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Item C03 I�`� County of Monroe �y,4 ' '�, "tr, BOARD OF COUNTY COMMISSIONERS County �a� Mayor David Rice,District 4 �1 `_ll Mayor Pro Tem CraigCates,District 1 The Florida Keys ��� `� � Michelle Coldiron,District 2 Eddie Martinez,District 3 w � Holly Merrill Raschein,District 5 County Commission Meeting December 3, 2021 Agenda Item Number: C.3 Agenda Item Summary #9997 TO BE DELETED DAY-OF MEETING BULK ITEM: No DEPARTMENT: Emergency Services TIME APPROXIMATE: STAFF CONTACT: Steven Hudson (305) 289-6342 N/A AGENDA ITEM WORDING: BOCC approval of Resolution authorizing the write-off of 939 Fire Rescue ground ambulance accounts receivable through the end of CY 2017, totaling $550,845.13 from Fire and Ambulance District 1 L&M Fund(141). ITEM BACKGROUND: Following 210 days of inactivity with Monroe County, outstanding accounts are then placed with the collection agency, Municipal Services Bureau. Four 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 939 accounts totaling $550,845.13, which represents the accounts receivables through the end of CY 2017 (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 for CY 2004. On September 16, 2009 Resolution No. 280-2009 authorized the write off of Fire Rescue ground ambulance account receivables totaling $311,040.13 for CY 2005. 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 for CY 2006. On September 21, 2011 Resolution 282a-2011 authorized the write off of Fire Rescue ground ambulance accounts receivables totaling $284,953.95 for CY 2007. 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. On November 14, 2017 Resolution 303-2017 authorized the write-off of Fire Rescue ground ambulance accounts receivables totaling $279,375.88 for CY 2013. On November 20, 2018 Resolution 405-2018 authorized the write-off of Fire Rescue ground ambulance accounts receivables totaling $408,805.73 for CY 2014. On November 20, 2019 Resolution 382-2019 authorized the write-off of Fire Rescue ground ambulance accounts receivable totaling $445,866.35 for CY 2015. On December 9, 2020 Resolution 401-2020 authorized the write-off of Fire Rescue ground ambulance accounts receivable totaling $397,896.73 for CY 2016. CONTRACT/AGREEMENT CHANGES: N/A STAFF RECOMMENDATION: Approval DOCUMENTATION: Resolution BOCC 2021 - EMS Ground Ambulance Exhibit A - EMS Ground with MSB CY 2017-Dec 2017 FINANCIAL IMPACT: Effective Date: N/A Expiration Date: N/A Total Dollar Value of Contract: N/A Total Cost to County: N/A Current Year Portion: N/A Budgeted: N/A Source of Funds: Fund 141, Cost Center 11500 CPI: N/A Indirect Costs: N/A Estimated Ongoing Costs Not Included in above dollar amounts: N/A Revenue Producing: N/A If yes, amount: N/A Grant: N/A County Match: N/A Insurance Required: N/A Additional Details: N/A REVIEWED BY: Jim Molenaar Completed 11/23/2021 10:24 AM Steven Hudson Completed 11/23/2021 10:55 AM Purchasing Completed 11/23/2021 10:58 AM Budget and Finance Completed 11/23/2021 11:15 AM Maria Slavik Completed 11/23/2021 1:06 PM Liz Yongue Completed 11/23/2021 1:22 PM Board of County Commissioners Pending 12/08/2021 9:00 AM C.3 County �� � .�� �y,4 ' �, "tr, BOARD OF COUNTY COMMISSIONERS Mayor David Rice,District 4 �1 `ll Mayor Pro Tem CraigCates,District 1 The Florida Keys ��� `� � Michelle Coldiron,District 2 Eddie Martinez,District 3 w � Holly Merrill Raschein,District 5 County Commission Meeting December 3, 2021 Agenda Item Number: C.3 Agenda Item Summary #9997 BULK ITEM: No DEPARTMENT: Emergency Services TIME APPROXIMATE: STAFF CONTACT: Steven Hudson (305) 289-6342 N/A AGENDA ITEM WORDING: BOCC approval of Resolution authorizing the write-off of 939 Fire Rescue ground ambulance accounts receivable through the end of CY 2017, totaling $550,845.13 from Fire and Ambulance District 1 L&M Fund(141). ITEM BACKGROUND: Following 210 days of inactivity with Monroe County, outstanding accounts are then placed with the collection agency, Municipal Services Bureau. Four 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 939 accounts totaling $550,845.13, which represents the accounts receivables through the end of CY 2017 (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 for CY 2004. On September 16, 2009 Resolution No. 280-2009 authorized the write off of Fire Rescue ground ambulance account receivables totaling $311,040.13 for CY 2005. 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 for CY 2006. On September 21, 2011 Resolution 282a-2011 authorized the write off of Fire Rescue ground ambulance accounts receivables totaling $284,953.95 for CY 2007. On November 20, 2013 Resolution 382-2013 authorized the write-off of a total of 570 Fire Rescue Packet,Pg. 94 C.3 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. On November 14, 2017 Resolution 303-2017 authorized the write-off of Fire Rescue ground ambulance accounts receivables totaling $279,375.88 for CY 2013. On November 20, 2018 Resolution 405-2018 authorized the write-off of Fire Rescue ground ambulance accounts receivables totaling $408,805.73 for CY 2014. On November 20, 2019 Resolution 382-2019 authorized the write-off of Fire Rescue ground ambulance accounts receivable totaling $445,866.35 for CY 2015. On December 9, 2020 Resolution 401-2020 authorized the write-off of Fire Rescue ground ambulance accounts receivable totaling $397,896.73 for CY 2016. CONTRACT/AGREEMENT CHANGES: N/A STAFF RECOMMENDATION: Approval DOCUMENTATION: Resolution BOCC 2021 - EMS Ground Ambulance Exhibit A - EMS Ground with MSB CY 2017-Dec 2017 FINANCIAL IMPACT: Effective Date: N/A Expiration Date: N/A Total Dollar Value of Contract: N/A Total Cost to County: N/A Current Year Portion: N/A Budgeted: N/A Source of Funds: Fund 141, Cost Center 11500 CPI: N/A Indirect Costs: N/A Estimated Ongoing Costs Not Included in above dollar amounts: N/A Revenue Producing: N/A If yes, amount: N/A Packet,Pg. 95 C.3 Grant: N/A County Match: N/A Insurance Required: N/A Additional Details: N/A REVIEWED BY: Jim Molenaar Completed 11/23/2021 10:24 AM Steven Hudson Completed 11/23/2021 10:55 AM Purchasing Completed 11/23/2021 10:58 AM Budget and Finance Completed 11/23/2021 11:15 AM Maria Slavik Completed 11/23/2021 1:06 PM Liz Yongue Completed 11/23/2021 1:22 PM Board of County Commissioners Pending 12/08/2021 9:00 AM Packet,Pg. 96 C.3.a RESOLUTION NO. -2021 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 2017 0 WHEREAS, Monroe County Fire Rescue Services provides ground ambulance service; 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 Monroe County Billing Department of accounts placed with Municipal Services Bureau on accounts that met the above criteria, and were deemed uncollectible, for the time period of January 2017 through December 2017; and c c� WHEREAS, a report was provided by Monroe County Billing Department 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 E 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 0 time period of January 2017 through December 2017. v) 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: 1. Receivables for ground ambulance service accounts listed on attached Exhibit A in the amount of$550,845.13 shall be deleted from the Fire and Ambulance District 1 L&M Fund(141). E Packet,Pg. 97 C.3.a PASSED AND ADOPTED by the Board of County Commissioners of Monroe County, Florida, at a regular meeting of said Board held on the 8th day of December, 2021. ' Mayor, David Rice 0 Mayor Pro Tem, Craig Cates Commissioner, Michelle Coldiron Commissioner, Eddie Martinez c Commissioner, Holly Merrill Raschein �? ca (SEAL) BOARD OF COUNTY COMMISSIONERS ATTEST: KEVIN MADOK,CLERK OF MONROE COUNTY,FLORIDA r. CJ By: By: y Deputy Clerk Mayor/Chairman w MONROE COUNTY ATTORNEY: w U James D. Molenaar, Digitally signed by James D. Molenaar,Esq. ES Date:2021.11.22 13:56:27-05'00' By: q Assistant County Attorney James D.Molenaar 2 MONROE COUNTY ATTORNEY P ROV TO FOR ,� 11 TANT CO iT 'ATTORNEY E James I Molenaar,Esq. eanv ienn 0 UJI N CD tJ tJ 0 0 Packet,Pg. 98 C.3.b EXHIBIT A Monroe County Fire Recue EMS Ground Accounts with MSB CY 2017 Account Receivable Write Offs EMS GROUND ACCOUNTS WITH MSB DOS: 11/23/2011 - 12/31/2017 Trip Date Run # Balance Due 2011-11-23 2403 $187.00 2012-10-29 2453 $612.00 2012-11-17 2621 $85.65 2012-11-20 2648 $76.00 2012-12-19 2916 $624.00 2013-01-16 145 $466.00 2013-02-08 318 $636.00 2013-03-17 678 $622.00 2013-04-01 817 $67.22 2013-05-07 1111 $624.00 2013-05-17 1212 $612.00 2013-05-23 1267 $842.60 2013-07-27 1832 $624.00 2013-09-02 2157 $816.00 2013-09-23 2311 $163.20 2013-11-20 2699 $624.00 2013-12-20 2899 $100.00 2014-02-08 314 $612.00 2014-02-09 336 $702.00 2014-02-22 447 $624.00 2014-02-22 448 $624.00 2014-02-22 452 $812.00 2014-02-22 453 $864.00 C14 2014-02-22 456 $888.00 U 2014-02-22 457 $756.00 2014-02-23 455 $624.00 2014-02-23 459 $612.00 2014-02-23 460 $636.00 2014-02-23 462 $624.00 2014-02-24 463 $816.00 2014-02-24 466 $612.00 2014-02-24 467 $612.00 2014-02-24 468 $624.00 2014-02-24 469 $636.00 2014-02-24 471 $852.00 2014-02-25 472 $624.00 2014-02-25 474 $624.00 2014-02-25 475 $900.00 2014-02-26 476 $864.00 2014-02-26 486 $816.00 2014-02-26 487 $804.00 2014-02-26 488 $756.00 2014-02-26 489 $612.00 1 of 22 Packet,Pg. 99 C.3.b EXHIBIT A Monroe County Fire Recue EMS Ground Accounts with MSB CY 2017 Account Receivable Write Offs EMS GROUND ACCOUNTS WITH MSB DOS: 11/23/2011 - 12/31/2017 Trip Date Run # Balance Due 2014-02-26 491 $612.00 2014-02-27 492 $624.00 2014-02-27 493 $840.00 2014-02-27 495 $828.00 2014-02-27 497 $840.00 2014-02-27 498 $50.00 2014-02-27 499 $756.00 2014-02-28 503 $660.00 2014-02-28 504 $924.00 2014-03-01 511 $768.00 2014-03-02 516 $744.00 2014-03-02 520 $840.00 2014-03-03 523 $900.00 2014-03-03 524 $924.00 2014-03-03 525 $624.00 2014-03-03 529 $900.00 2014-03-03 530 $888.00 2014-03-04 531 $684.00 2014-03-04 533 $612.00 2014-03-04 534 $792.00 2014-03-04 535 $612.00 2014-03-04 537 $612.00 2014-03-04 538 $612.00 C14 2014-03-05 545 $75.00 U 2014-03-05 551 $792.00 2014-03-05 565 $602.40 2014-03-06 556 $824.00 2014-03-06 557 $822.00 2014-03-06 558 $922.80 2014-03-08 563 $612.00 2014-03-08 567 $818.40 2014-03-08 568 $850.80 2014-03-08 569 $757.20 2014-03-08 571 $852.00 2014-03-08 576 $636.00 2014-03-09 570 $808.80 2014-03-09 574 $684.00 2014-03-09 575 $1,053.60 2014-03-09 579 $824.00 2014-03-09 580 $1,028.00 2014-03-09 582 $854.40 2014-03-09 583 $958.80 2014-03-09 584 $957.60 2 of 22 Packet Pg. 100 C.3.b EXHIBIT A Monroe County Fire Recue EMS Ground Accounts with MSB CY 2017 Account Receivable Write Offs EMS GROUND ACCOUNTS WITH MSB DOS: 11/23/2011 - 12/31/2017 Trip Date Run # Balance Due 2014-03-10 585 $792.00 2014-03-11 592 $614.40 2014-03-11 593 $967.20 2014-03-11 594 $903.60 2014-03-11 595 $825.60 2014-03-11 596 $802.80 2014-03-11 597 $758.40 2014-03-11 599 $636.00 2014-03-11 601 $620.40 2014-03-12 598 $806.40 2014-03-12 600 $706.80 2014-03-12 604 $836.00 2014-03-14 610 $621.60 2014-03-14 612 $751.20 2014-03-14 613 $774.00 2014-03-14 615 $733.20 2014-03-14 616 $873.60 2014-03-14 618 $832.80 2014-03-14 619 $828.00 2014-03-14 620 $860.40 2014-03-14 623 $1,290.00 2014-03-15 617 $823.20 2014-03-15 621 $624.00 C14 2014-03-15 624 $794.40 c, 2014-03-15 625 $733.20 2014-03-15 626 $636.00 2014-03-15 627 $956.00 2014-03-15 629 $607.20 2014-03-15 633 $885.60 2014-03-16 634 $801.60 2014-03-16 635 $624.00 2014-03-16 637 $624.00 2014-03-16 638 $868.80 2014-03-16 639 $758.40 2014-03-16 640 $808.80 2014-03-17 641 $838.80 2014-03-17 643 $698.40 2014-03-17 644 $922.40 2014-03-17 645 $792.00 2014-03-17 650 $818.40 2014-03-18 651 $840.00 2014-03-18 657 $819.20 2014-03-18 658 $631.20 3 of 22 Packet Pg. 101 C.3.b EXHIBIT A Monroe County Fire Recue EMS Ground Accounts with MSB CY 2017 Account Receivable Write Offs EMS GROUND ACCOUNTS WITH MSB DOS: 11/23/2011 - 12/31/2017 Trip Date Run # Balance Due 2014-03-18 660 $614.40 2014-03-18 662 $870.00 2014-03-19 664 $674.40 2014-03-19 669 $819.60 2014-03-19 673 $926.40 2014-03-19 675 $758.40 2014-03-20 672 $835.20 2014-03-20 676 $811.20 2014-03-20 677 $636.00 2014-03-20 691 $825.60 2014-03-21 680 $745.20 2014-03-21 684 $901.20 2014-03-22 682 $621.60 2014-03-22 688 $613.20 2014-03-23 695 $984.00 2014-03-23 697 $812.40 2014-03-23 698 $925.20 2014-03-24 696 $612.00 2014-03-24 700 $655.20 2014-03-24 701 $612.00 2014-03-24 702 $672.00 2014-03-24 703 $612.00 2014-03-24 704 $660.00 C14 2014-03-24 707 $638.40 U 2014-03-25 706 $919.20 2014-03-25 709 $612.00 2014-03-26 715 $624.00 2014-03-26 716 $612.00 2014-03-26 718 $624.00 2014-03-26 721 $1,136.00 2014-03-26 723 $824.00 2014-03-26 728 $796.80 2014-03-27 724 $816.00 2014-03-27 731 $729.60 2014-03-27 737 $613.20 2014-03-27 738 $636.00 2016-01-17 186 $620.40 2016-01-18 203 $35.00 2016-03-07 690 $163.36 2016-03-25 886 $614.40 2016-04-02 961 $1,055.60 2016-04-09 1055 $606.00 2016-04-10 1067 $614.68 4 of 22 Packet Pg. 102 C.3.b EXHIBIT A Monroe County Fire Recue EMS Ground Accounts with MSB CY 2017 Account Receivable Write Offs EMS GROUND ACCOUNTS WITH MSB DOS: 11/23/2011 - 12/31/2017 Trip Date Run # Balance Due 2016-05-24 1422 $637.20 2016-05-30 2265 $175.47 2016-06-26 1718 $601.20 2016-07-04 1783 $826.40 2016-07-12 1851 $865.20 2016-07-21 1941 $864.00 2016-08-01 2068 $912.80 2016-08-04 2093 $201.26 2016-08-20 2251 $126.71 2016-08-24 2285 $616.80 2016-09-27 2557 $612.00 2016-10-14 2961 $604.80 2016-10-15 2703 $109.32 2016-11-20 3007 $856.80 2016-11-30 3092 $844.80 2016-12-03 3123 $856.80 2 2016-12-09 3185 $1,100.00 2017-01-01 2 $792.00 2017-01-01 3 $296.88 2017-01-01 5 $792.00 2017-01-01 12 $754.80 2017-01-01 16 $619.20 2017-01-02 23 $200.00 C14 2017-01-02 25 $614.40 c, 2017-01-03 79 $162.88 2017-01-04 42 $763.20 2017-01-04 50 $814.80 2017-01-06 56 $195.00 2017-01-06 58 $676.80 2017-01-06 63 $143.43 2017-01-09 82 $637.20 2017-01-10 86 $613.20 2017-01-11 91 $613.20 2017-01-12 98 $1,098.80 2017-01-12 110 $919.20 2017-01-12 112 $129.73 2017-01-13 118 $818.40 2017-01-13 120 $383.44 2017-01-14 122 $627.60 2017-01-14 123 $612.00 2017-01-16 151 $801.60 2017-01-16 153 $645.60 2017-01-16 154 $775.20 5 of 22 Packet Pg. 103 C.3.b EXHIBIT A Monroe County Fire Recue EMS Ground Accounts with MSB CY 2017 Account Receivable Write Offs c EMS GROUND ACCOUNTS WITH MSB DOS: 11/23/2011 - 12/31/2017 Trip Date Run # Balance Due 2017-01-17 161 $141.91 2017-01-17 166 $921.60 2017-01-17 169 $590.33 2017-01-17 190 $616.80 2017-01-18 174 $900.00 2017-01-20 191 $614.40 2017-01-20 195 $134.52 2017-01-21 194 $928.80 2017-01-21 197 $874.80 2017-01-21 198 $818.40 2017-01-21 200 $627.60 2017-01-21 203 $826.80 2017-01-21 204 $775.20 2017-01-21 207 $614.40 2017-01-22 208 $618.00 2017-01-23 227 $128.40 2017-01-23 231 $883.20 2017-01-24 226 $657.60 2017-01-24 245 $618.00 2017-01-24 246 $223.91 2017-01-25 257 $128.88 2017-01-25 258 $614.40 2017-01-26 265 $822.00 C14 2017-01-28 292 $618.00 c, 2017-01-28 297 $200.00 2017-01-29 296 $664.80 2017-01-30 309 $631.20 2017-01-30 311 $274.00 2017-01-31 318 $819.60 2017-02-01 321 $858.00 2017-02-01 324 $118.29 2017-02-03 345 $633.60 2017-02-06 373 $110.36 2017-02-07 377 $127.26 2017-02-07 378 $142.16 2017-02-08 386 $113.43 2017-02-08 394 $953.60 2017-02-08 396 $265.00 2017-02-08 398 $614.40 2017-02-09 400 $818.40 2017-02-09 402 $733.20 2017-02-09 413 $614.40 2017-02-10 417 $200.00 6 of 22 Packet Pg. 104 C.3.b EXHIBIT A Monroe County Fire Recue EMS Ground Accounts with MSB CY 2017 Account Receivable Write Offs c EMS GROUND ACCOUNTS WITH MSB DOS: 11/23/2011 - 12/31/2017 Trip Date Run # Balance Due 2017-02-10 426 $621.60 2017-02-11 431 $616.80 2017-02-11 433 $754.80 2017-02-11 435 $614.40 2017-02-12 436 $609.60 2017-02-12 443 $835.20 2017-02-13 446 $133.87 2017-02-13 448 $399.95 2017-02-13 452 $200.00 2017-02-13 487 $614.40 2017-02-15 460 $624.00 2017-02-15 466 $205.00 2017-02-17 474 $908.40 2017-02-17 478 $891.60 2017-02-18 484 $618.00 2017-02-18 495 $153.36 2017-02-18 506 $613.20 2017-02-18 507 $614.40 2017-02-19 502 $123.12 2017-02-19 503 $614.40 2017-02-19 508 $752.40 2017-02-20 517 $612.00 2017-02-21 534 $723.60 C14 2017-02-22 536 $49.06 U 2017-02-23 539 $837.60 2017-02-23 544 $908.40 2017-02-24 550 $293.64 2017-02-24 557 $609.60 2017-02-24 565 $77.95 2017-02-24 566 $620.40 2017-02-25 584 $272.68 2017-02-26 575 $812.40 2017-02-26 581 $156.00 2017-02-26 582 $101.92 2017-02-27 588 $673.20 2017-02-27 595 $472.39 2017-02-27 596 $614.40 2017-02-27 597 $1,035.20 2017-02-27 600 $812.40 2017-02-28 599 $620.40 2017-02-28 605 $205.00 2017-02-28 606 $305.45 2017-03-01 612 $610.86 7 of 22 Packet Pg. 105 C.3.b EXHIBIT A Monroe County Fire Recue EMS Ground Accounts with MSB CY 2017 Account Receivable Write Offs EMS GROUND ACCOUNTS WITH MSB DOS: 11/23/2011 - 12/31/2017 Trip Date Run # Balance Due 2017-03-01 614 $828.00 2017-03-01 619 $78.17 2017-03-02 623 $78.17 2017-03-03 634 $616.80 2017-03-03 636 $205.00 2017-03-04 644 $744.00 2017-03-04 653 $175.91 2017-03-04 654 $633.60 2017-03-05 658 $697.20 2017-03-06 674 $167.52 2017-03-07 678 $819.20 2017-03-07 682 $896.40 2017-03-07 683 $849.60 2017-03-07 690 $821.60 2017-03-08 687 $205.00 2017-03-08 698 $350.46 2017-03-08 703 $620.40 2017-03-09 709 $614.40 2017-03-09 711 $754.80 2017-03-09 714 $124.56 2017-03-09 715 $62.40 2017-03-09 717 $721.20 2017-03-11 730 $850.80 C14 2017-03-11 735 $674.40 c, 2017-03-12 746 $550.86 2017-03-13 745 $621.60 2017-03-13 752 $130.80 2017-03-13 753 $908.40 2017-03-13 760 $624.00 2017-03-13 765 $816.00 2017-03-13 766 $824.40 2017-03-14 767 $664.80 2017-03-14 772 $77.51 2017-03-15 781 $822.00 2017-03-16 790 $818.40 2017-03-16 791 $819.60 2017-03-17 793 $163.36 2017-03-17 799 $612.00 2017-03-18 810 $545.38 2017-03-18 811 $812.40 2017-03-20 819 $606.00 2017-03-20 824 $616.80 2017-03-20 831 $616.80 8 of 22 Packet Pg. 106 C.3.b EXHIBIT A Monroe County Fire Recue EMS Ground Accounts with MSB CY 2017 Account Receivable Write Offs c EMS GROUND ACCOUNTS WITH MSB DOS: 11/23/2011 - 12/31/2017 Trip Date Run # Balance Due 2017-03-20 835 $802.80 2017-03-21 832 $77.51 2017-03-21 833 $618.00 2017-03-22 841 $667.20 2017-03-22 846 $828.00 2017-03-22 852 $614.40 2017-03-22 856 $825.60 2017-03-22 857 $170.40 2017-03-23 862 $754.80 2017-03-23 863 $636.00 2017-03-23 867 $860.40 2017-03-23 869 $621.60 2017-03-23 871 $823.20 2017-03-24 872 $375.23 2017-03-24 880 $201.37 2017-03-24 881 $632.40 2017-03-25 891 $606.00 2017-03-26 901 $840.80 2017-03-26 905 $640.80 2017-03-26 915 $878.40 2017-03-27 911 $751.20 2017-03-27 922 $619.20 2017-03-29 938 $672.00 C14 2017-03-30 967 $837.20 U 2017-03-31 955 $614.40 2017-03-31 960 $489.10 2017-03-31 964 $824.40 2017-03-31 965 $301.68 2017-04-01 969 $254.46 2017-04-01 973 $846.00 2017-04-01 975 $198.06 2017-04-01 983 $933.60 2017-04-01 984 $681.60 2017-04-01 988 $978.80 2017-04-01 992 $633.60 2017-04-02 990 $263.68 2017-04-03 997 $636.00 2017-04-03 1011 $622.80 2017-04-03 1012 $618.00 2017-04-04 1017 $87.89 2017-04-04 1018 $616.80 2017-04-05 1021 $1,040.00 2017-04-05 1024 $792.00 9 of 22 Packet Pg. 107 C.3.b EXHIBIT A Monroe County Fire Recue EMS Ground Accounts with MSB CY 2017 Account Receivable Write Offs c EMS GROUND ACCOUNTS WITH MSB DOS: 11/23/2011 - 12/31/2017 Trip Date Run # Balance Due 2017-04-05 1030 $89.77 2017-04-07 1044 $78.39 2017-04-08 1053 $604.80 2017-04-08 1059 $908.40 2017-04-09 1064 $846.00 2017-04-10 1065 $754.80 2017-04-10 1073 $613.20 2017-04-10 1074 $91.98 2017-04-11 1079 $79.94 2017-04-11 1080 $265.00 2017-04-12 1083 $150.00 2017-04-12 1086 $304.10 2017-04-12 1089 $612.00 2017-04-12 1091 $633.60 2017-04-13 1096 $770.40 2017-04-13 1097 $77.29 2017-04-13 1098 $77.95 2017-04-14 1107 $820.40 2017-04-15 1117 $686.40 2017-04-15 1134 $620.40 2017-04-16 1124 $618.00 2017-04-17 1128 $77.51 2017-04-17 1129 $627.60 C14 2017-04-17 1130 $608.40 c, 2017-04-17 1135 $614.40 2017-04-18 1138 $238.06 2017-04-18 1139 $676.80 2017-04-19 1157 $919.20 2017-04-20 1150 $618.00 2017-04-20 1158 $817.20 2017-04-21 1160 $1,044.80 2017-04-21 1161 $853.20 2017-04-21 1163 $818.40 2017-04-21 1164 $324.28 2017-04-22 1171 $621.60 2017-04-22 1173 $75.74 2017-04-22 1176 $618.00 2017-04-24 1182 $78.17 2017-04-25 1191 $601.20 2017-04-25 1194 $612.00 2017-04-25 1196 $915.60 2017-04-26 1197 $77.51 2017-04-26 1203 $382.85 10 of 22 Packet Pg. 108 C.3.b EXHIBIT A Monroe County Fire Recue EMS Ground Accounts with MSB CY 2017 Account Receivable Write Offs EMS GROUND ACCOUNTS WITH MSB DOS: 11/23/2011 - 12/31/2017 Trip Date Run # Balance Due 2017-04-26 1205 $615.60 2017-04-27 1210 $615.60 2017-04-27 1215 $814.80 2017-04-27 1220 $614.40 2017-04-28 1224 $622.80 2017-04-28 1226 $908.40 2017-04-30 1244 $205.00 2017-04-30 1249 $167.28 2017-05-01 1257 $127.26 2017-05-01 1261 $720.00 2017-05-02 1260 $1,044.80 2017-05-02 1263 $812.40 2017-05-03 1272 $618.00 2017-05-03 1273 $131.31 2017-05-03 1323 $199.06 2017-05-05 1285 $620.40 2017-05-05 1286 $112.96 2017-05-06 1295 $616.80 2017-05-07 1306 $616.80 2017-05-07 1314 $636.00 2017-05-08 1326 $657.50 2017-05-09 1328 $202.66 2017-05-09 1329 $860.40 C14 2017-05-09 1332 $633.60 c, 2017-05-09 1333 $816.00 2017-05-09 1334 $855.60 2017-05-09 1335 $78.17 2017-05-09 1336 $91.98 2017-05-10 1342 $879.60 2017-05-11 1344 $601.20 2017-05-11 1347 $606.00 2017-05-12 1355 $614.40 2017-05-14 1372 $113.72 2017-05-14 1373 $92.86 2017-05-15 1380 $672.00 2017-05-16 1383 $606.00 2017-05-16 1388 $616.80 2017-05-16 1390 $634.80 2017-05-17 1397 $673.20 2017-05-19 1410 $90.66 2017-05-19 1418 $621.60 2017-05-20 1419 $903.60 2017-05-20 1427 $200.00 11 of 22 Packet Pg. 109 C.3.b EXHIBIT A Monroe County Fire Recue EMS Ground Accounts with MSB CY 2017 Account Receivable Write Offs EMS GROUND ACCOUNTS WITH MSB DOS: 11/23/2011 - 12/31/2017 Trip Date Run # Balance Due 2017-05-21 1431 $860.40 2017-05-21 1432 $710.40 2017-05-21 1439 $879.60 2017-05-22 1440 $613.20 2017-05-22 1443 $616.80 2017-05-23 1458 $662.40 2017-05-23 1465 $91.98 2017-05-24 1466 $927.60 2017-05-24 1467 $1,059.20 2017-05-24 1471 $299.68 2017-05-24 1473 $811.20 2017-05-24 1475 $633.60 2017-05-25 1478 $676.80 2017-05-25 1486 $90.21 2017-05-25 1492 $236.06 2017-05-26 1493 $848.40 2017-05-26 1495 $744.00 2017-05-26 1503 $820.80 2017-05-26 1505 $418.64 2017-05-27 1510 $457.13 2017-05-27 1520 $754.80 2017-05-27 1522 $614.40 2017-05-28 1526 $205.00 C14 2017-05-28 1527 $861.60 c, 2017-05-28 1536 $99.27 2017-05-29 1539 $614.40 2017-05-29 1544 $91.98 2017-05-30 1547 $613.20 2017-05-30 1555 $850.80 2017-05-31 1567 $77.95 2017-06-01 1572 $841.20 2017-06-01 1574 $822.00 2017-06-02 1576 $754.80 2017-06-02 1579 $616.80 2017-06-02 1580 $198.06 2017-06-03 1587 $618.00 2017-06-03 1595 $620.40 2017-06-04 1602 $614.40 2017-06-04 1604 $826.80 2017-06-05 1606 $788.40 2017-06-05 1608 $818.40 2017-06-06 1623 $756.00 2017-06-06 1625 $91.98 12 of 22 Packet Pg. 110 C.3.b EXHIBIT A Monroe County Fire Recue EMS Ground Accounts with MSB CY 2017 Account Receivable Write Offs EMS GROUND ACCOUNTS WITH MSB DOS: 11/23/2011 - 12/31/2017 Trip Date Run # Balance Due 2017-06-07 1627 $644.40 2017-06-07 1633 $625.20 2017-06-08 1641 $872.40 2017-06-08 1642 $128.05 2017-06-08 1644 $618.00 2017-06-08 1646 $675.60 2017-06-10 1661 $834.80 2017-06-10 1668 $613.20 2017-06-11 1670 $920.40 2017-06-12 1683 $609.60 2017-06-12 1689 $127.60 2017-06-13 1693 $205.00 2017-06-13 1696 $171.02 2017-06-14 1699 $656.40 2017-06-14 1705 $658.80 2017-06-14 1709 $672.00 2017-06-15 1711 $637.20 2017-06-15 1721 $864.80 2017-06-16 1719 $616.80 2017-06-16 1728 $77.51 2017-06-17 1739 $113.57 2017-06-17 1740 $744.00 2017-06-17 1741 $654.00 C14 2017-06-19 1761 $618.00 c, 2017-06-20 1765 $117.37 2017-06-20 1767 $150.96 2017-06-21 1774 $609.60 2017-06-21 1776 $614.40 2017-06-21 1783 $200.00 2017-06-21 1791 $856.80 2017-06-22 1780 $855.60 2017-06-23 1793 $733.20 2017-06-24 1810 $649.20 2017-06-24 1811 $606.00 2017-06-24 1813 $112.74 2017-06-24 1815 $652.80 2017-06-24 1825 $747.60 2017-06-24 1826 $822.00 2017-06-25 1824 $934.80 2017-06-26 1827 $633.60 2017-06-26 1833 $753.60 2017-06-27 1834 $618.00 2017-06-27 1844 $675.60 13 of 22 Packet Pg. 111 C.3.b EXHIBIT A Monroe County Fire Recue EMS Ground Accounts with MSB CY 2017 Account Receivable Write Offs EMS GROUND ACCOUNTS WITH MSB DOS: 11/23/2011 - 12/31/2017 Trip Date Run # Balance Due 2017-06-27 1846 $625.20 2017-06-27 1849 $621.60 2017-06-28 1855 $296.08 2017-06-28 1859 $823.20 2017-06-30 1869 $643.20 2017-06-30 1871 $674.40 2017-06-30 1874 $614.40 2017-06-30 1875 $614.40 2017-06-30 1876 $615.60 2017-07-01 1886 $100.00 2017-07-02 1895 $837.60 2017-07-02 1897 $836.40 2017-07-02 1898 $823.20 2017-07-02 1899 $660.00 2017-07-03 1904 $852.00 2017-07-04 1912 $183.00 2017-07-04 1917 $927.60 2017-07-05 1924 $555.26 2017-07-06 1938 $128.78 2017-07-07 1943 $613.20 2017-07-07 1948 $892.80 2017-07-09 1955 $847.20 2017-07-09 1956 $127.75 C14 2017-07-10 1964 $615.60 c, 2017-07-10 1968 $139.09 2017-07-10 1970 $878.40 2017-07-10 1971 $934.80 2017-07-11 1976 $660.00 2017-07-11 1977 $141.29 2017-07-11 1981 $988.40 2017-07-11 1982 $195.00 2017-07-12 1987 $91.98 2017-07-14 1993 $619.20 2017-07-14 1997 $311.40 2017-07-14 1998 $814.80 2017-07-14 2000 $602.40 2017-07-14 2006 $615.60 2017-07-15 2008 $754.80 2017-07-15 2012 $818.40 2017-07-15 2016 $608.40 2017-07-16 2013 $91.98 2017-07-16 2025 $77.95 2017-07-16 2026 $614.40 14 of 22 Packet Pg. 112 C.3.b EXHIBIT A Monroe County Fire Recue EMS Ground Accounts with MSB CY 2017 Account Receivable Write Offs EMS GROUND ACCOUNTS WITH MSB DOS: 11/23/2011 - 12/31/2017 Trip Date Run # Balance Due 2017-07-18 2037 $622.80 2017-07-18 2049 $84.36 2017-07-19 2052 $113.72 2017-07-19 2053 $823.20 2017-07-19 2054 $721.20 2017-07-19 2055 $601.20 2017-07-19 2056 $1,014.80 2017-07-19 2057 $690.00 2017-07-19 2209 $618.00 2017-07-20 2068 $608.40 2017-07-20 2071 $25.00 2017-07-21 2076 $42.39 2017-07-21 2082 $620.40 2017-07-21 2084 $100.00 2017-07-22 2094 $679.20 2017-07-22 2163 $859.20 2017-07-23 2105 $880.80 2017-07-23 2110 $15.68 2017-07-23 2112 $1,048.40 2017-07-23 2118 $730.80 2017-07-23 2162 $141.29 2017-07-24 2117 $91.98 2017-07-24 2128 $783.60 C14 2017-07-25 2134 $91.98 c, 2017-07-25 2136 $167.52 2017-07-26 2143 $824.40 2017-07-26 2149 $624.00 2017-07-27 2155 $161.90 2017-07-27 2157 $91.98 2017-07-27 2161 $813.60 2017-07-28 2160 $744.00 2017-07-29 2174 $355.21 2017-07-29 2175 $614.40 2017-07-29 2179 $660.00 2017-07-29 2180 $678.00 2017-07-29 2181 $754.80 2017-07-29 2182 $633.60 2017-07-29 2183 $205.00 2017-07-30 2186 $324.75 2017-07-30 2188 $620.40 2017-07-30 2189 $614.40 2017-07-31 2195 $658.80 2017-08-01 2198 $648.00 15 of 22 Packet Pg. 113 C.3.b EXHIBIT A Monroe County Fire Recue EMS Ground Accounts with MSB CY 2017 Account Receivable Write Offs c EMS GROUND ACCOUNTS WITH MSB DOS: 11/23/2011 - 12/31/2017 Trip Date Run # Balance Due 2017-08-01 2201 $621.60 2017-08-01 2202 $790.80 2017-08-01 2204 $628.80 2017-08-04 2229 $910.80 2017-08-06 2256 $636.00 2017-08-07 2266 $814.80 2017-08-10 2288 $781.20 2017-08-10 2297 $633.60 2017-08-10 2298 $463.92 2017-08-11 2306 $813.60 2017-08-11 2310 $914.40 2017-08-12 2303 $604.80 2017-08-12 2313 $109.97 2017-08-12 2314 $622.80 2017-08-13 2327 $744.00 2017-08-13 2328 $81.04 2017-08-14 2339 $823.20 2017-08-15 2346 $654.00 2017-08-15 2347 $1,026.80 2017-08-15 2351 $619.20 2017-08-16 2358 $618.00 2017-08-17 2365 $842.40 2017-08-17 2370 $616.80 C14 2017-08-17 2371 $614.40 c, 2017-08-17 2376 $612.00 2017-08-18 2379 $100.00 2017-08-18 2383 $820.80 2017-08-18 2385 $959.60 2017-08-19 2392 $614.40 2017-08-19 2397 $91.54 2017-08-19 2405 $816.00 2017-08-20 2407 $619.20 2017-08-20 2408 $612.00 2017-08-20 2415 $485.61 2017-08-21 2417 $543.06 2017-08-21 2420 $813.60 2017-08-21 2421 $141.29 2017-08-21 2422 $664.93 2017-08-21 2423 $792.00 2017-08-23 2431 $817.20 2017-08-24 2436 $814.80 2017-08-26 2457 $197.86 2017-08-27 2462 $837.60 16 of 22 Packet Pg. 114 C.3.b EXHIBIT A Monroe County Fire Recue EMS Ground Accounts with MSB CY 2017 Account Receivable Write Offs c EMS GROUND ACCOUNTS WITH MSB DOS: 11/23/2011 - 12/31/2017 Trip Date Run # Balance Due 2017-08-29 2476 $880.80 2017-08-29 2477 $697.20 2017-08-30 2481 $604.80 2017-08-30 2482 $816.00 2017-08-30 2484 $674.40 2017-08-30 2490 $620.40 2017-08-30 2492 $622.80 2017-08-31 2493 $167.28 2017-08-31 2494 $613.20 2017-09-01 2509 $673.20 2017-09-01 2511 $872.40 2017-09-01 2519 $814.80 2017-09-02 2530 $738.80 2017-09-02 2531 $754.80 2017-09-03 2529 $848.40 2017-09-03 2532 $813.60 2017-09-03 2533 $813.60 2017-09-04 2547 $139.53 2017-09-04 2548 $900.00 2017-09-04 2555 $615.60 2017-09-06 2562 $847.20 2017-09-07 2578 $847.20 2017-09-08 2585 $188.42 C14 2017-09-08 2591 $1,534.80 c, 2017-09-08 2592 $255.84 2017-09-12 3486 $1,241.60 2017-09-12 3513 $126.53 2017-09-13 3007 $602.40 2017-09-13 3008 $91.54 2017-09-13 3472 $915.60 2017-09-13 3484 $856.80 2017-09-14 3006 $91.54 2017-09-20 2613 $265.00 2017-09-20 2615 $793.20 2017-09-20 2617 $131.43 2017-09-20 2651 $621.60 2017-09-20 2721 $675.60 2017-09-21 2625 $716.40 2017-09-21 2627 $606.40 2017-09-21 2638 $614.40 2017-09-21 2642 $859.20 2017-09-21 2720 $676.80 2017-09-22 2662 $913.20 17 of 22 Packet Pg. 115 C.3.b EXHIBIT A Monroe County Fire Recue EMS Ground Accounts with MSB CY 2017 Account Receivable Write Offs EMS GROUND ACCOUNTS WITH MSB DOS: 11/23/2011 - 12/31/2017 Trip Date Run # Balance Due 2017-09-23 2670 $616.80 2017-09-23 2674 $92.42 2017-09-23 2676 $419.30 2017-09-23 2682 $922.80 2017-09-24 2678 $77.73 2017-09-24 2689 $615.60 2017-09-24 2695 $860.40 2017-09-24 2736 $305.00 2017-09-25 2696 $783.60 2017-09-25 2697 $618.00 2017-09-25 2711 $130.25 2017-09-25 2716 $265.00 2017-09-25 2723 $722.40 2017-09-26 2726 $925.20 2017-09-26 2730 $114.31 2017-09-26 2732 $805.20 2017-09-26 2734 $835.20 2017-09-26 3062 $107.01 2017-09-27 2737 $273.88 2017-09-27 2741 $754.80 2017-09-27 2744 $717.60 2017-09-27 2745 $127.56 2017-09-29 2763 $140.36 C14 2017-09-29 2765 $103.68 c, 2017-09-29 2771 $835.20 2017-09-29 2772 $130.25 2017-09-29 2773 $130.25 2017-09-30 2774 $754.80 2017-09-30 2778 $832.80 2017-09-30 2792 $252.06 2017-09-30 2795 $195.00 2017-10-01 2791 $638.40 2017-10-01 2796 $1,143.20 2017-10-01 2798 $835.20 2017-10-01 2805 $674.40 2017-10-01 2806 $1,146.80 2017-10-02 2810 $754.80 2017-10-02 2825 $807.60 2017-10-03 2836 $620.40 2017-10-03 2839 $77.73 2017-10-03 2840 $619.20 2017-10-04 2841 $79.06 2017-10-04 2845 $674.40 18 of 22 Packet Pg. 116 C.3.b EXHIBIT A Monroe County Fire Recue EMS Ground Accounts with MSB CY 2017 Account Receivable Write Offs EMS GROUND ACCOUNTS WITH MSB DOS: 11/23/2011 - 12/31/2017 Trip Date Run # Balance Due 2017-10-05 2850 $754.80 2017-10-05 2854 $367.60 2017-10-05 2858 $131.53 2017-10-06 2862 $99.71 2017-10-06 2868 $616.80 2017-10-06 2869 $697.20 2017-10-07 2877 $614.40 2017-10-07 2882 $908.40 2017-10-07 2884 $130.11 2017-10-07 3060 $373.41 2017-10-08 2896 $633.60 2017-10-09 2900 $205.00 2017-10-09 2902 $811.20 2017-10-10 2912 $762.00 2017-10-10 2926 $614.40 2017-10-11 2921 $613.20 2017-10-11 2923 $621.60 2017-10-11 2933 $272.68 2017-10-11 2934 $691.20 2017-10-13 2952 $925.20 2017-10-13 2956 $610.80 2017-10-13 2959 $92.86 2017-10-14 2964 $328.54 C14 2017-10-15 2973 $261.48 c, 2017-10-15 2976 $855.60 2017-10-15 2977 $842.40 2017-10-15 2978 $257.38 2017-10-15 2981 $678.00 2017-10-16 2990 $953.60 2017-10-16 2994 $820.40 2017-10-16 2995 $619.20 2017-10-18 3013 $637.20 2017-10-21 3037 $849.60 2017-10-21 3040 $648.00 2017-10-21 3050 $900.00 2017-10-23 3071 $91.54 2017-10-24 3073 $92.86 2017-10-24 3082 $675.60 2017-10-25 3101 $77.95 2017-10-26 3099 $621.60 2017-10-26 3108 $920.40 2017-10-27 3120 $92.42 2017-10-28 3127 $250.86 19 of 22 Packet Pg. 117 C.3.b EXHIBIT A Monroe County Fire Recue EMS Ground Accounts with MSB CY 2017 Account Receivable Write Offs EMS GROUND ACCOUNTS WITH MSB DOS: 11/23/2011 - 12/31/2017 Trip Date Run # Balance Due 2017-10-30 3139 $657.60 2017-10-30 3201 $78.39 2017-10-31 3150 $139.23 2017-10-31 3162 $618.00 2017-11-01 3164 $614.40 2017-11-01 3165 $78.39 2017-11-01 3169 $802.80 2017-11-01 3172 $172.80 2017-11-01 3173 $678.00 2017-11-01 3177 $616.80 2017-11-02 3181 $78.39 2017-11-02 3316 $816.00 2017-11-03 3183 $263.88 2017-11-03 3185 $78.39 2017-11-03 3191 $896.40 2017-11-03 3192 $613.20 2017-11-03 3200 $616.80 2017-11-04 3198 $616.80 2017-11-04 3212 $616.80 2017-11-05 3217 $78.39 2017-11-05 3219 $77.51 2017-11-05 3223 $91.54 2017-11-05 3225 $620.40 C14 2017-11-05 3228 $614.40 c, 2017-11-06 3236 $77.73 2017-11-07 3248 $908.40 2017-11-08 3250 $608.40 2017-11-08 3257 $620.40 2017-11-08 3258 $618.00 2017-11-10 3276 $200.00 2017-11-12 3297 $636.00 2017-11-13 3306 $676.80 2017-11-13 3319 $202.46 2017-11-14 3314 $91.98 2017-11-17 3339 $606.00 2017-11-17 3340 $121.20 2017-11-17 3343 $614.40 2017-11-17 3352 $610.80 2017-11-17 3353 $114.60 2017-11-17 3356 $824.40 2017-11-17 3358 $813.20 2017-11-18 3366 $75.96 2017-11-19 3375 $76.63 20 of 22 Packet Pg. 118 C.3.b EXHIBIT A Monroe County Fire Recue EMS Ground Accounts with MSB CY 2017 Account Receivable Write Offs EMS GROUND ACCOUNTS WITH MSB DOS: 11/23/2011 - 12/31/2017 Trip Date Run # Balance Due 2017-11-20 3396 $830.00 2017-11-22 3414 $877.20 2017-11-22 3418 $630.00 2017-11-23 3419 $616.80 2017-11-23 3426 $855.60 2017-11-23 3430 $676.80 2017-11-23 3431 $265.00 2017-11-23 3435 $808.40 2017-11-24 3441 $94.63 2017-11-26 3465 $91.98 2017-11-27 3473 $266.89 2017-11-29 3507 $652.80 2017-11-29 3509 $698.40 2017-11-29 3510 $139.68 2017-12-01 3525 $882.00 2017-12-01 3537 $828.80 2017-12-03 3545 $807.60 2017-12-03 3548 $78.39 2017-12-04 3553 $139.09 2017-12-04 3555 $504.89 2017-12-04 3565 $91.98 2017-12-04 3566 $621.60 2017-12-04 3568 $621.60 C14 2017-12-05 3572 $50.00 c, 2017-12-06 3588 $618.00 2017-12-07 3587 $818.00 2017-12-07 3590 $604.80 2017-12-08 3597 $88.11 2017-12-08 3598 $859.53 2017-12-08 3608 $616.80 2017-12-10 3615 $722.40 2017-12-10 3616 $942.00 2017-12-11 3621 $610.80 2017-12-12 3643 $916.80 2017-12-12 3644 $855.60 2017-12-12 3650 $200.00 2017-12-14 3852 $912.00 2017-12-14 3853 $912.00 2017-12-14 3854 $182.40 2017-12-15 3667 $324.00 2017-12-15 3669 $124.80 2017-12-15 3670 $124.80 2017-12-15 3674 $124.80 21 of 22 Packet Pg. 119 C.3.b EXHIBIT A Monroe County Fire Recue EMS Ground Accounts with MSB CY 2017 Account Receivable Write Offs EMS GROUND ACCOUNTS WITH MSB DOS: 11/23/2011 - 12/31/2017 Trip Date Run # Balance Due 2017-12-16 3690 $77.95 2017-12-17 3688 $619.20 2017-12-17 3692 $610.80 2017-12-17 3697 $848.40 2017-12-17 3700 $78.83 2017-12-17 3711 $602.40 2017-12-18 3704 $807.60 2017-12-18 3710 $725.00 2017-12-18 3714 $91.54 2017-12-19 3722 $804.80 2017-12-20 3731 $896.40 2017-12-20 3739 $928.80 2017-12-20 3753 $633.60 2017-12-21 3732 $882.00 2017-12-21 3744 $144.00 2017-12-22 3759 $828.00 2017-12-22 3762 $614.40 2017-12-23 3768 $262.28 2017-12-23 3769 $1,005.20 2017-12-23 3774 $578.00 2017-12-23 3776 $462.00 2017-12-24 3784 $726.00 2017-12-24 3788 $613.20 C14 2017-12-25 3783 $814.80 c, 2017-12-26 3801 $618.00 2017-12-26 3803 $98.64 2017-12-26 3848 $92.86 2017-12-27 3812 $168.00 2017-12-27 3819 $621.60 2017-12-28 3821 $205.00 2017-12-28 3823 $139.23 2017-12-29 3827 $664.80 2017-12-29 3857 $633.60 2017-12-29 3860 $633.60 2017-12-30 3856 $618.00 2017-12-31 3846 $265.00 x TOTALS 939 $550,845.13 22 of 22 Packet Pg. 120