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Item G4
BOARD OF GOVERNORS FIRE AND AMBULANCE DISTRICT 1 AGENDA ITEM SUMMARY Meeting Date: October 16, 2013 Division: Emergency Services Bulk Item: Yes X No Department: Fire Rescue Staff Contact Person: Mary Napoli 289-6010 AGENDA ITEM WORDING: Approval of Resolution authorizing the write-off of a total of 1,143 Fire Rescue ground ambulance accounts receivable for CY 2008 and CY 2009, totaling$644,956.83 from the Fire Rescue District 1 Fund Account 141-115002. ITEM BACKGROUND: Monroe County contracts with Advanced Data Processing Inc., (ADPI) for ground-ambulance billing. After 210 days of inactivity with ADPI,outstanding accounts are then placed with the collection agency,Municipal Services Bureau (MSB).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 1,143 accounts totaling$644,956.83, which primarily represents the two-year period from January 1, 2008 through December 31, 2009 (see attached Exhibit A).There are 573 accounts in CY 2008 totaling$293,338.45 and 567 accounts in CY 2009 totaling$349,554.47.Further,there are three Chapter 7 bankruptcy accounts from CY 2010 to be written off, totaling $2,063.91. 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 refuses to pay. Even though these accounts are administratively written off for accounting purposes, the collection agency continues to attempt collections on these accounts. PREVIOUS RELEVANT BOG 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. CONTRACT/AGREEMENT CHANGES: N/A STAFF RECOMMENDATIONS: Approval. TOTAL COST: N/A INDIRECT COST: BUDGETED: Yes �No DIFFERENTIAL OF LOCAL PREFERENCE: N/A COST TO COUNTY: N/A SOURCE OF FUNDS:N/A REVENUE PRODUCING: Yes -� No� AMOUNT PER MONTH Year APPROVED BY:County Atty OMB/Purc asing Risk Manageme 1 DOCUMENTATION: Included X Not Required_ DISPOSITION: AGENDA ITEM# Emergency Services RESOLUTION NO. -2013 A RESOLUTION OF THE BOARD OF GOVERNORS OF FIRE AND AMBULANCE DISTRICT 1 MONROE COUNTY,FLORIDA AUTHORIZING THE WRITE-OFF OF FIRE RESCUE GROUND AMBULANCE ACCOUNTS RECEIVABLE FOR CALENDAR YEARS 2008 AND 2009 WHEREAS,Monroe County Fire Rescue Services provides ground ambulance service; and WHEREAS, the Board of County Commissioners of Monroe County contracts with Advanced Data Processing, Inc. (ADPI) for Rescue Ambulance Billing and Related Professional Services; and WHEREAS, after 210 days of billing, accounts are placed with Municipal Services Bureau, a collection agency, to further attempt collection; and WHEREAS, once a period of 3 years from the date of the billable incident has elapsed, and all efforts of collecting the debt have been exhausted, Monroe County Finance Department directs the write-off of these debts; and WHEREAS, a report was provided by Municipal Services Bureau on accounts that met the above criteria, and were deemed uncollectible, for the time period of January 2008 through December 2009; and WHEREAS, a report was provided by Advanced Data Processing, Inc. on accounts that it was determined that further collection efforts are fruitless as insurance has paid the maximum allowable on these claims, and the service recipients are now either deceased with no available funds in the estate, in the estate, in bankruptcy, a minor with no guardian or patient found, have uncollectible balances of Medicaid/Medicare, and/or have small exceptions balances for the time period of January 2008 through December 2009. WHEREAS, it is desired that these uncollectible ground ambulance service accounts receivable be written off at this time; NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF GOVERNORS OF FIRE AND AMBULANCE DISTICT 1 OF MONROE COUNTY,FLORIDA: Receivables for ground ambulance service accounts listed on attached Exhibit A in the amount of $645,531.83 be deleted from the Fire Rescue District 1 Fund Account 141-115002. PASSED AND ADOPTED by the Board of Governors, Fire and Ambulance District 1 of Monroe County, Florida, at a regular meeting of said Board held on the_day of , 2013. Mayor of Layton, Norman Anderson Councilman Clark Snow Commissioner Danny Kolhage Commissioner David Rice Mayor of Monroe County, George Neugent MONROE COUNTY ATTORNEY ` (SEAL) ANC ROVED AS f0 F BOARD OF GOVERNORS, FIRE AND N9 N 9AA 'T N!____---AMBULANCE DISTRICT 1 of MONROE COUNTY N� O V �Y rO N E%FLORIDA Attest: AMY HEAVILIlt �r ...,.. .W., . _...M.w� .;-m ,a By „ �� Et Mayor/Chairperson By Deputy Clerk Exhibit Monroe County Fire Rescue Ground Ambulance Account Receivables October 2013 Write-Offs Original balance( r Balance when sent to Acct# DOS collections) AdjusAdjustments a Final Balance These accounts are with MSB (DOS= 1/01/ 0 -1 / 1/ 0 ) 1 0 - 1 1/ 8 $644.00 $0.00 $0.00 $ . 0 001 - 1 1/03/08 $653.00 $0.000. 0 $653.00 - 1 1/05/08 $554.00 $0.00 $0.00 $554.00 - 1 1/05/08 $236.000. $0. 0 $236.00 1 - 1 1/05/08 $618.000. 0. 61 . 0 0037- 1 1/06/08 $527.00 $0.00 $0.0057. 0 7 0 - 1 1/07/08 $509.00 $0.00 $0.00 $509.00 - 1 1/08/08 $518.00 $0.00 $0.00 $518.00 1 - 1 1/10/08 $509.00 $0.000.00 $509.00 11 77- 1 1/1 / $51&00 $0.00 $0.00 $518.00 12 800075-01 1/12/08 $599.00 $0.00 $0.00 $599.00 13 - 1 1/13/08 $635.00 $0.00 $0.006 . 14 800081-01 1/13/08 $275.080. $0.00 $275.08 15 800101-01 1/16/08 $671.000. 0 $0.00 $671.00 16 6- 1 1/16/08 $662.000. 0 $0.00 $662.00 17 - 1 1/16/08 $680.000. 0. .0 18 800104-01 1/18/08 $707.000. 0. 0 $707.00 19 81 -01 1/19/08 $689.000. 0.0 $ .00 20 801 - 1 1/ / 8 $653.00 $0.000. 6 . 0 1 01 - 1 1/21/08 $518.00 $0.00 $0.00 $518.00 22 17-01 1/ /08 $51&00 $0.00 $0.00 $518.00 23 11- 1 1/22/08 $671.000. 0 $0.00 $671.00 24 14-01 1/23/08 $509.000. 0 $0.00 $509.00 25 801 -01 1/24/08 $518.00 $0.00 $0.001 .00 6 1 - 1 1/25/08 $554.00 $0.00 $0.00 $554.00 7 16- 1 1/25/08 $527.00 $0.00 $0. 0 $527.00 28 17-01 1/27/08 $545.00 $0.00 $0.00 $545.00 9 17- 1 1/27/08 $743.000. 0 $0.00 $743.00 30 800162-01 1/29/08 $671.000. 0 $0.00 $671.00 1 17 - 1 1/30/08 $671.000. 0. $671.00 32 800179-01 1/31/08 $518.00 $0.00 $0.0051 . 0 33 11- 1 1/ 1/ 8 $545.00 $0.00 $0.00 $545.00 34 800182-01 1/31/08 $662.00 $0.00 $0.00 $662.00 35 1 -01 2/02/08 $518.000. 0 $0.00 $518.00 36 1 -01 2/04/08 $509.00 $0.00 $0.00 $509.00 37 011- 1 2/04/08 $608.00 $0.00 $0.00 $608.00 39 - 1 / /08 $50U0 $0.00 $0.00 $509.00 40 06-01 2/06/08 $50.00 $0.000.0 .0 1 016- 1 2/06/08 $60. 0 $0.00 $0.00 $680.00 2 0 - 1 2/07/08 $518.00 $0.00 $0.001 . 0 43 1-01 2/08/08 $509.00 $0.00 $0.00 $509.00 44 - 1 2/09/08 $626.00 $0. 0 $0.00 $626.00 45 06 -01 2/09/08 $725.00 $0.00 $0.00 $725.00 6 66- 1 /1 / 8 $618.00 $0.00 $0.00 $618.00 7 7 - 1 2/10/08 $635.00 $0.00 $0.00 $ .00 48 7- 1 2/10/08 $73 .00 $0.00 $0.0073 . 0 49 80 - 1 2/10108 $959.00 $0.000. .00 50 86 - 1 2/11/08 $509.00 $0.000.0 0 . 0 1 007 -01 2/11/08 $671.000. 0 $0.00 $671.00 52 800392-01 /1 / 8 $653.00 $0.00 $0.00 $653.00 3 80028801 2/14/08 $716.00 $0.00 $716.00 1 Exhibit Monroe County Fire Rescue Ground Ambulance Account Receivables October 2013 Write-Offs 5 - 1 2/16/08 $689.00 $0.00 $0. 6 .00 56 17- 1 2/18/08 $707.000. 0. $707.00 7 8 - 1 2/19/08 $30.000.0 $0.00 $30.00 8 - 1 /22/08 $671.00 $0.000. $ 71.0 59 00 -01 /22/08 $509.00 $0. 0 $0.00 $509.00 60 - 1 2/22/08 $509.00 $0.00 $0.00 $509.00 61 3 - 1 2/23/08 $680.00 $0. 0 $0.00 $680.00 62 7- 1 2/23/08 $95.40 $0.000. 95.4 63 6 - 1 2/26/08 $716.00 $0.00 $0.00716. 6 - 1 2/27/08 $653.00 $0.00 $0.00 $653.00 65 066-01 2/27/08 $536.000. 0 $0.00 $536.00 66 00 - 1 2/27/08 $370.600.0 0. $ 7 .6 7 001 - 1 3/01/08 $509.00 $0.000. $509.00 68 - 1 3/03/08 $509.00 $0.00 $0.00 $509.00 69 13- 1 3/03/08 $635.00 $0.00 $0.00 $6 .0 7 - 1 3/04/08 $662.000. 0.00 $662.00 71 00 - 1 / / 8 $509.00 $0.000. 0 $509.00 72 800425-01 3/05/08 $563.00 $0.00 $0.00 $563.00 7 - 1 3/09/08 $509.00 $0.00 $0.00 $509.00 74 800479-01 3/09/08 $509.000. 0 $0.00 $509.00 75 800484-01 3/09/08 $680.000. 0. $680.00 76 1- 1 3/09/08 $509.00 $0.000. $509.00 77 - 1 3/10/08 $509.00 $0.00 $0.00 $509.00 78 80082-01 3/10/08 $698.00 $0. 0 $0.00 $698.00 79 800452-01 3/12/08 $662.000. 0 $0.00 $ 62.0 80 - 1 3/13/08 $545.00 $0.00 $0.00 . 1 0 - 1 3/14/08 $662.000. 0. 6 . 82 9 - 1 3/15/08 $509.00 $0.00 $0.00 $509.00 83 6 -01 3/15/08 $617.000.00 $0.00 $617.00 84 - 1 /1 / $ 6. 0 $0.00 $0. $ 3 .00 85 800497-01 3/16/08 $509.00 $0.00 $0,00 $509.00 6 06- 1 3/16/08 $671.00 $0.00 $0.00 $671.00 7 -01 3/17/08 $518.00 $0.00 $0.00 $518.00 88 - 1 3/20/08 $509.000. 0 $0.00 $509.00 89 811-01 3/21/08 $671.00 $0.00 $0.00 $671.00 90 81 - 1 3/21/08 $ . 0 $0. 0 $0.00 $509.00 91 1 - 1 / $527.00 $0.000.00 $527.00 92 0 - 1 /2 /08 $671. 0 $0.00 $0.00671. 0 93 0 - 1 3/22/08 $375.00 $0.00 $0.007 . 95 - 1 3/23/08 $617.00 $0.000. 0 $ 17.00 6 067- 1 3/24/08 $518.00 $0. 0 $0.00 $518.00 97 01- 1 3/24/08 $518.00 $0. 0 $0.00 $ 1 .00 98 - 1 3/25/08 $509.00 $0.00 $0.0 $ 9. 0 99 0 -01 3/25/08 $509.00 $0.000. $509.00 10 6 - 1 3/26/08 $509.000. 0. $509.00 11 -01 3/26/08 $509.000. 0. $ 09. 0 102 800555-01 3/26/08 $43.08 $0.00 $0.00 $43.08 103 800564-01 3/27/08 $626.00 $0.00 $0. 0 $626.00 104 800575-01 3/28/08 $689.00 $0.00 $0. $689.00 105 800587-01 3/29/08 $662.000. 0.0 $ .00 1 -01 3/30/08 $563.00 $0.00 $0.00 $563.00 17 -01 3/30/08 $671.00 $0.00 $0.00 $671.00 1 - 1 /30/08 $318.00 $0.00 $0.00 $318.00 109 800595-01 3/31/08 $698.00 $0. 0 $0.00 $ .00 110 0 - 1 4/01/08 $509.00 $0.00 $0.00 $509.00 111 80060 - 1 4/04/08 $545.00 $0.00 $0.00 $545.00 112 61 - 1 4/04/08 $509.00 $0.00 $0.00 $509.00 Exhibit MonroeCounty Fire Rescue Ground Ambulance Account civls October 2013 Write-Offs 113 800611-01 4/04/08 $779.000. 0. 77 .0 114 800607-01 4/05/08 $518.000. 0. 0 $518.00 115 800677-01 4/09/08 $734.00 $0.00 $0.00 $734.00 11 -01 4/09/08 $761.00 . 0 $0.00 $761.00 117 - 1 4/11/08 $518.00 $0.00 $0.00 $518.00 118 800673-01 4/12/08 $509.00 $0.00 $0.000 . 11 - 1 /12/08 $509.00 $0.00 $0.00 $509.00 120 800679-01 /12/08 $644.00 $0.000. 0 $644.00 11 - 1 4/14/08 $662.000. $0.00 $662.00 12 - 1 4/16/08 $563.000. $563.00 123 800704-01 4/18/08 $725.00 $0.00 $0.00 $725.00 124 800714-01 4/19/08 $518.000.00 $0.00 $518.00 125 800720-01 4/19/08 $608.000. 0 $0.00 $608.00 16 71 - 1 4/19/08 $599.00 $0.000. 0 $599.00 17 7 - 1 4/21/08 $554.00 $0.00 $0.00 $554.00 128 800776-01 4/22/08 $ .00 $0.00 $0.006 .0 129 800746-01 4/23/08 $671.00 $0.000. $671.00 10 77- 1 4/23/08 $662.000. 0. $662.00 11 7 - 1 4/24/08 $403.700. 0. $ .7 132 800762-01 4/25/08 $545.000. 0 $0.00 $545.00 133 800758-01 4/25/08 $599.00 $0.00 $0.00 $599.00 134 807 - 1 4/25/08 $509.000. 0 $509.00 135 800779-01 4/26/08 $860.000. 0.00 $860.00 136 800771-01 4/ 6/ 8 $545.00 $0.000. . 0 17 76- 1 / 7/ 8 $518.00 $0.000.00 $518.00 138 87 -01 4/29/08 $245.00 $0.00 $0.00 $245.00 139 800788-01 4/29/08 $698.000.00 KOO $698.00 140 800785-01 4/29/08 $617.00 $0.00 $0.00617.0 11 76- 1 4/29/08 $166.00 $0.00 $0.00 $166.00 142 800807-01 5/01/08 $509.00 $0.00 $0.00 $509.00 14 - 1 5/01/08 $572.00 $0.00 $0.00 $572.00 144 800816-01 5/03/08 $698.00 $0.000. $69 .00 145 800810-01 5/03/08 $671.000.00 $0.00 $671.00 16 11- 1 5/03/08 $ 9. 0 $0.00 $0.00 $509.00 147 - 1 5/05/08 $518.000. 0 $0.00 $518.00 148 800830-01 5/06/08 $509.000.00 $0.00 $509.00 149 800831-01 /07/ 8 $617.00 $0.000. 17.0 150 800836-01 5/08/08 $518.000. 0. 1 . 0 11 8 -01 5/11/08 $518.000.0 0. $ 1 .00 152 800870-01 5/12/08 $518.000. 0. $518.00 1 - 1 5/13/08 $545.00 $0.000.0 $545.00 1 - 1 5/14/08 $91.80 $0.00 $0.00 $91.80 155 800911-01 5/20/08 $580.00 $0.00 $0.00 $ .00 16 - 1 5/22/08 $518.00 $0.000. 0 $518.00 158 800919-01 5/23/08 $518.000.0 0. $518.00 1 - 1 5/24/08 $518.000.00 $0.00 $ 18.0 16 6- 1 5/25/08 $509.00 $0.000.0 .0 11 1- 1 / / 8 $689.00 $0.00 $0. 0 $689.00 1 - 1 / / 8 $509.00 $0.000. $509.00 13 0 - 1 5/25/08 $509.00 $0.00 $0.00 . 16 6- 1 5/26/08 $518.000.0 0. 0 $518.00 1 - 1 / 6/ 66 . 0 $0.00 $0.00 . 166 6- 1 5/26/08 $527.000.0 0.0 $527.00 17 093- 1 5/26/08 $509.000.00 $0.00 $ .0 168 800973-01 5/27/08 $716.000. $0.00 $716.00 169 800947-01 1 5/27/08 $0.00 $0.00 .00 170 800972-01 1 5/27/08671.00 $0.00 $0.00671.0 171 06 - 1 / $554.00 $0.00 $0.00_____L . Exhibit Monroe County Fire Rescue Ground Ambulance Account Receivables October 2013 Write-Offs 172 800975-01 5/29/08 $671.000. 0 $671.00 173 801003-01 5/31/08 $518.000. 0. $518.00 174 801009-01 6/01/08 $743.00 $0.00 $0.0073.00 175 801019-01 6/ 8 $509.00 $0.000.00 $509.00 176 11 - 1 6/02/08 $545.00 $0.00 $0.00 .0 177 1 - 1 6/05/08 $509.00 $0.00 $0.00 $509.00 178 801033-01 6/06/08 $509.000.0 0. 0 $509.00 179 801039-01 6/07/08 $509.00 $0.00 $0.00 $509.00 180 801041-01 6/07/08 $7 . 0 $0.00 $0. $789.00 11 1 - 1 6/08/08 $509.00 $0.000. $509.00 182 817- 1 6/09/08 $518.00 $0.00 $0.001 . 13 17- 1 6/09/08 $518.000.00 $518.00 184 801055-01 6/09/08 $509.00 $0.00 $0.00 .00 185 801065-01 /10/08 $662.00 $0.000. $662.00 16 810 - 1 6/11/08 $545.00 $0.00 $0.00 $ .00 17 10 - 1 6/13/08 $509.00 $0.00 $0.00 $509.00 188 801087-01 6/14/08 $635.00 $0.000. 0 $635.00 189 801097-01 6/15/08 $518.000. 0.0 $518.00 190 811- 1 6/15/08 $518.000.0 0. 1 .00 191 - 1 6/18/08 $698.00 $0.00 $0.00 . 12 0111- 1 6/20/08 $133.240. 0. $133.24 193 610003-036/21/08 $509.00 $0.00 $0.00 $509.00 194 61- 1 6/23108 $518.000.0 0. 1 . 0 1 -01 6/23/08 $635.00 $0.00 $0.00 $635.00 196 61- 1 6/25/08 $698.00 $0.00 $0.006 . 17 660 - 1 6/26/08 $509.00 $0. 0 $0.00 $509.00 198 6000 -01 6/28/08 $509.00 $0.00 $0.00 $ 09.0 199 1 - 1 6/28/08 $689.00 $0.00 $0. 0 $689.00 00 600 -01 6/29/08 $653.00 $0.00 $0.00 $ 5 .00 21 909- 1 6/29/08 $653.000.0 0. 5 .00 202 61-0 / / 8 $527.00 $0.00 $0.00 $527.00 203 61 - 1 6/29/08 $62.00 $0.00 $0.00 $662.00 204 697- 1 6/29/08 $80.81 $0.00 $0.00 $80.81 205 690013-01 6/29/08 $6 .00 $0.00 $0.00 $ .00 206 600002-01 6/30/08 $509.000. 0 $0. 0 $509.00 7 71 -03 7/ 1/ 8 $518.00 $0.000. 1 . 0 208 71-0 7/02/08 $518.000. $0.00 $518.00 09 7 - 1 7/03/08 $509.000.0 0. $ 09. 0 210 7 - 7/03/08 $426.000. 0 $0.00 $426.00 211 7 - 1 7/03/08 $458.00 $0.00 $0.00 $458.00 212 70 - 7/04/08 $518.00 $0.00 $0.00 $ 18. 0 213 70 - 1 7/05/08 $644.00 $0.00 $0.00 $644.00 214 70 - 1 7/05/08 $626.000. $0. 0 $626.00 215 7 - 1 7/05/08 $644.00 $0.00 $0.00 . 216 71- 1 7/05/08 $572.000. 0.0 572.00 17 79-01 7/05/08 $554.00 $0.00 $0.00 $554.00 218 70 - 1 7/06/08 $509.000. 0 $0.00 $509.00 219 70 - 1 7/06/08 $86.78 $0.00 $0.00 $86.78 220 77 - 1 7/07/08 $509.00 $0.00 $0.00 $509.00 1 7 - 7/09/08 $518.000. 0. 1 . 0 222 70 - 1 7/09/08 $536.00 $0.00 $0.00 $536.00 223 7 - 1 7/09/08 $ 1 . 0 $0.00 $0.001 . 224 701-01 7/10/08 $509.00 $0.000. 0 $509.00 225 71 - 1 7/11/08 $104.780.0 0. 0 $104.78 6 720007- 7/12/08 $518.00 $0.00 $0.00 $ 1 .00 7 70 - 1 7/12/08 $527.000. 0. 0 $527.00 228 71- 1 7/13/08 $545.00 $0.00 $0.00 $545.00 29 771- 7/17/08 $762.000.0 0. 0 $762.00 0 77 -02 7/17/08 $707.00 $0.00 $0.00 $707.00 Exhibit MonroeCounty Fire Rescue Ground Ambulance Account ceivls October 2013 Write-Offs 1 77 - 1 7/17/08 $443.00 $0.000. 43.0 232 77 - 7/17/08 $518.000. 0. $518.00 233 70 - 1 7/18/08 $554.00 $0.000. 5 . 0 234 71- 1 7/19/08 $509.000.0 0. $ 0 .0 235 7 - 1 7120/08 $509.00 $0.000. $ 0 .0 6 70 - 1 7/20/08 $509.00 $0.000. .0 7 71 - 7/21/08 $509.00 $0.00 $0.00 $ 9.00 239 706- 7/ 8 $626.00 $0.000. 0 $ 6.00 0 7 - 7/22/08 $572.000.0 M 7 .0 1 7300 - 7/23/08 $509.00 $0.00 $0.00 $509.00 242 700 - 1 7/ 4/ 8 $509.00 $0.000. 0 $509.00 243 70 - 7/24/08 $671.000. 0. 671.0 244 76 - 1 7/26/08 $644.000. 0. $644.00 245 76 - 7/26/08 $509.00 $0.000. $509.00 246 77 -0 7/27/08 $509.00 $0.00 $0.009.0 7 7 - 7/28/08 $590.00 $0.00 $0.00 $590.00 248 7 - 7/29/08 $581.000. 0. $51.00 249 104- 1 8/01/08 $527.000. $0.00 $ 7.00 51 - 1 8/02/08 $680.000.0 0. $680.00 252 00 - 1 8/02/08 $518.000. $0. 0 $518.00 253 - 1 8/03/08 $680.00 $0.000. 0 $680.00 254 0 -01 8/03108 $509.00 $0.000. 0 $ 0 .0 255 - 1 8/03/08 $716.00 $0.000. $716.00 6 - 1 8/03/08 $47.850. 0. 0 $47.85 7 0 -01 8/04/08 $199.700. 0. 0 $199.70 258 800 - 1 / /08 $ 1 . 0 $0.00 $0.001 . 259 64- 1 8/06/08 $509.00 $0.00 $0.00 $509.00 260 860005-01 8/06/08 $75.930. 0. 0 $75.93 21 7 - 1 8/07/08 $635.00 $0.000.00 $635.00 262 800002-01 8/10/08 $207.500. 0.00 $207.50 63 1 - 1 8/11/08 $770.00 $0.00 $0.00 $770.00 264 - 1 8/12/08 $671.00 $0.00 $0.00 $671.00 6 - 1 8/14/08 $689.00 $0.00 $0.006 .0 66 0 - 1 8/14/08 $545.00 $0.000. 0 $ .0 6 4-02 8/15/08 $680.000. 0 $0.00 $680.00 269 860008-01 8/16/08 $545.00 $0.00 $0.00 $545.00 270 890005-01 8/19/08 $282.00 $0.00 $0.00 $282.00 71 -03 8/20/08 $518.000. 0. 1 .0 7 -03 8/20/08 $698.00 $0.00 $0.00 $69&00 273 840006-02 / /0 0. 0 $0.00 $ 9 .00 274 840011-01 8/24/08 $527.000. 0. $527.00 7 7-01 8/24/08 $42.200. 0 $0.00 $42.20 7 - 1 8/25/08 $99.620. 0.0 .6 77 61- 1 8/26/08 $518.000. 0. 0 $518.00 278 870002-02 / 6/0 $424.00 $0.000. . 0 279 870001-02 / 7/0 1 .00 $0.00 $0.00 $518.00 280 - 1 8/28/08 $671.00 $0.00 $0.00671. 1 -03 8/29/08 $518.00 $0.00 $0.00 $518.00 282 1 -03 8/31/08 $509.00 $0.00 $0.00 $509.00 283 1001-03 8/31/08 $518.000. $0.00 $518.00 284 810002-03 / 1/0 0 . 7 $0.00 $0.003. 7 285 1 -02 9/01/08 $680.00 $0.00 $0.00 $680.00 6 1 -02 9/01/08 $609.00 $0.00 $0.00 $609.00 87 1 - 1 9/01/08 $545.00 $0.00 $0.00 $545.00 288 - 1 9/02/08 $680.000.0 0. 6 .0 9 - 1 9/03/08 $680.00 $0.00 $0.00 6 .0 Exhibit MonroeCounty Fire Rescue Ground Ambulance Account Receivables October 2013 Write-Offs 290 0 - 1 9/04/08 $563.000. 0. $563.00 1 1- 1 9/04/08 $509.00 $0.00 $0.00 $509.00 292 - 1 /0 /08 $509.00 $0.00 $0.00 $509.00 293 0 - 1 9/05/08 $518.00 $0.00 KOO $518.00 295 6 - 1 9/06/08 $626.000. 0. $626.00 6 1- 1 9/09/08 $509.00 $0.00 $0.00 $509.00 7 - 1 9/09/08 $37.850. 0. $37.85 298 01- 1 9/10/08 $527.00 $0.00 $0.00 $527.00 299 1 -03 9/11/08 $509.00 $0.00 $0.00 . 0 300 001-02 9/13/08 $509.00 $0.000. 0 $509.00 302 -02 9/14/08 $680.000. 0 $0.00 $680.00 0 -02 9/14/08 $626.00 $0.00 $0.0066. 304 1- 9/14/08 $509.00 $0.00 $0.00 $509.00 305 5- 1 9/18/08 $612.00 $0.00 $0.00 $612.00 06 - 1 9/18/08 $744.00 $0. 0 $0.00 $744.00 7 -02 9/19/08 $612.000. 0 $0.00 $ 1 . 0 308 - 1 9/20/08 $660.000. 0.00 $660.00 309 910007-03 / 1/ $660.00 $0.000. 66 . 310 950001-02 / / 61 .00 $0.00 $0.00 $61 00 2.00 311 701- 1 9/27/08 $612.00 $0.00 $0.00 $612.00 1 1-03 9/29/08 $840.00 $0.00 $0.00 $840.00 313 900005-02 /3 / 1.60 $0.00 $0.001.6 1 6- 1 9/30/08 $708.000.0 0. $708.00 315 900009-01 9/30/08 $840.00 $0.00 $0.00 $840.00 316 1-03 9/30/08 $465.24 $0.00 $0.00 $465.24 17 1- 1 10/02/08 $792.000. 0.00 $792.00 318 20002-01 10/02/08 $804.000.0 0. $804.00 319 40004-01 10/04/08 $840.00 $0.00 $0.00 $840.00 320 0 - 1 10105/08 $612.00 $0.000. 1 . 0 1 6 - 1 10/06/08 $888.00 KOO $0.00 $888.00 322 7 - 1 10/07/08 $816.00 $0.00 $0.00 $816.00 323 1- 1 10/08/08 $696.000.00 $0.00 $6q6.00 324 - 2 10/09/08 $636.00 $0.00 $0.00 $636.00 325 - 1 1 /10/08 $612.00 $0.00 $0.00 $612.00 6 1-01 10/10/08 $804.00 $0.000. 0 $804.00 7 1 -01 10/11/08 $612.00 $0.000. 0 $612.00 328 1 - 1 10/11/08 $744.00 $0.00 KOO74 . 329 300 - 10/13/08 $672.000.0 0. 0 $672.00 330 01-01 10/14/08 $599.00 $0.00 $0.00 $599.00 1 61- 1 10/16/08 $672.00 $0.00 $0. 0 $672.00 332 7 - 10/17/08 $624.000. 0 $0.00 $624.00 333 - 10/18/08 $816.000. 0. 16. 0 334 - 10/18/08 $864.00 $0. 0 $0.00 $864.00 33 1- 3 10/19/08 $229.00 $0.000. . 0 6 10 - 10/21/08 $744.000.00 $0.00 $744.00 7 1- 10/23/08 $624.00 KOO $0.00 $624.00 338 40011-01 10/24/08 $636.000. 0.0 636. 0 339 - 10/25/08 $840.00 $0.000.0 .0 340 004- 1 10/25/08 $612.000.0 0.00 $61 .0 341 6 - 1 10/26108 $636.00 $0.00 $0.00 $636.00 342 6- 1 10/26/08 $732.00 $0.00 $0.00 $732.00 343 61- 1 10/27/08 $816.000. 0 $0.00 $816.00 344 7 - 1 10/28/08 $624.000. $0.00 $ . 0 345 1 - 1 1 / /08 %00 $0.00 $0.00 . 6 1 -01 10/29/08 $130.000.0 0. $10. 0 7 80 - 1 1 / 1/08 $322.40 $0.00 $0.00 $322.40 348 -01 11/03/08 $756.00 $0.00 $0.00 $756.00 Exhibit MonroeCounty Fire Rescue Ground Ambulance Account Receivables October 2013 Write-Offs 349 07- 1 11/06/08 $612.000.0 0. $612.00 30 - 11/07/08 $82.85 $0.000. 0 $82.85 1 1 -01 11/09/08 $660.000. 0.0 $660.00 352 830701-01 11/09/08 $352.80 $0.000. $352.80 353 830703-01 11/12/08 $828.000. 0. . 0 354 7- 1 11/12/08 $624.00 $0.00 $0.00 $624.00 355 7 - 1 11/13/08 $960.00 $0. 0 $0.00 $960.00 36 1 - 1 11/17/08 $612.000. 0 $0.00 $612.00 37 716- 1 11/17/08 $816.000.00 $0.00 $816.00 358 17- 1 11/18/08 $612.000. 0. 0 $ 1 . 0 3 - 1 11/18/08 $95.40 $0.00 $0.00 $95.40 360 880619-01 11/18/08 $612.000.0 $0.00 $612.00 61 - 1 11/19/08 $202.00 $0.00 $0.00 $202.00 6 - 1 11/20/08 $612.000. 0 $0.00 $612.00 63 - 1 11/21/08 $660.00 $0.00 $0.00 $660.00 6 - 1 11/21/08 $648.000. $0. 68.00 365 880623-01 11/21/08 $612.00 $0. 0 $0.00 $612.00 366 810352-01 11/23/08 $416.000. 0 $0.00 $416.00 7 - 1 11/24/08 $648.000. 0. 0 $648.00 368 77 - 1 11/26/08 $720.000. 0. 0 $720.00 369 810354-01 11/26/08 $612.000. 0. 0 $612.00 370 830730-01 11/ 7/08 $840.00 $0.00 $0.00 $840.00 71 71-01 11/28/08 $ . 0 $0.00 $0.00 $900.00 37 -01 11/29/08 $696.000. 0.0 $696.00 7 - 1 11/30/08 $612.00 $0.00 $0.0061 . 7 - 1 11/30/08 $612.000. 0. 61 .00 375 830742-01 12/05/08 $816.00 $0.00 $0.00 $816.00 376 830741-01 1 / /08 $828.00 $0.00 $0.00 $828.00 77 837 - 1 12/05/08 $500.00 $0.00 $0.00 $500.00 378 830748-01 12/06/08 $840.00 $0.00 $0.000. 0 379 830752-01 12/09/08 $816.00 $0.00 $0.00 $ 1 .00 30 73-01 12/09/08 $840.00 $0.00 $0.00 $840.00 1 7 - 1 12/10/08 $744.00 $0.000.0 7 . 0 382 7 - 1 12/10/08 $116.430.00 $0.00 11 . 3 3 - 1 12/11/08 $696.000.00 $0.00 $696.00 4 - 12/11/08 $696.000.00 $0.00 $696.00 3 - 3 12/11/08 $696.000.00 $0.00 $696.00 6 76 - 1 12/12/08 $636.000. 0. 0 $636.00 7 6 - 1 12/12/08 $624.00 $0.00 $0.00 $6 . 0 388 2 - 1 1 /1 / 8 $400.00 $0.000. 0. 0 389 7 - 1 12/14/08 $ . 0 $0.00 $0.00 $ . 0 390 810379-01 12/16/08 $840.000.0 0.0 $840.00 1 - 1 1 /17/ 8 $720.00 $0.000. 7 .0 392 7 - 1 12/17/08 $912.000.0 0. 0 $912.00 393 820345-01 12/17/08 $266.130. 0 $0.00 $266.13 394 61- 1 12/18/08 $672.000. 0 $0.00 $ 7 . 0 395 1 - 1 12/19/08 $840.00 $0.000. . 0 396 771-01 12/19/08 $357.15 $0.00 $300.007.1 7 17- 1 12/20/08 $840.00 $0.00 $0.00 $840.00 398 8 -01 12/20/08 $624.00 $0.00 $0.006 . 0 399 71- 1 12/23/08 $612.00 $0.00 $0.00 $612.00 400 71-01 12/24/08 $648.000. 0 $0.00 $648.00 01 077 - 1 12/24/08 $864.000. 0 $0.00 $ .0 402 87 - 1 12/25/08 $624.000. 0.00 $624.00 403 67 - 12/26/08 $624.000. 0. 0 $624.00 404 - 1 12/26/08 $ 1 .00 $0.00 $0.00 $612.00 405 880675-01 12/26/08 $74.800.0 0. $74.80 406 7 - 1 12/27/08 $68.37 $0.00 $0.00 $ . 7 7 77- 1 12/28/08 $117.750. 0 $0.00 $117.75 7 Exhibit MonroeCounty Fire Rescue Ground Ambulance Account Receivables October 2013 Write-Offs 408 726- 1 12/28/08 $840.00 $0.00 $0.00 $ .0 409 137- 1 12/28/08 $78 .00 $0.00 $0.00 $70. 0 410 880679-01 12/30/08 $612.00 $0. 0 $0.00 $612.00 11 3792- 1 1 /30/ 8 $764.00 $0.00 $0. 76 . 0 412 830793-01 12/30/08 $744.00 $0.00 $0. $74 .00 13 86 -01 12/31/08 $612.000. 0 $0. 0 $612.00 414 870297-01 12/31/08 $744.00 $0.00 $0. 7 .0 414 IVISB Write Offs GroundF Original balance( r Balance when sent to Acct# DOS collections) AdjuAdjustments Final Balance These accounts are with MSEI(DOS= 1/01/2 0 - 1 /31/ 0 ) 1 - 1 1/01/09 $612.00 $0.00 $0.00 $612.00 3 -0 1/01/09 $840.00 $0.00 $0.00 $840.00 - 1/02/09 $648.000.0 0.00 $648.00 0 - 1 1/03/09 $804.00 $0.00 $0.00 $804.00 7- 1/03/09 $347.00 $0.00 $0.0037.00 9700 - 1 1/04/09 $840.00 $0.00 $0.00 . 7 100 - 1/04/09 $592.00 $0.00 $0.00 $592.00 8 7- 1/05/09 $684.000.0 0. $ .00 81 - 1 1/11/ 9 $612.00 $0.00 $0.00 $612.00 10 930023-01 1/11/09 $924.00 $0.000. .00 11 8 - 1 1/1 / 9 $612.00 $0.00 $0. 61 .00 12 - 1 1/16/09 $636.00 $0.00 $0.00 $636.00 13 9 - 1 1/16/09 $ .00 $0.00 $0.00 . 0 14 990014-01 1116/09 $636.00 $0.00 $0.00 $636.00 15 920021-01 1/19/09 $612.000.0 0.0 $612.00 16 900037-01 1/19/09 $636.00 $0.00 $0.00 $636.00 17 000 - 1 1/1 1 61 . 0 $0.00 $0.00 $612.00 18 990017-01 1/19/09 $624.00 $0.00 $0.00 $624.00 19 980041-01 1/20/09 $612.00 $0.00 $0.00 $612.00 20 2- 2 1/20/09 $20.00 $0.000. $20.00 21 1 - 1 1/22/09 $804.00 $0.00 $0.000 . 0 2 0 - 1 1/22/09 $636.00 $0.000. 66.00 3 901 - 1 1/23/09 $7 . 0 $0.00 $0.00 $720.00 24 - 1/23/09 $136.800.0 0. 0 $136.80 25 0- 1/23/09 $136.800. 0 $0.00 $136.80 6 30275 1/25/09 $660.000.00 $0.00 $660.0 7 71 - 1 1/25/09 $780.000. 0 $0.00 $780.00 28 - 1 1/28/09 $612.00 $0. 0 $0.00 $612.00 29 990058-01 1/28/09 $612.00 $0. 0 $0.00 $612.00 30 0 - 1 1/28/09 $648.00 $0.00 $0.00 $648.00 1 006 - 1 1/29109 $636.00 $0.00 $0.00 $636.00 32 980064-01 1/29/09 $ . 7 $0.00 $0.00 $92.27 33 13 - 1 1/31/09 $804.000. 0. . 0 34 2- 1 1/31/09 $133.91 $0.00 $0.00 $133.91 35 930051-01 1/31/09 $828.00 $0.000. .00 6 97 - 1 2/01/09 $545.53 $0.000.00 $545.53 7 10 - 1 2/04/09 $864.00 $0.00 $0.00 $864.00 38 910046-01 2/04/09 $852.00 $0.00 $0.00 $852.00 9 2003 - 1 2/04/09 $512.00 $0.00 $0.00 $512.00 0 7- 1 2/05/09 $732.000.00 $0.00 $732.00 1 7 - 1 2/06/09 $624.000. 0. 0 $624.00 42 7 - 1 2/08/09 $660.000. 0 $0.00 $660.00 43 -01 2/09/09 $624.000.0 $0. 0 $624.00 44 01- 1 2/09/09 $612.00 $0.00 $0.00 $ 1 .0 45 10 -01 2/10/09 $672.00 $0.00 $0.00672.0 Exhibit MonroeCounty Fire Rescue Ground Ambulance Account Receivables October 2013 Write-Offs 6 - 1 2/10/09 $612.00 $0.000. 61 . 0 7 0067- 1 2/11/09 $864.000. 0.00 $ 6 . 0 48 - 1 2/11/09 $624.000. $0. $624.00 49 1 - 1 2/11/09 $113.390.0 0. $113.39 50 -01 2/12/09 $612.000. 0. 61 . 0 1 71- 1 2/12/09 $864.000. 0.0 6 .0 52 7 - 1 /13/ 9 $792.00 $0.00 $0.00 $7 .0 53 980090-01 2/13/09 $624.000. 0.0 6 . 0 55 - 1 2/15/09 $780.00 $0.00 $0.00 $780.00 56 7- 1 2/15/09 $624.00 $0.00 $0.006 . 0 7 7 - 1 /16/ 9 $960.00 $0.000. $960.00 58 -02 2/16/09 $612.00 $0.00 $0.0061 . 0 59 8 - 1 2/17/09 $804.00 $0.00 $0.00 $804.00 60 - 1 /17/ 9 $696.00 $0.000. $ 6. 0 61 1 - 1 2/18/09 $612. $ 0.00 $612.00 62 16-01 /1 /09 $840.00 $0.00 $0.00 .0 63 990-01 2/18/09 $816.00 $0.00 $0.00 $816.00 64 3 - 1 2/19/09 $840.00 $0.00 $0.00 $840.00 65 17- 1 2/20/09 $648.000. 0. 0 $648.00 66 97 - 1 2/20/09 $840.000. 0.00 $840.00 7 - 1 2/21/09 $756.00 $0.00 $0. $76.00 68 07-01 2/23/09 $900.00 $0.00 $0.00 $900.00 69 - 1 2/24/09 $612.00 $0.00 $0. $612.00 70 980111-01 2/24/09 $648.000. 0. 0 $648.00 71 31 - 1 2/24/09 $696.000. 0. 696.0 72 910072-01 2/25109 $852.00 $0.00 $0.00 .0 73 930102-01 / 6/09 $525.60 $0.00 $0.005.60 74 11 - 1 2/26/09 $624.00 $0.00 $0.00 $624.00 75 910076-01 2/27/09 $792.000. 0 $0.00 $792.00 76 - 1 2/27/09 $648.000. 0. 0 $648.00 77 071- 1 2/28/09 $672.00 $0.00 $0.0067 .0 78 910077-01 2/28/09 $133.91 $0.00 $0.00 $133.91 79 11 - 1 3/01/09 $330.35 $0.00 $0.00 $330.35 80 17- 1 3/ / 9 $612.00 $0.000. 0 $ 1 .00 1 12 - 1 3/04/09 $222.640. 0. .6 2 00 -02 3/07/09 $624.000. 0. 0 $624.00 83 11 - 1 3/07109 $98. 0 $0.00 $0.00 .0 84 1 - 1 3/09/09 $624.00 $0.00 $0.00 $624.00 85 71- 1 3/11/09 $612.000. 0. 61 .00 6 - 1 /1 $612.00 $0.00 $0.00 $612.00 7 10 -01 3/12/09 $840.00 $0.000.00 $840.00 88 1 - 1 3/12/09 $672.00 $0.00 $0.0067 . 89 91 -01 3/13/09 $233.06 $0.00 $0.00 $233.06 90 1 - 1 3/14/09 $624.00 $0.00 $0.006 .0 1 - 1 3/14/09 $660.000.00 $0.00 $660.00 92 16-01 3/14/09 $648.00 $0. 0 $0.00 $648.00 93 1 - 1 3/16/09 $840.000.00 $0.00 $840.00 94 1 - 1 3/17/09 $804.000.0 0. 0 $804.00 95 111- 1 3/18/09 $100.00 $0.00 $0.00 $100.00 6 13 - 1 3/19/09 $900.00 $0.00 $0.00 $900.00 7 7 -02 3/20/09 $684.000. 0.00 $684.00 98 0 -01 / 2/ 9 $672.00 $0.00 $0.00 $672.00 99 - 1 3/22/09 $612.000.0 0. 0 $612.00 100 930145-01 3/23/09 $131.13 $0.000. 11.13 101 161- 1 / / 9 $612.00 $0.00 $0.00 $612.00 102 980165-01 3/25/09 $612.00 $0. 0 $0.00 $612.00 13 1 - 1 3/25/09 $612.00 $0.00 som $612.00 104 980167-01 3/26/09 $612.000. 0 0.00 $612.00 Exhibit MonroeCounty Fire Rescue Ground Ambulance Account Receivables October 2013 Write-Offs 1 1 - 1 / 6/ 1 . 0. 0. 1 . 106 920087-01 3/28/09 $624.00 $0.00 17 9171- 1 / / 9 $612.00 $0.00 $0.00 $612.00 108 930156-01 3/31/09 $128.350. 0. $128.35 110 990103-01 / 1/ 9 $612.00 $0.00 . 0 $612.00 111 1 - 1 4/02/09 $660.00 $0.00 $0.00 $660.00 112 910123-01 4/04/09 $658.790. 0 $0.00 $658.79 113 980186-01 4/05/09 $648.00 $0.00 $0.00 $648.00 114 930167-01 4/06/09 $828.00 $0.000. 0 $828.00 115 980188-01 4/06/09 $624.000.0 0. 6 .00 116 930172-01 4/07/09 $840.00 $0.00 $0.00 $840.00 117 1 -02 4/08/09 $624.00 $0.00 $0.00 $624.00 118 980194-01 4/10/09 $612.000. 0. 0 $612.00 119 980195-01 4/11109 $612.000. 0. $612.00 120 980199-01 4/12/09 $636.000.0 $0. $636.00 11 1- 1 4/13/09 $612.000. 0 $0.00 $612.00 122 980203-01 4/14/09 $636.000. 0.00 $636.00 124 980207-01 /16/ 9 $612.00 $0.00 $0.00 $612.00 1 - 1 /16/ 9 $612.00 $0.000. 0 $612.00 16 11 - 1 4/17/09 $624.00 $0.00 $0.00 $624.00 127 1 -01 4/18109 $860.000.0 $0.00 $860.00 128 930194-01 4/19/09 $864.00 $0.000. 6 . 0 129 970067-01 4/19/09 $804.00 $0.000. 0 $804.00 130 910138-01 4/21/09 $768.00 $0.00 $0.0076 . 11 30 - 1 4/21/09 $912.000. 0. 1 .00 132 990131-01 4/23/09 $624.000. 0. 0 $624.00 13 1 - 1 4/23/09 $612.000.0 0. 61 . 0 134 910142-01 4/24/09 $992.00 $0.00 $0.00 $992.00 1 - 1 4/24/09 $122.80 $0.00 $0.00 $122.80 16 - 1 4/25/09 $624.00 $0.000. $624.00 17 11 - 1 4/26/09 $888.00 $0.00 $0.00 . 0 138 970074-01 4/27/09 $600.00 $0.00 $0.00 $600.00 139 930214-01 4/28/09 $840.00 $0.00 $0.00 $840.00 140 980227-01 4/28/09 $624.00 $0.00 $0.006 . 141 - 1 4/29/09 $612.000. $0. $612.00 142 970077-01 4/29/09 $828.00 $0.00 $0.00 $828.00 1 - 1 5/01/09 $612.00 $0.00 $0. 0 $612.00 144 970080-01 5/01/09 $756.000. 0. 0 $756.00 145 80232-01 5/01/09 $612.000. 0. 61 .0 16 - 1 5/03/09 $816.00 $0.00 $0.00 $816.00 17 0 - 1 / /0 1 .00 $0.00 $0.00 $612.00 148 990143-01 5/04/09 $624.00 .0 0.0 $624.00 149 910147-01 5/04/09 $876.00 $0.00 $0.00 $876.00 1 -01 5/04/09 $612.000.0 $0. $612.00 11 -01 5/05/09 $852.00 $0.00 $0. 0 $852.00 1 - 1 5/06/09 $612.00 $0.00 $0.00 $612.00 153 930236-01 5/07/09 $648.000.0 $0. $ . 0 1 - 1 5/10/08 $518.00 $0. 0 $0.00 $518.00 1 - 1 /11/ 9 $672.00 $0.00 $0.00672.00 156 960- 1 /1 / 61 . 0 $0.00 $0.00 $612.00 17 6 - 1 5/12/09 $612.00 $0.00 $0.00 $612.00 158 980264-01 5/13/09 $624.00 $0. 0 $0.00 $624.00 159 990157-01 5/13/09 $17. 0 $0.00 $0.00 $107.20 10 63- 1 5/13/09 $612.00 $0.00 $0.00 $612.00 11 1 -01 5/14/09 $636.00 $0.00 $0.00 $636.00 162 97 - 1 /1 / 9 $142.00 $0.000. 1 . 0 13 1 - 1 5/15/09 $612.00 $0.00 0.0 $612.00 1 Exhibit MonroeCounty Fire Rescue Ground Ambulance Account Receivables October 2013 Write-Offs 1 - 1 5/15/09 $340.00 $0.00 $0.00 $340.00 165 94- 1 5/16/09 $828.00 $0.00 $0.00 $828.00 166 980270-01 5/17/09 $612.000.0 0.0 61 .00 17 7- 1 5/17/09 $828.00 $0.00 $0.00 $828.00 168 970093-01 5/17/09 $300.580. 0 $0.00 $300.58 169 990164-01 /17/ 9 $194.40 $0.00 $0.00 $194.40 170 980269-01 /17/ 9 $624.00 $0.00 $0. 0 $624.00 171 3 - 1 5/17/09 $636.000. 0 $0.00 $636.00 172 910167-01 5/17/09 $184.800. 0 KOO $184.80 173 980272-01 5/18/09 $624.000. 0. $624.00 174 930260-01 /1 / 9 $936.00 $0.000. 0 $936.00 175 980273-01 5/19/09 $612.000. $612.00 176 6 - 1 5/20/09 $852.00 $0.00 $0.00 $852.00 177 116 -01 5/20/09 $297.74 $0.00 $0.007.7 178 976- 1 5/21/09 $624.000. 0. $624.00 179 970097-01 5/22/09 $744.00 $0.00 $0.00 $744.00 180 970098-01 5/23/09 $756.000. 0 $0.00 $756.00 11 7 -01 5/23/09 $612.00 $0.00 $0.0061 .00 182 910172-01 / 3/ 9 $370.72 $0.00 $0.00 $ 7 .7 183 920159-01 5/24/09 $612.000. 0. 61 . 0 164 90-01 5/24/09 $612.000.00 $0.00 $612.00 185 930269-01 5/25/09 $840.00 $0.00 $0.00 $840.00 186 930273-01 5/29109 $696.00 $0.000. 66. 0 17 7 - 1 5/29/09 $87.100. 0. 7.10 188 990183-01 5/31/09 $ 31. 7 $0.00 $0.00 $ 1. 7 189 970106-01 5/31/09 $780.000. 0 $0.00 $780.00 190 920168-01 5/31/09 $624.00 $0.000. 6 . 0 11 0 - 1 6/01/09 $624.000. 0. $624.00 192 920169-01 / 1/ 9 $696.00 $0.00 $0. 66.00 193 920171-01 6/01/09 $812.000.0 0. $812.00 1 - 1 6/02/09 $624.00 .00 $0.00 $624.00 1 - 1 6/ 2/ 9 $612.00 $0.00 $0.00 $612.00 16 - 1 6/04/09 $101.400. 0. 101. 0 17 0 - 1 6/04/09 $612.000.0 0. $612.00 198 9 - 1 6/05/09 $624.00 .0 0. $624.00 199 930291-01 6/06/09 $816.000.00 $0.00 $816.00 200 1 - 1 6/07/09 $73 . 0. 0.00 $732.00 01 1 - 1 6/07109 $756.00 $0.00 $0.00 $756.00 202 910191-01 6/07/09 $744.00 $0.00 $0.00 $74 .00 203 - 1 6/07/09 $900.00 $0.00 $0.00 $900.00 204 711 -01 6/07/09 $780.00 $0.00 $0.00 $780.00 205 30 - 1 6/09/09 $840.000.0 $0.00 $840.00 206 115- 1 6/09/09 $980.00 $0. 0 $0.00 $980.00 7 - 1 6/10/09 $840.000. 0 $0.00 $840.00 208 909198-01 6/10/09 $660.000. 0. 660.00 209 1 - 1 6/10/09 $612.00 $0.00 $0.0061 .0 10 70117- 1 6/11/09 $696.000. 0. 0 $ 96. 0 11 - 1 6/11/09 $852.00 $0.000. $ 5 .00 212 980315-01 6/12/09 $624.000. 0 $0.00 $624.00 213 990202-01 6/13/09 $660.000.00 $0.00 $660.00 14 1-01 6/13/09 $660.00 $0.00 $0.00 $660.00 215 980317-01 6/13/09 $624.00 $0.00 $0.00 $ .0 16 17 - 1 6/1 /09 _ $612.00 $0.000.0 $612.00 17 7- 1 6/13/09 $864.00 $0.000.00 $864.00 218 980321-01 6/15/09 $624.00 $0.00 $0.00 $624.00 219 930315-01 6/15/09 $816.00 $0.00 $0.00 $816.00 220 31 - 1 6/16/09 $864.00 $0.00 $0.006 .00 1 7- 1 6/18/09 $624.000. 0. 62 .00 222 910213-01 /20/09 $780.00 $0.000.00 $780.00 Exhibit Monroe County Fire Rescue Ground Ambulance Account civ is October 2013 Write-Offs 223 1- 1 6/20/09 $624.00 $0.00 $0.00 $624.00 224 - 1 6/20/09 $828.00 $0. 0 $0.00 $828.00 225 716- 1 6/20/09 $840.00 $0.00 $0.00 $840.00 6 - 1 6/20/09 $660.00 $0.00 $0.00 $660.00 7 0 - 1 6/21/09 $624.000. 0 $0.00 $624.00 228 9 - 1 6/21/09 $624.000.00 $0.00 $624.00 229 980333-01 6/21/09 $624.00 $0.00 $0.00 $ .0 230 1 - 1 6/21/09 $272.680. 0. 0 $ 7 .6 31 033 - 1 6/23/09 $636.00 $0.00 $0.00 $636.00 232 1 - 1 6/23/09 $612.000. 0. $612.00 33 1- 1 6/24/09 $828.00 $0.00 $0.00 $828.00 235 3- 1 6/26/09 $876.00 $0.000.00 $876.00 6 - 1 6/27/09 $636.000. 0. 66.0 7 3 - 1 6/27/09 $828.00 $0.000. . 0 38 01 -01 6/29/09 $612.00 $0.00 $0.00 $612.00 239 711- 1 6/30/09 $27.340. 0. $27.34 240 -01 7/01/09 $170.400. 0. $170. 0 1 - 1 7/01/09 $121.000.0 0. $121.00 242 - 1 7/ / 9 $624.00 $0.00 $0.00 $624.00 243 - 1 7/03/09 $912.000. 0. $912.00 244 0 - 1 7/04/09 $624.000. 0 $0.00 $624.00 245 9 - 1 7/06/09 $804.000. 0. 0 $804.00 6 901- 1 7/07/09 $648.000. $0.00 $6 . 0 7 3 - 1 7/08/09 $624.00 $0.00 $0.00 $ .0 248 - 1 7/09/09 $660.000.00 $0.00 $660.00 249 90 - 1 7/09/09 $612.00 $0.00 $0.00 $ 12. 0 0 6 - 1 7/10/09 $648.00 $0.00 $0.00 $648.00 1 6 - 1 7/11/09 $624.00 $0.00 $0.00 $624.00 252 367- 1 7/12/09 $840.00 $0.00 $0.00 .00 3 07 - 1 7/13/09 $612.000. 61 . 0 254 71 - 1 7/13/09 $756.00 $0.00 $0.00 $756.00 255 7- 1 7/14/09 $624.000. 0. 6 .0 256 6 - 1 7/14/09 $624.00 $0.000.00 $624.00 7 71- 1 7/14/09 $944.00 $0.00 $0.00 $ . 0 258 6 -01 7/16/09 $612.000. 0. 1 .00 9 37 - 1 7/17/09 $828.00 $0.000.00 $828.00 260 910237-027/17/09 $95.00 $0.000. 0 $95.00 61 7 - 1 7/18/09 $612.000. $0.00 $612.00 262 980373-01 7/18/09 $612.000. 0. 61 .0 263 910239-01 7/18/09 $121.41 $0.00 $0.0011. 1 264 980379-01 7/20/09 $624.00 $0.00 $0.0064. 265 990231-01 7/21/09 $672.000. $0.00 $672.00 66 - 1 7/21/09 $828.000.00 $0.00 $828.00 67 21- 7/21/09 $612.000.00 $0.00 $612.00 6 1- 1 7/21/09 $612.00 $0.00 $0.00 $612.00 6 - 1 7/23/09 $624.000.00 $0.00 $624.00 270 990236-01 7/24/09 $104.76 $0.00 $0.00 $104.76 71 7- 1 7/25/09 $648.000. 0. $ . 0 272 910246-01 7/25/09 $792.000. $7 .0 73 - 1 7/27/09 $624.000. 6 . 0 7 - 1 7/28/09 $624.00 $0.00 $0.00 $ . 0 7 - 1 7/29/09 $612.000. $0.00 $612.00 76 1 - 7/31/09 $936.00 $0.00 $0.00 $936.00 77 00 - 1 7/ 1/ 9 $912.00 $0.000. 0 $ 1 .00 278 97017- 1 8/01/09 $852.00 $0.00 $0.00 .00 279 980401-01 8/01/09 $624.000. $0.00 $624.00 280 1 1 - 1 /0 / 6 .00 $0.00 $0.00 $624.00 Exhibit MonroeCounty Fire Rescue Ground Ambulance Account Receivables October 2013 Write-Offs 282 9 - 1 /02/09 $672.00 $0.000. 7 .00 283 1 - 1 8/04/09 $672.000. 0. $672.00 4 0 - 1 8/04/09 $211.550. 0. 0 $211.55 285 16 - 1 8/05/09 $864.000. 0. 6 . 0 6 1 - 1 8/05/09 $624.000. 0 $0.00 $624.00 7 317-01 8/05/09 $912.000. $912.00 288 - 1 8/05/09 $672.000.00 $0.00 $ 7 .0 289 4 - 1 8/07/09 $840.00 $0.00 $0.004 . 0 290 26- 1 8/08/09 $828.00 $0.00 $0.00 $828.00 1 - 1 / / 9 $ . 0 $0.00 $0.00 $624.00 292 -01 8/09/09 $624.000.0 0. $624.00 293 - 1 8/10/09 $648.000. 0 $0.00 $648.00 294 06 - 1 8/12/09 $720.00 $0.00 $0.007 .00 295 66- 1 8/13/09 $672.000.00 $0.00 $672.00 96 1- 1 8/13/09 $61 . 0 $0.00 $0.00 $612.00 7 717- 1 8/14/09 $756.00 $0.00 $0.00 $756.00 9 036- 1 8/16/09 $672.00 $0.00 $0.00 $ 7 . 0 300 9177- 1 8/18/09 $852.000. 0. $852.00 01 4 - 1 8/18/09 $624.00 $0.00 $0. $624.00 0 - 1 8/20/09 $624.000.0 0. 6 . 0 303 71- 1 8/21/09 $732.000. 0 $0.00 $732.00 304 12 -01 / .00 $0.00 $0.00 . 0 305 920264-01 / 9 $612.00 $0.00 $0.00 61 . 0 06 7176- 1 8/22/09 $756.00 $0.00 $0.0076. 7 - 1 8/24/09 $792.000. 0 $0.00 $792.00 0 - 1 8/24/09 $624.000.0 0.00 $624.00 309 990272-01 8/24/09 $660.00 $0.00 $0.00 $660.00 1 - 1 8/24/09 $864.00 $0. 0 $0.00 $ .00 311 6- 1 8/26/09 $924.000.0 0. . 0 312 980461-01 8/27/09 $624.00 $0.00 $0.006 .00 313 930460-01 8/28/09 $816.00 $0.00 $0.00 $816.00 314 920269-01 8/28/09 $648.000.00 $0.00 $648.00 315 980463-01 8/28/09 $624.000.0 0.00 $624.00 16 66-01 8/29/09 $612.000. 0 $0.00 $612.00 17 61- 1 8/29/09 $900.000. 0. 0 $900.00 31 - 1 8/29/09 $624.000. 0.00 $624.00 319 987 - 1 8/30/09 $624.00 $0. 0 $0.00 $624.00 1 66- 1 8/31/09 $852.00 $0.00 $0.005 .0 322 9071-01 / 1/09 $624.00 $0.00 $0.00 $624.00 323 77- 1 9/02/09 $6 . 0 $0.00 $0.00 $ .00 324 07 - 1 9/03/09 $624.00 $0.00 $0. 6 .0 325 1 - 1 9/04/09 $804.000. 0 $0.00 $804.00 6 6- 1 9/05/09 $660.000.0 0. 66 . 0 7 0 - 1 9/05/09 $648.000.0 0. .0 328 930474-01 9106/09 $792.00 $0.00 $0. 0 $792.00 329 8 -01 9/09/09 $624.000. 0 $0.00 $624.00 330 - 1 9/09/09 $612.000. 0. $612.00 1 - 1 9/12/09 $624.000. $0.00 $624.00 332 0 - 1 9/12/09 $840.00 $0.00 $0.00 .0 333 - 1 9/14/08 $689.00 $0.00 $0.00 $689.00 334 9 - 1 9/16/09 $443.00 $0.00 $70.00 $373.00 335 1 - 1 9/18/09 $900.000.0 0. 0 $900.00 6 11 -02 9/19/09 $804.000.0 0. .0 37 01 -01 9/19/09 $612.000.00 $0.00 $612.00 338 980512-01 9/19/09 $612.000. 0 $0.00 $612.00 339 990297-01 9/20/09 $684.000.0 0.00 $684.00 0 1 - 1 / / 6 .0 0. 0. 2 .0 1 Exhibit Monroe County Fire Rescue Ground Ambulance Account Receivables October 2013 Write-Offs 31 81 -01 9/20/09 $612.00 $0.00 $0.00 $61 .00 342 - 1 9/21/09 $245.060. $0.00 $245.06 3 907 - 1 9/21/09 $720.00 $0.00 $0.00 $720.00 344 7- 1 9/22/09 $876.000. $0.00 $876.00 345 0 - 1 / 76. 0 $0.00 $0.00876. 0 6 31 - 1 9/22/09 $880.00 $0.00 $0. 0 $880.00 7 31 - 1 / /09 $840.00 $0.000. .00 348 31 - 1 9/24/09 $840.000. 0. .0 349 11-02 9/26/09 $357.64 $0.00 $0.007.6 350 2 - 1 9/26/09 $6 . 0 $0.00 $0.00 $624.00 1 3 - 1 9/28/09 $804.00 $0.000. 0 . 0 2 -01 9/30/09 $924.00 $0.00 $0.00 $924.00 353 1 - 10/01/09 $828.000.00 $0.00 $828.00 354 00-01 10/02/09 $660.00 $0.00 $0. $ 0. 0 355 71 - 1 10/03/09 $852.00 $0.00 $0. $ 5 .00 36 -01 10/04/09 $624.000. 0. 0 $624.00 7 3 -01 10/04/09 $72.00 $0.00 $0.00 $792.00 358 36- 1 10/05/09 $624.00 $0.00 $0.006 . 359 - 1 10/05/09 $612.00 $0. 0 $0.00 $612.00 360 937- 1 10/05/09 $828.00 $0.00 $0.00 .00 31 -0 10/06/09 $672.00 $0.00 $0.00 $672.00 362 990310-01 10/06/09 $684.00 $0.00 $0.00 $ .00 363 970197-01 10/07/09 $840.00 $0.000. $840.00 6 - 1 10/07/09 $624.000.0 0.0 6 .0 365 990312-01 10/07/09 $696.00 $0.00 $0.00 $696.00 66 - 1 10/08/09 $ . 0 $0.00 $0.00 $ 0 .00 7 31 - 1 10/08/09 $379.46 $0.00 $0.00 $ 7 . 6 6 - 1 10/09/09 $ .00 $0.00 $0.00 $852.00 39 90 -01 10/10/09 $612.00 $0.00 $0.00 $612.00 70 7- 1 10/10/09 $612.000. 0.0 61 . 0 71 - 1 10/11/09 $624.000.00 $0.00 $6 . 0 372 970200-01 10/11/09 $223.06 $0.00 $0. 0 $223.06 373 980563-01 10/13/09 $449.00 $0.00 $0.00 $4 .00 374 980564-01 10/14/09 $664.23 $0.000. 0 $664.23 375 910343-01 10/14/09 $840.00 $0.00 $0.00 $840.00 376 93 -01 10/1 / 9 $900.00 $0.00 $0.00 $900.00 77 7-01 10/16/09 $816.00 $0.00 $0.00 $ 16.00 7 - 1 10/16/09 $61 . 0 $0.00 $0.00 $612.00 379 9701- 1 1 /17/09 $780.00 $0.00 $0.00 $780.00 0 7- 1 10/18/09 $848.00 $0.00 $0.00 $848.00 1 08- 1 10/18/09 $96.430.0 0.0 6. 3 382 97 - 1 10/19/09 $624.00 $0.00 $0.00 $624.00 383 1 - 1 10/19/09 $150.00 $0.00 $0. 0 $150.00 384 990328-01 10/19/09 $720.00 $0.00 $0.00 $720.00 385 1 - 1 10/19/09 $804.000. 0. 0 $804.00 36 7 - 1 10/22/09 $660.000. 0. $6 .00 37 1- 1 10/23/09 $744.00 $0.00 $0.00 $744.00 388 7 -01 10/23/09 $624.00 $0.00 $0.00 $624.00 389 37- 1 10/23/09 $ .00 $0.00 $0.00 $888.00 90 -01 10/24/09 $624.00 $0.00 $0.00 $624.00 31 0 -01 10/24/09 $76.60 $0.00 $0.00 $76.60 392 1-01 10/24/09 $612.000. 0 $0. 0 $612.00 393 3 - 1 1 / /09 $6 .00 $0.00 $0.006 .0 394 920307-01 10/26/09 $612.000. 0.00 $612.00 395 - 1 10/27/09 $612.00 $0.00 $0. 0 $ 1 . 0 36 0 -01 10/28/09 $624.00 $0.00 $0.00 $624.00 397 -01 10/29/09 $672.00 $0.00 $0.00 $672.00 398 930568-0210/31/ 9 $ . 0 $0.00 $0.00 $828.00 399 6 - 1 10/31/09 $624.000.00 $0.00 $624.00 1 Exhibit Monroe County Fire Rescue Ground Ambulance Account Receivables October 2013 Write-Offs-- 400 - 1 10/31/09 $828.00 $0.000.0 .00 402 7 - 1 10/31/09 $888.00 $0.00 $0.00 $888.00 403 70 - 1 10/31/09 $768.00 $0.00 $0.0076 . 404 980604-01 11/01/09 $612.000.00 $0.00 $ 1 .00 405 7 - 1 11/01/09 $828.000. 0. $ .0 406 980607-01 11/01/09 $612.00 $0.00 $0.001 . 7 9707- 1 11/01/09 $136.320. $0. $136.32 408 06 - 1 11/02/09 $90.180. 0 $0.00 $90.18 409 920310-01 11/02/09 $624.000. $0. $624:00 410 920311-01 11/ / 9 $624.00 $0.00 $0.006 .0 11 16- 1 11/07/09 $612.00 $0.000. 61 .00 412 930579-01 11/08/09 $816.00 $0.00 $0.00 $816.00 413 980619-01 11/09/09 $201.06 $0.000. 1.06 1 -02 11/11/09 $708.00 $0.00 $0.0070 .00 415 990353-01 11/11/09 $600.000. 0. $600.00 16 17 - 1 11/11/09 $304.12 $0.00 $0.00 $ .1 17 1- 1 11/12/09 $624.00 $0.00 $0.00 $624.00 1 - 1 11/12/09 $636.000.0 0. 66.00 1 - 1 11/12/09 $624.00 $0.00 $0.00 $624.00 420 177- 1 11/13/09 $876.000. 0.0 76.00 1 - 1 11/13/09 $624.00 $0.00 $0.00 $624.00 422 17 - 1 11/13/09 $792.000.0 0.0 79 .00 423 - 1 11/14/09 $624.000. 0.00 $624.00 424 - 1 11/14/09 $624.000. 0. 0 $ .0 425 063 - 1 11/15/09 $624.00 $0.00 $0.00 $624. 0 6 - 1 11/15/09 $612.00 $0.00 $0.00 $ 12.00 7 61- 11/15/09 $624.000.00 $0.00 $624.00 428 71 - 1 11/15/09 $780.000. $0.00 $780.00 9 11-01 11/15/09 $122.400. 0.00 $122.40 430 - 1 11/17/09 $624.00 $0.00 $0.006 . 0 1 6 - 1 11/18/09 $684.00 $0.00 $0.00 $684.00 432 -01 11/18/09 $864.00 $0.00 $0.006 . 433 9060- 1 11/18/09 $636.000. 0 $0.00 $636.00 434 6 - 1 11/ 0/ 9 $648.00 $0.000.00 $648.00 435 930598-01 11/20/09 $840.00 $0.000.0 . 0 36 0 - 1 11/20/09 $612.00 $0.00 $0.00 $ 1 .0 7 - 1 11/20/09 $624.00 $0.000. 0 $624.00 438 - 1 11/21/09 $612.000. 0 $0.00 $ 1 . 0 439 90601- 1 11/22/09 $816.000. 0.00 $816.00 440 - 1 11/23/09 $924.00 $0.00 $0.00 $924.00 1 061- 1 11/ 3/ 9 $648.00 $0.000. 0 $648.00 442 06 - 1 11/ / 9 $612.00 $0.00 $0.00 $ 1 . 0 443 85 - 1 11/25/09 $624.000.0 0. 0 $624.00 444 7- 1 11/26/09 $720.00 $0.00 $0.007 .00 445 6 - 1 11/29/09 $672.00 $0.00 $0.00 $672.00 6 71- 1 11/29/09 $612.000. 0.00 $612.00 7 1 - 1 11/29/09 $732.000. 0. 0 $732.00 448 930615-01 11/29/09 $1,136.000.00 $0.00 $1,16. 0 449 066 -01 11/30/09 $117.250.0 0. $117:25 50 1- 1 11/30/09 $636.00 $0.00 $0.00 $ 3 . 0 1 70 - 1 12/03/09 $744.000. 0.0 $744.00 452 7- 1 1 / / 9 $624.00 $0.000. 0 $624.00 453 - 1 12/03/09 $624.00 $0.000.00 $624.00 454 6- 1 12/03/09 $624.000.00 $0.00 $ .0 5 - 1 12/03/09 $207.06 $0.00 $0.00 $207.06 456 07 - 1 12/04/09 $612.00 $0.00 $0.00 $612.00 7 - 1 1 / 7/ 9 $660.00 $0.000. 0 $660.00 458 - 1 12/08/09 $1,028.000. 0.00 1, .0 Exhibit Monroe County Fire Rescue Ground Ambulance Account Receivables October 2013 Write-Offs 459 9062 -01 1 /0 /09 $708.00 $0.00 $0.00 $70 .00 60 06 -01 12/09/09 $648.00 $0.00 $0.00 $648.00 61 30631- 1 12/09/09 $936.00 $0.00 $0.00 $936.00 62 0 -01 12/09/09 $912.00 $0.00 $0.00 $912.00 63 03 -01 12112/09 $684.00 $0.00 $0.00 $684.00 464 930636-01 12/13/09 $792.00 $0.00 $0.00 $7 .00 465 6 - 1 12/13/09 $624.00 $0.00 $0.00 $624.00 66 93-01 12/15/09 $6 .00 $0.00 $0.00 $624.00 67 0 -01 12/15/09 $612.00 $0.00 $0.00 $ 1 .00 8 10 -01 1 /16/09 $816.00 $0.00 $0.00 $ 16.00 69 906 -01 12/16/09 $100.00 $0.00 $0.00 $100.00 70 80697-01 12/18/09 $61 .00 $0.00 $0.00 $612.00 71 10 -01 12/18/09 $756.00 $0.00 $0.00 $76.00 472 9000-01 12/20/09 $612.00 $0.00 $0.00 $612.00 7 - 1 12/20/09 $948.00 $0.00 $0.00 $948.00 474 930651-01 12/20/09 $524.00 $0.00 $0.00 $524.00 475 930652-01 12/21/09 $ 2 .00 $0.00 $0.00 $525.00 76 070 -01 12/ 2/09 $612.00 $0.00 $0.00 $612.00 77 070 -01 12/23/09 $660.00 $0.00 $0.00 $60.00 478 90706-01 12/23/09 $636.00 $0.00 $0.00 $636.00 479 90710-01 1 / /09 $624.00 $0.00 $0.00 $624.00 0 900 -01 1 / 6/ 9 $720.00 $0.00 $0.00 $720.00 1 102 -01 12/26/09 $ 0 .00 $0.00 $0.00 $804.00 2 723 - 1 1 / 7/09 $756.00 $0.00 $0.00 $7 .00 3 071 -01 12/30/09 $61 .00 $0.00 $0.00 $612.00 4 06 -01 1 / 1/09 $780.00 $0.00 $0.00 $780.00 485 16-01 12/31/09 $107.830.00 $0.00 $107.83 Write Offs GroundY 2013 $314,416.96 .0 $314,346.96 Original balance(or Balance when sent t cct# DOS collections) Adjustments PaymentsFinal Balance These accounts are with MSB 1 2017-01 6/06/10 $612.00 $0.00 $0.00 $61 .00 07 -01 / 1/10 $611. 1 $0.00 $0.00 $611. 1 3 10 -01 /1 /10 $840.00 $0.00 $0.00 $ 0.00 3 Chapter 7 Bankruptcies $2,063.91 $0.00 $0.00 $2,063.91 902 TOTAL IVISB GROUND WRITEOFFS FY 201212013 $552,095.78 Account ate of Original Balance( r Number Service Balance when sent to AdjustmentsPayments Final Balance Collections) These accounts are with ADP(DOS=01/011 00 - 1 /31/20 ) 1 0000 -01 01/01/08 $545.00 $0.00 $0.00 $ .00 2 00007-01 01/02/08 $554.00 $198.26 $278.41 $77.33 3 0007 -01 01/11/08 $590.00 $0.00 $ . 0 $147.50 0007 -01 01/12/08 $716.00 $112.31 $482.95 $120.74 5 000 -01 01/13/08 $680.00 $0.00 $544.00 $136.00 0007-01 01/17/08 $770.00 $127.79 $513.77 $128.44 7 0010 -01 01/18/08 $ 09.00 $104.96 $323.23 $80.81 001 -01 01/23/08 $671.00 $0.00 $0.00 $671.00 001 -01 01/23/08 $ 0 .00 $0.00 $0.00 $509.00 10 0011-01 $518.00 $0.00 $0.00 $ 1 .00 11 0015-01 J 01/28/08 1 $905.00 0.00 $0.00 $905.00 1 Exhibit Monroe County Fire Rescue GroundAmbulance Account Receivables October 2013 Write-Offs 13 800231-01 02/07/08 $509.00 $104.96 $323.23 $80.81 14 800264-01 02/09/08 $509.00 $104.96 $323.23 $80.81 15 031- 1 0 /16/ 8 $509.00 $0.00 $407.20 $101.80 1 - 1 02/16/08 $509.00 $0.00 $0.00 $509.00 17 80 - 1 02/16/08 $509.00 $0.00 $0.00 $ .0 18 800321-01 02/17/08 $518.000. 0. $518.00 19 800306-01 02/19/08 $509.000. 0. 0 $509.00 20 67- 1 02/25/08 $509.00 $0.00 $367.20 $141.80 1 61- 1 02/26/08 $608.000. 0 $0.00 $608.00 22 00 - 1 03/02/08 $815.00 $0.000.0 $815.00 23 3 - 1 03/03/08 $609.006 .6 116.1 4 - 1 03/05/08 $545.00 $0.00 $0.00 $545.00 25 - 1 03/07/08 $518.00 $167.337 .1 6 807 - 1 03/16/08 $780.00 $ 1. S0.35 7 - 1 03/16/08 $672.000.00 $0.00 $672.00 2 - 1 03/19/08 $554.00 $104.96 $359.23 $89.81 29 1 - 1 03/21/08 $563.00 $189.72 $298.627 .66 30 800512-01 03/22/08 $617.00 $104.96 $409.63 $102.41 31 8 -01 03/22/08 $671.001 . 6 $452.83 $11 . 1 3 - 1 03/22/08 $608.00 $1 . 6 $402.43 $100.61 33 6 - 1 03/26/08 $608.001 . 6 $402.43 10 .61 34 00 - 1 03/29/08 $698.000. 0 $590.85 $107.15 35 0 - 1 04/01/08 $662.001 . 1.07 $111.41 36 17- 1 04/04/08 $509.00 $0.00 $0.00 $ .00 7 07- 1 04/07/08 $518.00 $168.41 $248.59 $101.00 38 - 1 04/09/08 $671.00 $104.96 $452.83 $113.21 39 801-01 04/10/08 $518.000.00 $414.40 $103.60 40 07- 1 04/11/08 $1,220.00 $0.00 $0.001, . 0 1 007- 1 04/12/08 $518.000.00 $0.00 $518.00 3 - 1 04/14/08 $509.00 $0.00 $0.00 $509.00 44 076 - 1 04/14/08 $509.00 $0.000. 0 $509.00 45 00 - 1 04/16/08 $590.00 $167.33 $338.14 . 6 07-01 /16/ .00 $101.00 7 9 - 1 04/17/08 $563.0010 . 6 $366.43 $91.61 48 71- 1 04/17/08 $ . 0 $104.96 $354.04 $50.00 9 7 - 1 /1 / 77.00 $0.00 $0.00 $707.00 50 07 - 1 04/18/08 $ 1 .00 $0.00 $0.00 $518.00 1 71- 1 04/21/08 $680.00 $0.00 $0.00 $ 0. 0 52 0777- 1 04/24/08 $518.00 $0.00 $0.00 $518.00 53 77 - 1 04/26/08 $518.00 $104.96 $330.43 $82.61 54 77- 1 04/28/08 $509.000. 0 $237.63 $271.37 55 87 - 1 04/29/08 $671.000.00 $0.00 $671.00 56 01 - 1 05/03/08 $554.00 $0.00 $0.00 . 7 0 -01 05/06/08 $599.00 $0.00 $ 1 .50 $186.50 58 07- 1 05/08/08 $518.000.00 $50.00 $468.00 59 1- 1 05/11/08 $653.00 $0.00 $489.75 $163.25 0 - 1 05/12/08 $509.00 $106.89 $ 0 .11 $100.00 61 006 - 1 05/15/08 $518.00 $0.00 $0.00 $518.00 62 - 1 05/19/08 $590.00 $104.96 $388.03 $97.01 63 01 - 1 05/19/08 $825.00 $38.16 $629.48 $157.36 6 - 1 / /08 $554.00 $0.00 $0.00 $554.00 65 800974-01 05/28/08 $653.00 .6 $ . 0 $20.00 66 07 - 1 05/29/08 $50 .00 $167.33 $273.34 $68.33 7 017- 1 06/01/08 $509.00 $0.00 $0.00 $ 0 .00 68 801026-01 06/03/08 $734.00 $0.00 $0.00 $734.00 69 8014-01 06/08/08 $653.000. 0 so. 65 .00 70 801051-01 06/09/08 $653.000.00 $0.00 $65 .00 7 Exhibit Monroe County Fire Rescue Ground Ambulance Account Receivables October 2013 Write-Offs 71 1 - 1 06/09/08 $527.00 $0.000. 0 $527.00 72 801093-01 06/14/08 $780.00 $0.00 $0.007 . 0 73 801094-01 06/15/08 $536.001 . 6 $291.90 $13 .1 74 661- 1 06/26/08 $617.00167. .7 $89.93 75 61-02 06/28/08 $518.000. 0. $518.00 76 - 1 / /08 $509.00 $167.337 .3 $68.33 77 61 - 1 06/28/08 $563.001 . 6 $366.43 $91.61 78 6 - 1 06/29/08 $509.00 $0.00 $0.00 $50 . 0 79 7 -02 07/02/08 $518.00 .11 $421.29 $3.60 0 7 - 1 07/05/08 $509.000. 0. 0 $509.00 1 760 - 1 07/ 6/08 $518.00 $0.00 $0.00 $518.00 82 700 - 1 07/07/08 $698.00 $0.00 $257.98 . 83 73- 1 07/08/08 $518.00 $93.11 $339.91 $84.98 84 710 - 1 07/11/08 $509.00 $0.00 $0.009.0 85 7 - 1 07/12/08 $509.00 $0.007. 0 $501.80 86 701-02 07/15/08 $509.000. 0. $509.00 7 7 - 2 07/18/08 $554.00 $93.11 $368.71 $92.18 88 71 - 1 07/21/08 $509.00 $0.00 $407.20 $101.80 89 7001-03 07/25/08 $527.00 $0.00 $0.007. 90 71-03 07/30/08 $636.000. 0 . $127.20 1 7 -02 07/30/08 $527.001 . 1 $372.59 $50.00 92 71 - 07/31/08 $509.0017. 1. $70.33 3 1 - 1 08/01/08 $807.000. 0 $0.00 $807.00 94 71- 1 08/07/08 $590.00 $0.000. 0 $590.00 95 700 - 1 08/07/08 $509.000.0 0. .0 6 700 - 1 / 7/ 8 $644.00 $0.00 $0. 6 .00 7 700 -01 08/07/08 $644.000. $0. 6 .0 98 - 1 08/09/08 $ 3. 0 $0.00 $214.99 $438.01 99 6 -02 08/16/08 $509.00 $0.00 $0.00 $509.00 100 870006-01 08/17/08 $ .00 $0.00 $0.00 $590.00 101 001-02 08/19/08 $662.00 $197.72 $363.35 $100.93 102 890002-0208/19/08 $743.000.0 0. $74 .0 103 890006-01 08/19/08 $518.00 .11 $339.91 $84.98 1 - 08/22/08 $599.000. 0 $0.00 $599.00 1 -02 08/23/08 $644.00 . 0 $0.00 $644.00 1 -02 08/24/08 $545.00 $0. 0 $0.00 $545.00 17 8 -02 08/24/08 $734.00 $98.98 $69.61 $25.41 108 840008-01 08/24/08 $536.00 $0.00 $0.00 $536.00 109 860002-03 / / 6 .00 $0.00 $75.007. 110 810004-03 / 1/ 7. $0.00 $0.007. 111 1 -02 09/01/08 $662.00 $0.00 $0.0066 .0 11 7- 1 09/03/08 $509.00 $93.11 $332.71 $ .1 11 - 1 09/05/08 $770.00 $0.00 $0.00 $770.00 11 -01 09/09/08 $842.00 $0.00 $0.00 $842.00 115 910004-03 /11/ $ 63. 0 $0.00 $0.00 $563.00 116 - 1 09/18/08 $624.00 $197.27 $341.38 $85.35 117 10 -02 09/21/08 $612.00 $195.19 $333.45 . 6 118 930002-02 / / 7 . 0. 0 $0.00 $720.00 119 940002-03 / /08 $624.00 $0.000. 6 . 0 10 7 - 1 09/27/08 $852.00 $250.03 $481.57 $120.40 11 0 -02 09/28/08 $684.00 $0.00 $563.00 $121.00 122 980004-01 09/28/08 $512.00 $0.00 $0.00 $512.00 123 900010-029/30/ 66 . 0 $0.00 $408.75 $ 1. 5 124 900012-01 09/30/08 $648.001. 7. .3 125 010001-01 10/01/08 $1,044.00 . 1 $514.79 $1 .70 16 - 1 10/03/08 $900.000. 0 $0.00 $900.00 17 7 - 1 10/07/08 $624.00 $0.00 $0. $624.00 1 - 1 10/08/08 $684.00 $271.91 $329.67 $82.42 129 007- 10/10/08 $840.00 .6 7 . 11 . 7 1 Exhibit MonroeCounty Fire Rescue Ground Ambulance Account Receivables October 1 Write-Offs 1 0 -01 10/10/08 $852.00 $0.000. 0 $ 2.00 131 11- 1 /11/ 8 $612.00 $259.43 $282.06 $70.51 132 20005-01 1 /1 /08 $768.00 $222.23 $436.61 $109.16 13 - 1 10/13/08 $624.000. $0. 6 . 0 134 50002-02 10/15/08 $828.00 $0.00 $0.00 $828.00 135 7 - 10/17/ 8 $ 12.00 $195.19 $333.45 $83.36 16 700 - 10/17/08 $63 . 0 $0.00 $508.80127.2 17 7006-01 1 /17/08 $624.00 $390.01 $187.19 $46.80 1 - 1 10/18/08 $992.002 . .1 $1 .5 1 - 1 10/18/08 $816.00 $0. 0 $0.00 $816.00 1 - 1 10/20/08 $912.00 $0.00 $0. 912.0 11 101-03 10/21/08 $876.000.0 7 . $87.60 142 010002-02 10/21/08 $612.00 $387.9317 . 6 $ . 1 143 40001-0210/24/08 $612.001 .1 $333.45 $83.36 144 60 - 1 1 / 6/08 $624.00 $0.00 $0.006 . 0 1 - 1 10/29/08 $876.0032 . 1 $378.59 $175.00 16 - 1 11/08/08 $840.00 $308.882 . 0 $16.22 17 71 - 1 11/13/08 $852.00 $0.000. . 0 148 880621-01 11/19/08 $624.000. 0. 6 .00 149 880626-01 11/23/08 $624.00 $17. 7 $341.38 $85.35 150 880627-01 11/23/08 $636.00 $0.00 $0.00 $636.00 11 - 1 12/06/08 $612.000.00 $350.00 $262.00 152 810370-01 12/10/08 $792.00 $ 0 . 9 $532.01 $50.00 13 - 1 /1 /08 $660.00 $0.00 $0.00 $660.00 154 820351-01 12/21/08 $612.000.00 $0.00 $612.00 15 03 - 1 12/21/08 $612.00 $0.00 $0.00 $612.00 156 870288-01 12/21/08 $720.00 $254.40 $364.3811. 17 06- 1 12/21/08 $684.00 $0.00 $634.00 $50.00 158 830784-01 12/26/08 $828.00 $475.60 $332.40 $20.00 159 880673-01 12/26/08 $624.000.00 $0.00 $624.00 159 ADP Write Offs GroundFY 20121 ,1 . 1 , 1 Date of Original Balance( r Account r Service Balance when sent to Adjustmentss Final Balance Collections) These accounts are with MSB (DOS= 1/ 1/20 - 12/ 1/ 0 ) 1 0 - 1 01/03/09 $804.00 $0.00 $0.00 $804.00 106-01 01/1 /09 $768.00 $0.00 $0.00 $76 . 0 71 -01 1/2 /09 $840.00 $0.00 $0.00 $840.00 0 - 1 01/23/09 $684.00 $0.00 $547.20 $136.80 8- 1 1/2 109 $816.00 $269.90 $436.88 $109.22 06-01 01/30/09 $612.00 $0.00 $0.00 $612.00 7 003 -01 02/10/09 $720.000.00 $719.68 $0.32 00-01 02/10/09 $612.00 $0.00 $0.00 $612.00 97 - 1 02/12/09 $840.000. $ 72.00 $168.00 10 910064-01 02/16/09 $852.00 $0.00 $0.00 . 0 11 200 - 1 02/17/09 $648.00 $0.00 $0.00 $68.00 12 1 - 1 02/28/09 $612.000. 0 $0.00 $612.00 13 990075-01 03/03/09 $660.00 $245.76 $412.19 $2.05 14 980131-01 03/05/09 $660.00 $177.85 $385.726. 3 15 910091-01 03/14/09 $624.00 $0.00 $0.00 $624.00 16 19- 1 03/26/09 $624.00 $240.99 $306.41 $76.60 17 6- 1 03/28/09 $612.00171. . 6 $0.05 18 980173-02 /3 / 66.0 0. 0 $0.00 $ 6.00 19 10116-02 03/31/09 $756.00 $0. 0 $0.00 $756.00 20 11-02 03/31/09 $648.00 $0.00 $0.00 $648.00 21 1 - 1 04/04/09 $624.000.0 0. 0 $624.00 22 920102-01 04/07/09 $648.00 $176.26 $377.399 .3 23 012- 1 04/09/09 $812.000.00 0.00 1 $ 1 .00 1 Exhibit MonroeCounty Fire Rescue Ground Ambulance Account Receivables October 2013 Write-Offs 1 - 1 04/11/09 $612.00171. $ 2. 1 $ .1 2 - 1 04/15/09 $612.00 $171.49 $352.41 $88.10 6 9916- 1 04/18/09 $660.00 $177.85 $385.72 $96.43 7 1 - 1 04/21/09 $612.000.00 $0.00 $612.00 28 26- 1 05/03/09 $756.000. $0.00 $76.00 29 111- 1 05/05/09 $804.00 $0.00 $0.00 $804.00 30 11 - 1 05/07/09 $1,040.00 $219.69 $621.37 $198.94 1 70 - 1 05/10/09 $792.00 $0.0071. 0.11 2 16- 1 05/11/09 $648.00 $194.59 $403.41 $50.00 33 3061- 1 05/19/09 $924.000.0 $739.20 $184.80 34 6- 1 06/03/09 $852.00 $217.17 $507.86 $126.97 35 1 - 1 06/10/09 $660.00 $0.00 $0.006 . 6 70116- 1 06/11/09 $744.00 $0.00 $1 . 0 7 11- 1 06/15/09 $624.00 $0.00 $0.00 $624.00 38 930323-01 06/19/09 $840.00 $0.00 $0.00 $ 0.0 39 1 - 1 06/22/09 $624.001. 2. 1 $50.00 40 117- 1 06/26/09 $816.00 $0.00 $0.00 $ 16. 0 1 719- 1 06/26/09 $816.00 $201.991. 1 $122.80 42 36- 1 06/28/09 $816.0021. 61 .10 $3.91 3 5- 1 07/01/09 $636.00 $259.72 $329.28 $47.00 44 71 - 1 07/01/09 $768.000. 0. $76 .00 45 0 - 1 07/03/09 $852.000.0 $0.00 $852.00 46 71 - 1 07/03/09 $768.000.0 767. 0 $0.20 7 - 1 07/04/09 $732.000.00 $632.83 $99.17 48 06- 1 07/09/09 $624.00 $0.00 $5.60 $618.40 49 77- 1 07/16/09 $ .00 $0.00 $0.00 $684.00 0 123 - 1 07/18/09 $768.00 $0.00 $0.00 $768. 0 1 - 1 07/22/09 $612.00 $0.000.0 61 . 0 52 18- 7/ 6/09 $780.00 $290.68 $391.46 $ 7. 6 53 - 1 07/27/09 $900.00 $0.00 $0.00 $900.00 54 71 - 1 07/31/09 $756.000.0 0. $76. 0 55 16 - 1 08/06/09 $1, .00 $0.00 $205.20 $822.80 56 1 - 1 08/06/09 $612.00 $0.00 $489.60 $122.40 7 06- 1 08/13/09 $848.000. 0 $0.00 $848.00 58 968-01 08/28/09 $648.0061. 6.1 $ .0 59 7 - 1 08/29/09 $684.000.0 0.00 $684.00 6 - 1 09/21/09 $624.00 $0.000. 0 $624.00 1 - 1 / /09 $840.00 $0.00 $0.00 84 .00 62 980002-0210/01/09 $756.000.0 0.0 76.00 63 2 -01 10/02/09 $612.00 $0.00 $0.00 $612.00 64 920286-01 10/03/09 $624.00 $184. 3 $389.67 $50.00 6 - 1 10/03/09 $624.00 $0.00 $0.006 .0 66 - 1 10/03/09 $612.00 $239.40 $298.08 $74.52 7 71 - 1 10/07/09 $756.000. 0 $0.00 $75R.00 68 17- 1 10/09/09 $636.00 $0. 0 $400.00 $236.00 69 -01 10/09/09 $624.00 $0.000. 0 $624.00 70 6 - 1 10/13/09 $612.00 $0.00 $0. 612.0 71 136- 1 10/23/09 $852.00 $0.00 $0.00 . 0 72 980597-01 10/29/09 $624.000. 0. $6 . 0 73 934 - 1 11/04/09 $672.0017 . $394.05 $ . 1 74 980626-01 11/13/09 $624.00 $0.006 .36 $0.64 75 990361-01 11/15/09 $624.00 $0.00 $499.20 $124.80 76 - 1 11/28/09 $648.00 $261.85 $336.15 $50.00 77 7 - 1 11/28/09 $792.00 $0.00 $0.00 $792.00 78 980657-01 11/2 /09 $612.00 $0.00 $489.60 $122.40 79 930619-01 11/30/09 $864.00 $222.23 $513.42 $128.35 80 10 - 1 12/03/09 $7 .00 $193.75 $ .00 $117.25 1 367- 1 12/26/09 $840.00 $0.000.00 $ 0.00 82 103 -01 1/11/308 $816.00 $ 33. 6 $ 6 .71 $116.43 Exhibit A Monroe County Fire Rescue Ground Ambulance Account Receivables October 2013 Write-Offs 82 ADP Write Offs Ground FY 2013 $59,132.00 $5,417.21 $18,507.28 $35,207.51 241 TOTAL ADP GROUND WRITE OFFS FY 2012/2013 $92,861.05 r ,r r r`acrr,r.irar/ra/iimriiai„✓Nl11if,/pa iruiir.r:,it rr r, liii[ r, as r , ,,zt �,4,r ✓%/gib,r a r r, ;,, ::p r/r �...f/rr/rar'; o r ,..,r/,r ,. / /%%//„//,/,/ 21