/05 $ 536.00 $ 536.00 90711-01 9104105 $ 509.00 $ 509.00 220254-01 7/26105 $ 608.00 $ 608.00 130407-01 7/12/05 $ - $ - $ - 170451-01 11/12/05 $ 833.00 $ 833.00 90654-01 1 0126/05 $ 554.00 $ 554.00 90608-01 7/27/05 $ 509.00 $ 509.00 220316-01 9/25/05 $ 509.00 $ 509.00 91006-01 12/16/05 $ 518.00 $ 518.00 110160-01 4/17105 $ 626.00 $ 626.00 90577-01 7117105 $ 105.40 $ 105.40 90887 -01 11/05105 $ 509.00 $ 509.00 90735-01 9/11105 $ 518.00 $ 518.00 90311-01 3/20/05 $ 518.00 $ 518.00 110022-01 1/14/05 $ 599.00 $ 599.00 170307-01 7/24/05 $. 509.00 $ 509.00 90594-01 7/23/05 $ 518.00 $ 518.00 90636-01 10/20r05 $ 509.00 $ 509.00 90836-01 10/19/05 $ 545.00 $ 545.00 90607-01 7126/05 $ 545.00 $ 545.00 170350-01 8121105 $ 662.00 $ 662.00 170290-01 7106105 $ 662.00 $ 662.00 90162-01 2115105 $ 554.00 $ 554.00 $ - 130465-01 8110105 $ 653.00 $ 653.00 220266-01 8103105 $ 518.00 $ 518.00 220364-01 11/01/05 $ 509.00 $ 509.00 130657-01 11/11105 $ 662.00 $ 662.00 90823-01 10/15105 $ 563.00 $ 563.00 110297-01 8/10/05 $ 378.50 $ 378.50 130451-01 8/02105 $ 116.20 $ 116.20 $ - 6 Exhibit A Monroe County Fire Rescue Ground Ambulance Account Recievabfes for August 2009 Write off Prepared August 5, 2009 '. 130468-02 8/11/05 $ 662.00 $ 662.00 90532-01 7/03/05 $ 618.00 $ 618.00 90736-01 9/11/05 $ 518.00 $ 518.00 130468-01 8n 1/05 $ 132.40 $ 132.40 MSB TOTAL $ 168,938.76 $ 2,060.20 $ 166,878.56 These Accounts are with AD?1 09000801 1/2/2005 $ 563.00 $ - $ 563.00 11000201 1/2/2005 $ 653.00 $ - $ 653.00 09001101 1/3/2005 $ 357.03 $ (285.62) $ 71.41 09001601 1/4/2005 $ 322.09 $ (257.67) $ 64.42 09002201 ..1/6/2005 $ 563.00 $ - $ 563.00 09002801 1/8/2005 $ 518.00 $ $ 518.00 11001301 1/8/2005 $ 434.39 $ (339.95) $ 94.44 22001401 1/10/2005 $ 617.00 $ $ 617.00 22001501 1/13/2005 $ 368.13 $ (294.51) $ 73.62 17002002 1/14/2005 $ 554.00 $ - $ 554.00 17002102 1/14/2005 $ 905.00 $ - $ 905.00 09005501 1/16/2005 $ 554.00 $ - $ 554.00 11002301 1/16/2005 $ 752.00 $ - $ 752.00 11002401 1/16/2005 $ 671.00 $ (536.80) $ 134.20 09006101 1/18/2005 $ 411.80 $ (329.44) $ 82.36 11003301 1/20/2005 $ 510.26 $ (408.20) $ 102.06 11003401 1/20/2005 $ 464.22 $ (371.38) $ 92.84 11003701 1/22/2005 $ 549.95 $ (462.12) $ 87.83 11003901 1/24/2005 $ 599.00 $ - $ 599.00 09008601 1/26/2005 $ 403.07 $ (322.46) $ 80.61 09002301 1/27/2005 $ 518.00 $ (118.99) $ 399.01 13004601 1/27/2005 $ 524.55 $ (331.64) $ 192.91 09009301 1/28/2005 $ 518.00 $ - $ 518.00 11004901 1/31/2005 $ 518.20 $ (414.56) $ 103.64 09010401 2/1/2005 $ 645.00 $ (357.76) $ 287.24 09010501 2/1/2005 $ 322.09 $ (257.67) $ 64.42 22003401 2/2/2005 $ 313.36 $ (25o.s8) $ 62.68 22003501 2/2/2005 $ 359.40 $ (287.52) $ 71.88 09012001 2/3/2005 $ 563.00 $ - $ 563.00 22004001 2/5/2005 $ 1,048.09 $ (838.48) $ 209.61 17006001 2nt2005 $ 725.00 $ - $ 725.00 09013301 2/8/2005 $ . 509.00 $ - $ 509.00 09014201 2/10/2005 $ 359.40 $ (287.52) $ 71.88 11006201 2/10/2005 $ 511.85 $ (409.48) $ 102.37 13008401 2/12/2005 $ 459.46 $ (367.56) $ 91.90 17006501 2/12/2005 $ 499.14 $ (399.32) $ 99.82 22004601 2/12/2005 $ 368.13 $ (294.51) $ 73.62 11007101 2/13/2005 $ 698.00 $ - $ 698.00 13008601 2/13/2005 $ 505.50 $ (404.40) $ 101.10 17006601 2/14/2005 $ 689.00 $ (303.75) $ 385.25 17007101 2/16/2005 $ 438.01 $ (350.41 ) $ 87.60 22005101 2/16/2005 $ 509.00 $ (337.02) $ 171.98 09017401 2/1712005 $ 518.00 $ - $ 518.00 09017901 2/19/2005 $ 509.00 $ - $ 509.00 22005501 2/20/2005 $ 509.00 $ - $ 509.00 22005801 2/21/2005 $ 322.09 $ (257.67) $ 64.42 7 Exhibit A Monroe County Fire Rescue Ground Ambulance Account Recievables for August 2009 Write off Prepared August 5, 2009 '. 22005901 2/21/2005 $ 207.26 $ (165.81) $ 41.45 22006001 2/21/2005 $ 376.88 $ (301.51) $ 75.37 13010801 2/23/2005 $ 530.89 $ (424.72) $ 106.17 13010901 2123/2905 $ 662.00 $ - $ 662.00 17008201 2/23/2005 $ 653.00 $ (593.52) $ 59.48 22006401 2/23/2005 $ 238.75 $ (225.01) $ 13.74 22006502 2/23/2005 $ 304.37 $ (238.20) $ 66.17 22006601 2/23/2005 $ 527.00 $ - $ 527.00 22006701 2/24/2005 $ 527.00 $ . $ 527.00 11009401 2/27/2005 $ 472.16 $ (377. 72) $ 94.44 17008701 2/27/2005 $ 372.59 $ (272.59) $ 100.00 09022201 3/4/2005 $ 359.40 $ (292.52) $ 66.88 09022501 . .3/4/2005 $ 313.36 $ (250.68) $ 62.68 09022601 3/4/2005 $ 509.00 $ - $ 509.00 09023201 3/6/2005 $ 509.00 $ - $ 509.00 17009801 3/6/2005 $ 671.00 $ - $ 671.00 09023601 3/7/2005 $ 545.00 $ - $ 545.00 09024101 3/9/2005 $ 545.00 $ (495.00) $ 50.00 17010901 3/14/2005 $ 455.47 $ (364.38) $ 91.09 09026901 3/17/2005 $ 313.36 $ (250.68) $ . 62.68 17011602 3118/2005 $ 500.00 $ (100.00) $ 400.00 13016001 3/21/2005 $ 511.85 $ (409.48) $ 102.37 22010301 3/21/2005 $ 536.00 $ (86.00) $ 450.00 22010601 3/24/2005 $ 509.00 $ - $ 509.00 13016801 3/25/2005 $ 422.70 $ (330.80) $ 91.90 09030001 3/27/2005 $ 545.00 $ - $ 545.00 -. q 11013101 3/27/2005 $ 434.39 $ (339.95) $ 94.44 09030501 3/28/2005 $ 509.00 $ - $ 509.00 22010901 3/29/2005 $ 545.00 $ . $ 545.00 11013801 3/31/2005 $ 626.00 $ - $ 626.00 09031501 4/1/2005 $ 359.40 $ (207.61) $ 151.79 11013901 4/112005 $ 459.46 $ (319.78) $ 139.68 09032101 4/4/2005 $ 350.67 $ (280.54) $ 70.13 13020001 4/4/2005 $ 662.00 $ (200.00) $ 462.00 22011901 415/2005 $ 313.36 $ (250.68) $ 62.68 17015201 4/6/2005 $ 359.40 $ (287.52) $ 71.88 09033501 4/11/2005 $ 403.07 $ (322.46) $ 80.61 09033601 4/12/2005 $ 518.00 $ . $ 518.00 09033901 4/14/2005 $ 368.13 $ (294.51) $ 73.62 11015401 4/14/2005 $ . . 543.60 $ (434.88) $ 108.72 11015601 4/14/2005 $ 497.56 $ (398.04) $ 99.52 22013401 411412005 $ 509.00 $ (337.02) $ 171.98 22013501 4/15/2005 $ 444.37 $ (355.49) $ 88.88 13023701 4/1612005 $ 459.46 $ (367.56) $ 91.90 09035101 411612005 $ 322.09 $ (257.67) $ 64.42 11016101 4/18/2005 $ 537.25 $ (429.80) $ 107.45 22014101 4/19/2005 $ 527.00 $ (10.00) $ 517.00 22014501 412112005 $ 527.00 $ - $ 527.00 17018101 4/22/2005 $ 563.00 $ - $ 563.00 11016801 4/27/2005 $ 524.55 $ (419.64) $ 104.91 13026301 4/28/2005 $ 459.46 $ (367.56) $ 91.90 11017401 4/29/2005 $ 464.22 $ (371.38) $ 92.84 11017901 5/2/2005 $ 472.16 $ (377. 72) $ 94.44 22015801 5/3/2005 $ 500.00 $ - $ 500.00 8 Exhibit A Monroe County Fire Rescue Ground Ambulance Account Recievables for August 2009 Write off '. Prepared August 5, 2009 09038801 5/5/2005 $ 394.34 $ (315.48) $ 78.86 13028401 5/5/2005 $ 518.20 $ (414.56) $ 103.64 13028701 5/6/2005 $ 608.00 $ - $ 608.00 13028801 . !j/6/2005 $ 662.00 $ - $ 662.00 22016001 5/9/2005 $ 207.26 $ (165.81) $ 41.45 22016101 5/9/2005 $ 207.26 $ (165.81) $ 41.45 17021301 5/13/2005 $ 499.14 $ (399.32) $ 99.82 17021501 5/14/2005 $ 698.00 $ (359.95) $ 338.05 13029901 5/15/2005 $ 698.00 $ (558.40) $ 139.60 17021801 5/15/2005 $ 590.00 $ - $ 590.00 13030201 5/18/2005 $ 716.00 $ - $ 716.00 22017301 5/18/2005 $ 216.01 $ (172.81) $ 43.20 22017601 .5/20/2005 $ 509.00 $ (458.10) $ 50.90 09041801 5/21/2005 $ 359.40 $ (287.52) $ 71.88 13030801 5/2112005 $ 549.95 $ (439.96) $ 109.99 11020901 5/26/2005 $ 464.22 $ (371.38) $ 92.84 11021001 5/26/2005 $ 550.46 $ (440.37) $ 110.09 13031701 5/26/2005 $ 465.81 $ (372.64) $ 93.17 13031801 5/26/2005 $ 662.00 $ (500.00) $ 162.00 22018301 5/28/2005 $ 518.00 $ - $ 518.00 22018501 5/28/2005 $ 563.00 $ (304.02) $ 258.98 09044201 5/29/2005 $ 734.00 $ - $ 734.00 09044701 5/30/2005 $ 365.76 $ (292.60) $ 73.16 09045001 5/30/2005 $ 368.13 $ (294.51) $ 73.62 11021701 5/30/2005 $ 518.20 $ (414.56) $ 103.64 13032901 5/30/2005 $ . 725.00 $ - . $ - . 725.00 17023901 5/30/2005 $ 585.93 $ (468.74) $ 117.19 90045501 6/1/2005 $ 509.00 $ - $ 509.00 11022001 61212005 $ 530.89 $ (424.72) $ 106.17 11022201 61212005 $ 707.00 $ (527.50) $ 179.50 13032601 61212005 $ 510.26 $ (408.20) $ 102.06 17024201 6/5/2005 $ 590.00 $ (565.00) $ 25.00 09046401 6/6/2005 $ 518.00 $ - $ 518.00 13034001 6n/2005 $ 543.60 $ (434.88) $ 108.72 17025101 6n/2005 $ 365.76 $ (292.60) $ 73.16 13034401 6/8/2005 $ 510.26 $ (408.20) $ 102.06 09047401 6/10/2005 $ 518.00 $ - $ 518.00 22019601 6/10/2005 $ 563.00 $ - $ 563.00 22020001 6/10/2005 $ 359.40 $ (287.52) $ 71.88 09048401 6/13/2005 $ . . 420.55 $ (378.51) $ 42.04 13035601 6/13/2005 $ 572.00 $ (163.80) $ 408.20 13036701 6/19/2005 $ 466.84 $ (366.84) $ 100.00 09050401 6/20/2005 $ 368.13 $ (294.51) $ 73.62 13037201 6/23/2005 $ 478.51 $ (382.80) $ 95.71 09051401 6/24/2005 $ 581.00 $ - $ 581.00 13037501 6/25/2005 $ 608.00 $ (598.00) $ 10.00 11024401 6/26/2005 $ 344.40 $ (324.40) $ 20.00 13037801 6/26/2005 $ 707.00 $ - $ 707.00 13037802 6/26/2005 $ 707.00 $ - $ 707.00 13037803 6/26/2005 $ 707.00 $ - $ 707.00 13037804 6/26/2005 $ 707.00 $ - $ 707.00 09052101 6/27/2005 $ 359.40 $ (287.52) $ 71.88 17027201 6/27/2005 $ 500.00 $ - $ 500.00 17027301 6/28/2005 $ 617.00 $ - $ 617.00 9 Exhibit A Monroe County Fire Rescue Ground Ambulance Account Recievables for August 2009 Write off " Prepared August 5, 2009 09052501 612912005 $ 545.00 $ (200.00) $ 345.00 17027601 6/30/2005 $ 608.00 $ . $ 608.00 09052801 7/112005 $ 509.00 $ $ 509.00 09053001 . 7/2/2005 $ 509.00 $ (106.39) $ 402.61 17028001 71212005 $ 689.00 $ (211.00) $ 478.00 17028101 71212005 $ 590.00 $ (419.94) $ 170.06 17026401 7/312005 $ 698.00 $ . $ 698.00 13039601 7/412005 $ 708.00 $ (608.00) $ 100.00 11025501 715/2005 $ 671.00 $ (425.60) $ 245.40 09054401 7/6/2005 $ 527.00 $ . $ 527.00 09054701 7/7/2005 $ 509.00 $ - $ 509.00 11025601 71712005 $ 626.00 $ (221.65) $ 404.35 22022401 . .~m/2005 $ 359.40 $ (287.52) $ 71.88 11026101 7/10/2005 $ 418.18 $ (334.54) $ 83.64 09056501 7/13/2005 $ 518.00 $ - $ 518.00 13041101 7/14/2005 $ 459.46 $ (367.56) $ 91.90 09057501 711612005 $ 322.09 $ (257.67) $ 64.42 13041601 711612005 $ 653.00 $ . $ 653.00 09057601 711712005 $ 509.00 $ (150.00) $ 359.00 13041901 7/1712005 $ 761.35 $ (529.08) $ 232.27 13042301 7/1712005 $ 660.00 $ - $ 680.00 09058501 7/19/2005 $ 518.00 $ (263.20) $ 254.80 22024501 7/19/2005 $ 348.30 $ (278.64) $ 69.66 13042901 7/21/2005 $ 680.00 $ . $ 680.00 13043001 7/21/2005 $ 509.00 $ - $ 509.00 22024601 7/21/2005 $ .. 527.00 $ '" $ 527.00 09059001 7/2212005 $ 545.00 $ (490.00) $ 55.00 22024701 7/22/2005 $ 518.00 $ (362.60) $ 155.40 13043401 7/24/2005 $ 660.00 $ (610.00) $ 70.00 09059701 7/25/2005 $ 618.00 $ . $ 618.00 13043801 7/26/2005 $ 459.46 $ (367.56) $ 91.90 13044001 7/2612005 $ 734.00 $ (587.20) $ 146.80 22025501 712612005 $ 660.00 $ - $ 680.00 11027501 712712005 $ 763.00 $ (663.00) $ 100.00 11027801 712812005 $ 660.00 $ (100.00) $ 580.00 09061301 712912005 $ 368.13 $ (294.51) $ 73.62 17031601 7129/2005 $ 590.00 $ . $ 590.00 17031801 712912005 $ 590.00 $ (556.75) $ 33.25 13044901 7/30/2005 $ 500.00 $ . $ 500.00 09061801 7/31/2005 $ . 518.00 $ . $ 518.00 09062001 8/1/2005 $ 359.40 $ (287.52) $ 71.88 09062101 8/1/2005 $ 518.00 $ (312.00) $ 206.00 09062102 8/1/2005 $ 518.00 $ - $ 518.00 09062201 8/1/2005 $ 599.00 $ - $ 599.00 13045001 81112005 $ 608.00 $ - $ 608.00 22026301 8/1/2005 $ 527.00 $ . $ 527.00 09062401 812/2005 $ 170.20 $ (46.06) $ 124.12 13045301 8/4/2005 $ 671.00 $ $ 671.00 22026701 814/2005 $ 590.00 $ - $ 590.00 22026601 814/2005 $ 518.00 $ . $ 518.00 11028601 815/2005 $ 662.00 $ . $ 662.00 09063201 816/2005 $ 509.00 $ . $ 509.00 09063701 816/2005 $ 420.55 $ (336.44) $ 84.11 11028701 816/2005 $ 617.00 $ (343.80) $ 273.20 10 Exhibit A Monroe County Fire Rescue Ground Ambulance Account Recievables for August 2009 Write off Prepared August 5, 2009 . 11028901 8/6/2005 $ 617.00 $ - $ 617.00 09063801 8/7/2005 $ 518.00 $ - $ 518.00 09064501 8/8/2005 $ 518.00 $ - $ 518.00 09064701 , 8/8/2005 $ 518.00 $ - $ 518.00 11029301 8/8/2005 $ . 644.00 $ - $ 644.00 11029501 8/9/2005 $ 500.00 $ - $ 500.00 13046101 8/9/2005 $ 662.00 $ - $ 662.00 22027301 8/9/2005 $ 509.00 $ - $ 509.00 22027401 8/9/2005 $ 518.00 $ - $ 518.00 11029801 8/11/2005 $ 626.00 $ (485.00) $ 141.00 09065901 8/12/2005 $ 518.00 $ - $ 518.00 09066101 8/13/2005 $ 518.00 $ - $ 518.00 09066401 .8/1312005 $ 518.00 $ - $ 518.00 09066501 8/14/2005 $ 518.00 $ - $ 518.00 09066601 811412005 $ 518.00 $ - $ 518.00 09066701 8/14/2005 $ 518.00 $ - $ 518.00 09066801 8/15/2005 $ 518.00 $ (160.80) $ 357.20 13047801 8/16/2005 $ 581.00 $ - $ 581.00 17034001 8/16/2005 $ 500.00 $ - $ 500.00 13048001 8/17/2005 $ 662.00 $ - $ 662.00 11030401 8/18/2005 $ 653.00 $ (436.00) $ 217.00 09067501 8/1912005 $ 554.00 $ (300.40) $ 253.60 13048201 8/19/2005 $ 453.10 $ (362.48) $ 90.62 09067701 8/20/2005 $ 368.13 $ (294.51) $ 73.62 09067901 8/22/2005 $ 509.00 $ (305.40) $ 203.60 13048501 8/25/2005 $ 689.00 $ - $ 689.00 13049401 8/27/2005 $ 662.00 $ - $ 662.00 11031601 8/28/2005 $ 680.00 $ - $ 680.00 13049701 8/30/2005 $ 388.40 $ (368.65) $ 19.75 09070301 8/31/2005 $ 554.00 $ - $ 554.00 11032102 8/31/2005 $ 545.00 $ (195.15) $ 349.85 09070501 911/2005 $ 368.13 $ (294.51) $ 73.62 09070701 9/2/2005 $ 599.00 $ (135.30) $ 463.70 09070801 9/2/2005 $ 608.00 $ (315.70) $ 292.30 13050501 9/2/2005 $ 368.40 $ (348.40) $ 20.00 17036601 9/2/2005 $ 617.00 $ (347.00) $ 270.00 13050801 9/512005 $ .689.00 $ - $ 689.00 09072001 9/612005 $ 320.44 $ (250.78) $ 69.66 11032601 9/6/2005 $ 499.14 $ (399.32) $ 99.82 17037201 9/7/2005 $ . 518.00 $ (414.40) $ 103.60 22030201 91712005 $ 509.00 $ (459.00) $ 50.00 11032902 9/8/2005 $ 653.00 $ - $ 653.00 13051201 9/8/2005 $ 524.55 $ (419.64) $ 104.91 13051301 9/8/2005 $ 689.00 $ (574.00) $ 115.00 13051501 9/8/2005 $ 662.00 $ - $ 662.00 11033102 9/9/2005 $ 505.50 $ (404.40) $ 101.10 13052201 9/11/2005 $ 698.00 $ - $ 698.00 17037501 9/11/2005 $ 472.95 $ (378.36) $ 94.59 11033301 9/12/2005 $ 500.12 $ (391.40) $ 108.72 13052401 9/12/2005 $ 662.00 $ - $ 662.00 13052601 9/13/2005 $ 662.00 $ - $ 662.00 09074801 9/16/2005 $ 374.51 $ (299.61) $ 74.90 13053101 9/16/2005 $ 752.00 $ - $ 752.00 17037601 9/16/2005 $ 726.00 $ - $ 726.00 11 t Exhibit A Monroe County Fire Rescue Ground Ambulance Account Recievabfes for August 2009 Write off Prepared August 5, 2009 , 09074901 9/17/2005 $ 509.00 $ - $ 509.00 13053301 9/1712005 $ 698.00 $ (598.50) $ 99.50 17037701 911712005 $ 563.00 $ - $ 563.00 22030601 ~/18/2005 $ 518.00 $ (292.38) $ 225.62 22030901 9/1912005 $ 359.40 $ (287.52) $ 71.88 09076201 9120/2005 $ 1,607.00 $ - $ 1,607.00 17037901 9/20/2005 $ 500.00 $ - $ 500.00 17037902 9/2012005 $ 500.00 $ - $ 500.00 17038101 9/20/2005 $ 518.00 $ - $ 518.00 09077001 9/23/2005 $ 563.00 $ - $ 563.00 11034301 9/2312005 $ 411.80 $ (329.44) $ 82.36 09077101 9124/2005 $ 527.00 $ - $ 527.00 13054801 . 9/25/2005 $ 698.00 $ (493.00) $ 205.00 13055201 9/28/2005 $ 590.00 $ (258.78) $ 331.22 22032101 101112005 $ 509.00 $ (239.54) $ 269.46 09078901 10/3/2005 $ 518.00 $ (252.90) $ 265.10 11035601 1 0/3/2005 $ 771.00 $ - $ 771.00 09079601 10/6/2005 $ 572.00 $ - $ 572.00 09079701 10/6/2005 $ 403.07 $ (322.46) $ 80.61 22033101 10/9/2005 $ 339.57 $ (271.65) $ 67.92 13056201 10/11/2005 $ 689.00 $ (618.00) $ 71.00 13056401 10/11/2005 $ 680.00 $ (578.00) $ 102.00 11036401 10/1212005 $ 1.049.00 $ (864.00) $ 185.00 13057001 10/1212005 $ 707.00 $ - $ 707.00 22033401 10/12/2005 $ 500.00 $ - $ 500.00 09081601 10/13/2005 $ 581.00 $ - $ 581.00 09b81602 10/13/2005 $ 581.00 $ - $ 581.00 22033501 10/13/2005 $ 313.36 $ (282.03) $ 31.33 13057301 10/15/2005 $ 689.00 $ (614.00) $ 75.00 11036701 10/18/2005 $ 653.00 $ (365.40) $ 287.60 22033901 10/18/2005 $ 518.00 $ - $ 518.00 09083501 1 0/19/2005 $ 518.00 $ - $ 518.00 09083701 10/1912005 $ 509.00 $ - $ 509.00 17040701 10/1912005 $ 680.00 $ (75.67) $ 604.33 11037002 10/20/2005 $ 689.00 $ - $ 689.00 09084301 10/21/2005 $ 554.00 $ - $ 554.00 09084401 10/21/2005 $ .509.00 $ - $ 509.00 17040901 10/22/2005 $ 472.95 $ (378.36) $ 94.59 22034801 10/25/2005 $ 322.09 $ (257.67) $ 64.42 11038301 10/26/2005 $. 543.60 $ (434.88) $ 108.72 13059301 10/26/2005 $ 680.00 $ - $ 680.00 17042401 10/26/2005 $ 671.00 $ (372.50) $ 298.50 22035401 10/27/2005 $ 1,364.00 $ - $ 1.364.00 22035501 10/27/2005 $ 905.00 $ - $ 905.00 11038701 10/28/2005 $ 680.00 $ - $ 680.00 22035701 10/28/2005 $ 572.00 $ - $ 572.00 11039201 10/29/2005 $ 734.00 $ (513.80) $ 220.20 17042601 10/29/2005 $ 617.00 $ - $ 617.00 22035801 10/29/2005 $ 322.09 $ (257.67) $ 64.42 09084302 10/30/2005 $ 518.00 $ - $ 518.00 09086601 10/30/2005 $ 527.00 $ (318.00) $ 209.00 17043102 10/31/2005 $ 374.51 $ (299.60) $ 74.91 22035901 10/3112005 $ 949.26 $ (759.40) $ 189.86 09087401 11/1/2005 $ 572.00 $ - $ 572.00 12 Exhibit A Monroe County Fire Rescue Ground Ambulance Account Recievables for August 2009 Write off Prepared August 5,2009 , 09087801 11/212005 $ 518.00 $ . $ 518.00 13064201 11/3/2005 $ 590.00 $ (472.00) $ 118.00 13064401 11/3/2005 $ 505.50 $ (404.40) $ 101.10 09088601 ~ 1/5/2005 $ 509.00 $ - $ 509.00 11040801 1'1/5/2005 $ 662.00 $ (225.41 ) $ 436.59 22036502 11/6/2005 $ 518.00 $ (414.40) $ 103.60 17044401 11/7/2005 $ 677.20 $ (461.76) $ 215.44 22036701 11/8/2005 $ 618.00 $ - $ 618.00 09089601 11/10/2005 $ 322.09 $ (257.67) $ 64.42 09089701 11/10/2005 $ 527.00 $ - $ 527.00 11041401 11/1012005 $ 919.09 $ (735.27) $ 183.82 17044801 11/10/2005 $ 716.00 $ (501.20) $ 214.80 09090701 11/13/2005 $ 878.00 $ . $ 878.00 09090901 11/13/2005 $ 878.00 $ - $ 878.00 11041601 11/13/2005 $ 896.00 $ - $ 896.00 11041701 11/13/2005 $ 896.00 $ - $ 896.00 11041901 11/13/2005 $ 896.00 $ - $ 896.00 09091201 11/14/2005 $ 950.00 $ - $ 950.00 09091301 11114f2005 $ 950.00 $ - $ 950.00 22037301 11114f2005 $ 518.00 $ - $ 518.00 17045701 1111512005 $ 590.00 $ (200.00) $ 390.00 09091801 11116/2005 $ 509.00 $ - $ 509.00 11042001 11116/2005 $ 972.67 $ (778.14) $ 194.53 09092401 11/1712005 $ 518.00 $ - $ 518.00 11043101 11/1712005 $ 638.85 $ (574.96) $ 63.89 17045901 11/1712005 $ 330.84 $ (264.67) $ 66.17 1704i5001 11/17/2005 - $ 617.00 $ - $ 617.00 09092601 11/18/2005 $ 518.00 $ - $ 518.00 22037801 11/18/2005 $ 509.00 $ - $ 509.00 22037901 11/18f2005 $ 1,167.00 $ - $ 1.167.00 09092901 11/1912005 $ 572.00 $ (209.40) $ 362.60 09093101 11I20f2005 $ 518.00 $ - $ 518.00 09093801 l1f2112005 $ 518.00 $ - $ 518.00 13068001 1112212005 $ 680.00 $ (486.34) $ 193.66 22038201 1112212005 $ 518.00 $ - $ 518.00 09094501 11124/2005 $ 518.00 $ - $ 518.00 09094701 11/25/2005 $ .572.00 $ - $ 572.00 09094801 11/25/2005 $ 509.00 $ . $ 509.00 13068501 11/25/2005 $ 644.00 $ - $ 644.00 17047101 11/25/2005 $ . 527.00 $ (343.20) $ 183.80 09095501 11/2812005 $ 509.00 $ - $ 509.00 09095601 11129/2005 $ 518.00 $ - $ 518.00 13068901 11/29/2005 $ 698.00 $ - $ 698.00 11044401 11/30/2005 $ 662.00 $ - $ 662.00 02238801 12/212005 $ 409.43 $ (327.54) $ 81.89 09097001 12/4/2005 $ 518.00 $ - $ 518.00 09097401 12/4f2005 $ 518.00 $ (388.50) $ 129.50 13070401 12/412005 $ 653.00 $ (457.10) $ 195.90 09097801 12/612005 $ 636.00 $ (327.76) $ 308.24 09098001 12nJ2005 $ 368.13 $ (294.51) $ 73.62 13070801 12nJ2005 $ 680.00 $ . $ 680.00 17048301 121712005 $ 608.00 $ - $ 608.00 09098301 121812005 $ 518.00 $ - $ 518.00 17048401 1218/2005 $ 599.00 $ - $ 599.00 13 , Exhibit A Monroe County Fire Rescue Ground Ambulance Account Recievables for August 2009 Write off Prepared August 5, 2009 '. 11045201 12/9/2005 $ 671.00 $ - $ 671.00 22039301 12/10/2005 $ 680.00 $ - $ 660.00 09099001 12/1112005 $ 403.07 $ (322.46) $ 80.61 17048501 1 ?l11/2005 $ 717.00 $ (200.00) $ 517.00 11045501 12/12/2005 $ 869.00 $ - $ 869.00 09099501 12/13/2005 $ 518.00 $ (377.60) $ 140.40 09100101 12/14/2005 $ 518.00 $ - $ 518.00 17048901 12/14/2005 $ 429.28 $ (343.43) $ 85.85 17049001 12/14/2005 $ 383.24 $ (306.59) $ 76.65 22039701 12/14/2005 $ 509.00 $ . $ 509.00 11045801 12/16/2005 $ 214.20 $ (194.20) $ 20.00 22039901 12/16/2005 $ 509.00 $ (214.73) $ 294.27 09101101 t 2/1712005 $ 518.00 $ (259.70) $ 258.30 13072701 12/18/2005 $ 464.22 $ (371.38) $ 92.84 13072901 12/18{2005 $ 707.00 $ (442.00) $ 265.00 09101601 12/20/2005 $ 411.80 $ (329.44) $ 82.36 09101901 12/21/2005 $ 518.00 $ - $ 518.00 13073301 12/21/2005 $ 671.00 $ - $ 671.00 11046501 12/22/2005 $ 662.00 $ - $ 662.00 13073701 12/22/2005 $ 680.00 $ - $ 680.00 09102201 12/23/2005 $ 545.00 $ - $ 545.00 09102301 12/23/2005 $ 518.00 $ (265.29) $ 252.71 09102801 12/25/2005 $ 563.00 $ - $ 563.00 09102901 12/25/2005 $ 518.00 $ - $ 518.00 13074201 12{26/2005 $ 465.81 $ (372.64) $ 93.17 09104101 12/29{2005 $ 536.00 $ - $ 536.00 09104201 12/29/2005 $ 509.00 $ - $ 509.00 13075501 12/30/2005 $ 653.00 $ - $ 653.00 ADPI TOTAL $ 220,005.93 $(75,844.36) $ 144,161.57 ~RAND TOTAL OF MSB & ADPf $ 388,944.69 $(73,784.16)T $ 311,040.13 14