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Item I3
L3 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: I.3 Agenda Item Summary #9990 BULK ITEM: No DEPARTMENT: Emergency Services TIME APPROXIMATE: STAFF CONTACT: Steven Hudson (305) 289-6342 N/A AGENDA ITEM WORDING: BOG 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. 1877 L3 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 426-2020 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 BOG 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. 1878 L3 Grant: N/A County Match: N/A Insurance Required: N/A Additional Details: N/A REVIEWED BY: Jim Molenaar Completed 11/23/2021 10:23 AM Steven Hudson Completed 11/23/2021 10:54 AM Purchasing Completed 11/23/2021 10:57 AM Budget and Finance Completed 11/23/2021 11:14 AM Maria Slavik Completed 11/23/2021 1:06 PM Liz Yongue Completed 11/23/2021 1:23 PM Board of County Commissioners Pending 12/08/2021 9:00 AM Packet Pg. 1879 1.3.a RESOLUTION NO. -2021 A RESOLUTION OF THE BOARD OF GOVERNORS FIRE AND AMBULANCE DISTRICT 1 2 OF MONROE COUNTY, FLORIDA C AUTHORIZING THE WRITE-OFF OF FIRE RESCUE GROUND AMBULANCE ACCOUNTS RECEIVABLE FOR CALENDAR YEAR 2017 0 U WHEREAS, Monroe County Fire Rescue Services provides ground ambulance service; and ca 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 2 t� 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 GOVERNORS OF FIRE AND AMBULANCE DISTRICT 1 OF MONROE COUNTY, FLORIDA: 0 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). Packet Pg. 1880 1.3.a 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 8th day of December,2021. Mayor of Layton, Bruce Halle c Vice Mayor of Layton, Greg Lewis Commissioner,Michelle Coldiron Commissioner, Eddie Martinez E Commissioner,Holly Merrill Raschein (SEAL) BOARD OF GOVERNORS,FIRE AND ATTEST: KEVIN MADOK,CLERK AMBULANCE DISTRICT 1 OF MONROE COUNTY,FLORIDA CJ By: Deputy Clerk By: Mayor/Chairman W MONROE COUNTY ATTORNEY: James D. Digitally signed by James D. Molenaar,Esq. By: Molenaar, Esq. Date:202 1.11.22 14:00:14-05'00' Assistant County Attorney James D.Molenaar MONROE COUNTY ATTORNEY PPROVE 0 AS TO FOR r= AI TANT CO TY ATTORNEY James D.Molenaar,Esq. oa�zoz. zz35s3a-0soo °'° U) LU N 0 0 Packet Pg. 1881 L3.b EXHIBIT A Monroe County Fire Recue EMS Ground Accounts with MSB CY 2017 Account Receivable Write Offs 2 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 r� 2014-02-22 452 $812.00 2014-02-22 453 $864.00 >- 2014-02-22 456 $888.00 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 m 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. 1882 L3.b EXHIBIT A Monroe County Fire Recue EMS Ground Accounts with MSB CY 2017 Account Receivable Write Offs 2 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 r� 2014-03-04 537 $612.00 2014-03-04 538 $612.00 >- 2014-03-05 545 $75.00 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 m 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. 1883 L3.b EXHIBIT A Monroe County Fire Recue EMS Ground Accounts with MSB CY 2017 Account Receivable Write Offs 2 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 r� 2014-03-15 617 $823.20 2014-03-15 621 $624.00 >- 2014-03-15 624 $794.40 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 m 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. 1884 L3.b EXHIBIT A Monroe County Fire Recue EMS Ground Accounts with MSB CY 2017 Account Receivable Write Offs 2 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 r� 2014-03-24 703 $612.00 2014-03-24 704 $660.00 >- 2014-03-24 707 $638.40 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 m 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. 1885 L3.b EXHIBIT A Monroe County Fire Recue EMS Ground Accounts with MSB CY 2017 Account Receivable Write Offs 2 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 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 r� 2017-01-01 16 $619.20 2017-01-02 23 $200.00 >- 2017-01-02 25 $614.40 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 m 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. 1886 L3.b EXHIBIT A Monroe County Fire Recue EMS Ground Accounts with MSB CY 2017 Account Receivable Write Offs 2 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 r� 2017-01-25 258 $614.40 2017-01-26 265 $822.00 >- 2017-01-28 292 $618.00 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 m 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. 1887 L3.b EXHIBIT A Monroe County Fire Recue EMS Ground Accounts with MSB CY 2017 Account Receivable Write Offs 2 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 r� 2017-02-20 517 $612.00 2017-02-21 534 $723.60 >- 2017-02-22 536 $49.06 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 m 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. 1888 L3.b EXHIBIT A Monroe County Fire Recue EMS Ground Accounts with MSB CY 2017 Account Receivable Write Offs 2 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 r� 2017-03-09 717 $721.20 2017-03-11 730 $850.80 >- 2017-03-11 735 $674.40 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 m 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. 1889 L3.b EXHIBIT A Monroe County Fire Recue EMS Ground Accounts with MSB CY 2017 Account Receivable Write Offs 2 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 r� 2017-03-27 922 $619.20 2017-03-29 938 $672.00 >- 2017-03-30 967 $837.20 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 m 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. 1890 L3.b EXHIBIT A Monroe County Fire Recue EMS Ground Accounts with MSB CY 2017 Account Receivable Write Offs 2 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 r� 2017-04-17 1128 $77.51 2017-04-17 1129 $627.60 >- 2017-04-17 1130 $608.40 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 m 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. 1891 L3.b EXHIBIT A Monroe County Fire Recue EMS Ground Accounts with MSB CY 2017 Account Receivable Write Offs 2 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 r� 2017-05-09 1328 $202.66 2017-05-09 1329 $860.40 >- 2017-05-09 1332 $633.60 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 m 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. 1892 L3.b EXHIBIT A Monroe County Fire Recue EMS Ground Accounts with MSB CY 2017 Account Receivable Write Offs 2 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 r� 2017-05-27 1522 $614.40 2017-05-28 1526 $205.00 >- 2017-05-28 1527 $861.60 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 m 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. 1893 L3.b EXHIBIT A Monroe County Fire Recue EMS Ground Accounts with MSB CY 2017 Account Receivable Write Offs 2 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 r� 2017-06-17 1740 $744.00 2017-06-17 1741 $654.00 >- 2017-06-19 1761 $618.00 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 m 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. 1894 L3.b EXHIBIT A Monroe County Fire Recue EMS Ground Accounts with MSB CY 2017 Account Receivable Write Offs 2 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 r� 2017-07-09 1955 $847.20 2017-07-09 1956 $127.75 >- 2017-07-10 1964 $615.60 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 m 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. 1895 L3.b EXHIBIT A Monroe County Fire Recue EMS Ground Accounts with MSB CY 2017 Account Receivable Write Offs 2 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 r� 2017-07-24 2117 $91.98 2017-07-24 2128 $783.60 >- 2017-07-25 2134 $91.98 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 m 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. 1896 L3.b EXHIBIT A Monroe County Fire Recue EMS Ground Accounts with MSB CY 2017 Account Receivable Write Offs 2 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 r� 2017-08-17 2365 $842.40 2017-08-17 2370 $616.80 >- 2017-08-17 2371 $614.40 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 m 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. 1897 L3.b EXHIBIT A Monroe County Fire Recue EMS Ground Accounts with MSB CY 2017 Account Receivable Write Offs 2 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 r� 2017-09-07 2578 $847.20 2017-09-08 2585 $188.42 >- 2017-09-08 2591 $1,534.80 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 m 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. 1898 L3.b EXHIBIT A Monroe County Fire Recue EMS Ground Accounts with MSB CY 2017 Account Receivable Write Offs 2 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 r� 2017-09-27 2745 $127.56 2017-09-29 2763 $140.36 >- 2017-09-29 2765 $103.68 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 m 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. 1899 L3.b EXHIBIT A Monroe County Fire Recue EMS Ground Accounts with MSB CY 2017 Account Receivable Write Offs 2 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 r� 2017-10-13 2959 $92.86 2017-10-14 2964 $328.54 >- 2017-10-15 2973 $261.48 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 m 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. 1900 L3.b EXHIBIT A Monroe County Fire Recue EMS Ground Accounts with MSB CY 2017 Account Receivable Write Offs 2 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 r� 2017-11-05 3223 $91.54 2017-11-05 3225 $620.40 >- 2017-11-05 3228 $614.40 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 m 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. 1901 L3.b EXHIBIT A Monroe County Fire Recue EMS Ground Accounts with MSB CY 2017 Account Receivable Write Offs 2 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 r� 2017-12-04 3566 $621.60 2017-12-04 3568 $621.60 >- 2017-12-05 3572 $50.00 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 m 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. 1902 L3.b EXHIBIT A Monroe County Fire Recue EMS Ground Accounts with MSB CY 2017 Account Receivable Write Offs 2 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 r� 2017-12-24 3784 $726.00 2017-12-24 3788 $613.20 >- 2017-12-25 3783 $814.80 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 TOTALS 939 $550,845.13 22 of 22 Packet Pg. 1903