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BOARD OF GOVERNORS FIRE AND AMBULANCE DISTRICT 1 AGENDA ITEM SUMMARY Meeting Date: August 18. 2010 Bulk Item: Yes ~ No Division: Emergency Services Department: Fire Rescue Staff Contact Person: Camille Dubroff AGENDA ITEM WORDING: Approval of Resolution authorizing the write-off of Fire Rescue ground ambulance accounts receivable for CY 2006, in the total amount of$315,822.09 from the Fire Rescue District 1 Fund Account 141-115002. ITEM BACKGROUND: Monroe County contracts with Advanced Data Processing Inc., (AD PI) for ambulance billing, and after 210 days of inactivity, these accounts were placed with Municipal Services Bureau (MSB), our collection agency, to further attempt collection. Once a period of 3 years from the date of incident has elapsed, and 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 674 accounts, in the total amount of $315,822.09, repre-senting the period of January 2006 through December 2006. (See attached Exhibit A) These debts represent 674 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 bankruptcy; a minor with no guardian or patient found; uncollectible balances of MedicaidJMedicare; small exceptions balances; HMO balances; patient financially indigent (homeless); foreign address; unwarranted transports (transport did not meet the medical necessity criteria required by Medicaid); and/or refuses to pay. 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. . ~ PREVIOUSRELEV ANT BOG ACTION: 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. On September 16,2009 Resolution No. 280-2009 authorized the write off of EMS Ambulance Account Receivable in the total amount of $311 ,040.13. CONTRACT/AGREEMENT CHANGES: N/A ST AFF RECOMMENDATIONS: Approval as written. TOTAL COST: N/A INDIRECT COST: BUDGETED: Yes No DIFFERENTIAL OF LOCAL PREFERENCE: N/A COST TO COUNTY: N/A SOURCE OF FUNDS: N/A REVENUE PRODUCING: Yes No ~MOUNT PER MONTH Year APPROVED BY, County Att~ 4urc~ing _ Risk Management~ DOCUMENT A TION: Included ~ Not Required DISPOSITION: Revised 07/09 AGENDA ITEM # Emergency Services RESOLUTION NO. -2010 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 YEAR 2006 WHEREAS, Monroe County Fire Rescue Services provides ground ambulance service; and WHEREAS, the Board of Governors of the Fire and Ambulance District 1 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 2006 through December 2006; and WHEREAS, a report was provided by Advanced Data Processing, Inc. on accounts that it was determined that fuliher 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 oL Medicaid/Medicare, and/or have small exceptions balances for the time period of January 2006 through December 2006. 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 $315,822.09 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 , 2010. Representative Norman Anderson Representative William Dilley Alternate Representative Clark Snow Commissioner Kim Wigington Commissioner Sylvia Murphy Commissioner Heather Carruthers (SEAL) BOARD OF GOVERNORS, FIRE AND AMBULANCE DISTRICT 1 OF MONROE COUNTY, FLORIDA By: Mayor/Chairperson Attest DANNY L.KOLHAGE, Clerk By Deputy Clerk Exhibit A Monroe County Fire Rescue Ground Ambulance Account Recievables for August 2010 Write off Prepared July 14, 2010 Original balance (or Balance when Acct# DOS sent to collections) Payments Final Balance' These accounts are with MSB 620111-01 4/1 0/2006 $ 501.80 $ - $ 501.80 690642-01 9/26/2006 $ 554.00 $ - $ 554.00 690643-01 9/26/2006 $ 545.00 $ (545.00) $ - 690840-01 12/24/2006 $ 509.00 $ - $ 509.00 630331-01 6/3/2006 $ 509.00 $' - $ 509.00 620115-01 4/12/2006 $ 518.00 $ - $ 518.00 630536-01 9/26/2006 $ 662.00 $ - $ 662.00 670067-01 2/22/2006 $ 536.00 $ - $ 536.00 690755-01 11/22/2006 $ - $ - $ - 610267-01 8/4/2006 $ 626.00 $ - $ 626.00 690809-01 12/13/2006 $ - $ - $ - 690626-01 9/22/2006 $ 518.00 $ - $ 518.00 690279-01 4/20/2006 $ 509.00 $ - $ 509.00 690439-01 7/1/2006 $ 518.00 $ - $ 518.00 690677-01 10/14/2006 $ 238.60 $ - $ 238.60 690728-01 11/12/2006 $ 509.00 $ - $ 509.00 630523-01 9/18/2006 $ 662.00 $ - $ 662.00 690740-01 11/17/2006 $ 554.00 $ - $ 554.00 670159-01 4/28/2006 $ 680.00 $ - $ 680.00 630606-01 11/8/2006 $ - $ - $ - 690337-01 5/14/2006 $ 509.00 $ - $ 509.00 620081-01 3/15/2006 $ 626.00 $ - $ 626.00 670189-01 6/16/2006 $ - $ - $ - 630406-01 7/18/2006 $ 680.00 $ - $ 680.00 690452-01 7/5/2006 $ 563.00 $ - $ 563.00 690458-01 7/8/2006 $ 509.00 $ - $ 509.00 617027-01 9/29/2006 $ 217.82 $ - $ 217.82 610246-01 7/15/2006 $ 581.00 $ - $ 581.00 690461-01 7/9/2006 $ 563.00 $ - $ 563.00 690327-01 5/6/2006 $ 590.00 $ - $ 590.00 630695-01 12/17/2006 $ 716.00 $ - $ 716.00 670269-01 9/15/2006 $ 599.00 $ - $ 599.00 620084-01 3/21/2006 $ 609.00 $ - $ 609.00 620082-01 3/16/2006 $ 545.00 $ - $ 545.00 670152-01 4/23/2006 $ 608.00 $ - $ 608.00 630584-01 10/24/2006 $ 734.00 $ - $ 734.00 630538-01 9/27/2006 $ 662.00 $ - $ 662.00 610230-01 6/24/2006 $ 680.00 $ - $ 680.00 670165-01 5/6/2006 $ 518.00 $ - $ 518.00 630578-01 10/21/2006 $ 680.00 $ - $ 680.00 690256-01 4/11/2006 $ 518.00 $ - $ 518.00 . ".+ .~. 1 Exhibit A Monroe County Fire Rescue Ground Ambulance Account Recievables for August 2010 Write off Prepared July 14, 2010 Original balance (or Balance when Acct # DOS sent to collections) Payments Final Balance; 630630-02 11/20/2006 $ 599.00 $ - $ 599.00 690233-01 4/1/2006 $ - $ - $ - 630631 -0 1 11/20/2006 $ 662.00 $ - $ 662.00 630245-01 4/22/2006 $ 662.00 $ - $ 662.00 690532-01 8/11/2006 $ 527.00 $ .. . - $ 527.00 90131-01 2/23/2006 $ 518.00 f - $ 518.00 690237-01 4/3/2006 $ 518.00 $ - $ 518.00 690382-01 5/30/2006 $ 509.00 $ - $ 509.00 670220 01 mGf.2QGe $ - $ - $ - 690838-01 12/23/2006 $ 518.00 $ - $ 518.00 690358-01 5/20/2006 $ 242.40 $ - $ 242.40 690203-01 3/21/2006 $ 527.00 $ - $ 527.00 690303-01 4/27/2006 $ 509.00 $ - $ 509.00 690587-02 9/4/2006 $ 509.00 $ - $ 509.00 630210-01 4/9/2006 $ 734.00 $ - $ 734.00 670117-01 3/28/2006 $ 599.00 $ - $ 599.00 630333-01 6/4/2006 $ 743.00 $ - $ 743.00 690383-01 5/30/2006 $ 509.00 $ - $ 509.00 630246-01 4/23/2006 $ 689.00 $ - $ 689.00 690172-02 3/13/2006 $ 518.00 $ - $ 518.00 630197-01 4/2/2006 $ 743.00 $ - $ 743.00 630259-01 4/27/2006 $ 662.00 $ - $ 662.00 630303-01 5/16/2006 $ 662.00 $ - $ 662.00 690729-01 11/12/2006 $ 572.00 $ - $ 572.00 630710-01 12/25/2006 $ 671.00 $ - $ 671.00 620105-01 4/3/2006 $ 509.00 $ - $ 509.00 610338-01 10/6/2006 $ 662.00 $ - $ 662.00 690158-01 3/9/2006 $ 572.00 $ - $ 572.00 630335-01 6/6/2006 $ 698.00 $ - $ 698.00 690647-01 9/27/2006 $ 509.00 $ - $ 509.00 630344-01 6/9/2006 $ 716.00 $ - $ 716.00 630166-01 3/19/2006 $ 644.00 $ - $ 644.00 690756-01 11/22/2006 $ 527.00 $ - $ 527.00 690324-01 5/5/2006 $ 563.00 $ - $ 563.00 690195-01 3/19/2006 $ 563.00 $ - $ 563.00 690328-01 5/7/2006 $ 563.00 $ - $ 563.00 690510-01 8/4/2006 $ 554.00 $ - $ 554.00 690858-01 12/30/2006 $ 572.00 $ - $ 572.00 690264-01 4/13/2006 $ 518.00 $ - $ 518.00 630392-01 7/7/2006 $ 698.00 $ - $ 698.00 610279-01 8/9/2006 $ 680.00 $ - $ 680.00 ~~ ~g6 $ - $ - $ - -:-1: 2 Exhibit A Monroe County Fire Rescue Ground Ambulance Account Recievables for August 2010 Write off Prepared July 14, 2010 Original balance (or Balance when Acct # DOS sent to collections) Payments Final Balance' 630347-01 6/1 0/2006 $ 662.00 $ - $ 662.00 610361-01 11/9/2006 $ 707.00 $ - $ 707.00 690143-01 3/5/2006 $ 608.00 $ - $ 608.00 630236-01 4/19/2006 $ 680.00 $ - $ 680.00 690190-01 3/18/2006 $ 509.00 $ , . - $ 509.00 610193-01 5/14/2006 $ 644.00 $" - $ 644.00 630308-01 5/18/2006 $ 689.00 $ - $ 689.00 690801-01 12/9/2006 $ 545.00 $ - $ 545.00 690818-01 12/16/2006 $ 554.00 $ - $ 554.00 690652-01 9/30/2006 $ 609.00 $ - $ 609.00 200590-01 2/23/2006 $ 527.00 $ - $ 527.00 620261-01 8/1 7/2006 $ 527.00 $ - $ 527.00 620368-01 11/28/2006 $ 609.00 $ - $ 609.00 690571-01 8/29/2006 $ 518.00 $ - $ 518.00 690794-01 12/7/2006 $ 554.00 $ - $ 554.00 690340-01 5/14/2006 $ 609.00 $ - $ 609.00 690417-01 6/20/2006 $ 518.00 $ - $ 518.00 690645-01 9/27/2006 $ 509.00 $ - $ 509.00 670312-01 11/13/2006 $ 734.00 $ - $ 734.00 630384-01 7/112006 $ 551.00 $ - $ 551.00 690392-01 6/3/2006 $ 509.00 $ - $ 509.00 690319-01 5/4/2006 $ 509.00 $ - $ 509.00 690585-01 9/2/2006 $ 509.00 $ - $ 509.00 630182-01 3/26/2006 $ 203.00 $ - $ 203.00 690204-01 3/21/2006 $ - $ - $ - 610296-01 8/26/2006 $ 689.00 $ - $ 689.00 690737-01 11/16/2006 $ 554.00 $ - $ 554.00 670140-01 4/15/2006 $ 599.00 $ - $ 599.00 690412-01 6/1712006 $ 518.00 $ - $ 518.00 690468-01 7/1 312006 $ 376.80 $ (376.80) $ - 670157-01 4/2712006 $ 699.00 $ - $ 699.00 630707-01 12/25/2006 $ 662.00 $ - $ 662.00 610438-01 12/31/2006 $ 725.00 $ - $ 725.00 620156-01 5/17/2006 $ 635.00 $ - $ 635.00 620185-01 6/1412006 $ 968.00 $ - $ 968.00 690777-01 12/112006 $ 518.00 $ - $ 518.00 620247-01 8/512006 $ 536.00 $ - $ 536.00 670080-01 3/2/2006 $ 590.00 $ - $ 590.00 620180-01 6/7/2006 $ 509.00 $ - $ 509.00 630505-01 9/4/2006 $ 653.00 $ - $ 653.00 690570-01 8f24/2006 $ 509.00 $ - $ 509.00 690456-01 7/8/2006 $ 545.00 $ - $ 545.00 . :~ 3 Exhibit A Monroe County Fire Rescue Ground Ambulance Account Recievables for August 2010 Write off Prepared July 14, 2010 Original balance (or Balance when Acct# DOS sent to collections) Payments Final Balance' 690628-01 9/22/2006 $ 563.00 $ - $ 563.00 690525-01 8/8/2006 $ 654.00 $ - $ 654.00 630603-01 11/4/2006 $ 626.00 $ - $ 626.00 690624-01 9/21/2006 $ 527.00 $ - $ 527.00 690855-01 12/28/2006 $ 545.00 $ . . - $ 545.00 610237-01 7/4/2006 $ 671.00 $ - $ 671.00 690210-02 3/23/2006 $ 527.00 $ - $ 527.00 690837-01 12/22/2006 $ 509.00 $ - $ 509.00 620145-01 517/2006 $ 527.00 $ - $ 527.00 690641-01 9/26/2006 $ 518.00 $ - $ 518.00 630330-01 6/2/2006 $ 644.00 $ - $ 644.00 670059-01 2/19/2006 $ 689.00 $ - $ 689.00 620343-01 11/4/2006 $ 509.00 $ - $ 509.00 670330-01 11/28/2006 $ 581.00 $ - $ 581.00 690460-01 7/9/2006 $ 509.00 $ - $ 509.00 610223-01 6/14/2006 $ 725.00 $ - $ 725.00 630627-01 11/18/2006 $ 707.00 $ - $ 707.00 690490-01 7/26/2006 $ 509.00 $ - $ 509.00 690560-01 8/25/2006 $ 509.00 $ - $ 509.00 630545-01 1 0/1/2006 $ 608.00 $ - $ 608.00 610327-01 9/27/2006 $ 527.00 $ - $ 527.00 630134-01 3/7/2006 $ 662.00 $ - $ 662.00 690434-01 6/29/2006 $ 527.00 $ - $ 527.00 670293-01 10/24/2006 $ 599.00 $ - $ 599.00 670246-01 8/19/2006 $ 590.00 $ - $ 590.00 630192-01 4/1/2006 $ 662.00 $ - $ 662.00 630270-01 5/1/2006 $ 698.00 $ - $ 698.00 630332-01 6/4/2006 $ 662.00 $ - $ 662.00 620196-01 6/22/2006 $ 509.00 $ - $ 509.00 690281-02 4/21/2006 $ 572.00 $ - $ 572.00 630553-01 1 0/6/2006 $ 662.00 $ - $ 662.00 630159-01 3/16/2006 $ 762.00 $ - $ 762.00 670202-01 7/1/2006 $ 509.00 $ - $ 509.00 610115-01 3/16/2006 $ 644.00 $ - $ 644.00 620153-01 5/15/2006 $ 518.00 $ - $ 518.00 610318-01 9/20/2006 $ 653.00 $ - $ 653.00 630354-01 6/15/2006 $ 662.00 $ - $ 662.00 61 0220-01 6/9/2006 $ 590.00 $ - $ 590.00 670294-01 10/24/2006 $ 509.00 $ - $ 509.00 690596-01 9/8/2006 $ 563.00 $ - $ 563.00 610203-01 5/22/2006 $ 680.00 $ - $ 680.00 670328-01 11/26/2006 $ 572.00 $ - $ 572.00 ., 4 Exhibit A Monroe County Fire Rescue Ground Ambulance Account Recievables for August 2010 Write off Prepared July 14, 2010 Original balance (or Balance when Acct # DOS sent to collections) Payments Final Balance' 690803-01 12/1 0/2006 $ 509.00 $ - $ 509.00 690616-01 9/18/2006 $ 527.00 $ - $ 527.00 610158-01 4/15/2006 $ 753.00 $ - $ 753.00 670175-01 5/27/2006 $ 590.00 $ - $ 590.00 690474-01 7/14/2006 $ 590.00 $ , . - $ 590.00 690251-01 4/8/2006 $ 518.00 f - $ 518.00 . 690745-01 11/18/2006 $ 518.00 $ - $ 518.00 690594-01 9/7/2006 $ 554.00 $ - $ 554.00 690482-01 7/20/2006 $ 509.00 $ - $ 509.00 690346-01 5/16/2006 $ 545.00 $ - $ 545.00 630316-01 5/24/2006 $ 689.00 $ - $ 689.00 630528-01 9/22/2006 $ 572.00 $ - $ 572.00 670130-01 4/6/2006 $ 626.00 $ - $ 626.00 690588-01 9/5/2006 $ 563.00 $ - $ 563.00 690562-01 8/16/2006 $ 518.00 $ - $ 518.00 690462-01 7/1 0/2006 $ 509.00 $ - $ 509.00 610391-01 12/2/2006 $ 599.00 $ - $ 599.00 630494-01 8/29/2006 $ 671.00 $ - $ 671.00 630649-01 11/28/2006 $ 798.00 $ - $ 798.00 690436-01 6/29/2006 $ 509.00 $ - $ 509.00 690654-02 9/30/2006 $ 536.00 $ - $ 536.00 670322-01 11/20/2006 $ - $ - $ - 630563-01 1 0/13/2006 $ 509.00 $ - $ 509.00 690348-01 5/17/2006 $ 518.00 $ - $ 518.00 690776-01 11/30/2006 $ 509.00 $ - $ 509.00 620371-01 12/1/2006 $ 509.00 $ - $ 509.00 630613-01 11/11/2006 $ 662.00 $ - $ 662.00 690718-01 11/7/2006 $ 509.00 $ - $ 509.00 670326-01 11/2420/06 $ 626.00 $ - $ 626.00 690338-01 5/12/2006 $ 518.00 $ - $ 518.00 670344-01 12/14/2006 $ 590.00 $ - $ 590.00 690685-01 1 0/21/2006 $ 518.00 $ - $ 518.00 690414-01 6/1712006 $ 518.00 $ - $ 518.00 630586-01 10/24/2006 $ 716.00 $ - $ 716.00 630551-01 1 0/5/2006 $ 680.00 $ - $ 680.00 690648-01 9/27/2006 $ 671.00 $ - $ 671.00 630433-01 7/272006 $ 635.00 $ - $ 635.00 690674-01 1 0/12/2006 $ - $ - $ - 620281-01 9/5/2006 $ 509.00 $ - $ 509.00 630370-01 6/26/2006 $ 671.00 $ - $ 671.00 630418-01 7/21/2006 $ 725.00 $ - $ 725.00 630581-01 1 0/23/2006 $ 662.00 $ - $ 662.00 .:,1( 5 Exhibit A Monroe County Fire Rescue Ground Ambulance Account Recievables for August 2010 Write off Prepared July 14, 2010 Original balance (or Balance when Acct # DOS sent to collections) Payments Final Balance' 690375-01 5/27/2006 $ 509.00 $ - $ 509.00 690416-01 6/19/2006 $ 518.00 $ - $ 518.00 690503-01 7/31/2006 $ 527.00 $ - $ 527.00 690600-01 9/10/2006 $ 518.00 $ - $ 518.00 690659-01 1 0/2/2006 $ 509.00 $ . . - $ 509.00 630491-01 8/28/2006 $ 662.00 $ - $ 662.00 610219-01 6/9/2006 $ 662.00 $ - $ 662.00 690356-01 5/20/2006 $ 554.00 $ - $ 554.00 620222-01 7/8/2006 $ 509.00 $ - $ 509.00 630628-01 11/19/2006 $ 716.00 $ - $ 716.00 690400-01 6/1 0/2006 $ 127.50 $ - $ 127.50 690775-01 11/30/2006 $ 554.00 $ - $ 554.00 690379-01 5/28/2006 $ - $ - $ - 690561-01 8/28/2006 $ 536.00 $ - $ 536.00 690724-01 11/10/2006 $ 518.00 $ - $ 518.00 690763-01 11/25/2006 $ 509.00 $ - $ 509.00 620234-01 7/19/2006 $ 509.00 $ - $ 509.00 690536-01 8/13/2006 $ 509.00 $ - $ 509.00 630680-02 12/14/2006 $ 288.60 $ - $ 288.60 630293-01 5/11/2006 $ 680.00 $ - $ 680.00 690587-01 9/4/2006 $ 509.00 $ - $ 509.00 690829-01 12/20/2006 $ 509.00 $ - $ 509.00 630504-01 9/2/2006 $ 707.00 $ - $ 707.00 690731-01 11/14/2006 $ 518.00 $ - $ 518.00 690433-01 6/28/2006 $ 636.00 $ - $ 636.00 670300-01 1 0/31/2006 $ 518.00 $ - $ 518.00 670240-02 8/11/06 $ 725.00 $ - $ 725.00 690549-01 8/19/06 $ 509.00 $ - $ 509.00 690651-01 9/29/06 $ 509.00 $ - $ 509.00 690111-01 2/15/06 $ 527.00 $ - $ 527.00 630253-01 4/25/06 $ 698.00 $ - $ 698.00 690505-01 7/31/06 $ 609.00 $ - $ 609.00 630264-01 4/28/06 $ 671.00 $ - $ 671.00 670270-01 9/17106 $ 509.00 $ - $ 509.00 690459-01 7/09/06 $ 509.00 $ - $ 509.00 630656-01 12/03/06 $ 887.00 $ - $ 887.00 630374-01 6/28/06 $ 689.00 $ - $ 689.00 630208-01 4/08/06 $ 635.00 $ - $ 635.00 630547-01 10/01/06 $ 662.00 $ - $ 662.00 610117-01 3/17/06 $ 689.00 $ - $ 689.00 630235-01 4/19/06 $ 662.00 $ - $ 662.00 620374-01 12/01/06 $ 527.00 $ - $ 527.00 . .~ 6 Exhibit A Monroe County Fire Rescue Ground Ambulance Account Recievables for August 2010 Write off Prepared July 14, 2010 Original balance (or Balance when Acct# DOS sent to collections) Payments Final Balance, $ - $ - 300180-01 1/06/06 $ 725.00 $ - $ 725.00 670110-01 3/23/06 $ 599.00 $ - $ 599.00 700430-01 2/09/06 $ 635.00 $ . $ 635.00 301050-03 2/14/06 $ 680.00 $ , . - $ 680.00 690339-01 5/14/06 $ 509.00 $" - $ 509.00 61 0334-01 10/05/06 $ 680.00 $ - $ 680.00 300160-01 1/05/06 $ 707.00 $ - $ 707.00 200080-01 1/08/06 $ 509.00 $ - $ 509.00 700080-01 1/06/06 $ 563.00 $ . $ 563.00 690316-01 5/02/06 $ 509.00 $ . $ 509.00 630582-01 10/23/06 $ 662.00 $ - $ 662.00 610080-01 3/03/06 $ 599.00 $ - $ 599.00 690407-01 6/15/06 $ 536.00 $ - $ 536.00 $ . $ . 690753-01 11/21/06 $ 518.00 $ - $ 518.00 690720-01 11/09/06 $ 563.00 $ - $ 563.00 690603-01 9/11/06 $ 509.00 $ - $ 509.00 690709-01 11/03/06 $ 563.00 $ - $ 563.00 690713-01 11/06/06 $ 545.00 $ . $ 545.00 690644-01 9/27/06 $ 509.00 $ . $ 509.00 690704-01 1 0/30/06 $ 527.00 $ - $ 527.00 690814-01 12/15/06 $ 518.00 $ - $ 518.00 700240-01 1/27/06 $ 698.00 $ - $ 698.00 690752-01 11/20/06 $ 509.00 $ - $ 509.00 690843-01 12/24/06 $ 518.00 $ - $ 518.00 690679-01 1 0/16/06 $ 545.00 $ - $ 545.00 900290-01 1/11/06 $ 518.00 $ . $ 518.00 300920-01 2/1 0/06 $ 680.00 $ - $ 680.00 670305-01 11/02/06 $ 617.00 $ - $ 617.00 690145-01 3/06/06 $ 518.00 $ - $ 518.00 300690-01 1/31/06 $ 707.00 $ - $ 707.00 90080-01 1/29/06 $ 509.00 $ - $ 509.00 900610-01 1/22/06 $ 518.00 $ . $ 518.00 690165-01 3/12/06 $ 518.00 $ . $ 518.00 690575-01 8/30/06 $ 545.00 $ - $ 545.00 690516-01 8/07/06 $ 509.00 $ - $ 509.00 300500-01 1/22/06 $ 743.00 $ - $ 743.00 630640-01 11/22/06 $ 734.00 $ - $ 734.00 670261-01 9/05/06 $ - $ - $ - 690280-01 4/20/06 $ 509.00 $ - $ 509.00 2800-01 1/10/06 $ 509.00 $ - $ 509.00 . .~ 7 Exhibit A Monroe County Fire Rescue Ground Ambulance Account Recievables for August 2010 Write off Prepared July 14,2010 Original balance (or Balance when Accl# DOS sent 10 collections) Payments Final Balance: 900630-01 1/22/06 $ 545.00 $ - $ 545.00 630S80-01 1 0/23/06 $ 716.00 $ - $ 716.00 690545-01 8/17/06 $ 527.00 $ - $ 527.00 901330-01 2/25/06 $ 554.00 $ - $ 554.00 900520-01 1/20/06 $ 536.00 $ . . - $ 536.00 300300-01 1113/06 $ 680.00 $' - $ 680.00 690236-01 4/03/06 $ 509.00 $ - $ 509.00 900970-01 2/06/06 $ 518.00 $ - $ 518.00 670274-02 9/23/06 $ 518.00 $ - $ 518.00 630189-01 3/31/06 $ 635.00 $ - $ 635.00 170014-01 1/13/06 $ 626.00 $ - $ 626.00 620367-01 11/27/06 $ 869.00 $ - $ 869.00 690511-01 8/05/06 $ 509.00 $ - $ 509.00 690512-01 8/06/06 $ 2,004.00 $ - $ 2,004.00 670217-01 7/19/06 $ 671.00 $ - $ 671.00 670277-01 9/28/06 $ 698.00 $ - $ 698.00 690555-01 8/22/06 $ 554.00 $ - $ 554.00 690302-01 4/27/06 $ 509.00 $ - $ 509.00 690224-01 3/28/06 $ - $ - $ - 301140-01 2/24/06 $ 716.00 $ - $ 716.00 63031 0-01 5/19/06 $ 680.00 $ - $ 680.00 610387-01 11/29/06 $ 626.00 $ - $ 626.00 690563-01 8/27/06 $ 887.00 $ - $ 887.00 170006-01 1/04/06 $ 608.00 $ - $ 608.00 690531-01 8/10/06 $ 509.00 $ - $ 509.00 690372-01 5/25/06 $ 509.00 $ - $ 509.00 301070-02 2/16/06 $ 671.00 $ - $ 671.00 670285-01 10/09/06 $ - $ - $ - 200440-01 2/12/06 $ 509.00 $ - $ 509.00 610145-01 4/03/06 $ 671.00 $ - $ 671.00 300960-01 2/12/06 $ 662.00 $ - $ 662.00 690845-01 12/24/06 $ 518.00 $ - $ 518.00 620357-01 11/13/06 $ 509.00 $ - $ 509.00 620357-01 11/13/06 $ 509.00 $ - $ 509.00 620109-01 4/07/06 $ 527.00 $ - $ 527.00 610171-01 4/22/06 $ 662.00 $ - $ 662.00 620337-01 10/31/06 $ 527.00 $ - $ 527.00 200600-01 2/25/06 $ 572.00 $ - $ 572.00 670346-01 12/15/06 $ 626.00 $ - $ 626.00 690300-01 4/26/06 $ 509.00 $ - $ 509.00 610410-01 12/17/06 $ 662.00 $ - $ 662.00 170038-01 2/07/06 $ 608.00 $ - $ 608.00 . .~ 8 Exhibit A Monroe County Fire Rescue Ground Ambulance Account Recievables for August 2010 Write off Prepared July 14, 2010 Original balance (or Balance when Acct # DOS sent to collections) Payments Final Balance , 620230-01 7/17/06 $ 518.00 $ - $ 518.00 830734-01 12f01/08 $ 812.00 $ - $ 812.00 .:...;:..:..:":..,-cn..,_,..:.:.....,".,;.._. .-""'::".".--.-""'----'" /MSBT<):rAL\ .,.. '$ ii1.S8;816'52 These accounts are With ADPI 170001-01 1/1/2006 $ 590.00 $ 472.00 $ 118.00 900010-01 1/1/2006 $ 572.00 $ 198.24 $ 373.76 900020-01 1/1/2006 $ 572.00 $ - $ 572.00 900060-01 1/1/2006 $ 509.00 $ - $ 509.00 200-01 1/2/2006 $ 662.00 $ 461.64 $ 200.36 100050-01 1/2/2006 $ 662.00 $ 565.23 $ 96.77 900080-01 1/2/2006 $ 518.00 $ 388.50 $ 129.50 300080-01 1/3/2006 $ 707.00 $ - $ 707.00 300100-01 1/4/2006 $ 662.00 $ - $ 662.00 700020-01 1/4/2006 $ 680.00 $ 350.08 $ 329.92 200050-01 1/5/2006 $ 509.00 $ - $ 509.00 900170-01 1/15/2006 $ 545.00 $ 372.43 $ 172.57 30017001 1/6/2006 $ 698.00 $ - $ 698.00 300200-01 1/7/2006 $ 699.00 $ 599.00 $ 100.00 200100-01 1/9/2006 $ 509.00 $ 474.62 $ 34.38 300230-01 1/9/2006 $ 590.00 $ 250.00 $ 340.00 900260-01 1/9/2006 $ 509.00 $ - $ 509.00 300270-01 1/11/2006 $ 662.00 $ - $ 662.00 900300-01 1/12/2006 $ 554.00 $ - $ 554.00 200190-01 1/13/2006 $ 581.00 $ - $ 581.00 900360-01 1/1 3/2006 $ 663.00 $ 351 .20 $ 311.80 900400-01 1/14/2006 $ 545.00 $ - $ 545.00 700180-01 1/16/2006 $ 590.00 $ - $ 590.00 130043-02 1/18/2006 $ 653.00 $ - $ 653.00 900450-01 1/18/2006 $ 545.00 $ 375.75 $ 169.25 110023-02 1/19/2006 $ 635.00 $ 360.25 $ 274.75 200260-01 1/20/2006 $ 509.00 $ - $ 509.00 110024-02 1/21/2006 $ 653.00 $ - $ 653.00 300480-01 1/22/2006 $ 572.00 $ - $ 572.00 900640-01 1/23/2006 $ 509.00 $ - $ 509.00 90069-02 1/24/2006 $ 509.00 $ - $ 509.00 300570-01 1/24/2006 $ 662.00 $ 555.02 $ 106.98 300580-01 1/25/2006 $ 707.00 $ - $ 707.00 900710-01 1/25/2006 $ 509.00 $ - $ 509.00 90073-02 1/27/2006 $ 545.00 $ 276.40 $ 268.60 300630-01 1/27/2006 $ 590.00 $ - $ 590.00 , :+ 9 Exhibit A Monroe County Fire Rescue Ground Ambulance Account Recievables for August 2010 Write off Prepared July 14,2010 Original balance (or Balance when Acct # DOS sent to collections) Payments Final Balance' 90079-01 1/28/2006 $ 545.00 $ 405.64 $ 139.36 100400-01 1/30/2006 $ 725.00 $ 200.00 $ 525.00 300670-01 1/30/2006 $ 671.00 $ - $ 671.00 90086-02 2/1/2006 $ 509.00 $ - $ 509.00 700300-01 2/1/2006 $ 653.00 $ 547.82 $ 105.18 , . 200350-01 2/3/2006 $ 518.00 $/ 451.60 $ 66.40 670031-01 2/3/2006 $ 509.00 $ 432.62 $ 76.38 90090-01 2/4/2006 $ 518.00 $ - $ 518.00 110041-01 2/4/2006 $ 644.00 $ 540.62 $ 103.38 700320-01 2/4/2006 $ 563.00 $ 475.82 $ 87.18 690093-01 2/5/2006 $ 509.00 $ 432.62 $ 76.38 900960-01 2/5/2006 $ 545.00 $ 150.00 $ 395.00 130086-02 2/6/2006 $ 662.00 $ 555.02 $ 106.98 300870-01 2/7/2006 $ 698.00 $ - $ 698.00 610049-01 2/7/2006 $ 717.00 $ - $ 717.00 670036-01 2/6/2006 $ 590.00 $ 497.42 $ 92.58 690100-01 2/7/2006 $ 590.00 $ 72.00 $ 518.00 901000-01 21712006 $ 509.00 $ - $ 509.00 300890-01 2/8/2006 $ 680.00 $ 595.58 $ 84.42 300910-01 2/9/2006 $ 798.00 $ 653.00 $ 145.00 700410-01 2/9/2006 $ 662.00 $ 555.02 $ 106.98 1 00530-01 2/11/2006 $ 662.00 $ 555.02 $ 106.98 200450-01 2/14/2006 $ 509.00 $ 469.40 $ 39.60 100590-01 2/16/2006 $ 716.00 $ 600.00 $ 116.00 901170-01 2/16/2006 $ 545.00 $ - $ 545.00 200480-01 2/17/2006 $ 509.00 $ - $ 509.00 220048-02 2/17/2006 $ 509.00 $ - $ 509.00 610061-01 2/18/2006 $ 635.00 $ 543.00 $ 92.00 901230-01 2/19/2006 $ 509.00 $ - $ 509.00 1 00660-01 2/21/2006 $ 671.00 $ 562.80 $ 108.20 700660-01 2/22/2006 $ 671.00 $ - $ 671.00 901320-01 2/23/2006 $ 554.00 $ 196.18 $ 357.82 700330-01 2/24/2006 $ 500.00 $ - $ 500.00 700700-01 2/24/2006 $ 590.00 $ 497.42 $ 92.58 700710-01 2/24/2006 $ 590.00 $ 203.00 $ 387.00 100680-01 2/25/2006 $ 545.00 $ 250.00 $ 295.00 200600-02 2/25/2006 $ 572.00 $ - $ 572.00 1 00720-01 2/26/2006 $ 744.00 $ 643.20 $ 100.80 170073-02 2/27/2006 $ 671.00 $ - $ 671.00 301220-01 2/28/2006 $ 644.00 $ - $ 644.00 700770-01 2/28/2006 $ 761.00 $ 640.58 $ 120.42 630123-01 3/1/2006 $ 662.00 $ 463.50 $ 198.50 . :~ 10 Exhibit A Monroe County Fire Rescue Ground Ambulance Account Recievables for August 2010 Write off Prepared July 14,2010 Original balance (or Balance when Acct # DOS sent to collectfons) Payments Final Balance: 630124-01 3/1/2006 $ 753.00 $ - $ 753.00 630125-01 3/2/2006 $ 662.00 $ - $ 662.00 6700B 1-01 3/3/2006 $ 581.00 $ 460.80 $ 120.20 690141-01 3/3/2006 $ 509.00 $ 444.40 $ 64.60 620066-01 3/5/2006 $ 527.00 $ 421.60 $ 105.40 . . 630130-01 3/5/2006 $ 671.00 f 134.20 $ 536.80 690144-01 3/5/2006 $ 509.00 $ - $ 509.00 610092-02 3/7/2006 $ 662.00 $ - $ 662.00 620070-01 3/7/2006 $ 509.00 $ 407.20 $ 101.80 670086-01 3/7/2006 $ 599.00 $ 504.62 $ 94.38 670088-01 3/B/2006 $ 590.00 $ - $ 590.00 630140-01 3/9/2006 $ 734.00 $ 330.30 $ 403.70 630142-01 3/10/2006 $ 671.00 $ - $ 671.00 630147-01 3/11/2006 $ 662.00 $ - $ 662.00 620079-01 3/13/2006 $ 518.00 $ - $ 51 B.OO 630149-01 3/13/2006 $ 698.00 $ 586.13 $ 111.87 610110-02 3/14/2006 $ 680.00 $ 570.58 $ 109.42 610111-01 3/1 5/2006 $ 671.00 $ - $ 671.00 620080-01 3/15/2006 $ 509.00 $ - $ 509.00 630152-01 3/15/2006 $ 662.00 $ - $ 662.00 630154-01 3/15/2006 $ 662.00 $ 200.00 $ 462.00 670098-01 3/15/2006 $ 590.00 $ 497.42 $ 92.58 610113-01 3/16/2006 $ B06.00 $ - $ 806.00 690185-01 3/1712006 $ 654.00 $ 554.00 $ 100.00 690186-01 3/17/2006 $ 518.00 $ 440.30 $ 77.70 630164-01 3f18/2006 $ 662.00 $ 328.40 $ 333.60 690187-01 3/18/2006 $ 563.00 $ - $ 563.00 620083-01 3/19/2006 $ 509.00 $ 432.62 $ 76.38 630167-01 3/19/2006 $ 662.00 $ - $ 662.00 630168-01 3/19/2006 $ 671.00 $ 536.80 $ 134.20 630169-01 3/20/2006 $ 653.00 $ 507.50 $ 145.50 670105-01 3/20/2006 $ 590.00 $ 497.42 $ 92.58 670106-01 3/21/2006 $ 608.00 $ - $ 608.00 690202-01 3/21/2006 $ 554.00 $ - $ 554.00 610128-01 3/22/2006 $ 689.00 $ 551.20 $ 137.80 670108-01 3/22/2006 $ 662.00 $ - $ 662.00 630175-02 3/23/2006 $ 725.00 $ - $ 725.00 690209-01 3/23/2006 $ 554.00 $ - $ 554.00 690210-01 3/23/2006 $ 527.00 $ - $ 527.00 610130-01 3/24/2006 $ 725.00 $ 580.86 $ 144.14 690215-01 3/25/2006 $ 509.00 $ - $ 509.00 690223-01 3/27/2006 $ 509.00 $ 432.62 $ 76.38 11 Exhibit A Monroe County Fire Rescue Ground Ambulance Account Recievables for August 2010 Write off Prepared July 14, 2010 Original balance (or Balance when Acct # DOS sent to collections) Payments Final Balance' 610136-01 3/28/2006 $ 653.00 $ - $ 653.00 630184-01 3/28/2006 $ 698.00 $ 586.1 3 $ 111.87 690226-01 3/28/2006 $ 518.00 $ 502.36 $ 15.64 610139-01 3/30/2006 $ 617.00 $ - $ 617.00 690228-01 3/30/2006 $ 509.00 $ 356.30 $ 152.70 610140-01 4/1/2006 $ 671.00 ~.. 497.50 $ 173.50 690233-01 4/1/2006 $ 545.00 $ - $ 545.00 630193-01 4/2/2006 $ 680.00 $ - $ 680.00 630198-01 4/3/2006 $ 608.00 $ - $ 608.00 670124-01 4/3/2006 $ 500.00 $ - $ 500.00 690238-01 4/3/2006 $ 509.00 $ 432.62 $ 76.38 690239-01 4/4/2006 $ 563.00 $ 475.82 $ 87.18 690240-01 4/5/2006 $ 509.00 $ 432.62 $ 76.38 6101460-1 4/6/2006 $ 671.00 $ - $ 671.00 670133-01 4/8/2006 $ 608.00 $ - $ 608.00 690247-01 4/8/2006 $ 518.00 $ - $ 518.00 690250-01 4/8/2006 $ 518.00 $ - $ 518.00 620112-01 4/1 0/2006 $ 599.00 $ - $ 599.00 620114-01 4/11/2006 $ 545.00 $ - $ 545.00 630214-01 4/11/2006 $ 671.00 $ 562.80 $ 108.20 630218-01 4/12/2006 $ 608.00 $ - $ 608.00 690258-01 4/12/2006 $ 518.00 $ - $ 518.00 690261-01 4/12/2006 $ 563.00 $ - $ 563.00 630223-01 4/13/2006 $ 707.00 $ 593.91 $ 113.09 670137-02 4/1 3/2006 $ 680.00 $ - $ 680.00 630224-01 4/14/2006 $ 590.00 $ 497.42 $ 92.58 620117-01 4/1 5/2006 $ 518.00 $ 498.00 $ 20.00 690267-01 4/15/2006 $ 527.00 $ 353.06 $ 173.94 690269-01 4/15/2006 $ 563.00 $ - $ 563.00 620118-01 4/16/2006 $ 518.00 $ 439.82 $ 78.18 67014301 4/17/2006 $ 680.00 $ 570.58 $ 109.42 690272-01 4/18/2006 $ 518.00 $ - $ 518.00 690275-01 4/18/2006 $ 518.00 $ - $ 518.00 690276-01 4/19/2006 $ 572.00 $ 483.02 $ 88.98 630238-01 4/21/2006 $ 662.00 $ - $ 662.00 610170-01 4/22/2006 $ 626.00 $ - $ 626.00 670153-01 4/22/2006 $ 500.00 $ - $ 500.00 610172-01 4/23/2006 $ 653.00 $ - $ 653.00 62012701 4/23/2006 $ 554.00 $ - $ 554.00 630251-01 4/24/2006 $ 653.00 $ - $ 653.00 690301-01 4/26/2006 $ 509.00 $ - $ 509.00 610175-01 4/27/2006 $ 654.00 $ - $ 654.00 12 Exhibit A Monroe County Fire Rescue Ground Ambulance Account Recievables for August 2010 Write off Prepared July 14, 2010 Original balance (or Balance when Acct # DOS sent to collections) Payments Final Balance; 610177-01 4/28/2006 $ 609.00 $ 499.26 $ 109.74 620133-01 4/28/2006 $ 527.00 $ - $ 527.00 630260-01 4/28/2006 $ 653.00 $ - $ 653.00 630263-01 4/28/2006 $ 608.00 $ 486.40 $ 121 .60 630263-02 4/28/2006 $ 608.00 $ 486.40 $ 121.60 620136-01 4/29/2006 $ 518.00 $' - $ 518.00 670161-01 4/30/2006 $ 572.00 $ - $ 572.00 620139-01 5/1/2006 $ 536.00 $ - $ 536.00 610186-01 5/4/2006 $ 698.00 $ - $ 698.00 630274-01 5/4/2006 $ 689.00 $ 578.35 $ 110.65 630275-01 5/5/2006 $ 698.00 $ - $ 698.00 630277-01 5/5/2006 $ 662.00 $ 100.00 $ 562.00 620143-01 5/5/2006 $ 518.00 $ 439.82 $ 78.18 630282-01 5/5/2006 $ 662.00 $ 200.00 $ 462.00 620146-01 5/7/2006 $ 627.00 $ 527.00 $ 100.00 670167-01 5/7/2006 $ 698.00 $ - $ 698.00 670168-01 5/8/2006 $ 536.00 $ 428.80 $ 107.20 690330-01 5/10/2006 $ 509.00 $ - $ 509.00 610190-01 5/11/2006 $ 662.00 $ - $ 662.00 630294-01 5/11/2006 $ 680.00 $ - $ 680.00 630295-01 5/12/2006 $ 680.00 $ 570.58 $ 1 09.42 690342-01 5/15/2006 $ 590.00 $ - $ 590.00 690345-01 5/16/2006 $ 518.00 $ 451.60 $ 66.40 690349-01 5/17/2006 $ 536.00 $ 466.00 $ 70.00 690350-01 5/17/2006 $ 600.00 $ - $ 600.00 690367-01 5/23/2006 $ 527.00 $ - $ 527.00 690370-01 5/25/2006 $ 509.00 $ - $ 509.00 690374-01 5/26/2006 $ 627.00 $ 527.55 $ 99.45 610206-01 5/27/2006 $ 644.00 $ 289.80 $ 354.20 620166-01 5/27/2006 $ 527.00 $ 402.50 $ 124.50 690378-01 5/28/2006 $ 509.00 $ 70.04 $ 438.96 620176-01 6/2/2006 $ 518.00 $ - $ 518.00 690391-01 6/2/2006 $ 581.00 $ 502.00 $ 79.00 610213-01 6/4/2006 $ 671.00 $ 400.00 $ 271.00 690395-01 6/5/2006 $ 536.00 $ - $ 536.00 670182-01 6/6/2006 $ 617.00 $ 567.00 $ 50.00 610217-01 6/6/2006 $ 680.00 $ - $ 680.00 630340-01 6/6/2006 $ 617.00 $ 432.82 $ 184.18 630350-01 6/6/2006 $ 662.00 $ 496.50 $ 165.50 690401-01 6/11/2006 $ 644.00 $ - $ 644.00 670187-01 6/14/2006 $ 762.00 $ 529.60 $ 232.40 690406-01 6/14/2006 $ 509.00 $ - $ 509.00 ,-,I( 13 Exhibit A Monroe County Fire Rescue Ground Ambulance Account Recievables for August 2010 Write off Prepared July 14, 2010 Original balance (or Balance when Acct# DOS sent to collections) Payments Final Balance: 690408-01 6/15/2006 $ 518.00 $ 451.60 $ 66.40 630360-01 6/18/2006 $ 725.00 $ 621.25 $ 103.75 610225-01 6/19/2006 $ 716.00 $ 601.69 $ 114.31 670192-01 6/16/2006 $ 599.00 $ 462.50 $ 136.50 630364-01 6/20/2006 $ 698.00 $ - $ 698.00 610228-01 6/21/2006 $ 689.00 $'.. 496.27 $ 192.73 690421-01 6/23/2006 $ 554.00 $ 468.62 $ 85.38 690425-01 6/25/2006 $ 545.00 $ 528.28 $ 16.72 670200-01 6/30/2006 $ 626.00 $ - $ 626.00 670200-02 6/30/2006 $ 662.00 $ - $ 662.00 690440-01 7/1/2006 $ 518.00 $ - $ 518.00 620212-01 7/3/2006 $ 527.00 $ 259.33 $ 267.67 690443-01 7/3/2006 $ 509.00 $ - $ 509.00 690447-01 7/3/2006 $ 509.00 $ - $ 509.00 620217-01 7/4/2006 $ 509.00 $ 430.82 $ 78.18 620218-01 7/5/2006 $ 518.00 $ 418.00 $ 100.00 620220-01 7/6/2006 $ 509.00 $ - $ 509.00 610239-01 7/8/2006 $ 662.00 $ 393.40 $ 268.60 670212-01 7/14/2006 $ 545.00 $ 461.42 $ 83.58 690470-01 7/14/2006 $ 509.00 $ 407.20 $ 101.80 620227-01 7/15/2006 $ 518.00 $ 418.14 $ 99.86 620228-01 7/16/2006 $ 860.00 $ 612.00 $ 248.00 610250-02 7/17/2006 $ 698.00 $ 638.40 $ 59.60 610251-01 7/17/2006 $ 716.00 $ 601.69 $ 114.31 690478-01 7/1 7/2006 $ 509.00 $ 432.62 $ 76.38 630419-01 7/21/2006 $ 653.00 $ - $ 653.00 620236-01 7/23/2006 $ 509.00 $ 377.40 $ 131.60 630424-02 7/23/2006 $ 698.00 $ 558.40 $ 139.60 610259-01 7/24/2006 $ 689.00 $ 505.50 $ 183.50 630425-01 7/24/2006 $ 698.00 $ 686.13 $ 11.87 630427-01 7/24/2006 $ 653.00 $ 559.60 $ 93.40 630435-01 7/27/2006 $ 680.00 $ 544.00 $ 136.00 630444-01 7/29/2006 $ 698.00 $ 586.13 $ 111.87 690499-01 7/30/2006 $ 509.00 $ 100.00 $ 409.00 630456-01 8/4/2006 $ 734.00 $ 70.00 $ 664.00 630458-01 8/4/2006 $ 662.00 $ - $ 662.00 630459-01 8/4/2006 $ 653.00 $ 602.99 $ 50.01 690513-01 8/6/2006 $ 545.00 $ - $ 545.00 690521-01 8/7/2006 $ 509.00 $ - $ 509.00 630463-01 8/8/2006 $ 653.00 $ - $ 653.00 690528-01 8/9/2006 $ 509.00 $ - $ 509.00 630467-01 8/11/2006 $ 662.00 $ 317.90 $ 344.10 . .~ 14 Exhibit A Monroe County Fire Rescue Ground Ambulance Account Recievables for August 2010 Write off Prepared July 14, 2010 Original balance (or Balance when Acct # DOS sent to collections) Payments Final Balance, 670241-01 8/12/2006 $ 770.00 $ 609.00 $ 161,00 620256-01 8/14/2006 $ 509.00 $ - $ 509.00 630471-01 8/14/2006 $ 671.00 $ 70.00 $ 601.00 690539-01 8/15/2006 $ 518.00 $ 150.00 $ 368.00 620263-01 8/18/2006 $ 509.00 $ 432.62 $ 76.38 , , 670245-02 8/19/2006 $ 590.00 $' 472.00 $ 118.00 630480-01 8/22/2006 $ 689.00 $ 578.35 $ 110.65 630482-01 8/22/2006 $ 716.00 $ 613.47 $ 102.53 62027001 8/24/2006 $ 509.00 $ 444.40 $ 64.60 690559-01 8/24/2006 $ 509.00 $ 432.62 $ 76.38 620273-01 8/29/2006 $ 509.00 $ 432.62 $ 76.38 670253-02 8/29/2006 $ 554.00 $ 468.62 $ 85.38 670255-01 8/30/2006 $ 590.00 $ 497.42 $ 92.58 690575-02 8/30/2006 $ 509.00 $ - $ 509.00 670256-01 8/31/2006 $ 923.00 $ - $ 923.00 670256-02 8/31/2006 $ 923.00 $ - $ 923.00 690584-01 9/2/2006 $ 509.00 $ - $ 509.00 630508-01 9/6/2006 $ 698.00 $ 507.30 $ 190.70 670262-01 9/6/2006 $ 698.00 $ 486.93 $ 211.07 620285-01 9/7/2006 $ 509.00 $ 409.00 $ 100.00 610301-01 9/9/2006 $ 689.00 $ - $ 689.00 630512-01 9/1112006 $ 653.00 $ 509.75 $ 143.25 690602-01 9/1112006 $ 509.00 $ - $ 509.00 630517-01 9/15/2006 $ 680.00 $ 582.36 $ 97.64 610310-01 9/16/2006 $ 653.00 $ 636.00 $ 17.00 610317-01 9/20/2006 $ 644.00 $ 236.40 $ 407.60 670274-01 9/23/2006 $ 518.00 $ 493.41 $ 24.59 630530-01 9/24/2006 $ 662.00 $ - $ 662.00 690638-01 9/25/2006 $ 509.00 $ - $ 509.00 620300-01 9/28/2006 $ 509.00 $ - $ 509.00 610329-02 1 0/1/2006 $ 518.00 $ 414.40 $ 103.60 610330-01 1 0/1/2006 $ 590.00 $ - $ 590.00 630546-01 1 0/1/2006 $ 878.00 $ - $ 878.00 670281-01 1 0/2/2006 $ 518.00 $ - $ 518.00 620307-01 1 0/3/2006 $ 527.00 $ 447.02 $ 79.98 690661-01 1 0/5/2006 $ 590.00 $ 472.00 $ 118.00 610337-01 1 0/6/2006 $ 626.00 $ - $ 626.00 620315-01 1 0/13/2006 $ 509.00 $ - $ 509.00 630562-01 10/13/2006 $ 707.00 $ 607.00 $ 100.00 690676-01 10/13/2006 $ 509.00 $ 407.20 $ 101.80 620316-01 10/14/2006 $ 509.00 $ - $ 509.00 630565-01 10/14/2006 $ 626.00 $ 500.80 $ 125.20 .:-'i 15 Exhibit A Monroe County Fire Rescue Ground Ambulance Account Recievables for August 2010 Write off Prepared July 14, 2010 Original balance (or Balance when Acct # DOS sent to collections) Payments Final Balance' 610343-02 10/15/2006 $ 644.00 $ - $ 644.00 630568-01 10/16/2006 $ 680.00 $ 570.58 $ 109.42 610346-01 10/18/2006 $ 689.00 $ 590.13 $ 98.87 610347-01 10/18/2006 $ 698.00 $ - $ 698.00 620322-01 10/19/2006 $ 518.00 $ , . 451.60 $ 66.40 620326-01 10/21/2006 $ 509.00 $' 444.40 $ 64.60 690682-01 10/21/2006 $ 509.00 $ - $ 509.00 630586-02 10/1/2406 $ 716.00 $ - $ 716.00 620330-01 1 0/25/2006 $ 509.00 $ 444.40 $ 64.60 620331-02 1 0/25/2006 $ 509.00 $ - $ 509.00 670295-03 1 0/26/2006 $ 518.00 $ - $ 518.00 67029502 10/27/2006 $ 518.00 $ - $ 518.00 670295-04 1 0/27/2006 $ 518.00 $ - $ 518.00 610354-02 1 0/28/2006 $ 662.00 $ - $ 662.00 630594-02 1 0/28/2006 $ 779.00 $ - $ 779.00 670296-02 10/28/2006 $ 653.00 $ - $ 653.00 690697-02 10/29/2006 $ 509.00 $ - $ 509.00 610355-02 10/29/2006 $ 671.00 $ - $ 671.00 610356-02 10/29/2006 $ 707.00 $ - $ 707.00 690701-02 10/29/2006 $ 509.00 $ - $ 509.00 670298-01 10/30/2006 $ 509.00 $ 432.62 $ 76.38 69070-201 10/30/2006 $ 509.00 $ 432.62 $ 76.38 690704-02 10/30/2006 $ 627.00 $ - $ 627.00 630599-01 11/1/2006 $ 680.00 $ 570.58 $ 109.42 690707-01 11/1/2006 $ 509.00 $ - $ 509.00 620339-01 11/3/2006 $ 986.00 $ - $ 986.00 690710-01 11/3/2006 $ 563.00 $ 487.60 $ 75.40 630607-01 11/9/2006 $ 716.00 $ 592.62 $ 123.38 690723-01 11/1 0/2006 $ 509.00 $ 407.20 $ 101.80 690732-01 11/15/2006 $ 563.00 $ 475.82 $ 87.18 690735-01 11/15/2006 $ 545.00 $ 463.25 $ 81.75 690739-01 11/17/2006 $ 554.00 $ 480.40 $ 73.60 630626-01 11/18/2006 $ 761.00 $ 739.28 $ 21.72 690743-01 11/18/2006 $ 518.00 $ - $ 518.00 690744-01 11/18/2006 $ 518.00 $ - $ 518.00 630630-01 11/20/2006 $ 599.00 $ - $ 599.00 610378-01 11/22/2006 $ 698.00 $ 586.13 $ 111.87 690757-01 11/22/2006 $ 509.00 $ - $ 509.00 690763-02 11/25/2006 $ 509.00 $ 407.20 $ 101.80 610384-01 11/26/2006 $ 896.00 $ - $ 896.00 690772-01 11/29/2006 $ 590.00 $ - $ 590.00 620373-01 12/2/2006 $ 653.00 $ 531.22 $ 121.78 16 " Exhibit A Monroe County Fire Rescue Ground Ambulance Account Recievables for August 2010 Write off Prepared July 14, 2010 Original balance (or Balance when Acct# DOS sent to collections) Payments Final Balance' 610392-01 12/3/2006 $ 680.00 $ - $ 680.00 620374-02 12/3/2006 $ 527.00 $ - $ 527.00 630660-01 12/4/2006 $ 680.00 $ - $ 680.00 690804-01 12/11/2006 $ 509.00 $ 432.62 $ 76.38 670341-01 12/12/2006 $ 617.00 $ - $ 617.00 690805-01 12/12/2006 $ 509.00 $' 432.62 $ 76.38 620384-01 12/13/2006 $ 509.00 $ 432.62 $ 76.38 610405-01 12/14/2006 $ 725.00 $ 609.47 $ 115.53 630690-01 12/17/2006 $ 644.00 $ 612.99 $ 31.01 630692-01 12/17/2006 $ 752.00 $ - $ 752.00 690823-01 12/17/2006 $ 509.00 $ 348.75 $ 160.25 610412-01 12/18/2006 $ 689.00 $ 578.35 $ 110.65 670348-01 12/18/2006 $ 590.00 $ 409.50 $ 180.50 610417-01 12/19/2006 $ 707.00 $ 593.91 $ 113.09 690832-01 12/21/2006 $ 509.00 $ 432.62 $ 76.38 690833-01 12/21/2006 $ 527.00 $ 447.02 $ 79.98 690834-01 12/21/2006 $ 509.00 $ 467.95 $ 41.05 690836-01 12/22/2006 $ 509.00 $ 444.40 $ 64.60 620397-01 12/24/2006 $ 518.00 $ 414.40 $ 103.60 690852-01 12/27/2006 $ 527.00 $ - $ 527.00 690853-01 12/27/2006 $ 563.00 $ - $ 563.00 690854-01 12/28/2006 $ 509.00 $ - $ 509.00 690857-01 12/29/2006 $ 518.00 $ 50.00 $ 468.00 670356-01 12/30/2006 $ 617.00 $ - $ 617.00 690860-01 12/30/2006 $ 518.00 $ 451.60 $ 66.40 .~ 1/.. ...0.61#1"0+"\1... .........../1$//214,108:061$< . 86,{ilCl.631$>i127.92i.# I IGRJ\.NDfofAlbfMSB&AD~I/I/$@j2;924152il$ /85;258;831$<315,822.09< I 17