Item F09M
C ounty of f Monroe
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BOARD OF COUNTY COMMISSIONERS
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Mayor George Neugent, District 2
The Florida. Ke Se
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Mayor Pro Tern David Rice, District 4
Danny L. Kolhage, District I
Heather Carruthers, District 3
Sylvia J. Murphy, District 5
County Commission Meeting
November 14, 2017
Agenda Item Number: F.9
Agenda Item Summary #3532
BULK ITEM: Yes DEPARTMENT: Emergency Services
TIME APPROXIMATE: STAFF CONTACT: James Callahan (305) 289 -6088
N/A
AGENDA ITEM WORDING: Approval of Resolution authorizing the write -off of 434 Fire
Rescue ground ambulance accounts receivable for CY 2013, totaling $279,375.88 from Fire and
Ambulance District 1 L &M Key Fund (141). In CY 2013, we collected $526,392.92 and deposited
into accounts receivable.
ITEM BACKGROUND: Monroe County contracted with Advanced Data Processing Inc.,
(ADPI) for ground ambulance billing in 2012. After 210 days of inactivity with ADPI, outstanding
accounts are then placed with the collection agency, Municipal Services Bureau. Three years from
the date of incident, Monroe County Finance Department administratively writes -off these debts
after BOCC resolution. The attached Resolution authorizes the write -off of the balances of 434
accounts totaling $279,375.88, which represents the one -year period from January 1, 2013 through
December 31, 2013 (see attached Exhibit A). These debts represent accounts determined to be
uncollectable due to a multitude of reasons, including insurance paying the maximum allowable;
the service recipients are deceased with no available funds in the estate; bankruptcy; a minor with
no guardian or patient found; uncollectible balances of Medicaid /Medicare; HMO balances; patient
financially indigent (homeless); foreign address; and /or refusals to pay. Even though these
accounts are administratively written off for accounting purposes, the collection agency continues
to attempt collection on these accounts.
PREVIOUS RELEVANT BOCC ACTION: On August 20, 2008 Resolution No. 250 -2008
authorized the write off of Fire Rescue ground ambulance accounts receivables totaling $249,833.14.
On September 16, 2009 Resolution No. 280 -2009 authorized the write off of Fire Rescue ground
ambulance account receivables totaling $311,040.13. On August 18, 2010 Resolutions 248 -2010
and 246 -2010 authorized the write off of Fire Rescue ground ambulance accounts receivables
totaling $315,822.09. On September 21, 2011 Resolution 282a -2011 authorized the write off of Fire
Rescue ground ambulance accounts receivables totaling $284,953.95. The CY 2008 write offs
totaling $325,166.82 were executed by the Clerk of the Courts office inadvertently; the item was
pulled from the September 2012 agenda. On November 20, 2013 Resolution 382 -2013 authorized
the write -off of a total of 570 Fire Rescue ground ambulance accounts receivable for CY 2009 plus
three bankruptcies from CY 2010, totaling $351,618.38. On November 17, 2015 Resolution 390-
2015 authorized the write -off of Fire Rescue ground ambulance accounts receivables totaling
$360,837.34 for CY 2011. On November 22, 2016 Resolution 314 -2016 authorized the write -off of
Fire Rescue ground ambulance accounts receivables totaling $211,977.27 for CY 2012.
CONTRACT /AGREEMENT CHANGES:
N/A
STAFF RECOMMENDATION: Approval
DOCUMENTATION:
Resolution BOCC
EXHIBIT A
FINANCIAL IMPACT:
Effective Date:
Expiration Date:
Total Dollar Value of Contract:
Total Cost to County:
Current Year Portion:
Budgeted:
Source of Funds:
CPI:
Indirect Costs:
Estimated Ongoing Costs Not Included in above dollar amounts:
Revenue Producing:
Grant:
County Match:
Insurance Required:
Additional Details:
If yes, amount:
N/A
REVIEWED BY:
Pedro Mercado
Completed
10/27/2017 4:51 PM
Gary Boswell
Completed
10/30/2017 9:01 AM
James Callahan
Completed
10/30/2017 9:36 AM
Budget and Finance
Completed
10/30/2017 9:45 AM
Maria Slavik
Completed
10/30/2017 10:23 AM
Kathy Peters
Completed
10/30/2017 10:25 AM
Board of County Commissioners
Pending
11/14/2017 9:00 AM
RESOLUTION NO. -2017
A RESOLUTION OF THE
BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA
AUTHORIZING THE WRITE -OFF OF FIRE RESCUE GROUND AMBULANCE
ACCOUNTS RECEIVABLE FOR CALENDAR YEAR 2013
WHEREAS, Monroe County Fire Rescue Services provides ground ambulance service; and
WHEREAS, the Board of County Commissioners of Monroe County contracted with Advanced Data
Processing, Inc. (ADPI) for Rescue Ambulance Billing and Related Professional Services in 2013; 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 4 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 2013 through December 2013; 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 parent or guardian found, have uncollectible balances of Medicaid/Medicare, and/or have small exceptions
balances for the time period of January 2013 through December 2013.
WHEREAS, it is desired that these uncollectible ground ambulance service accounts receivable be written
off at this time;
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF
MONROE COUNTY, FLORIDA:
Receivables for ground ambulance service accounts listed on attached Exhibit A in the amount of
$279,375.88 shall be deleted from the Fire and Ambulance District 1 L &M Fund (141).
PASSED AND ADOPTED by the Board of County Commissioners of Monroe County, Florida, at a regular
meeting of said Board held on the 14 day of November, 2017.
George Neugent, Mayor
David Rice, Mayor Pro Tern
Danny L. Kolhage, Commissioner
Heather Carruthers, Commissioner
Sylvia Murphy, Commissioner
(SEAL) BOARD OF COUNTY COMMISSIONERS OF
ATTEST: KEVIN MADOK, CLERK MONROE COUNTY
By: By:
Deputy Clerk Mayor / Chairman
MONROE COUNTY ATTORNEY:
M3
Pedro Mercado
EXHIBIT A
Monroe County Fire Rescue
Ground Ambulance
CY 2013 Account Receivable Write Offs
GROUND ACCOUNTS WITH MSB
(DOS: 01/01/2013 - 12/31/2013)
ACCOUNT NUMBER
DATE OF SERVICE
BALANCE
14417045
1/1/2013
$864.00
14417039
1/2/2013
$996.00
14417032
1/2/2013
$612.00
14417035
1/2/2013
$1,016.00
14439239
1/4/2013
$852.00
14484791
1/5/2013
$816.00
14484796
1/5/2013
$864.00
14484804
1/6/2013
$636.00
14484779
1/9/2013
$624.00
14484783
1/9/2013
$786.00
14484785
1/9/2013
$624.00
14529526
1/14/2013
$828.00
14529526
1/14/2013
$828.00
14553110
1/17/2013
$612.00
14553109
1/18/2013
$828.00
14652710
1/20/2013
$624.00
14652716
1/21/2013
$648.00
14652714
1/22/2013
$612.00
14652701
1/23/2013
$612.00
14652697
1/23/2013
$624.00
14748974
1/26/2013
$876.00
14748986
1/28/2013
$624.00
14748958
1/29/2013
$660.00
14748954
2/3/2013
$840.00
14748946
2/4/2013
$624.00
14748945
2/5/2013
$672.00
14794813
2/7/2013
$840.00
14794814
2/7/2013
$67.94
14794819
2/7/2013
$936.00
14794806
2/8/2013
$840.00
14794806
2/8/2013
$840.00
14794811
2/9/2013
$636.00
14892028
2/14/2013
$708.00
14892023
2/16/2013
$756.00
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14939299
2/17/2013
$864.00
14939295
2/17/2013
$624.00
14939294
2/17/2013
$612.00
14892035
2/18/2013
$624.00
14892037
2/19/2013
$852.00
14929331
2/20/2013
$612.00
15010712
2/22/2013
$624.00
15010712
2/22/2013
$624.00
15010716
2/22/2013
$828.00
15010728
2/23/2013
$174.00
15010723
2/25/2013
$756.00
15010695
2/26/2013
$200.00
15010695
2/26/2013
$200.00
15010690
2/27/2013
$876.00
15010734
3/2/2013
$624.00
15030715
3/3/2013
$648.00
15070034
3/8/2013
$660.00
15070032
3/8/2013
$636.00
15070036
3/8/2013
$624.00
15070029
3/8/2013
$648.00
15183109
3/9/2013
$624.00
15183115
3/10/2013
$624.00
15183087
3/13/2013
$900.00
15183081
3/14/2013
$864.00
15183083
3/14/2013
$900.00
15183095
3/15/2013
$828.00
15183093
3/16/2013
$624.00
15220044
3/17/2013
$612.00
15220040
3/18/2013
$612.00
15220039
3/18/2013
$624.00
15220051
3/20/2013
$636.00
15286526
3/23/2013
$624.00
15286524
3/23/2013
$900.00
15241274
3/24/2013
$624.00
15241275
3/24/2013
$624.00
15286551
3/25/2013
$840.00
15286558
3/26/2013
$612.00
15286536
3/28/2013
$624.00
15286533
3/28/2013
$636.00
15286541
3/29/2013
$612.00
15286541
3/29/2013
$612.00
15286540
3/29/2013
$612.00
15316972
3/30/20131
$672.00
15316968
3/31/20131
$636.00
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15316965
4/1/2013
$648.00
15316963
4/1/2013
$612.00
15505799
4/18/2013
$612.00
15727247
5/9/2013
$612.00
15809914
5/16/2013
$624.00
15809918
5/16/2013
$816.00
15883558
5/23/2013
$612.00
$624.00
14484793
1/5/2013
$624.00
14484795
1/5/2013
Sub Total
14484794
$58,147.94
$804.00
14484805
1/6/2013
GROUND ACCOUNTS WITH ADPI
(DOS: 01/01/2013 - 12/31/2013)
ACCOUNT NUMBER
DATE OF SERVICE
BALANCE
14417029
1/1/2013
$255.20
14417044
1/1/2013
$660.00
14417048
1/1/2013
$828.00
14439243
1/3/2013
$624.00
14439236
1/4/2013
$828.00
14484792
1/5/2013
$624.00
14484793
1/5/2013
$624.00
14484795
1/5/2013
$804.00
14484794
1/5/2013
$804.00
14484805
1/6/2013
$612.00
14484802
1/6/2013
$624.00
14484790
1/6/2013
$624.00
14484799
1/7/2013
$126.48
14484797
1/7/2013
$624.00
14484800
1/7/2013
$1,028.00
14484770
1/8/2013
$144.00
14484798
1/8/2013
$912.00
14484780
1/9/2013
$624.00
14553104
1/12/2013
$636.00
14553103
1/13/2013
$912.00
14553120
1/15/2013
$612.00
14553126
1/15/2013
$684.00
14553117
1/15/2013
$768.00
14553122
1/16/2013
$466.00
145531111
1/17/2013
$1,040.00
145531131
1/19/2013
$63.88
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LU
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14652711
1/20/2013
$694.00
14652715
1/21/2013
$876.00
14652693
1/22/2013
$924.00
14652690
1/23/2013
$816.00
14652702
1/23/2013
$828.00
14652692
1/23/2013
$864.00
14652698
1/25/2013
$612.00
14748979
1/26/2013
$624.00
14748985
1/27/2013
$624.00
14748984
1/28/2013
$852.00
14748963
1/29/2013
$696.00
14748983
1/29/2013
$864.00
14748965
1/30/2013
$624.00
14748960
1/30/2013
$672.00
14748969
1/31/2013
$612.00
14748966
1/31/2013
$996.00
14748951
2/1/2013
$624.00
14748957
2/2/2013
$624.00
14748955
2/3/2013
$648.00
14786660
2/6/2013
$612.00
14786657
2/6/2013
$840.00
14794805
2/7/2013
$864.00
14786658
2/7/2013
$912.00
14794804
2/8/2013
$636.00
14810811
2/11/2013
$112.80
14810815
2/11/2013
$170.40
14810814
2/11/2013
$384.44
14810799
2/11/2013
$624.00
14810813
2/11/2013
$624.00
14810808
2/11/2013
$624.00
14892029
2/14/2013
$924.00
14892024
2/16/2013
$624.00
14939296
2/17/2013
$816.00
14929318
2/20/2013
$612.00
14929323
2/20/2013
$672.00
14929329
2/20/2013
$924.00
15010710
2/22/2013
$612.00
15010713
2/23/2013
$612.00
15010730
2/23/2013
$720.00
15010687
2/26/2013
$624.00
15010686
2/26/2013
$1,016.00
15010731
3/2/2013
$612.00
15030713
3/3/2013
$89.97
15030705
3/4/2013
$624.00
U
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0
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0
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LU
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15030701
3/4/2013
$648.00
15070023
3/5/2013
$612.00
15070025
3/5/2013
$816.00
15030719
3/6/2013
$131.50
15070041
3/7/2013
$612.00
15070035
3/8/2013
$612.00
15183101
3/10/2013
$127.31
15183116
3/10/2013
$624.00
15183118
3/11/2013
$612.00
15183085
3/12/2013
$684.00
15183090
3/16/2013
$453.10
15220043
3/17/2013
$798.00
15220045
3/17/2013
$622.00
15220050
3/20/2013
$612.00
15241270
3/22/2013
$612.00
15241272
3/22/2013
$768.00
15241276
3/24/2013
$648.00
15286557
3/25/2013
$972.00
15316973
3/31/2013
$624.00
15316962
4/1/2013
$67.22
15354211
4/2/2013
$624.00
15354210
4/2/2013
$624.00
15354214
4/2/2013
$660.00
15354205
4/3/2013
$612.00
15421426
4/5/2013
$612.00
15421425
4/5/2013
$612.00
15421422
4/5/2013
$804.00
15727213
4/6/2013
$756.00
15727214
4/6/2013
$924.00
15421442
4/8/2013
$648.00
15421437
4/8/2013
$684.00
15421435
4/10/2013
$612.00
15421436
4/10/2013
$900.00
15469111
4/12/2013
$612.00
15505812
4/13/2013
$1,008.00
15505797
4/16/2013
$852.00
15505802
4/19/2013
$624.00
15505800
4/19/2013
$660.00
15589015
4/20/2013
$460.46
15589022
4/22/2013
$612.00
15589004
4/26/2013
$18.68
15598021
4/30/20131
$663.40
15658496
5/2/2013
$612.00
15658497
5/3/2013
$612.00
U
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0
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0
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LU
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15658493
5/4/2013
$75.60
15658494
5/4/2013
$612.00
15658492
5/4/2013
$624.00
15658512
5/5/2013
$612.00
15658504
5/5/2013
$852.00
15727240
5/7/2013
$624.00
15727236
5/8/2013
$624.00
15727252
5/8/2013
$624.00
15727246
5/9/2013
$624.00
15727221
5/9/2013
$648.00
15727219
5/10/2013
$636.00
15737820
5/13/2013
$453.10
15737818
5/14/2013
$852.00
15809925
5/15/2013
$636.00
15809911
5/16/2013
$816.00
15809913
5/16/2013
$924.00
15963428
5/17/2013
$100.00
15963424
5/17/2013
$624.00
15963423
5/17/2013
$636.00
15883551
5/18/2013
$624.00
15852007
5/21/2013
$744.00
15883560
5/23/2013
$636.00
15852009
5/24/2013
$624.00
15883580
5/25/2013
$48.20
15883579
5/25/2013
$768.00
15883587
5/25/2013
$828.00
15883588
5/26/2013
$768.00
15883570
5/29/2013
$89.97
15922231
5/31/2013
$840.00
15991397
6/3/2013
$624.00
15991395
6/4/2013
$624.00
16049262
6/8/2013
$672.00
16049265
6/8/2013
$840.00
16137032
6/9/2013
$612.00
16137034
6/9/2013
$624.00
16049253
6/11/2013
$593.68
16049243
6/13/2013
$624.00
16073721
6/14/2013
$828.00
16137008
6/15/2013
$612.00
16137020
6/17/2013
$648.00
16137021
6/17/2013
$816.00
16137027
6/19/2013
$612.00
16157422
6/20/2013
$164.45
16157424
6/20/20131
$624.00
U
0
0
C)
LU
E
16157432
6/21/2013
$624.00
16157428
6/21/2013
$812.00
16196353
6/25/2013
$85.76
16196354
6/25/2013
$828.00
16196350
6/26/2013
$828.00
16276255
6/27/2013
$135.64
16276249
6/27/2013
$156.69
16276251
6/27/2013
$744.00
16276242
7/1/2013
$624.00
16276229
7/4/2013
$612.00
16276233
7/4/2013
$852.00
16276234
7/5/2013
$828.00
16309762
7/6/2013
$828.00
16309766
7/7/2013
$612.00
16309767
7/7/2013
$612.00
16309751
7/8/2013
$756.00
16309754
7/10/2013
$612.00
16347926
7/11/2013
$132.00
16347924
7/12/2013
$936.00
16380354
7/16/2013
$648.00
16408406
7/18/2013
$984.00
16408404
7/19/2013
$20.00
16510008
7/21/2013
$756.00
16529264
7/22/2013
$624.00
16529261
7/22/2013
$888.00
16529258
7/23/2013
$99.63
16529257
7/23/2013
$792.00
16529260
7/23/2013
$888.00
16497989
7/24/2013
$624.00
16497986
7/24/2013
$876.00
16497982
7/25/2013
$612.00
16510013
7/26/2013
$624.00
16510014
7/26/2013
$840.00
16584151
7/27/2013
$624.00
16584152
7/27/2013
$624.00
16584157
7/28/2013
$126.05
16529265
7/30/2013
$840.00
16584163
7/31/2013
$612.00
16584164
7/31/2013
$852.00
16557905
8/1/2013
$828.00
16596692
8/2/2013
$732.00
16596691
8/2/2013
$744.00
16643598
8/4/2013
$612.00
16643597
8/4/2013j
$636.00
U
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0
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0
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LU
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16596707
8/5/2013
$624.00
16596710
8/5/2013
$624.00
16596704
8/6/2013
$624.00
16606647
8/8/2013
$29.60
16643601
8/9/2013
$522.00
16655607
8/10/2013
$624.00
16655613
8/12/2013
$612.00
16667290
8/13/2013
$780.00
16849449
8/14/2013
$924.00
16849444
8/15/2013
$804.00
16894146
8/18/2013
$624.00
16882892
8/19/2013
$624.00
16882890
8/19/2013
$636.00
16882885
8/20/2013
$624.00
16882886
8/21/2013
$612.00
16910687
8/23/2013
$1,008.00
16944430
8/26/2013
$612.00
16944432
8/26/2013
$828.00
17036114
8/27/2013
$1,704.00
16955172
8/28/2013
$624.00
16955171
8/28/2013
$648.00
17000581
8/29/2013
$143.12
17000568
8/29/2013
$1,028.00
17013139
9/1/2013
$624.00
17107491
9/2/2013
$648.00
17013133
9/2/2013
$1,052.00
17036108
9/3/2013
$624.00
17036107
9/3/2013
$828.00
17036104
9/5/2013
$612.00
17036101
9/5/2013
$660.00
17063227
9/6/2013
$912.00
17077513
9/7/2013
$840.00
17063232
9/8/2013
$864.00
17098581
9/11/2013
$624.00
17098579
9/11/2013
$900.00
17107487
9/12/2013
$96.63
17107490
9/12/2013
$129.35
17107488
9/12/2013
$768.00
17134875
9/13/2013
$624.00
17134872
9/13/2013
$624.00
17134873
9/13/2013
$636.00
17134867
9/14/2013
$624.00
17134864
9/15/2013
$93.40
17167097
9/18/2013
$612.00
U
�a
0
�a
as
0
C)
LU
as
E
c�
17202161
9/22/2013
$876.00
17215983
9/23/2013
$160.80
17215984
9/23/2013
$163.20
17230053
9/24/2013
$612.00
17242265
9/25/2013
$732.00
17252036
9/26/2013
$43.89
17252037
9/26/2013
$612.00
17299028
9/28/2013
$612.00
17299019
9/30/2013
$624.00
17311976
10/1/2013
$636.00
17311977
10/2/2013
$624.00
17346066
10/6/2013
$624.00
17379090
10/9/2013
$612.00
17433789
10/10/2013
$672.00
17433797
10/12/2013
$624.00
17433799
10/14/2013
$840.00
17433798
10/14/2013
$948.00
17433802
10/15/2013
$612.00
17491508
10/19/2013
$636.00
17501100
10/22/2013
$708.00
17511956
10/23/2013
$122.83
17511951
10/23/2013
$624.00
17522225
10/24/2013
$636.00
17547530
10/25/2013
$126.05
17547522
10/25/2013
$936.00
17567404
10/28/2013
$624.00
17567402
10/28/2013
$828.00
17588021
10/31/2013
$732.00
17613158
11/2/2013
$828.00
17613152
11/3/2013
$624.00
17648408
11/5/2013
$624.00
17648407
11/5/2013
$816.00
17658987
11/6/2013
$624.00
17658986
11/6/2013
$636.00
17761525
11/8/2013
$636.00
17761528
11/8/2013
$636.00
17693224
11/9/2013
$122.19
17693225
11/10/2013
$624.00
17693217
11/11/2013
$828.00
17693219
11/12/2013
$185.74
17703274
11/12/2013
$160.00
17713192
11/13/2013
$624.00
17713193
11/13/20131
$624.00
17722862
11/14/2013
$624.00
U
�a
0
�a
as
0
C)
LU
as
E
c�
17722863
11/14/2013
$812.00
17722864
11/14/2013
$828.00
17761519
11/15/2013
$624.00
17761522
11/16/2013
$612.00
17837210
11/20/2013
$612.00
17837225
11/23/2013
$624.00
17837223
11/24/2013
$612.00
17837217
11/25/2013
$840.00
17852336
11/26/2013
$828.00
17852337
11/26/2013
$884.00
17865367
11/29/2013
$840.00
17937673
12/1/2013
$756.00
17937677
12/2/2013
$120.04
17937679
12/2/2013
$524.80
17937669
12/2/2013
$684.00
17937676
12/3/2013
$612.00
17937675
12/3/2013
$624.00
17937657
12/3/2013
$672.00
17937666
12/4/2013
$624.00
17937665
12/4/2013
$636.00
17937667
12/5/2013
$696.00
17983677
12/6/2013
$612.00
17983674
12/6/2013
$612.00
17983672
12/6/2013
$624.00
17983676
12/6/2013
$828.00
20878802
12/7/2013
$612.00
20878752
12/7/2013
$612.00
20878775
12/7/2013
$612.00
18019534
12/8/2013
$636.00
18019529
12/9/2013
$624.00
18019530
12/9/2013
$624.00
18019528
12/9/2013
$876.00
17983668
12/10/2013
$960.00
18019521
12/12/2013
$612.00
18019522
12/12/2013
$612.00
18019515
12/14/2013
$410.74
18019517
12/14/2013
$756.00
18019519
12/15/2013
$90.61
18019518
12/15/2013
$612.00
18051485
12/16/2013
$93.62
18051488
12/18/2013
$624.00
18103574
12/19/2013
$980.00
18103572
12/20/20131
$100.00
18103571
12/20/2013
$612.00
U
�a
0
�a
as
0
C)
LU
as
E
c�
18103575
12/20/2013
$624.00
18103562
12/21/2013
$612.00
18103565
12/23/2013
$924.00
18132569
12/24/2013
$624.00
18132575
12/25/2013
$624.00
18132573
12/25/2013
$624.00
18132567
12/26/2013
$912.00
18148735
12/27/2013
$89.32
18148732
12/27/2013
$264.00
18148734
12/27/2013
$840.00
18148729
12/28/2013
$816.00
18297987
12/29/2013
$696.00
18297986
12/30/2013
$122.40
18297988
12/30/2013
$612.00
18222471
12/31/2013
$768.00
Sub Total
$221,227.94
TOTAL
$279,375.88
U
�a
0
�a
as
E
0
C)
x
LU
as
E
c�