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Item G3
BOARD OF GOVERNORS FIRE AND AMBULANCE DISTRICT 1 AGENDA ITEM SUMMARY Meeting Date: September 21, 2011 Division: Emergency Services Bulk Item: Yes _ No X Department: Fire Rescue Staff Contact Person: Susan Hover AGENDA ITEM WORDING: Approval of Resolution authorizing the write-off of Fire Rescue ground ambulance accounts receivable for CY 2007, in the total amount of $284,953.95 from the Fire Rescue District 1 Fund Account 141-115002. ITEM BACKGROUND: Monroe County contracts with Advanced Data Processing Inc., (ADPI) 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 650 accounts, in the total amount of $284,953.95 representing the period of January 2007 through December 2007. (See attached Exhibit A) These debts represent 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 Medicaid/Medicare; 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. PREVIOUS RELEVANT BOG ACTION: On August 20, 2008 Resolution No. 250-2008 authorized the write off of Fire Rescue ground ambulance accounts receivables in the total amount of $249,833.14. On September 16, 2009 Resolution No. 280-2009 authorized the write off of Fire Rescue ground ambulance account receivables in the total amount of $311,040.13. On August 18, 2010 Resolution 248-201 and 246-210 authorized the write off of Fire Rescue ground ambulance accounts receivables in the total amount of $315,822.09. CONTRACT/AGREEMENT 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: REVENUE PRODUCING: APPROVED BY: County DOCUMENTATION: N/A SOURCE OF FUNDS: N/A Yes _ N AMOUNT PER MONTH Year Atty OM rc asing Risk Man agem Included X Not Required DISPOSITION: Revised 07/09 AGENDA ITEM # Emergency Services RESOLUTION NO. -2011 A RESOLUTION OF THE BOARD OF GOVERNORS OF FIRE AND AMBULANCE DISTRICT 1 MONROE COUNTY, FLORIDA AUTHORIZING THE WRITE-OFF OF FIRE RESCUE GROUND AMBULANCE ACCOUNTS RECEIVABLE FOR CALENDAR YEAR 2007 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 2007 through December 2007; 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 2007 through December 2007. 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 FIRE AND AMBULANCE DISTICT 1 OF MONROE COUNTY, FLORIDA: Receivables for ground ambulance service accounts listed on attached Exhibit A in the amount of $284,953.95 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 52011. Representative Normal Anderson Vice Mayor WilliamDilley Councilman Philip Porter Councilman John Cromartie Councilman Jean Murphy Councilman Clark Snow (SEAL) Attest: DANNY L.KOLHAGE, Clerk By Deputy Clerk 1 w z cc 9 BOARD OF GOVERNORS, FIRE ANDa O AMBULANCE DISTRICT 1 of MONROE >. COUNTY FLORIDA Z Q :36 O By: U wo Occ Mayor/Chairperson z a. O 2 Exhibit A Monroe County Fire Rescue Ground Ambulance Account Recievables for September 2011 Write off Prepared June 30, 2011 Acct # DOS Original balance (or Balance I when sent to collections) Adjustments Payments Final Balance These accounts are with MSB 790041-01 1/18/2007 $ 545.00 $ 545.00 720032-01 1/24/2007 $ 509.00 $ 509.00 790090-01 2/10/2007 $ 545.00 $ 545.00 790188-01 3/23/07 $ 554.00 $ 554.00 790076-01 2/03/07 $ 509.00 $ 509.00 730233-01 4/19/07 $ 635.00 $ 635.00 730031-01 1/20/07 $ 743.00 $ 743.00 790290-01 5/03/07 $ 518.00 $ 518.00 790066-01 1/30/07 $ 590.00 $ 590.00 790289-01 5/02107 $ 518.00 $ 518.00 770011-01 1/16/07 $ 608.00 $ 608.00 770086-01 4/13/07 $ 608.00 $ 608.00 710052-01 2/10/07 $ 554.00 $ 554.00 790240-01 4/15/07 $ 518.00 $ 518.00 710057-01 2115/07 $ 653.00 $ 653.00 730133-01 3/06/07 $ 653.00 $ 653.00 790350-01 5/25/07 $ 518.00 $ 518.00 710113-01 4/17/07 $ 653.00 $ 653.00 730003-01 1/01/07 $ 644.00 $ 644.00 730188-01 4/03/07 $ 671.00 $ 671.00 790339-01 5/21/07 $ 518.00 $ 518.00 730015-01 1/09/07 $ 662.00 $ 662.00 790296-01 5/04/07 $ 527.00 $ 527.00 790132-01 2/26/07 $ 518.00 $ 518.00 790298-01 5/05/07 $ 518.00 $ 518.00 790099-01 2/13/07 $ 518.00 $ 518.00 790279-01 4/28/07 $ 509.00 $ 509.00 730024-01 1/17/07 $ 725.00 $ 725.00 790157-01 3/11/07 $ 518.00 $ 518.00 790087-01 2/08/07 $ 518.00 $ 518.00 710050-01 2/09/07 $ 635.00 $ 635.00 720021-01 1/18/07 $ 509.00 $ 509.00 730303-01 5/25/07 $ 734.00 $ 734.00 790017-01 1/08/07 $ 509.00 $ 509.00 790159-01 3/13/07 $ 545.00 $ 545.00 790233-01 4/12/07 $ 518.00 $ 518.00 710103-01 4/05/07 $ 653.00 $ 653.00 730002-01 1/01/07 $ 653.00 $ 653.00 7-01 6/17/07 $ 545.00 $ 545.00 730183-01 4/01/07 $ 734.00 $ 734.00 790104-01 2/15/07 $ 563.00 $ 563.00 730195-01 4/05/07 $ 518.00 $ 518.00 790248-01 4/18/07 $ 554.00 $ 554.00 710132-01 4/28/07 $ 644.00 $ 644.00 730122-01 3/04/07 $ 725.00 $ 725.00 730166-01 3/25/07 $ 734.00 $ 734.00 720124-01 4/21/07 $ 527.00 $ 527.00 730280-01 5/06/07 $ 662.00 $ 662.00 770001-01 1/01/07 $ 572.00 $ 572.00 720073-01 2/27/07 $ 518.00 $ 518.00 730211-01 1 4/09/07 $ 662.00 $ 662.00 Exhibit A: Page 1 of 13 Exhibit A Monroe County Fire Rescue Ground Ambulance Account Recievables for September 2011 Write off Prepared June 30, 2011 Acct # DOS Original balance (or Balance when sent to collections) Adjustments Payments Final Balance 710033-01 1/25/07 $ 635.00 $ 635.00 720028-01 1/21/07 $ 487.00 $ 487.00 720072-01 2/28/07 $ 509.00 $ 509.00 730047-01 1/27/07 $ 662.00 $ 662.00 730052-01 1/31/07 $ 743.00 $ 743.00 710117-02 4/20/07 $ 725.00 $ 725.00 720053-01 2/12/07 $ 509.00 $ 509.00 710114-01 4/17/07 $ 626.00 $ 626.00 730045-01 1/25/07 $ 653.00 $ 653.00 730273-01 5/07/07 $ 662.00 $ 662.00 720127-01 4/25/07 $ 518.00 $ 518.00 790048-01 1/20/07 $ 518.00 $ 518.00 720065-02 2/21/07 $ 509.00 $ 509.00 720087-01 3/14/07 $ 509.00 $ 509.00 730210-01 4/09/07 $ 734.00 $ 734.00 720099-01 4/03/07 $ 527.00 $ 527.00 730077-01 2114/07 $ 662.00 $ 662.00 730071-01 2/09/07 $ 653.00 $ 653.00 730072-01 2/10/07 $ 752.00 $ 752.00 730187-01 4/03/07 $ 734.00 $ 734.00 710061-01 2/18/07 $ 653.00 $ 653.00 720108-01 4/10/07 $ 509.00 $ 509.00 710084-01 3/12/07 $ 653.00 $ 653.00 790013-01 1/07/07 $ 545.00 $ 545.00 790033-01 1/16/07 $ 518.00 $ 518.00 710045-01 2/05/07 $ 671.00 $ 671.00 790031-01 1/16/07 $ 509.00 $ 509.00 770058-01 3/09/07 $ 590.00 $ 590.00 770107-01 5/11/07 $ 599.00 $ 599.00 770056-01 3/07/07 $ 680.00 $ 680.00 730082-01 2/16/07 $ 770.00 $ 770.00 730186-01 4/03/07 $ 698.00 $ 698.00 730037-01 1/22/07 $ 644.00 $ 644.00 730225-01 4/16/07 $ 653.00 $ 653.00 720034-01 1/25/07 $ 536.00 $ 536.00 790189-01 3/23/07 $ 581.00 $ 581.00 790093-01 2/12/07 $ 518.00 $ 518.00 790067-01 1/30/07 $ 509.00 $ 509.00 790152-01 3/10/07 $ 518.00 $ 518.00 790207-01 4/01/07 $ 509.00 $ 509.00 790260-01 4/21/07 $ - $ - 790280-02 4/29/07 $ 653.00 $ 653.00 790109-01 2117/07 $ 527.00 $ 527.00 790156-01 3/11/07 $ 509.00 $ 509.00 790177-01 3/18/07 $ 518.00 $ 518.00 790124-01 2/23/07 $ 509.00 $ 509.00 790261-01 4/21/07 $ 509.00 $ 509.00 790285-01 4/30/07 $ 509.00 $ 509.00 790056-01 1/25/07 $ 545.00 $ 545.00 790269-01 4/24/07 $ - $ - 790129-01 2/26/07 $ 536.00 $ 536.00 7sozsa-o1 4/22/07 $ 518.00 $ 518.00 Exhibit A: Page 2 of 13 Exhibit A Monroe County Fire Rescue Ground Ambulance Account Recievables for September 2011 Write off Prepared June 30, 2011 Acct # DOS Original balance (or Balance when sent to collections) Adjustments Payments Final Balance 790057-01 1/25/07 $ - $ - 790225-01 4/08/07 $ 518.00 $ 518.00 730309-02 5/28/07 $ 572.00 $ 572.00 700120-01 11/03/07 $ 716.00 $ 716.00 730473-01 8/17/07 $ 662.00 $ 662.00 730492-01 9/02107 $ 743.00 $ 743.00 730283-01 5/15/07 $ 707.00 $ 707.00 730364-01 6/21/07 $ 852.00 $ 852.00 790502-01 8/06/07 $ 527.00 $ 527.00 720227-01 8/06/07 $ 509.00 $ 509.00 720246-01 8/18/07 $ 518.00 $ 518.00 730432-01 7/28/07 $ 725.00 $ 725.00 790592-01 9/17/07 $ 509.00 $ 509.00 790598-01 9/19/07 $ 572.00 $ 572.00 770035-01 2/16/07 $ 590.00 $ 590.00 790422-01 6/28/07 $ 518.00 $ 518.00 720168-01 6/07/07 $ 536.00 $ 536.00 790122-01 2/23/07 $ 509.00 $ 509.00 730514-01 9/11/07 $ 662.00 $ 662.00 790523-01 8/13/07 $ 509.00 $ 509.00 790095-01 2/12/07 $ 509.00 $ 509.00 790275-01 4/27/07 $ 509.00 $ 509.00 770173-01 7/05/07 $ 527.00 $ 527.00 770105-01 5/05/07 $ 698.00 $ 698.00 790335-01 5/18/07 $ 509.00 $ 509.00 790461-01 7/16/07 $ 608.00 $ 608.00 730282-03 5/14/07 $ 698.00 $ 698.00 730282-04 5/14/07 $ 698.00 $ 698.00 790552-01 8/27/07 $ 518.00 $ 518.00 710227-01 7/29/07 $ 671.00 $ 671.00 710246-01 8/19/07 $ 725.00 $ 725.00 710248-01 8/20/07 $ 1,112.00 $ 1,112.00 720285-01 9/17/07 $ 509.00 $ 509.00 770193-01 7/28/07 $ 572.00 $ 572.00 790499-01 8/05/07 $ 518.00 $ 518.00 720223-01 7/30/07 $ 509.00 $ 509.00 720293-01 9/26/07 $ 518.00 $ 518.00 710250-02 8/21/07 $ 590.00 $ 590.00 720185-01 6/19/07 $ 527.00 $ 527.00 720255-01 8/29/07 $ 518.00 $ 518.00 790588-01 9/16/07 $ 518.00 $ 518.00 720152-01 5/24/07 $ 518.00 $ 518.00 730513-01 9/11/07 $ 698.00 $ 698.00 790549-01 8/25/07 $ 509.00 $ 509.00 790584-01 9/13/07 $ 518.00 $ 518.00 700253-01 11/19/07 $ 518.00 $ 518.00 700123-02 11/02/07 $ 536.00 $ 536.00 790534-01 8/17/07 $ 545.00 $ 545.00 790646-01 10/15/07 $ 536.00 $ 536.00 720144-01 5/17/07 $ 518.00 $ 518.00 730465-01 8/11/07 $ 653.00 $ 653.00 700392-01 12/15/07 $ 626.00 $ 626.00 Exhibit A: Page 3 of 13 Exhibit A Monroe County Fire Rescue Ground Ambulance Account Recievables for September 2011 Write off Prepared June 30, 2011 Acct # DOS Original balance (or Balance when sent to collections) Adjustments Payments Final Balance 790565-01 9/03/07 $ 518.00 $ 518.00 730467-01 8/13/07 $ 518.00 $ 518.00 790381-01 6/10/07 $ 545.00 $ 545.00 790570-01 9/07/07 $ 617.00 $ 617.00 790527-01 8/14/07 $ 518.00 $ 518.00 730023-01 1/17/07 $ 734.00 $ 734.00 700429-01 12/18/07 $ 617.00 $ 617.00 700349-01 12/05/07 $ 617.00 $ 617.00 770106-01 5/07/07 $ 788.00 $ 788.00 770115-01 5/17/07 $ 590.00 $ 590.00 770118-01 5/19/07 $ 599.00 $ 599.00 770120-01 5/21/07 $ 599.00 $ 599.00 730320-01 6/02/07 $ 734.00 $ 734.00 700428-01 12/17/07 $ 653.00 $ 653.00 770123-01 5/27/07 $ - $ - 720094-01 3/26/07 $ 518.00 $ 518.00 790421-01 6/28/07 $ 518.00 $ 518.00 790427-01 6/30/07 $ 554.00 $ 554.00 790440-01 7/04/07 $ 563.00 $ 563.00 730286-01 5/13/07 $ 734.00 $ 734.00 730544-01 10/01/07 $ 653.00 $ 653.00 710192-01 6/23/07 $ 590.00 $ 590.00 790569-01 9/06/07 $ 518.00 $ 518.00 700422-01 12/18/07 $ 734.00 $ 734.00 700126-01 11 /03/07 $ 743.00 $ 743.00 690230-01 4/01/06 $ 36.00 $ 36.00 700095-01 10/29/07 $ 554.00 $ 554.00 700341-01 12/08/07 $ 617.00 $ 617.00 700262-01 11/20/07 $ 680.00 $ 680.00 720305-01 10/03/07 $ 536.00 $ 536.00 700346-01 12/07/07 $ 518.00 $ 518.00 700093-01 10/28/07 $ 518.00 $ 518.00 700235-01 11/12/07 $ 743.00 $ 743.00 790495-01 8/04/07 $ 509.00 $ 509.00 700269-01 11/23/07 $ 644.00 $ 644.00 351-01 12/01/07 $ 671.00 $ 671.00 700316-01 11/21/07 $ 509.00 $ 509.00 790434-01 7/02/07 $ 509.00 $ 509.00 700229-01 11/15/07 $ 644.00 $ 644.00 700271-01 11/23/07 $ 518.00 $ 518.00 700273-01 11/25/07 $ 563.00 $ 563.00 720262-01 9/02/07 $ 527.00 $ 527.00 700127-01 11/07/07 $ - $ - 700179-01 10/21/07 $ 554.00 $ 554.00 700353-01 12/04/07 $ 554.00 $ 554.00 700319-01 11/30/07 $ 653.00 $ 653.00 700097-01 10/16/07 $ 509.00 $ 509.00 700087-01 11/04/07 $ 518.00 $ 518.00 700128-01 11/08/07 $ 581.00 $ 581.00 700312-01 11/28/07 $ 509.00 $ 509.00 790641-01 10/12/07 $ 527.00 $ 527.00 700131-01 10/30/07 $ 609.00 $ 609.00 Exhibit A: Page 4 of 13 Exhibit A Monroe County Fire Rescue Ground Ambulance Account Recievables for September 2011 Write off Prepared June 30, 2011 Acct # DOS Original balance (or Balance when sent to collections) Adjustments Payments Final Balance 700278-01 11/25/07 $ 698.00 $ 698.00 700337-01 12/04/07 $ 554.00 $ 554.00 790558-01 8/31/07 $ 509.00 $ 509.00 730554-01 10/06/07 $ - $ - 700234-01 11/13/07 $ 518.00 $ 518.00 700430-02 12/19/07 $ 518.00 $ 518.00 700264-01 11/21/07 $ 680.00 $ 680.00 790607-01 9/24/07 $ 545.00 $ 545.00 730566-01 10/12/07 $ 671.00 $ 671.00 700242-01 11/16/07 $ 518.00 $ 518.00 790467-01 7/21/07 $ 536.00 $ 536.00 790560-01 9/01/07 $ 509.00 $ 509.00 700266-01 11/22/07 $ 698.00 $ 698.00 770186-01 7/16/07 $ 680.00 $ 680.00 700245-01 11/16/07 $ 725.00 $ 725.00 730525-01 9/16/07 $ 662.00 $ 662.00 790509-01 8/10/07 $ 563.00 $ 563.00 710219-01 7/21/07 $ 662.00 $ 662.00 730366-01 6/22/07 $ 635.00 $ 635.00 730432-02 7/28/07 $ 725.00 $ 725.00 790459-01 7/16/07 $ 527.00 $ 527.00 730537-01 9/29/07 $ 653.00 $ 653.00 790425-01 6/29/07 $ 590.00 $ 590.00 790594-01 9/17/07 $ 563.00 $ 563.00 700332-01 12/03/07 $ 698.00 $ 698.00 700195-01 10/28/07 $ 653.00 $ 653.00 790532-01 8/17/07 $ 509.00 $ 509.00 730545-01 10/01/07 $ 662.00 $ 662.00 700246-01 11/17/07 $ 662.00 $ 662.00 700309-01 11/27/07 $ 509.00 $ 509.00 730540-01 9/30/07 $ 527.00 $ 527.00 700437-01 12/17/07 $ 509.00 $ 509.00 700158-01 10/28/07 $ 644.00 $ 644.00 700323-01 11/24/07 $ 743.00 $ 743.00 700357-01 12/01/07 $ 671.00 $ 671.00 700129-01 10/30/07 $ 545.00 $ 545.00 700275-01 11/27/07 $ 518.00 $ 518.00 700453-01 12/25/07 $ 509.00 $ 509.00 700237-01 11/06/07 $ 518.00 $ 518.00 700136-01 11/01/07 $ 518.00 $ 518.00 700454-01 12/25/07 $ 545.00 $ 545.00 256-01 11/20/07 $ 662.00 $ 662.00 730564-01 10/11/07 $ 653.00 $ 653.00 700410-02 12/14/07 $ 509.00 $ 509.00 700480-01 12/29/07 $ 145.50 $ 145.50 700426-01 12/18/07 $ 135.00 $ 135.00 700490-01 12/28/07 $ 527.00 $ 527.00 700385-01 12/12/07 $ 662.00 $ 662.00 700469-01 12/31/07 $ 554.00 $ 554.00 700444-01 12/21/07 $ - $ - MSB TOTAL $ 146,512.50 $ - $ 146,512.50 Exhibit A: Page 5 of 13 Exhibit A Monroe County Fire Rescue Ground Ambulance Account Recievables for September 2011 Write off Prepared June 30, 2011 Acct # DOS Original balance (or Balance Adjustments Payments Final Balance when sent to collections) These accounts are with ADPI 800619-01 4/5/2008 $ 635.00 $ 476.25 $ 158.75 8 6/6/2007 $ 671.00 $ - $ - $ 671.00 190146-01 3/7/2007 $ 545.00 $ - $ - $ 545.00 700086-01 11/3/2007 $ 617.00 $ - $ - $ 617.00 700098-01 10/19/2007 $ 959.00 $ - $ - $ 959.00 700100-01 10/20/2007 $ 554.00 $ - $ - $ 554.00 700104-01 10/20/2007 $ 698.00 $ 23.04 $ 636.82 $ 38.14 700106-01 10/20/2007 $ 518.00 $ - $ - $ 518.00 700108-01 10/28/2007 $ 527.00 $ - $ 193.90 $ 333.10 700115-01 10/18/2007 $ 653.00 $ - $ - $ 653.00 700116-01 10/23/2007 $ 734.00 $ 136.48 $ 478.02 $ 119.50 700117-01 10/22/2007 $ 509.00 $ - $ 432.65 $ 76.35 700119-01 11n/2007 $ 653.00 $ - $ - $ 653.00 700125-01 11/3/2007 $ 608.00 $ - $ 547.20 $ 60.80 700130-02 11/1/2007 $ 518.00 $ - $ - $ 518.00 700133-01 11/2/2007 $ 545.00 $ - $ - $ 545.00 700134-01 11/3/2007 $ 518.00 $ - $ - $ 518.00 700140-01 10/27/2007 $ 780.00 $ - $ - $ 780.00 700141-01 10/27/2007 $ 554.00 $ - $ - $ 554.00 700142-01 10/27/2007 $ 644.00 $ - $ 240.80 $ 403.20 700145-01 10/27/2007 $ 617.00 $ - $ - $ 617.00 700146-01 11/4/2007 $ 662.00 $ - $ 654.42 $ 7.58 700155-01 10/29/2007 $ 509.00 $ - $ 407.20 $ 101.80 700156-01 10/26/2007 $ 509.00 $ - $ - $ 509.00 700159-01 10/24/2004 $ 644.00 $ 303.60 $ 320.40 $ 20.00 700160-01 10/25/2007 $ 743.00 $ - $ 693.00 $ 50.00 700172-01 10/24/2007 $ 518.00 $ 178.48 $ 244.46 $ 95.06 700174-01 10/24/2007 $ 509.00 $ - $ - $ 509.00 700185-01 10/18/2007 $ 527.00 $ - $ - $ 527.00 700197-01 10/20/2007 $ 509.00 $ - $ 159.00 $ 350.00 700217-01 11/13/2007 $ 716.00 $ 26.04 $ 585.02 $ 104.94 700221-01 11/1/2007 $ 518.00 $ - $ - $ 518.00 700226-01 11/11/2007 $ 545.00 $ - $ 417.50 $ 127.50 700227-01 11/11/2007 $ 545.00 $ - $ - $ 545.00 700231-01 11/11/2007 $ 554.00 $ - $ - $ 554.00 700240-02 11/17/2007 $ 509.00 $ - $ - $ 509.00 700241-01 11/16/2007 $ 572.00 $ 39.49 $ 518.11 $ 14.40 700248-01 11/17/2007 $ 581.00 $ - $ - $ 581.00 700252-01 11/19/2007 $ 608.00 $ 178.48 $ 343.62 $ 85.90 700255-01 11/19/2007 $ 554.00 $ - $ - $ 554.00 700257-01 11/20/2007 $ 509.00 $ - $ 407.20 $ 101.80 700260-02 11/20/2007 $ 545.00 $ - $ - $ 545.00 700263-01 11/22/2007 $ 518.00 $ - $ - $ 518.00 700310-01 11/27/2007 $ 518.00 $ - $ - $ 518.00 700315-01 11/29/2007 $ 635.00 $ 26.89 $ 413.45 $ 194.66 700320-02 11/30/2007 $ 509.00 $ - $ - $ 509.00 700329-01 12/7/2007 $ 671.00 $ 19.69 $ 540.75 $ 110.56 700330-02 12/3/2007 $ 689.00 $ - $ - $ 689.00 700333-01 12/3/2007 $ 617.00 $ - $ 477.50 $ 139.50 700340-02 12/4/2007 $ 554.00 $ - $ - $ 554.00 Exhibit A: Page 6 of 13 Exhibit A Monroe County Fire Rescue Ground Ambulance Account Recievables for September 2011 Write off Prepared June 30, 2011 Acct # DOS Original balance (or Balance when sent to collections) Adjustments Payments Final Balance 700342-01 12/8/2007 $ 716.00 $ - $ 579.00 $ 137.00 700343-01 12/8/2007 $ 626.00 $ - $ - $ 626.00 700344-01 12/7/2007 $ 671.00 $ - $ - $ 671.00 700347-01 12/6/2007 $ 662.00 $ 255.41 $ 325.27 $ 81.32 700348-01 12/6/2007 $ 662.00 $ - $ - $ 662.00 700354-01 12/1/2007 $ 680.00 $ 20.04 $ 547.96 $ 112.00 700373-01 12/9/2007 $ 500.00 $ - $ - $ 500.00 700374-01 12/4/2007 $ 707.00 $ 24.54 $ 463.02 $ 219.44 700378-01 12/11/2007 $ 752.00 $ - $ 732.00 $ 20.00 700380-01 12/11/2007 $ 518.00 $ 178.48 $ 271.62 $ 67.90 700381-01 12/10/2007 $ 725.00 $ - $ 300.00 $ 425.00 700384-01 12/9/2007 $ 590.00 $ - $ 455.00 $ 135.00 700390-01 12/13/2007 $ 509.00 $ - $ - $ 509.00 700407-01 12/15/2007 $ 680.00 $ - $ 630.00 $ 50.00 700408-01 12/15/2007 $ 734.00 $ 29.04 $ 585.46 $ 119.50 700413-01 12/13/2007 $ 662.00 $ - $ - $ 662.00 700414-01 12/8/2007 $ 509.00 $ 118.19 $ 312.65 $ 78.16 700418-01 12/16/2007 $ 842.00 $ 229.77 $ 489.79 $ 122.44 700419-01 12/18/2007 $ 509.00 $ - $ - $ 509.00 700425-01 12/20/2007 $ 644.00 $ 25.09 $ 590.11 $ 28.80 700439-01 12/22/2007 $ 752.00 $ 32.04 $ 597.96 $ 122.00 700449-01 12/4/2007 $ 770.00 $ - $ - $ 770.00 700457-01 12/25/2007 $ 734.00 $ 29.04 $ 585.46 $ 119.50 700458-01 12/27/2007 $ 707.00 $ - $ 100.00 $ 607.00 700471-01 12/30/2007 $ 527.00 $ - $ - $ 527.00 700473-01 12/28/2007 $ 635.00 $ - $ - $ 635.00 700475-01 12/24/2007 $ 680.00 $ 20.04 $ 547.96 $ 112.00 710027-01 1/22/2007 $ 644.00 $ - $ 201.60 $ 442.40 710032-01 1/25/2007 $ 635.00 $ - $ - $ 635.00 710040-01 2/2/2007 $ 680.00 $ - $ - $ 680.00 710044-01 2/4/2007 $ 644.00 $ - $ 322.00 $ 322.00 710049-01 2/8/2007 $ 635.00 $ - $ 105.45 $ 529.55 710055-02 2/13/2007 $ 662.00 $ - $ - $ 662.00 710060-01 2/18/2007 $ 653.00 $ - $ - $ 653.00 710066-01 2/21/2007 $ 734.00 $ 136.48 $ 573.62 $ 23.90 710070-01. 2/27/2007 $ 680.00 $ - $ - $ 680.00 710074-01 3/3/2007 $ 716.00 $ 130.58 $ 468.42 $ 117.00 710082-01 3/9/2007 $ 662.00 $ - $ - $ 662.00 710092-01 3/23/2007 $ 680.00 $ _ $ - $ 680.00 710094-01 3/25/2007 $ 509.00 $ - $ - $ 509.00 710100-01 4/3/2007 $ 626.00 $ - $ 332.40 $ 293.60 710106-01 4/7/2007 $ 743.00 $ - $ 265.00 $ 478.00 710115-01 4/18/2007 $ 689.00 $ - $ 580.00 $ 109.00 710135-01 4/29/2007 $ 662.00 $ 252.36 $ 309.64 $ 100.00 710145-01 5/14/2007 $ 653.00 $ 118.19 $ 427.85 $ 106.96 710150-01 5/19/2007 $ 545.00 $ 118.19 $ 341.45 $ 85.36 710152-01 5/21/2007 $ 644.00 $ 178.48 $ 372.42 $ 93.10 710165-02 6/1/2007 $ 680.00 $ - $ - $ 680.00 710171-01 6/8/2007 $ 671.00 $ 118.19 $ 442.25 $ 110.56 710176-01 6/12/2007 $ 680.00 $ 164.79 $ 403.21 $ 112.00 710179-01 6/13/2007 $ 762.00 $ 47.38 $ 571.70 $ 142.92 710189-01 6/18/2007 $ 653.00 $ - $ - $ 653.00 Exhibit A: Page 7 of 13 Exhibit A Monroe County Fire Rescue Ground Ambulance Account Recievables for September 2011 Write off Prepared June 30, 2011 Acct # DOS Original balance (or Balance when sent to collections) Adjustments Payments Final Balance 710205-02 7/8/2007 $ 608.00 $ 178.48 $ 343.62 $ 85.90 710213-02 7/16/2007 $ 653.00 $ - $ - $ 653.00 710218-01 7/19/2007 $ 644.00 $ - $ - $ 644.00 710228-02 7/26/2007 $ 689.00 $ - $ - $ 689.00 710232-01 7/31/2007 $ 707.00 $ 338.60 $ 348.40 $ 20.00 710269-01 9/18/2007 $ 608.00 $ - $ 284.20 $ 323.80 710287-01 10/10/2007 $ 689.00 $ - $ - $ 689.00 720044-01 2/5/2007 $ 509.00 $ - $ 200.00 $ 309.00 720046-01 W/2007 $ 509.00 $ 178.48 $ 264.42 $ 66.10 720048-01 2/8/2007 $ 509.00 $ - $ - $ 509.00 720054-02 2/12/2007 $ 509.00 $ - $ - $ 509.00 720055-01 2/12/2007 $ 509.00 $ 193.86 $ 215.14 $ 100.00 720056-01 2/15/2007 $ 536.00 $ 118.19 $ 334.25 $ 83.56 720062-01 2/17/2007 $ 527.00 $ 178.48 $ 278.82 $ 69.70 720063-01 2/17/2007 $ 545.00 $ 299.05 $ 196.76 $ 49.19 720064-01 2/18/2007 $ 527.00 $ - $ - $ 527.00 72006501 2/19/2007 $ 527.00 $ 299.05 $ 153.11 $ 74.84 720066-01 2/19/2007 $ 527.00 $ 299.05 $ 182.36 $ 45.59 720078-01 3/2/2007 $ 509.00 $ 178.48 $ 264.42 $ 66.10 720079-01 3/3/2007 $ 518.00 $ - $ - $ 518.00 720081-01 3/6/2007 $ 536.00 $ 118.19 $ 334.25 $ 83.56 720084-01 3/11/2007 $ 509.00 $ - $ - $ 509.00 720086-01 3/12/2007 $ 545.00 $ 299.05 $ 196.76 $ 49.19 720090-01 3/21/2007 $ 509.00 $ 118.19 $ 312.65 $ 78.16 720097-01 3/31/2007 $ 536.00 $ - $ - $ 536.00 720120-01 4/18/2007 $ 509.00 $ 121.75 $ 338.06 $ 49.19 720134-01 5/5/2007 $ 509.00 $ 299.05 $ 167.96 $ 41.99 720136-01 5/7/2007 $ 509.00 $ 178.48 $ 264.42 $ 66.10 720150-01 5/22/2007 $ 609.00 $ 47.38 $ 449.30 $ 112.32 720167-01 6/4/2007 $ 509.00 $ - $ - $ 509.00 720169-01 6/8/2007 $ 518.00 $ 178.48 $ 271.62 $ 67.90 720171-01 6/8/2007 $ 509.00 $ - $ - $ 509.00 720177-01 6/13/2007 $ 518.00 $ - $ - $ 518.00 720181-01 6/14/2007 $ 509.00 $ - $ - $ 509.00 720186-01 6/19/2007 $ 518.00 $ - $ - $ 518.00 720188-01 6/21/2007 $ 509.00 $ - $ - $ 509.00 720192-01 6/30/2007 $ 518.00 $ 118.19 $ 319.85 $ 79.96 720195-01 7/6/2007 $ 509.00 $ - $ - $ 509.00 720198-01 7/6/2007 $ 527.00 $ - $ - $ 527.00 720203-01 7/12/2007 $ 905.00 $ - $ - $ 905.00 720207-01 7/15/2007 $ 509.00 $ - $ - $ 509.00 720210-01 7/17/2007 $ 509.00 $ - $ - $ 509.00 720213-01 7/21/2007 $ 536.00 $ - $ - $ 536.00 72021701 7/24/2007 $ 509.00 $ 178.48 $ 264.42 $ 66.10 720221-01 7/27/2007 $ 509.00 $ 118.19 $ 312.65 $ 78.16 720233-01 8/10/2007 $ 509.00 $ - $ - $ 509.00 720235-01 8/11/2007 $ 509.00 $ - $ - $ 509.00 720243-01 8/15/2007 $ 509.00 $ - $ - $ 509.00 720249-01 8/22/2007 $ 509.00 $ 178.48 $ 264.42 $ 66.10 720252-01 8/25/2007 $ 509.00 $ 299.05 $ 167.96 $ 41.99 720259-01 9/1/2007 $ 509.00 $ - $ - $ 509.00 720259-02 9/1/2007 $ 509.00 $ - $ - $ 509.00 Exhibit A: Page 8 of 13 Exhibit A Monroe County Fire Rescue Ground Ambulance Account Recievables for September 2011 Write off Prepared June 30, 2011 Acct # DOS Original balance (or Balance when sent to collections) Adjustments Payments Final Balance 720260-01 9/1/2007 $ 509.00 $ - $ 459.00 $ 50.00 720263-01 9/2/2007 $ 527.00 $ - $ - $ 527.00 720265-01 9/3/2007 $ 545.00 $ - $ 408.75 $ 136.25 720269-01 9/5/2007 $ 509.00 $ 178.48 $ 264.42 $ 66.10 720277-01 9/9/2007 $ 536.00 $ - $ 436.00 $ 100.00 720278-01 9/10/2007 $ 509.00 $ 178.48 $ 264.42 $ 66.10 72027901 9/11/2007 $ 518.00 $ 299.05 $ 175.16 $ 43.79 720284-01 9/16/2007 $ 636.00 $ - $ - $ 636.00 720297-01 9/30/2007 $ 536.00 $ - $ 386.00 $ 150.00 720298-01 9/30/2007 $ 536.00 $ - $ - $ 536.00 720300-01 8/7/2007 $ 590.00 $ - $ - $ 590.00 720313-01 1017/2007 $ 518.00 $ 178.48 $ 271.62 $ 67.90 720314-01 1017/2007 $ 518.00 $ 299.05 $ 175.16 $ 43.79 720321-01 10/12/2007 $ 509.00 $ 52.09 $ 455.11 $ 1.80 730008-01 1/4/2007 $ 653.00 $ - $ - $ 653.00 730014-02 1/8/2007 $ 509.00 $ 118.19 $ 312.65 $ 78.16 730033-01 1/20/2007 $ 671.00 $ 19.69 $ 442.25 $ 209.06 730054-01 1/31/2007 $ 716.00 $ - $ 447.81 $ 268.19 730061-01 2/2/2007 $ 734.00 $ - $ - $ 734.00 730065-02 2/8/2007 $ 725.00 $ 133.73 $ 473.02 $ 118.25 730065-03 2/8/2007 $ 725.00 $ - $ - $ 725.00 730072-02 2/10/2007 $ 752.00 $ - $ - $ 752.00 730075-01 2/13/2007 $ 689.00 $ 122.73 $ 453.02 $ 113.25 730076-01 2/13/2007 $ 635.00 $ - $ - $ 635.00 730081-01 2/16/2007 $ 752.00 $ - $ 639.20 $ 112.80 730083-01 2/17/2007 $ 743.00 $ - $ - $ 743.00 730092-01 2/20/2007 $ 707.00 $ 128.23 $ 463.02 $ 115.75 730106-01 2/25/2007 $ 680.00 $ 119.98 $ 448.02 $ 112.00 730112-01 2/27/2007 $ 671.00 $ - $ 404.77 $ 266.23 730113-01 2/27/2007 $ 635.00 $ 178.48 $ 365.22 $ 91.30 730121-01 3/3/2007 $ 671.00 $ - $ 536.80 $ 134.20 730136-01 3/8/2007 $ 635.00 $ 118.19 $ 413.45 $ 103.36 730137-01 3/9/2007 $ 680.00 $ - $ 484.80 $ 195.20 730138-01 3/9/2007 $ 671.00 $ - $ 603.90 $ 67.10 730139-01 3/13/2007 $ 734.00 $ - $ 100.00 $ 634.00 730172-01 3/27/2007 $ 680.00 $ - $ - $ 680.00 730178-01 3/29/2007 $ 671.00 $ - $ - $ 671.00 730201-01 41 /2007 $ 653.00 $ - $ 522.40 $ 130.60 730209-01 4/9/2007 $ 743.00 $ 199.52 $ 434.79 $ 108.69 730212-01 4/9/2007 $ 707.00 $ - $ 117.20 $ 589.80 730247-01 4/23/2007 $ 770.00 $ _ $ 680.00 $ 90.00 730251-01 4/27/2007 $ 536.00 $ - $ - $ 536.00 730255-01 4/28/2007 $ 662.00 $ - $ - $ 662.00 730272-01 5/6/2007 $ 743.00 $ - $ - $ 743.00 730282-01 5/12/2007 $ 509.00 $ - $ - $ 509.00 730284-01 5/15/2007 $ 662.00 $ - $ 441.50 $ 220.50 730295-01 5/20/2007 $ 680.00 $ - $ 544.00 $ 136.00 730298-01 5/22/2007 $ 653.00 $ 308.60 $ 258.30 $ 86.10 730299-01 5/23/2007 $ 662.00 $ 118.19 $ 435.05 $ 108.76 730301-01 5/24/2007 $ 671.00 $ 178.48 $ 394.02 $ 98.50 730330-01 7/6/2007 $ 671.00 $ 118.19 $ 442.25 $ 110.56 730333-01 6/9/2007 $ 753.00 $ - $ 564.75 $ 188.25 Exhibit A: Page 9 of 13 Exhibit A Monroe County Fire Rescue Ground Ambulance Account Recievables for September 2011 Write off Prepared June 30, 2011 Acct # DOS Original balance (or Balance when sent to collections) Adjustments Payments Final Balance 730334-01 6/14/2007 $ 689.00 $ - $ 493.75 $ 195.25 730339-01 6/13/2007 $ 725.00 $ - $ - $ 725.00 730341-01 6/14/2007 $ 653.00 $ - $ - $ 653.00 730346-01 6/15/2007 $ 734.00 $ 136.48 $ 478.02 $ 119.50 730347-01 6/15/2007 $ 653.00 $ 118.19 $ 434.81 $ 100.00 730348-01 6/16/2007 $ 653.00 $ - $ 23.10 $ 629.90 730356-01 6/18/2007 $ 608.00 $ _ $ 90.00 $ 518.00 730359-01 6/19/2007 $ 662.00 $ - $ - $ 662.00 730363-01 6/21/2007 $ 725.00 $ _ $ - $ 725.00 730369-01 6/23/2007 $ 752.00 $ 202.27 $ 439.79 $ 109.94 730378-01 6/27/2007 $ 635.00 $ 118.19 $ 413.45 $ 103.36 730380-01 6/28/2007 $ 653.00 $ 118.19 $ 427.85 $ 106.96 730381-01 6/28/2007 $ 680.00 $ - $ - $ 680.00 730388-01 7/2/2007 $ 662.00 $ - $ 529.60 $ 132.40 730389-01 7/4/2007 $ 689.00 $ - $ - $ 689.00 730408-01 7/17/2007 $ 689.00 $ - $ 315.00 $ 374.00 730412-01 7/19/2007 $ 689.00 $ - $ 500.00 $ 189.00 730429-01 7/28/2007 $ 761.00 $ - $ 405.00 $ 356.00 730438-01 8/3/2007 $ 509.00 $ - $ - $ 509.00 730441-01 8/5/2007 $ 689.00 $ - $ 535.94 $ 153.06 730450-02 8/8/2007 $ 707.00 $ _ $ - $ 707.00 730484-01 8/26/2007 $ 698.00 $ - $ 223.00 $ 475.00 730491-01 9/1/2007 $ 599.00 $ - $ - $ 599.00 730497-01 9/3/2007 $ 617.00 $ 288.60 $ 308.40 $ 20.00 730498-01 9/3/2007 $ 689.00 $ - $ 10.00 $ 679.00 73050301 9/6/2007 $ 662.00 $ - $ 250.00 $ 412.00 730531-02 9/22/2007 $ 653.00 $ - $ - $ 653.00 730535-01 9/26/2007 $ 671.00 $ - $ 536.80 $ 134.20 730536-01 9/29/2007 $ 698.00 $ - $ 325.00 $ 373.00 730557-01 10/7/2007 $ 680.00 $ - $ - $ 680.00 730560-01 10/9/2007 $ 644.00 $ 50.00 $ 475.20 $ 118.80 731313-01 5/30/2007 $ 662.00 $ - $ - $ 662.00 770006-01 1/8/2007 $ 662.00 $ - $ - $ 662.00 77000-901 1/13/2007 $ 680.00 $ - $ 270.90 $ 409.10 770017-01 070130 $ 599.00 $ - $ - $ 599.00 770019-01 1/31/2007 $ 635.00 $ 118.19 $ 385.81 $ 131.00 770026-01 2/5/2007 $ 635.00 $ 118.19 $ 413.45 $ 103.36 770034-01 2/14/2007 $ 734.00 $ - $ - $ 734.00 770045-01 2/24/2007 $ 680.00 $ - $ - $ 680.00 770048-01 2/25/2007 $ 608.00 $ - $ 558.00 $ 50.00 770050-01 3/2/2007 $ 680.00 $ - $ 446.52 $ 233.48 770063-01 3/14/2007 $ 698.00 $ - $ - $ 698.00 770076-01 3/31/2007 $ 698.00 $ - $ - $ 698.00 770079-01 4/3/2007 $ 680.00 $ - $ 450.00 $ 230.00 770088-01 4/17/2007 $ 572.00 $ - $ 289.28 $ 282.72 770092-01 4/21/2007 $ 554.00 $ - $ - $ 554.00 770117-01 5/17/2007 $ 590.00 $ 178.48 $ 329.22 $ 82.30 770132-01 617/2007 $ 680.00 $ - $ - $ 680.00 770139-01 6/11/2007 $ 509.00 $ - $ - $ 509.00 770148-01 6/16/2007 $ 644.00 $ - $ 129.49 $ 514.51 770154-01 6/20/2007 $ 590.00 $ - $ - $ 590.00 770170-01 7/3/2007 $ 626.00 $ - $ - I $ 626.00 Exhibit A: Page 10 of 13 Exhibit A Monroe County Fire Rescue Ground Ambulance Account Recievables for September 2011 Write off Prepared June 30, 2011 Acct # DOS Original balance (or Balance when sent to collections) Adjustments Payments Final Balance 770175-01 7/7/2007 $ 698.00 $ - $ - $ 698.00 770188-01 7/19/2007 $ 617.00 $ - $ 493.60 $ 123.40 770192-01 7/22/2007 $ 590.00 $ - $ 512.64 $ 77.36 770196-01 7/30/2007 $ 635.00 $ 223.75 $ 311.25 $ 100.00 770202-01 8/5/2007 $ 635.00 $ - $ - $ 635.00 770206-01 8/16/2007 $ 662.00 $ - $ 515.84 $ 146.16 770208-01 8/19/2007 $ 716.00 $ - $ - $ 716.00 770230-01 10/1/2007 $ 680.00 $ _ $ _ $ 680.00 790006-01 1/3/2007 $ 509.00 $ - $ 381.75 $ 127.25 790012-01 117/2007 $ 518.00 $ - $ - $ 518.00 790015-01 1/8/2007 $ 527.00 $ - $ 150.20 $ 376.80 790022-01 1/11/2007 $ 527.00 $ 118.19 $ 327.05 $ 81.76 790025-01 1/14/2007 $ 509.00 $ 118.19 $ 362.65 $ 28.16 790026-01 1/14/2007 $ 609.00 $ - $ - $ 609.00 790027-01 1/14/2007 $ 518.00 $ 178.48 $ 271.62 $ 67.90 790042-01 1/18/2007 $ 509.00 $ 118.19 $ 312.65 $ 78.16 790044-01 1/19/2007 $ 509.00 $ - $ - $ 509.00 790053-01 1/22/2007 $ 509.00 $ 178.48 $ 264.42 $ 66.10 790068-01 1/30/2007 $ 509.00 $ 118.19 $ 312.65 $ 78.16 790072-01 2/2/2007 $ 518.00 $ - $ - $ 518.00 790077-01 2/3/2007 $ 545.00 $ 118.19 $ 341.45 $ 85.36 790080-01 2/5/2007 $ 509.00 $ - $ - $ 509.00 790082-01 2/5/2007 $ 518.00 $ - $ 284.40 $ 233.60 790085-01 2/6/2007 $ 518.00 $ - $ - $ 518.00 790097-01 2/13/2007 $ 518.00 $ 118.19 $ 319.85 $ 79.96 790099-02 2/13/2007 $ 518.00 $ - $ - $ 518.00 790106-01 2/16/2007 $ 509.00 $ - $ - $ 509.00 790111-01 2/19/2007 $ 509.00 $ - $ - $ 509.00 790112-01 2/19/2007 $ 518.00 $ - $ 388.50 $ 129.50 790114-01 2/19/2007 $ 545.00 $ - $ - $ 545.00 790123-01 2/23/2007 $ 518.00 $ 118.19 $ 215.05 $ 184.76 790128-01 2/26/2007 $ 518.00 $ 118.19 $ 319.85 $ 79.96 790130-01 2/26/2007 $ 509.00 $ - $ - $ 509.00 790134-01 2/27/2007 $ 509.00 $ 325.50 $ 137.63 $ 45.87 790135-01 2/27/2007 $ 563.00 $ 118.19 $ 355.85 $ 88.96 790138-01 3/1/2007 $ 599.00 $ - $ - $ 599.00 790142-01 3/3/2007 $ 518.00 $ - $ - $ 518.00 790144-01 3/5/2007 $ 734.00 $ 136.48 $ 380.65 $ 216.87 790163-01 3/15/2007 $ 509.00 $ - $ - $ 509.00 790164-01 3/15/2007 $ 545.00 $ 118.19 $ 341.45 $ 85.36 790172-01 3/17/2007 $ 509.00 $ 178.48 $ 264.42 $ 66.10 790183-01 3/22/2007 $ 581.00 $ 118.19 $ 346.30 $ 116.51 790191-01 3/25/2007 $ 509.00 $ - $ - $ 509.00 790194-01 3/25/2007 $ 509.00 $ - $ - $ 509.00 790201-01 3/28/2007 $ 536.00 $ - $ - $ 536.00 790203-01 3/28/2007 $ 518.00 $ 118.19 $ 319.85 $ 79.96 790206-01 4/1/2007 $ 563.00 $ 178.48 $ 307.62 $ 76.90 790230-01 4/11/2007 $ 518.00 $ - $ - $ 518.00 790231-01 4/12/2007 $ 590.00 $ 118.19 $ 377.45 $ 94.36 790234-01 4/12/2007 $ 545.00 $ 118.19 $ 341.45 $ 85.36 790237-01 4/13/2007 $ 518.00 $ - $ - $ 518.00 790238-01 4/23/2007 $ 518.00 $ 118.19 $ 319.85 $ 79.96 Exhibit A: Page 11 of 13 Exhibit A Monroe County Fire Rescue Ground Ambulance Account Recievables for September 2011 Write off Prepared June 30, 2011 Acct # DOS Original balance (or Balance when sent to collections) Adjustments Payments Final Balance 790239-01 4/14/2007 $ 518.00 $ 118.19 $ 319.85 $ 79.96 790256-01 4/21/2007 $ 554.00 $ - $ 443.20 $ 110.80 790277-01 4/27/2007 $ 518.00 $ - $ 313.50 $ 204.50 790280-01 4/29/2007 $ 653.00 $ - $ - $ 653.00 790281-01 4/29/2007 $ 518.00 $ - $ - $ 518.00 790287-01 5/1/2007 $ 509.00 $ - $ - $ 509.00 790288-01 5/1/2007 $ 518.00 $ - $ - $ 518.00 790291-01 5/3/2007 $ 518.00 $ - $ - $ 518.00 790295-01 5/4/2007 $ 518.00 $ - $ - $ 518.00 790300-01 5/6/2007 $ 635.00 $ 118.19 $ 413.45 $ 103.36 790303-01 5/8/2007 $ 509.00 $ - $ 419.00 $ 90.00 790305-01 5/8/2007 $ 554.00 $ - $ 300.40 $ 253.60 790313-01 5/10/2007 $ 509.00 $ - $ - $ 509.00 790316-01 5/11/2007 $ 572.00 $ 118.19 $ 363.05 $ 90.76 790320-01 5/13/2007 $ 509.00 $ - $ - $ 509.00 790321-01 5/13/2007 $ 509.00 $ 118.19 $ 312.65 $ 78.16 790326-01 5/14/2007 $ 518.00 $ - $ - $ 518.00 790327-01 5/14/2007 $ 518.00 $ 178.48 $ 271.62 $ 67.90 790332-01 5/16/2007 $ 518.00 $ - $ - $ 518.00 790336-01 5/18/2007 $ 509.00 $ - $ - $ 509.00 790341-01 5/21/2007 $ 545.00 $ - $ 40.00 $ 505.00 790346-01 5/24/2007 $ 527.00 $ - $ - $ 527.00 790348-01 5/24/2007 $ 554.00 $ 178.48 $ 300.42 $ 75.10 790349-01 6/16/2007 $ 518.00 $ - $ 284.40 $ 233.60 790352-02 5/26/2007 $ 509.00 $ - $ - $ 509.00 790359-01 5/27/2007 $ 518.00 $ 178.48 $ 271.62 $ 67.90 790380-01 6/9/2007 $ 509.00 $ - $ - $ 509.00 790382-01 6/11/2007 $ 527.00 $ - $ - $ 527.00 790397-01 6/16/2007 $ 590.00 $ - $ - $ 590.00 790400-01 6/17/2007 $ 509.00 $ - $ - $ 509.00 790401-01 6/18/2007 $ 518.00 $ - $ - $ 518.00 790402-01 6/18/2007 $ 509.00 $ - $ - $ 509.00 790406-01 6/19/2007 $ 509.00 $ - $ - $ 509.00 790414-01 6/25/2007 $ 518.00 $ - $ - $ 518.00 790429-01 6/30/2007 $ 509.00 $ - $ - $ 509.00 790430-02 7/1/2007 $ 572.00 $ - $ - $ 572.00 790432-01 7/1/2007 $ 509.00 $ - $ 300.00 $ 209.00 790447-01 7/9/2007 $ 554.00 $ 118.19 $ 348.65 $ 87.16 790453-01 7/13/2007 $ 518.00 $ - $ - $ 518.00 790455-01 7/14/2007 $ 518.00 $ 150.18 $ 287.86 $ 79.96 790462-01 7/17/2007 $ 518.00 $ - $ 337.60 $ 180.40 790474-01 7/23/2007 $ 518.00 $ - $ 87.00 $ 431.00 790483-01 7/31/2007 $ 554.00 $ 118.19 $ 348.65 $ 87.16 790487-01 8/2/2007 $ 518.00 $ 118.19 $ 319.85 $ 79.96 790503-01 8/7/2007 $ 509.00 $ - $ - $ 509.00 790504-01 817/2007 $ 509.00 $ - $ - $ 509.00 790506-01 8/8/2007 $ 509.00 $ - $ - $ 509.00 790508-01 8/10/2007 $ 518.00 $ - $ - $ 518.00 790510-01 8/10/2007 $ 509.00 $ - $ - $ 509.00 790519-01 8/11/2007 $ 509.00 $ - $ - $ 509.00 790523-02 8/13/2007 $ 509.00 $ - $ - $ 509.00 790526-01 8/14/2007 $ 518.00 $ 118.19 $ 319.85 $ 79.96 Exhibit A: Page 12 of 13 Exhibit A Monroe County Fire Rescue Ground Ambulance Account Recievables for September 2011 Write off Prepared June 30, 2011 Acct # DOS Original balance (or Balance when sent to collections) Adjustments Payments Final Balance 790531-01 8/16/2007 $ 509.00 $ - $ - $ 509.00 790532-02 8/19/2007 $ 509.00 $ - $ - $ 509.00 790535-01 8/18/2007 $ 509.00 $ - $ - $ 509.00 790539-01 8/21/2007 $ 545.00 $ 50.00 $ 396.00 $ 99.00 790541-01 8/22/2007 $ 509.00 $ 178.48 $ 264.42 $ 66.10 790546-01 8/23/2007 $ 509.00 $ - $ - $ 509.00 790546-02 8/23/2007 $ 509.00 $ - $ 407.20 $ 101.80 790547-01 8/23/2007 $ 509.00 $ - $ - $ 509.00 790550-01 8/27/2007 $ 518.00 $ - $ - $ 518.00 790551-01 8/27/2007 $ 518.00 $ - $ 468.00 $ 50.00 790556-01 8/30/2007 $ 590.00 $ 178.48 $ 329.22 $ 82.30 790562-01 9/1/2007 $ 590.00 $ - $ 387.20 $ 202.80 790573-01 917/2007 $ 518.00 $ - $ 468.00 $ 50.00 790577-01 9/9/2007 $ 518.00 $ - $ - $ 518.00 790579-01 9/11/2007 $ 563.00 $ - $ - $ 563.00 790596-01 9/18/2007 $ 536.00 $ - $ - $ 536.00 790603-02 9/21/2007 $ 536.00 $ - $ - $ 536.00 790604-02 9/22/2007 $ 563.00 $ - $ - $ 563.00 790605-02 9/23/2007 $ 509.00 $ - $ - $ 509.00 79060601 9/23/2007 $ 518.00 $ - $ - $ 518.00 790606-02 9/23/2007 $ 518.00 $ - $ - $ 518.00 790611-01 9/26/2007 $ 518.00 $ 50.29 $ 464.11 $ 3.60 790612-01 9/26/2007 $ 527.00 $ - $ - $ 527.00 790614-01 9/27/2007 $ 545.00 $ 178.48 $ 293.22 $ 73.30 790623-02 10/13/2007 $ 527.00 $ - $ 421.60 $ 105.40 790625-01 10/2/2007 $ 518.00 $ - $ 414.40 $ 103.60 790631-01 10/5/2007 $ 518.00 $ - $ - $ 518.00 790636-01 10/8/2007 $ 599.00 $ 34.09 $ 468.75 $ 96.16 790637-01 10/10/2007 $ 518.00 $ 50.29 $ 387.75 $ 79.96 790640-01 10/11/2007 $ 518.00 $ - $ - $ 518.00 790673-01 10/26/2007 $ 509.00 $ - $ - $ 509.00 ADPI Total $ 232,236.00 $ 17,691.55 $ 76,103.00 $ 138,441.45 Grand Total $ 378,748.50 $ 17,691.55 $ 76,103.00 $ 284,953.95 Exhibit A: Page 13 of 13