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Item C36 BOARD OF COUNTY COMMISSIONERS 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 BOCCACTION: 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 V Risk Manageme tom' DOCUMENTATION: Included X Not Required_ DISPOSITION: AGENDA ITEM# Emergency Services RESOLUTION NO. -2013 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 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 92013. Mayor of Layton, Norman Anderson Councilman Clark Snow Commissioner Danny Kolhage Commissioner David Rice Mayor of Monroe County, George Neugent MONROE COR-RJR°°S°'Y ATTORNEY ._________ (SEAL) A TO Fyp BOARD OF GOVERNORS, FIRE AND — AMBULANCE DISTRICT I of MONROE COUNTY ORIDA Attest: AMY 14 B l �r ORJR�TY �TTO E T�R<9T ae ,,, ,- . , I���w�.m�� ��� Y: --------^--MMayor/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) AdjAdjustments nFinal Balance These accounts are with IVISEI(DOS=01/ 1/ 0 - 1 / 1/ ) 1 - 1 1/ 8 $644.00 $0.000. 6 .0 01 - 1 1/03/08 $653.00 $0.000. 6 .0 3 - 1 1/05/08 $554.000.0 $0. 0 $554.00 0 - 1 1/05/08 $236.00 $0.00 $0.00 $236.00 1 - 1 1/05/08 $618.00 $0.00 $0.0061 .0 7- 1 1/06/08 $527.00 $0.00 $0.0057. 7 0 - 1 1/07/08 $509.00 $0.000. $509.00 - 1 1/08/08 $518.000.00 $0.00 $518.00 10 800052-01 1/10/08 $509.00 $0.00 $0.00 . 11 077-01 1/12/08 $518.00 $0.000. $518.00 12 800075-01 1/12/08 $599.00 $0.000.0 $599.00 1 - 1 1/13/08 $635.00 $0.00 $0.00 $635.00 14 800081-01 1/13/08 $275.080. 0. $275.08 15 800101-01 1/16/08 $671.00 $0.00 $0.00 $671.00 16 806- 1 1/16/08 $662.00 $0.00 $0.00 $662.00 17 0 - 1 1/16/08 $680.00 $0.000. 0 $680.00 18 800104-01 1/18/08 $707.000.00 $0.00 $707.00 19 800105-01 1/19/08 $689.000. 0. .00 0 1 - 1 1/20/08 $653.000. 0 $0.00 $653.00 1 1 - 1 1/21/08 $518.00 $0.00 $0.001 .0 22 817-01 1/22/08 $518.00 $0.000. 0 $518.00 23 11-01 1/22/08 $671.00 $0.00 $0.00 $671.00 24 1 -01 1/23/08 $509.000.00 $0.00 $509.00 25 013 -01 1/24/08 $518.00 $0. 0 $0.00 $518.00 6 1 - 1 1/25/08 $554.00 $0.00 $0.00 $554.00 7 80136- 1 1/25/08 $527.00 $0.00 $0.00 $527.00 28 17- 1 1/27/08 $545.00 $0.000. $545.00 29 017- 1 1/27/08 $743.00 $0.00 $0.007 . 30 1 - 1 1/29/08 $671.000.00 $0.00 $671.00 1 17 - 1 1/30/08 $671.000. 0. 0 $671.00 32 017 - 1 1/31/08 $518.000.0 0. $518.00 33 181- 1 1/31/08 $ . 0 $0.00 $0.00 $545.00 34 800182-01 1/31/08 $662.000.00 $0.0 $ 6 .00 35 800198-01 2/0 $51 .00 $0.00 $0.001 .0 6 1 - 1 2/04/08 $509.00 $0.00 $0.00 .00 37 11-01 2/04/08 $608.000. 0. 0 $608.00 3 - 1 2/05/08 $536.000. 0.00 $536.00 39 0 - 1 /0 / 8 $509.00 $0.000.0 $509.00 40 800236-01 2/06/08 $50.00 $0.00 $0. 0 $50.00 1 16- 1 2/06/08 $680.00 $0.000.00 $680.00 42 - 1 2/07/08 $518.000.00 $0.00 $518.00 43 1- 1 2/08/08 $509.00 $0.00 $0.00 $509.00 44 04- 1 2/09/08 $626.000. 0 $0.00 $ 6.0 45 800263-01 2/09/08 $725.00 $0.00 $0.00 $725.00 6 66- 1 2/10/08 $618.00 $0.00 $0.0061 . 7 7 - 1 2/10/08 $635.00 $0.00 $0.00 . 48 7- 1 2/10/08 $734.000. 0.0 $734.00 49 805 -01 2/10/08 $959.00 $0. 0 $959.00 50 8 - 1 2/11/08 $509.00 $0.000. $509.00 1 07 - 1 2/11/08 $671.000. 0 $0.00 $671.00 52 03 -01 /1 /08 $653.00 $0.00 $0.00 $653.00 002 -01 /1 / 8 $716.00 $0.00 $0.00 $71q.00 1 Exhibit Monroe County Fire Rescue Ground Ambulance Account Receivables October 2013 Write-Offs 54 00 -01 2/16/08 $689.00 $0.00 $0.00 $689.00 55 006-01 2/17/08 $545.00 $0.00 $0.00 $545.00 56 800317-01 2/18/08 $707.00 $0.00 $0.00 $707.00 7 30-01 2/19/08 $30.00 $0.00 $0.00 $ 0.00 58 800344-01 2/22/08 $671.000.00 $0.00 $671.00 9 0 -01 /22/08 $ 0 .00 $0.00 $0.00 $509.00 60 800339-01 / /08 $ 09.00 $0.00 $0.00 $ 09.00 61 2-01 2/23/08 $680.00 $0.00 $0.00 $680.00 62 0037-01 2/23/08 $95.40 $0.00 $0.00 $95.40 63 06 - 1 2/26/08 $716.00 $0.00 $0.00 $716.00 64 03 -01 2/27/08 $653.000.00 $0.00 $65 .00 65 800366-01 2/27/08 $536.00 $0.00 $0.00 $536.00 66 0000-01 2/27/08 $370.60 $0.00 $0.00 $370.60 7 01 - 1 3/01/08 $509.00 $0.00 $0.00 $ 0 .00 68 800404-01 / 3/08 $50 .00 $0.00 $0.00 $ 09.00 9 001 -01 3/03/08 $635.00 $0.00 $0.00 $635.00 70 000-01 3/04/08 $ 2.00 $0.00 $0.00 $66 .00 71 00 -01 3/04/08 $509.00 $0.00 $0.00 $509.00 72 800425-01 3/05/08 $563.00 $0.00 $0.00 $563.00 73 008-01 3/09/08 $509,00 $0.00 $0.00 $509.00 74 800479-01 3/09/08 $509.00 $0.00 $0.00 $509.00 75 800484-01 3/09/08 $680.00 $0.00 $0.00 $680.00 76 0081-01 3/09/08 $ 0 .00 $0.00 $0.00 $509.00 77 0 -01 3/10/08 $509.00 $0.00 $0.00 $509.00 78 800482-01 3/10/08 $698.00 $0.00 $0.00 $698.00 79 0 -01 3/12/08 $662.00 $0.00 $0.00 $662.00 80 00 -01 3/13/08 $545.00 $0.00 $0.00 $545.00 1 005 -01 3/14/08 $662.00 $0.00 $0.00 $662.00 82 -01 3/15/08 $509.00 $0.00 $0.00 $509.00 3 0064-01 3/15/08 $617.00 $0.00 $0.00 $617.00 84 000-01 3/15/08 $536.00 $0.00 $0.00 $536.00 85 800497-01 3/16/08 $509.00 $0.00 $0.00 $509.00 6 0096-01 3/16/08 $671.00 $0.00 $0.00 $671.00 7 0000-01 3/17/08 $518.00 $0.00 $0.00 $ 1 .00 88 000 -01 3/20/08 $509.00 $0.00 $0.00 $509.00 9 0011-01 3/21/08 $ 71.00 $0.00 $0.00 $671.00 90 001 -01 3/21/08 $509.00 $0.00 $0.00 $509.00 1 01 -01 3/22/08 $57.00 $0.00 $0.00 $527.00 92 00 -01 3/22/08 $671.00 $0.00 $0.00 $671.00 3 00 - 1 3/22/08 $375.00 $0.00 $0.00 $375.00 94 800526-01 3/22/08 $50.00 $0.00 $0.00 $590.00 95 00 -01 /23/08 $617.00 $0.00 $0.00 $617.00 96 00 67-01 3/24108 $ 1 .00 $0.00 $0.00 $51 .00 97 001-01 3/24/08 $51 .00 $0.00 $0.00 $518.00 98 -01 3/25/08 $50 .00 $0.00 $0.00 $509.00 99 800552-01 3/25/08 $509.00 $0.00 $0.00 $609.00 100 00 -01 3/26/08 $50 .00 $0.00 $0.00 $509.00 101 0 -01 3/26/08 $509.00 $0.00 $0.00 $509.00 102 800555-01 3/26/08 $43.08 $0.00 $0.00 $ 3.0 103 0056 -01 3/27/08 $626.00 $0.00 $0.00 $626.00 104 007 -01 3/28/08 $689.00 $0.00 $0.00 $6 .00 105 800587-01 3/29/08 $662.00 $0.00 $0.00 $662.00 106 800602-01 3/30/08 $563.00 $0.00 $0.00 $563.00 107 0093-01 3/30/08 $671.00 $0.00 $0.00 $671.00 108 800592-01 3/30/08 $318.00 $0.00 $0.00 $318.00 109 009 -01 3/31/08 $ 9 .00 $0.00 $0.00 $698.00 110 000 -01 4/01/08 $509.00 $0.00 $0.00 $509.00 111 800605-01 4/04/08 $545.00 $0.00 $0.00 $545.00 112 80015-01 4/04/08 $509.00 $0.00 $0.00 $ 09.00 Exhibit Monroe County Fire Rescue Ground Ambulance Account Receivables October 2013 Write-Offs 113 800611-01 / / 8 $779.00 $0.00 $0.00 $779.00 114 800607-01 4/05/08 $518.00 $0.00 $0.00 $518.00 115 800677-01 4/09/08 $734.000.0 $0. $734.00 116 - 1 4/09/08 $761.000. 0. 761.0 117 - 1 4/11/08 $518.000.00 $0.00 $518.00 118 800673-01 4/12/08 $509.000. 0. 0 . 0 119 800669-01 /12/08 $509.00 $0.00 $0. $ .0 120 800679-01 /1 08 $644.00 $0.000. $6 . 0 11 0 - 1 4/14/08 $662.00 $0.000. $662.00 1 - 1 4/16/08 $563.000. 0.0 $563.00 123 800704-01 4/18/08 $725.00 $0.00 $0.00 $725.00 124 800714-01 4/19/08 $518.00 $0.00 $0.00 $518.00 125 800720-01 4/19/08 $608.00 $0.00 $0.00 $608.00 126 71 - 1 4/19/08 $599.00 $0.00 $0.00 $ . 0 17 73 - 1 4/21/08 $554.00 $0.00 $0.00 .0 128 800776-01 4/22/08 $635.00 $0.000.0 $635.00 129 800746-01 4/23/08 $671.000. 0 $0.00 $671.00 130 800747-01 4/23/08 $662.000. 0. 0 $662.00 11 07 - 1 4/24/08 $403.700. 0 $0.00 $403.70 132 800762-01 4/25/08 $545.00 $0.00 $0.00 $545.00 133 800758-01 4/25/08 $599.00 $0.000.0 .0 134 800759-01 4/25/08 $509.000. 0 $0.00 $509.00 135 800779-01 4/26/08 $860.00 $0.00 $0.00 . 0 16 00771- 1 4/26/08 $545.00 $0.000. 5.00 17 07 -01 4/27/08 $518.000. $0. 0 $518.00 138 800784-01 4/29/08 $245.00 $0.000. 25.00 139 800788-01 4/29/08 $698.000 $0.00 $698.00 10 7 - 1 / /0 $61T00 $0.000.00 $617.00 141 8076- 1 4/29/08 $166.00 $0.00 $0.00 $166.00 142 800807-01 5/01/08 $509.00 $0.00 $0.00 $ 0 . 0 13 0 - 1 5/01/08 $572.00 $0. 0 $0.00 $572.00 144 800816-01 / /08 $69&00 $0.000. 0 $698.00 145 800810-01 5/03/08 $671.00 $0. 0 $0.00 $ 71.00 16 11- 1 5/03/08 $509.00 $0.00 $0.00 $ 09.00 17 0 - 1 5/05/08 $518.000. 0 $0.00 $518.00 148 80 - 1 5/06/08 $509.00 $0.00 $0.00 $509.00 149 800831-01 / 7/08 $61T00 $0.00 $0.00 $617.00 150 800836-01 5/08/08 $518.00 $0.00. $0.00 $518.00 11 - 1 5/11/08 $518.000.00 $0.00 $518.00 152 800870-01 /1 1 .00 $0.00 $0.001 .0 13 56- 1 /1 / 8 $545.00 $0.00 $0.00 $545.00 154 800858-01 5/14/08 $91.80 $0.00 $0.00 $91.80 155 800911-01 5/20/08 $580.00 $0.000.0 $580.00 156 - 1 5/22/08 $ 18.00 $0.00 $0.00 $518.00 17 1 - 1 5/23/08 $518.00 $0.00 $0.00 $518.00 158 800919-01 5/23/08 $518.000. 0. 1 .00 159 8 - 1 5/24/08 $518.000.00 $0.00 $518.00 16 6- 1 5/25/08 $509.000. 0. 0 $ 9.00 161 81- 1 / /08 $689.00 $0.000. 0 $ .00 16 - 1 5/25/08 $509.00 $0.00 $0.00 $509.00 163 002- 1 5/25/08 $509.00 $0.00 $0.00 $509.00 164 800946-01 5/26/08 $ 1 . 0 $0.00 $0.00 $518.00 165 800942-01 5/26/08 $662.00 $0.000. 66 . 0 166 800936-01 5/26/08 $527.00 $0.00 $0.00 $ 7. 0 17 - 1 5/26/08 $509.00 $0.00 $0.00 $509.00 168 800973-01 5/27/08 $716.00 $0.00 $0.00 $716.00 169 7- 1 5/27/08 $ . 0 $0.00 $0.00 $554.00 170 800972-01 5/27/08 $671.00 $0.000. 0 $671.00 171 0 -01 5/29/08 $554.00 $0.00 $0.005 . 0 Exhibit MonroeCounty Fire Rescue Ground Ambulance Account Receivables October 2013 Write-Offs 172 800975-01 5/29/08 $671.000. $0. $671.0 173 801003-01 5/31/08 $518.000.00 $0.00 $518.00 174 801009-01 6/01/08 $743.000. 0. $743.00 175 801019-01 6/02/08 $509.00 $0.00 $0. 0 $509.00 176 11 - 1 6/02/08 $545.00 $0.00 $0. $ .0 177 1 - 1 6/05/08 $509.00 $0.000.00 $509.00 178 801033-01 /06/08 $509.00 $0.00 $0.00 $509.00 179 801 - 1 6/07/08 $509.00 $0.00 $0.00 $509.00 10 11-01 6/07/08 $789.000. $0. $789.00 11 812- 1 6/08/08 $509.00 $0. 0 $0.00 $509.00 182 801057-01 6/ 9/ 8 $518.00 $0.00 $0.00 $518.00 13 017- 1 6/09/08 $518.00 $0.00 $0.001 . 0 184 801055-01 6/09/08 $509.00 $0.00 $0.00 . 185 801065-01 6/10/08 $662.000. 0. $6 .00 186 801069-01 6/11/08 $545.00 $0.00 $0.00 $545.00 17 1 -01 /1 / 8 $509.00 $0.000.00 $509.00 188 8107- 1 6/14/08 $635.00 $0.00 $0. 0 $635.00 189 801097-01 6/15/08 $518.00 $0.00 $0.001 . 190 801091-01 6/15/08 $518.00 $0.00 $0. $ 1 . 0 11 6 -01 6/1 / 8 $698.00 $0.000.0 $698.00 192 801151-01 / /08 $133.24 $0.000.0 $133.24 13 61 -03 6/21/08 $509.00 $0.000. $509.00 194 61- 1 6/23/08 $518.00 $0.00 $0.00 $518.00 195 6 - 1 6/23/08 $635.000.00 $0.00 $635.00 16 601- 1 6/25/08 $698.000.0 0.00 $698.00 17 660 - 1 6/26/08 $509.00 $0.00 $0.00 $509.00 1 - 1 6/28/08 $509.00 $0.00 $0.00 $ 09.0 199 61 - 1 6/28/08 $689.00 $0.00 $0.006 .00 20 - 1 6/29/08 $653.00 $0.00 $0.00 $6 .00 1 6 - 1 6/29/08 $653.00 $0.000.00 $6 . 0 202 61- 6/29/08 $527.00 $0.000. $ 27. 0 03 601 - 1 6/29/08 $662.00 $0.00 $0.00 $662.00 204 7- 1 6/29/08 $80.81 $0.00 $0.00 $80.81 205 1 - 1 6/29/08 $6 . 0 $0.00 $0.00 $6 .0 206 002-01 6/30/08 $509.00 $0.00 $0.00 $509.00 27 710 - 7/01/08 $518.000. 0.00 $518.00 08 71- 2 7/ 2/ 8 $518.00 $0.00 $0.00 $518.00 209 730 - 1 7/03/08 $509.00 $0.00 $0. 0 $509.00 10 732- 7/03/08 $426.00 $0.00 $0. 0 $ 26.00 211 7 - 1 7/03/08 $458.000. 0. $458.00 212 700 -0 7/04/08 $518.00 $0.000. $ 1 .00 213 7 - 1 7/05/08 $644.00 $0.00 $0. 0 $ . 0 214 70 -01 7/05/08 $626.000.0 0.0 626.00 215 78-01 7/05/08 $644.00 $0.000.00 $644.00 16 71-01 7/05/08 $572.00 $0.000. 0 $572.00 17 700 -01 7/05/08 $554.00 $0.00 $0.00 $ .0 218 76 - 1 7/06/08 $509.00 $0.00 $0.00 $509.00 219 7 -01 7/06/08 $86.780.00 $0. 0 $86.78 220 7703-01 7/07/08 $509.00 $0.00 $0.00 $509.00 1 70 - 7/09/08 $ 18. 0 $0.00 $0.00 $518.00 222 790 -01 7/ /08 $536.00 $0.00 $0.00 $536.00 3 7 - 1 7/09/08 $518.000.00 $0.00 $518.00 224 7001-01 7/10/08 $509.000.00 $0.00 $509.00 225 7100 - 1 7/11/08 $104.780.0 0. 1 .7 6 72007-0 7/12/08 $518.00 $0.00 $0.001 . 7 70 - 1 7/12/08 $527.000. 0. 7.00 228 7301- 1 7/13/08 $545.00 $0.00 $0.005 . 0 229 771-0 7/17/08 $762.000. 0.00 $76 .0 776-0 7/17/08 $707.00 $0.00 $0.00 $707.00 Exhibit MonroeCounty Fire Rescue Ground Ambulance Account Receivables October 2013 Write-Offs 1 770 - 1 7/17/08 $443.000.00 3. 0 232 770 - 7/17/08 $518.000. 0 $0. $518.00 33 70 -01 7/18/08 $554.00 $0.00 $0.00 $554.00 234 71- 1 7/1 / 8 $509.00 $0.000. 50 .0 235 700 - 1 7/20/08 $509.00 $0.00 $0.00 $509.00 6 7 - 1 7/20/08 $509.00 $0.00 $0.00 $509.00 27 71 - 7/ 1/ 8 $509.00 $0.000.00 $509.00 238 71 - 7/21/08 $509.000.0 $0.00 $509.00 239 7 - 7/ $0.00 $0.0066. 240 7 - 7/22/08 $572.000. 0 $ . 7 .0 1 7 - 7/23/08 $509.000.00 $0.00 $509.00 242 7 - 1 7/24/08 $ 9. 0 $0.00 $0.00 $509.00 243 70003- 7/24/08 $671.00 $0.00 $0.00 $671.00 244 76 - 1 7/26/08 $644.00 $0.00 $0. 6 .0 245 70 - 2 7/26/08 $509.00 $0.00 $0. 0 $509.00 6 7703-03 7/27/08 $509.00 $0.000. .0 7 7 - 7/28/08 $590.00 $0.00 $0. 0 $590.00 248 700 - 7/29/08 $581.000. 0.00 $581.00 249 81 - 1 8/01/08 $527.000.0 0. 7.00 250 820009-01 8/02/08 $572.00 $0.00 $0.007 .00 1 - 1 8/02/08 $680.00 $0.00 $0.00 $680.00 2 - 1 8/02/08 $518.00 $0. 0 $0.00 $518.00 3 3 - 1 8/03/08 $680.00 $0.00 $0. 0 $680.00 254 830006-01 8/03/08 $509.00 $0.00 $0.0 . 0 2 - 1 8/03/08 $716.00 $0.00 $0.00 $716.00 56 - 1 / / 8 $47.85 $0.000.0 $47.85 7 0 - 1 8/04/08 $199.700. 0. 0 $1 .70 258 850004-01 8/05/08 $518.000.00 $0.00 $518.00 259 6 -01 8/06/08 $509.00 $0.00 $0.00 $509.00 26 - 1 8/06/08 $75.93 $0.00 $0.00 $75.93 61 73-01 8/07/08 $635.00 $0.00 $0.0063 . 0 62 00 - 1 8/10/08 $207.50 $0.00 $0.0007.50 63 1 - 1 /11/08 $770.00 $0.000. 0 $770.00 264 - 1 8/12/08 $671.000.00 $0.00 $671.00 6 - 1 8/14/08 $689.000. 0 $0.00 $689.00 26 06- 1 8/14/08 $ .00 $0.00 $0.00 $ .0 67 03- /1 / 8 $590.00 $0.000.00 $ .00 6 - 2 8/15/08 $680.00 $0.00 $0.00 . 269 860008-01 8/16/08 $545.00 $0.00 $0. $ .00 70 - 1 8/1 / 8 $282.00 $0.000.00 $282.00 71 -03 8/20/08 $518.00 $0.00 $0.00 $518.00 272 8000 -03 8/20/08 $698.000.00 $0.00 $6 . 0 273 840006-02 / /0 9.0 $0. 0 $0.00 $599.00 274 840011-01 8/24/08 $527.000.0 0.00 $ 27.00 275 840007-01 8/24/08 $42.20 $0.000. $42.20 76 -01 / / 8 $99.62 $0.000.0 $ .6 277 61- 1 8/26/08 $518.000. $0. 0 $518.00 278 87 -02 8/26/08 $424.00 $0.00 $0.00 $424.00 279 870001-02 8/27/08 $518.000.0 $0.00 $518.00 8 - 1 8/28/08 $671.000. 0 $0.00 $671.00 21 002- 3 8/29/08 $ 1 . 0 $0.00 $0. 0 $518.00 282 1 -03 8/31/08 $509.000. 0 $0.00 $509.00 23 10001- 8/31/08 $ 18. 0 $0.00 $0.001 .00 284 1 -03 8/31/08 $203.07 $0.00 $0.00 $203.07 285 1 -02 9/01/08 $680.00 $0.00 $0.00 $680.00 286 910003-02 /01/08 $609.00 $0.00 $0.00 $609.00 7 1 - 1 9/01/08 $545.00 $0.00 $0.00 $545.00 28 003- 1 /02/ 8 $680.00 $0.00 $0.00 $680.00 9 - 1 / /08 $680.00 $0.00 $0.00 $680.00 Exhibit Monroe County Fire Rescue Ground Ambulance Account Receivables October 2013 Write-Offs 290 0 - 1 9/04/08 $563.00 $0.00 $0.00 $ 6 . 0 1 1- 1 9/04/08 $509.00 $0.00 $0.00 $509.00 292 940002-01 9/04/08 $509.00 $0.00 $0.00 $509.00 293 - 1 9/05/08 $518.000. 0.00 $518.00 9 - 1 9/05/08 $ . 0 $0.00 $0.00 $509.00 295 60 - 1 9/06/08 $626.00 $0.00 $0.00 $626.00 6 91- 1 9/09/08 $509.000. 0. 0 $509.00 97 0 - 1 9/09/08 $37.850. 0 $0.00 $37.85 298 001-01 9/10/08 $527.000. 0.0 $527.00 299 910003-03 /11/ $ .00 $0.00 $0.00 $509.00 300 301- 2 9/13/08 $509.000. 0. 0 $509.00 31 - 9/13/08 $545.00 $0.00 $0.00 $ .00 3 -02 9/14/08 $680.000. 0.0 $680.00 303 0 -0 /1 /08 $626.00 $0.00 $0.0066. 304 1-02 9/14/08 $509.00 $0.00 $0.00 $ 09.00 305 - 1 9/18/08 $612.000. 0. 0 $612.00 306 - 1 9/18/08 $744.000.0 0. $744.00 307 -02 9/19/08 $612.000. $0. 0 $612.00 308 900005-01 9/20/08 $660.00 $0.00 $0.0066 .00 309 17-03 9/21/08 $660.000.0 $0.00 $660.00 31 1-02 9/25/08 $612.000.0 0. 0 $612.00 11 97001- 1 / 7/08 $612.00 $0.00 $0.00 $612.00 1 1-03 9/29/08 $840.00 $0.00 $0.00 $840.00 1 -02 9/30/08 $541.600. 0 0. 0 $51. 0 314 900006-01 9/30/08 $708.00 $0.00 $0.00 $708.00 315 900009-01 9/30/08 $840.00 $0.000.00 $840.00 316 900001-03 / 0/ 6 .24 $0.00 $0.00 $465.24 17 21- 1 10/ /08 $792.00 $0.00 $0.00 $792.00 31 - 1 1 / 2/ 8 $80 .00 $0.00 $0.0084. 319 40004-01 10/04/08 $840.00 $0.00 $0.00 $840.00 320 0 - 1 10/05/08 $612.00 $0.00 $0.00 $612.00 1 6 - 1 10/06/08 $888.00 $0.00 $0.00 $888.00 2 7 - 1 10/07/08 $816.000. 0 $0.00 $816.00 323 01- 1 10/08/08 $696.00 $0.00 $0.0066. 324 9 - 10/09/08 $636.000. $0. 0 $636.00 325 - 1 10/10/08 $612.000. $0. $612.00 6 1- 1 10/10/08 $804.00 $0.000.0 . 0 7 1 - 1 10/11/08 $612.00 $0.00 $0.00 $612.00 328 100 - 1 10/11/08 $744.000.00 $0.00 $744.00 329 30002-02 10/13/08 $672.000. 0.00 $672.00 30 01-01 10/14/08 $599.00 $0.00 $0.00 . 1 601- 1 10/16/08 $672.00 $0. 0 $0.00 $67 .0 332 7 - 2 10/17/08 $62 .00 $0.00 $0.00 $624.00 33 - 10/18/08 $816.00 $0.00 $0.00 $ 16.0 334 00 - 10/18/08 $864.000. 0 $0.00 $864.00 335 01- 10/19/08 $229.00 $0.00 $0.00 $229.00 36 10 - 10/21/08 $744.00 $0.00 $0.00 $744.00 7 1- 10/23/08 $624.00 $0.00 $0.00 $624.00 338 40011-01 10/24/08 $636.00 $0.000. 6.00 339 - 10/25/08 $840.00 $0.00 $0.00 $840.00 340 0 - 1 10/25/08 $612.000. 0. 61 . 0 1 6 - 1 10/26/08 $636.000. 0.0 $636.00 342 0 -01 10/26/08 $732.00 $0.00 $0.00 $732.00 343 81- 1 10/27/08 $816.00 $0.00 $0.001 . 344 70 - 1 10/28/08 $624.00 $0.00 $0.006 . 0 345 21 -01 10/29/08 $50.000.00 $0.00 $5 . 0 6 1 - 1 10/29/08 $130.00 $0.00 $0.00. $130.00 7 -01 1 /31/08 $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 7- 1 11/06/08 $612.00 $0.000. $612.00 350 - 2 11/07/08 $82.85 $0. 0 $0.00 $82.85 1 31 - 1 11/ / 8 $660.00 $0.00 $0.00 $660.00 352 830701-01 11/09/08 $352.80 $0.000. $352.80 353 830703-01 11/12/08 $828.00 $0.00 $0.00 $ . 0 354 67- 1 11/12/08 $624.00 $0.00 $0.00 $624.00 355 7 - 1 11/13/08 $960.000. 0. 60. 0 6 1 - 1 11/17/08 $612.00 MOO $0.00 $ 1 .0 7 716- 1 11/17/08 $816.000. 0 $0.00 $816.00 358 017- 1 11/1 / 8 $612.00 $0.00 $0.00 $612.00 3 - 1 11/18/08 $95.400. $0.00 $95.40 360 880619-01 11/18/08 $612.000.0 0. $612.00 61 6 - 1 11/19/08 $202.00 $0.00 $0.00 $202.00 3 - 1 11/20/08 $612.000.00 $0.00 $612.00 363 880625-01 11/ 1/ 8 $660.00 $0.00 $0.00 $660.00 364 - 1 11/21/08 $648.00 $0. 0 $0.00 $648.00 365 86 - 1 11/21/08 $612.00 $0.00 $0.00 $612.00 36 1 - 1 11/23/08 $416.000. 0. 0 $ 1 .0 367 - 1 11/24/08 $648.00 $0.00 $0. 6 . 0 368 870272-01 11/26/08 $720.000. 0.00 $720.00 369 810354-01 11/26/08 $612.00 $0.00 $0.00 $612.00 370 830730-01 11/27/08 $840.00 $0.000. 0 . 0 371 71-01 11/ /08 $900.00 $0.000. 0 $900.00 372 890328-01 11/29/08 $696.000. 0. 0 $696.00 7 - 1 11/30/08 $612.000.0 0. 0 $61Z00 374 880633-01 11/30/08 $612.00 $0.00 $0.00 61 . 375 830742-01 12/05/08 $816.00 $0.00 $0.00 $816.00 76 371- 1 12/05/08 $828.000. 0 $0.00 $828.00 377 07 - 1 1 /0 / 8 $500.00 $0.00 $0.00 $500.00 378 830748-01 12/06/08 $840.00 $0.00 $0.00 $840.00 379 8 07 2-01 12/09108 $816.00 $0.00 $0.00 $816.00 380 7 - 1 12/09/08 $840.00 $0.00 $0.00 $ 0.00 1 72 - 1 12/10/08 $744.000. 0. 0 $744.00 382 7 -01 12/10/08 $116.43 $0.00 $0. $116.43 383 06 - 1 12/11/08 $696.000.00 $0.00 $696.00 384 -0 12/11/08 $696.00 $0.00 $0. 0 $696.00 385 86 - 12/11/08 $696.000.00 $0.00 $696.00 6 76 - 1 12/12/08 $636.00 $0.00 $0.00 $636.00 7 06 - 1 1 /1 / 8 $624.00 $0.000. 0 $624.00 388 820343-01 12/13/08 $400.00 $0.00 $0.00 $400.00 389 76 - 1 1 /1 / 8 $828.00 $0.00 $0.00 $828.00 390 817 - 1 12/16/08 $840.00 $0.00 $0.00 $840.00 1 89- 1 12/17/08 $720.00 $0.00 $0.00 $720.00 2 76 - 1 12/17/08 $912.00 $0.00 $0.00 $912.00 3 820 -01 12/17/08 $266.130.00 $0.00 $ 66.13 394 880661-01 12/18/08 $672.00 $0.00 $0.00 $672.00 395 810384-01 12/19/08 $840.00 $0.00 $0.00 $840.00 396 830771-01 12/19/08 $357.15 $0.00 .00 $57.15 7 17- 1 12/20/08 $ . 0 $0.00 $0. 0 $ .00 398 820349-01 12/20/08 $624.00 $0.00 $0.006 .0 399 880671-01 12/23/08 $612.00 $0. 0 $0.00 $61 .00 400 870291-01 12/24/08 $648.00 $0.00 $0.00 $648.00 1 377 - 1 12/24/08 $ 6 . 0 $0.00 $0.00 $864.00 402 72- 1 12/25/08 $624.00 $0.00 $0. 0 $624.00 403 67 - 3 12/26/08 $624.00 $0.00 $0.00 $624.00 404 890350-01 1 / / 8 $612.00 $0.00 $0.00 $ 1 .00 5 07 - 1 12/ 6/08 $74.80 $0.00 $0.00 $74.80 406 7 - 1 12/27/08 $68.37 $0.00 $0.00 $6 .37 7 77- 1 12/28/08 $117.75 $0.00 $0.00 $117.75 7 Exhibit Monroe County Fire Rescue Ground Ambulance Account Receivables October 2013 Write-Offs 408 870296-01 12/28/08 $840.00 $0.00 $0.00 $840.00 409 810397-01 12/28/08 $70.00 $0.00 $0.00 $780.00 10 07 - 1 12/30/08 $61 .00 $0.00 $0.00 $612.00 11 07 -01 12/30/08 $764.00 $0.00 $0.00 $764.00 412 830793-01 12/30/08 $744.00 $0.00 $0.00 $744.00 13 00-01 12/31/08 $612.00 $0. 0 $0.00 $612.00 414 870297-01 12/31/08 $7 .00 $0.00 $0.00 $744.00 14 IVISB Write Offs Ground2012 $235,984.91 4: 1 Original balance( r Balance when sent to cct# DOS Adjustmentse Final Balance These accounts are with MSB(DOS=01/01/ 009- 12/31/2009) 1 900 - 1 1/01/09 $612.00 $0.00 $0.00 $ 1 .00 3000 -0 1/01/09 $840.00 $0.00 $0.00 $840.00 3 000 -0 1/02/09 $648.00 $0.00 $0.00 $648.00 000 - 1 1/03/09 $804.00 $0.00 $0.00 $804.00 0007-02 1/03/09 $347.00 $0.00 $0.00 $ 7.00 6 7000 -01 1/04/09 $840.00 $0.00 $0.00 $840.00 7 1000 - 1/04/09 $592.00 $0.00 $0.00 $592.00 007-0 1/05/09 $6 .00 $0.00 $0.00 $684.00 9 9001 -01 1/11/09 $612.00 $0.00 $0.00 $612.00 10 300 -01 1/11/09 $924.00 $0.00 0.00 $924.00 11 025-01 1/14/09 $612.00 $0.00 $0.00 $612.00 12 003 -01 1/16/09 $636.00 $0.00 $0.00 $636.00 13 93003 -01 1/16/09 $840.00 $0.00 $0.00 $840.00 14 990014-01 1/16/09 $636.00 $0.00 $0.00 $636.00 15 920021-01 1/19/09 $612.00 $0.00 $0.00 $612.00 16 00037-01 1/19/09 $ 6.00 $0.00 $0.00 $ 36.00 17 0000-01 1/19/09 $612.00 $0.00 $0.00 $ 1 .00 18 990017-01 1/19/09 $624.00 $0.00 $0.00 $ 2 .00 19 98001-01 1/ 0/09 $612.00 $0.00 $0.00 $612.00 0 0 -0 1/20/09 $ 0.00 $0.00 $0.00 $20.00 1 91002 -01 1/22/09 $80 .00 $0.00 $0.00 $804.00 22 0 -01 1/22/09 $636.00 $0.00 $0.00 $636.00 3 001 -01 1/23/09 $720.00 $0.00 $0.00 $720.00 24 00-0 1/23/09 $136.80 $0.00 $0.00 $16. 0 25 000-0 1/ /09 $136.80 $0.00 $0.00 $136.80 6 307 1/25/09 $660.00 $0.00 $0.00 $660.00 7 7001 -01 1/ /09 $780.00 $0.00 $0.00 $780.00 8 00 -01 1/28/09 $61 .00 $0.00 $0.00 $612.00 29 005 -01 1/2 /09 $612.00 $0.00 $0.00 $612.00 30 9000-01 1/28/09 $648.00 $0.00 $0.00 $648.00 31 800 -01 1/ 9/09 $636.00 $0.00 $0.00 $636.00 32 9006 - 1 1/29/09 $ . 7 $0.00 $0.00 $ .27 3 1003 -01 1/31/09 $804.00 $0.00 $0.00 $804.00 34 930052-01 1/31/09 $133.91 $0.00 $0.00 $133.91 35 930051-01 1/31/09 $ .00 $0.00 $0.00 $828.00 36 70020-01 2/01/09 $5 . 3 $0.00 $0.00 $545.53 37 9100 -01 2/04/09 $864.00 $0.00 $0.00 $ .00 38 91006-01 2/04/09 $852.00 $0.00 $0.00 $ .00 39 900 -01 2/0 /09 $512.00 $0.00 $0.00 $512.00 0 907-01 2/05/09 $732.00 $0.00 $0.00 $732.00 1 0076-01 2/06/09 $624.00 $0.00 $0.00 $624.00 42 07 -01 2/08/09 $660.00 $0.00 $0.00 $660.00 43 00 -01 2/09/09 $624.00 $0.00 $0.00 $624.00 44 001-01 2/0 /09 $612.00 $0.00 $0.00 $612.00 45 100 -01 /10/09 $672.00 $0.00 $0.00 $672.00 Exhibit MonroeCounty Fire Rescue Ground Ambulance Account Receivables October 2013 Write-Offs 6 - 1 2/10/09 $612.000. 0. $612.00 7 067- 1 2/11/09 $864.000. 0. 6 . 0 48 - 1 2/11/09 $624.000. 0. 6 . 0 49 1 - 1 2/11/09 $113.39 $0.00 $0. $113.39 50 - 1 /12/09 $612.00 $0.000. $612.00 1 71- 1 2112/09 $864.00 $0.00 $0.00 $864.00 52 7 - 1 2/13/09 $792.000. 7 .0 54 10 - 1 /1 / 9 $828.00 $0.000. . 0 55 - 1 2/15/09 $780.00 $0.00 $0. $780.00 56 7- 1 2/15/09 $624.00 $0. 0 $0.00 $624.00 7 72 - 1 2/16/09 $960.00 $0.00 $0.006 .0 58 -02 2/16/09 $612.00 MOO $0.0061 . 59 - 1 2/17/09 $804.00 $0.00 $0.00 $804.00 60 - 1 2/17/09 $696.00 MOO $0.00 $696.00 1 1 - 1 2/18/09 $612.000. 0. 0 $612.00 62 1 -01 2/18/09 $840.00 $0.000. 0 $840.00 3 - 1 2/18/09 $816.000. 0. 0 $816.00 65 17- 1 2/20/09 $648.000.00 $0.00 $648.00 66 7 - 1 2/20/09 $840.00 $0.00 $0.00 $ 0.0 7 - 1 2/21/09 $756.000. 0. $756.00 68 7- 1 2/23/09 $900.000.0 0.0 $900.00 69 - 1 2/24/09 $612.00 $0. 0 $0.00 $612.00 70 980111-01 2/24/09 $648.000. 0. 6 .0 71 1 - 1 2/24/09 $696.000.0 0. 696. 0 72 910072-01 2/25/09 $852.00 $0.00 $0.00 $852.00 73 1 -01 2/26/09 $525.60 $0.00 $0.00 $525.60 74 980113-01 2/26/09 $624.000. 0. 62 .00 75 910076-01 2/27/09 $792.00 $0.00 $0.00 $792.00 76 -01 2/27/09 $648.00 $0.00 $0.00 $648.00 77 71- 1 2/28/09 $672.000.00 $0.00 $672.00 78 910077-01 2/28/09 $133.91 $0.00 $0.00 $1 . 1 79 930113-01 3/01/09 $330.35 $0.000.0 .3 0 17- 1 3/02/09 $612.00 $0.00 $0.00 $612.00 1 81 - 1 3/04/09 $222.64 $0. 0 $0.00 $222.64 82 0 -02 3/07/09 $624.00 $0. 0 $0.00 $624.00 83 11 - 1 3/07/09 $948.000. 0.0 .00 84 13 - 1 3/09/09 $624.00 $0.00 $0.006 . 0 85 271-01 3/11/09 $612.000.0 0. 61 . 0 6 - 1 3/12/09 $612.000.00 $0.00 $612.00 7 1 - 1 3/12/09 $840.000. 0 $0.00 $840.00 88 1 - 1 /1 9 $672.00 $0.000. $672.00 89 1 - 1 3/13/09 $233.06 $0.000. 33.0 90 1 - 1 3/14/09 $624.00 $0.00 $0.00 $624.00 1 -01 3/14/09 $660.00 $0.00 $0.00660. 0 2 16- 1 3/14/09 $648.00 $0.00 $0.00 $648.00 93 10 -01 3/16/09 $840.000. 0 $0.00 $840.00 94 1 - 1 3/17/09 $804.00 $0.00 $0.00 . 95 1101- 1 3/18/09 $100.00 $0.00 $0.00 $100.00 96 930138-01 3/19/09 $900.00 $0.00 $0.00 $900.00 7 07 -02 3/20/09 $684.000. 0. $ .0 98 9 - 1 3/22/09 $672.000. $0. 67 .00 99 - 1 3/22/09 $612.000. 0. 0 $612.00 100 930145-01 3/23/09 $131.13 $0.00 $0.00 $131.13 11 11- 1 3/24/09 $61 . 0 $0.00 $0.0061 . 102 980165-01 3/25/09 $612.000. 0 $0. $612.00 103 91 - 1 3/25/09 $612.00 $0.00 $0.0061 . 104 917-01 3/26/09 $612.00 $0.00 $0.00 $612.00 Exhibit Monroe County Fire Rescue Ground Ambulance Account Receivables October 2013 Write-Offs 105 930148-01 3/26/09 $125.58 $0. 0 $0. 0 $125.58 106 920087-01 3/28/09 $624.000. 0. 0 $624.00 17 171- 1 3/29/09 $612.00 $0.00 $0.00612. 108 930156-01 / 1/ 9 $128.35 $ 0 $0.00 $128.35 109 980178-01 4/01/09 $624.000. 0.0 $624.00 110 990103-01 4/01/09 $612.00 $0.00 $0.0061 .0 111 910 - 1 4/02/09 $660.000. 0 $0.00 $660.00 112 910123-01 4/04/09 $658.79 $0. 0 $0.00 $658.79 113 18 - 1 4/05/09 $648.000.00 $0.00 $648.00 114 930167-01 4/06109 $828.00 $0.00 $0.00 $828.00 115 980188-01 4/06/09 $624.000. 0.0 $624.00 116 930172-01 4/07/09 $840.00 $0.000. $840.00 117 1 -02 4/08/09 $6 .00 $0.00 $0.0062 .00 118 980194-01 /10/ 9 $612.00 $0.00 $0.00 $612.00 119 980195-01 4/11/09 $612.00 $0.00 $0.00 $612.00 10 91 - 1 4/12/09 $636.000. 0.00 $636.00 11 1-01 4/13/09 $612.00 $0.00 $0.00 $61 . 0 122 980203-01 4/14/09 $636.00 $0.00 $0. 0 $636.00 123 930184-01 4/14/09 $82.80 $0.00 $0.00 $82.80 124 980207-01 4/16/09 $612.00 $0.00 $0.00 $ 12.0 12 - 1 4/16/09 $612.000.0 0.0 61 .00 126 920116-01 4/17/09 $624.00 $0.00 $0. 0 $624.00 17 1 -01 4/18/09 $860.00 $0.00 . $86 .00 128 930194-01 4/19/09 $ 6 . 0 $0.00 $0.00 $864.00 129 977- 1 4/19/09 $804.00 $0.000.0 $804.00 130 910138-01 4/21/09 $768.00 $0.00 $0.00 $76 . 0 131 90 - 1 4/21/09 $912.00 $0.00 $0.00 $91 . 0 132 990131-01 4/23/09 $624.000. 0.0 $624.00 133 920125-01 4/23/09 $612.00 $0.00 $0.00 $ 1 . 0 134 910142-01 4/24/09 $992.00 $0.00 $0.00 $992.00 13 - 1 4/24/09 $122.80 $0. 0 $0.00 $122.80 16 - 1 /2 /09 $624.00 $0.000.0 6 . 0 17 11 - 1 4/26/09 $888.00 $0.000.0 $888.00 138 970074-01 4/27/09 $600.00 $0.000.00 $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 KOO $624.00 141 0 - 1 4/29/09 $612.00 $0.00 $0. 61 . 0 142 970077-01 / /09 $ . 0 $0.00 $0.00 $828.00 1 - 1 / 1/09 $612.00 $0.000.0 $612.00 144 970080-01 5/01/09 $756.000. $0.00 $756.00 145 80232-01 5/01/09 $612.00 $0.00 $0.00 $612.00 1 - 1 5/03/09 $816.00 $0.00 $0.00 $816.00 17 - 1 5/04/09 $612.00 $0.00 $0.00 $612.00 148 913- 1 5/04/09 $624.000. 0 $0.00 $624.00 149 910147-01 5/04/09 $876.00 $0.00 $0.00 $876.00 150 90 - 1 5/04/09 $612.00 $0.00 $0.00 $612.00 11 - 1 5/05/09 $852.00 $0.00 $0.00 $852.00 1 - 1 5/06/09 $612.000. 0. 612. 0 153 930236-01 5/07/09 $648.00 $0.000.0 $648.00 154 800848-01 5/10/08 $518.00 $0.000. 1 . 0 1 - 1 5/11/09 $672.00 $0.00 $0.00 $672.00 16 00- 1 5/12/09 $61 .00 $0.00 $0.00 $612.00 17 6 - 1 /12/09 $612.00 $0.00 $0.00 $612.00 158 96 -01 5/13/09 $6 .00 $0.00 $0.00 $624.00 159 917-01 5/13/09 $107.200. 0.0 $107.20 160 6 - 1 /13/ 9 $612.00 $0.00 $0.00 $612.00 11 201 - 1 5/14/09 $636.00 $0.00 $0.00 $636.00 162 970 -01 5/15/09 $142.00 $0.00 $0.00 $1 . 0 163 01 - 1 5/15/09 $612.00 $0.00 $0.0061 .00 Exhibit MonroeCounty Fire Rescue Ground Ambulance Account Receivables October 2013 Write-Offs 16 - 1 5/15/09 $ . 0 $0.00 $0.00 . 0 1 -01 5/16/09 $828.000.00 $0.00 $828.00 166 980270-01 5/17/09 $612.000. 0 $0.00 $612.00 167 7- 1 5/17/09 $828.00 $0.000.0 . 0 168 970093-01 5/17/09 $300.580.0 0.0 $300.58 169 990164-01 5/17/09 $194.40 $0.000. $1 . 0 170 86 - 1 5/17/09 $624.000. 0. $624.00 171 5 - 1 5/17/09 $636.00 $0.00 $0.0066. 172 910167-01 5/17/09 $184.80 $0.00 0. 18 . 0 173 980272-01 5/18/09 $624.00 $0.00 $0.00 $ . 0 174 930260-01 5/18/09 $936.000. 0.0 6. 0 175 980273-01 5/19/09 $612.000. 0. 61 . 0 176 6 -01 5/20/09 $852.00 $0.00 $0.008 .0 177 11 - 1 5/20/09 $297.740. 0 $0.00 $ 7.7 178 980276-01 5/21/09 $624.00 $0.00 $0.00 $624.00 179 970097-01 5/22/09 $744.000. 0. 7 .0 180 97 - 1 5/23/09 $756.000. 0. 76.00 11 7 - 1 5/23/09 $612.00 $0.00 $0.00 $612.00 182 910172-01 5/23/09 $370.720. $0.00 $370.72 13 21 - 1 5/24/09 $612.000. 0.00 $612.00 1 - 1 5/24/09 $612.00 $0.00 $0.00 $612.00 185 930269-01 5/25/09 $840.00 $0.00 $0.00 $ .0 186 7 - 1 5/29/09 $696.000. $0.00 $696.00 17 7 - 1 5/29/09 $87.10 $0.000. 7.10 188 990183-01 5/31/09 $231.47 $0.00 $0.0031. 7 19 710 - 1 / 1/ 9 $780.00 $0.00 $0.00 $780.00 190 920168-01 5/31/09 $624.00 $0.000. $ . 0 11 - 1 6/01/09 $624.00 $0.00 $0.00 $624.00 192 91 - 1 6/01/09 $696.000. 0 $0.00 $696.00 193 920171-01 6/01/09 $812.00 $0.00 $0.00 $812.00 1 - 1 6/02/09 $624.000.0 0. 6 .0 1 - 1 6/02/09 $61 .00 $0.00 $0.00 $612.00 16 93 - 1 6/04/09 $101.40 $0.00 $0.00 $11. 0 17 90 - 1 6/04/09 $612.00 $0.00 $0.00612. 0 198 980305-01 6/05/09 $624.000. $0. 0 $624.00 199 930291-01 6/06/09 $816.00 .0 0. $816.00 200 1 - 1 6/07/09 $732.000. 0. $732.00 1 901 - 1 6/07/09 $756.000.00 $0.00 $756.00 202 111- 1 6/07/09 $744.000.0 74.00 203 - 1 6/07/09 $900.00 $0.00 $0.00 $900.00 204 711 - 1 6/07/09 $780.00 $0.00 $0.007 . 0 206 910195-01 6/09/09 $980.00 $0.00 $0.00 $980.00 7 - 1 6/10/09 $840.00 $0.00 $0.000.00 208 909198-01 /1 / 9 $660.00 $0.000. 0 $660.00 209 980312-01 6/10/09 $612.000. $0.00 $612.00 210 970117-01 6/11109 $696.00 $0.00 $0.00 $696.00 11 - 1 6/11/09 $852.00 $0.00 $0.00 $852.00 212 980315-01 6/12/09 $624.00 $0.00 $0.00 $624.00 213 990202-01 6/13/09 $660.000.0 0. $660.00 1 1- 1 6/13/09 $660.000. 0. 0 $660.00 215 980317-01 6/13/09 $624.00 $0. 0 $0.00 $624.00 16 17 -01 6/13/09 $612.000. 0. 0 $612.00 17 07-01 6/13/09 $864.00 $0.00 $0.00 $864.00 18 1- 1 6/15/09 $624.000.0 0.0 6 . 0 219 930315-01 6/15/09 $816.000.0 0. 16. 0 220 16- 1 6/16/09 $864.00 $0.00 $0.006 . 0 1 7- 1 6/18/09 $6 .00 $0.00 $0.00 $624.00 222 11 -01 6/20/09 $780.000. 0.00 $7 . 0 1 Exhibit Monroe County Fire Rescue Ground Ambulance Account Receivables October 2013 Write-Offs 223 980331-01 6/20/09 $624.000. 0. 0 $624.00 224 -01 6/20/09 $828.00 $0.00 $0.00 . 5 71 - 1 6/ /09 $840.00 $0.00 $0.00 $840.00 6 - 1 6/20/09 $660.000.0 $0. 66 . 0 7 - 1 6/21/09 $624.00 $0.00 $0.00 $624.00 228 - 1 6/21/09 $624.00 $0.000.00 $624.00 229 -01 6/21/09 $624.00 $0.000. $624.00 230 990210-01 6/21/09 $272.680. $0.00 $ 7 .6 1 - 1 6/23/09 $636.00 $0.00 $0.00 $636.00 232 19 - 1 6/23/09 $612.00 $0.00 $0.0061 .0 3 1- 1 6/24/09 $828.00 $0.00 $0.00 $828.00 234 - 1 6/25/09 $924.00 $0.00 $0.00 .00 235 - 1 6/26/09 $876.00 $0.00 $0.00 $876.00 6 9 - 1 6/27/09 $636.000. 0. $636.00 238 1 - 1 6/29/09 $612.000. 0. 0 $612.00 239 711- 1 6/30/09 $27.340. 0.00 $27.34 240 - 1 7/01/09 $170.40 $0.00 $0.00 $170.40 41 - 1 7/01/09 $121.000. 0. $11. 0 242 - 1 7/02/09 $624.000. 0 $0.00 $624.00 243 - 1 7/03/09 $912.000.0 0. 0 $912.00 244 - 1 7/04/09 $624.00 $0.00 $0. 6 .0 46 01- 1 7/07/09 $648.000. $0.00 $648.00 7 3 -01 7/08/09 $624.000. 0. 6 . 0 248 8 - 1 7/09/09 $66 . 0 $0.00 $0.00 $660.00 249 5 - 1 7/09/09 $612.000. 0 $0.00 $612.00 0 6 - 1 7/10/09 $648.00 $0.00 $0.00 $648.00 1 6 - 1 7/11/09 $624.000. 0 $0.00 $624.00 253 7 - 1 7/13/09 $612.000.00 $0.00 $612.00 254 71 -01 7/13/09 $756.00 $0.00 $0.0076. 255 7- 1 7/14/09 $624.000. 0. $624.00 6 6 - 1 7/14/09 $624.000. 0 $0.00 $624.00 7 971-01 7/14/09 $944.00 $0.000. $944.00 258 6 - 1 7/16/09 $612.000.00 $0.00 $612.00 259 7 - 1 7/17/09 $828.00 $0.00 $0.00 $828.00 260 910237-027/17/09 $95.00 $0.00 $0.00 $95.00 61 7 - 1 7/18/09 $612.000. 0. 61 .00 262 980373-01 7/18/09 $612.000. 0. 61 .00 263 910239-01 7/18/09 $121.41 $0.00 $0.0011. 1 264 980379-01 7/20/09 $624.000. 0. 6 . 0 6 1- 1 7/ 1/ 9 $672.00 $0.00 $0. 0 $672.00 66 - 1 7/21/09 $828.00 $0.000. 0 $828.00 7 1- 7/21/09 $612.000.00 $0.00 $612.00 6 1- 1 7/21/09 $612.00 $0.00 $0. 0 $612.00 6 -01 7/23/09 $624.000. 0. 6 .00 27 6- 1 7/24/09 $104.76 0.00 $0.00 $104.76 71 7- 1 7/25/09 $648.00 $0.00 $0. 6 . 0 272 910246-01 7/25/09 $7 . 0 $0.00 $0.00 $792.00 7 -01 7/ 7/ 9 $624.00 $0.00 $0.00 $624.00 7 - 1 7/28/09 $624.00 $0.00 $0.00 $624.00 7 - 1 7/ / 9 $612.00 $0.000.0 61 .00 76 1 - 7/31/09 $936.000. 0.0 6. 0 77 - 1 7/31/09 $912.000.00 $0.00 $912.00 278 970157-01 8/01/09 $852.00 $0.00 $0.00 $852.00 7 1- 1 8/01/09 $624.00 $0.00 $0.00 $ .00 280 970158-01 8/01/09 $888.00 $0.00 $0.00 $888.00 1 1 - 1 8/02/09 $624.00 $0.000. 6 .00 Exhibit Monroe County Fire Rescue Ground Ambulance Account Receivables October 2013 Write-Offs 28 - 1 /02/09 $672.00 $0.00 $0. 67 . 0 283 1 - 1 8/04/09 $672.000. 0 $0.00 $672.00 2 -01 8/04/09 $ 11. 5 $0.00 $0.00 $211.55 285 162- 1 8/05/09 $864.00 $0.00 $0.00 $864.00 286 81 - 1 8/05/09 $624.00 $0.000. $624.00 7 17- 1 8/05/09 $912.000. 0 $0.00 $912.00 288 - 1 8/05/09 $672.00 $0.00 $0.00 $672.00 289 930423-01 8/07/09 $840.00 $0.00 $0.00 $840.00 290 9 - 1 8/08/09 $828.00 $0.000.00 $828.00 1 - 1 8/08/09 $624.00 $0.00 $0.00 $624.00 292 - 1 8/09/09 $624.000. 0. $ 2 . 0 2 - 1 8/10/09 $648.00 $0.00 $0.006 .00 294 990263-01 8/12/09 $720.000.0 0. 0 $720.00 295 926-01 8/13/09 $672.00 $0.00 $0. 0 $672.00 6 1- 1 8/13/09 $612.000. $0.00 $612.00 7 7167- 1 8/14/09 $756.000. 0.0 $756.00 298 3 - 1 8/15/09 $840.00 $0.00 $0.00 $840.00 9 36- 1 8/16/09 $672.000.0 0. 0 $672.00 300 177-01 8/18/09 $852.000. 0 $0.00 $852.00 01 - 1 8/18/09 $624.00 $0.00 $0.00 $624.00 0 - 1 8/20/09 $624.00 $0.00 $0.00 $624.00 303 990271-01 8/21/09 $732.000.00 $0.00 $732.00 304 910285-01 /22/09 $828.00 $0.00 $0.00 $828.00 305 920264-01 8/22/09 $ 1 . 0 $0.00 $0.00 $612.00 306 970176-01 8/22/09 $756.00 $0.00 $0.00 $756.00 7 - 1 8/24109 $792.00 $0.00 $0.00 $792.00 3 - 1 8/24/09 $624.000. 0 $0.00 $624.00 309 990272-01 8/24/09 $660.00 $0.00 $0.00 $660.00 310 930452-01 8/24/09 $864.00 $0.00 $0. 0 $864.00 311 0 - 1 8/26/09 $924.00 $0.00 $0.00 $924.00 312 91- 1 8/27/09 $624.00 $0.00 $0.00 $64.00 313 6 - 1 8/28/09 $816.00 $0.00 $0.00 $816.00 314 920269-01 8/28/09 $648.00 $0.00 $0.00 $648.00 315 980463-01 8/28/09 $624.00 $0.00 $0. $62 . 0 16 66- 1 8/29/09 $612.00 $0.00 $0.00 $612.00 317 61- 1 8/29/09 $ 00. 0 $0.00 $0.000. 318 980468-01 / /09 $624.00 $0.00 $0.00 $624.00 319 907 - 1 8/30/09 $624.00 $0. 0 $0.00 $624.00 320 7 - 1 8/30/09 $636.000. 0.00 $636.00 1 4 - 1 / 1/ 9 $852.00 $0.00 $0.00 $852.00 322 71-01 8/31/09 $624.00 $0.00 $0.00 $624.00 323 980477-01 9/02/09 $624.00 $0.00 $0.00 $624.00 324 7 - 1 /03/ 9 $624.00 $0.00 $0.00 $624.00 325 910294-01 9/04/09 $804.00 $0.00 $0.00 $804.00 6 - 1 9/05/09 $660.00 $0.00 $0.006 . 37 - 1 / /09 $648.00 $0.00 $0.00 $648.00 328 374- 1 9/06/09 $792.00 $0.00 $0.00 $792.00 329 - 1 9/09/09 $624.000.00 $0.00 $624.00 330 980494-01 9/09/09 $612.000.00 $0.00 $612.00 31 - 1 9/12/09 $624.00 $0.00 $0.0062 . 332 930484-01 /12/09 $840.00 $0.00 $0.00 $840.00 333 0 -01 9/14/08 $6 . 0 $0.00 $0.00 $689.00 334 9 - 1 9/16/09 $443.00 $0.00 $70.00 $373.00 335 910309-01 9/18/09 $900.00 $0.00 $0. 0 $900.00 6 11 -02 9/19/09 $804.00 $0.00 $0.00 $804.00 337 813-01 9/19/09 $612.00 $0.00 $0.00 $612.00 338 980512-01 9/19/09 $612.00 $0.00 $0.00 $612.00 3 7- 1 9/20/09 $684.00 $0.00 $0.00 $684.00 340 1 -01 9/20/09 $624.000. 0.00 $624.00 1 Exhibit A Monroe County Fire Rescue Ground Ambulance Account Receivables October 2013 Write-Offs 31 051 - 1 9/20/09 $ 1 .00 $0.00 $0.00 $612.00 342 930506-01 9/21/09 $245.060.00 $0.00 $245.06 3 27 -01 9/21/09 $720.00 $0.00 $0.00 $720.00 344 930507-01 9/22/09 $876.00 $0.00 $0.00 $876.00 345 900 -01 9/22/09 $876.00 $0.00 $0.00 $876. 0 6 0510-01 9/22/09 $ 0.00 $0.00 $0.00 $880.00 37 01 -01 9/23/09 $840.00 $0.00 $0.00 $840.00 348 013-01 9/24/09 $840.00 $0.00 $0.00 $840.00 9 101-02 9/26/09 $357.64 $0.00 $0.00 $357.64 0 02 -01 / 6/ 9 $6 .00 $0.00 $0.00 $624.00 351 0 -01 9/28109 $804.00 $0.00 $0.00 $804.00 352 9302 -01 9/30/09 $924.00 $0.00 $0.00 $924.00 33 102 -0 10/01/09 $828.00 $0.00 $0.00 $828.00 354 8030-01 10/02/09 $660.00 $0.00 $0.00 $660.00 355 970194-01 10/ /09 $852.00 $0.00 $0.00 $852.00 6 030 - 1 10/04/09 $624.00 $0.00 $0.00 $ .00 57 033-01 10/04/09 $792.00 $0.00 $0.00 792.00 358 06-01 10/05/09 $624.00 $0.00 $0.00 $6 .00 59 -01 10/05/09 $612.00 $0.00 $0.00 $612.00 60 07-01 10/0 /09 $828.00 $0.00 $0.00 $828.00 1 2-02 10/06/09 $67 .00 $0.00 $0.00 $672.00 362 99010-01 10/06/09 $68 .00 $0.00 $0.00 $684.00 363 970197-01 10/07/09 $ 0.00 $0.00 $0.00 $ 0.00 364 980548-01 10/07/09 $624.00 $0.00 $0.00 $624.00 365 990312-01 10/07/09 $696.00 $0.00 $0.00 $696. 0 366 053 -01 10/08/09 $804.00 $0.00 $0.00 $804.00 67 9031 -01 10/08/09 $379.460.00 $0.00 $379.46 368 930539-01 1010 /09 $852.00 $0.00 $0.00 $852.00 369 -01 10/10/09 $612.00 $0.00 $0.00 $612.00 370 90557-01 10/10/09 $61 .00 $0.00 $0.00 $612.00 371 905 -01 10/11/09 $624.00 $0.00 $0.00 $62 .00 372 970200-01 10/11/09 $223.06 $0.00 $0.00 $223.06 373 053-01 10/13/09 $ 9.00 $0.00 $0.00 $ .00 374 980564-01 10/14/09 $66 . 3 $0.00 $0.00 $66 .23 375 910343-01 10/14/09 $840.00 $0.00 $0.00 $840.00 76 905-01 10/15/09 $900.00 $0.00 $0.00 $900.00 377 3057-01 10/16/ 9 $ 16.00 $0.00 $0.00 $ 1 .00 378 980568-01 10/16/09 $612.00 0.00 $0.00 $612.00 379 970201-01 10/17/09 $780.00 $0.00 $0.00 $780.00 0 927-01 10/18/09 $ .00 $0.00 $0.00 $8 .00 1 029 -01 10/18/09 $96.43 $0.00 $0.00 $96.43 382 980572-01 10/19/09 $624.00 $0.00 $0.00 $624.00 33 9103 -01 10/19/09 $150.00 $0.00 $0.00 $150.00 384 990328-01 10/19/09 $720.00 $0.00 $0.00 $720.00 385 910 -01 10/19/09 $ 0 .00 $0.00 $0.00 $804.00 6 057 -01 10/ /09 $660.00 $0.00 $0.00 $660.00 7 920301-01 10/23/09 $744.00 $0.00 $0.00 $744.00 38 07 -01 10/23/09 $624.00 $0.00 $0.00 $624.00 389 930557-01 10/ 3/09 $ .00 $0.00 $0.00 $ 88.00 90 0 -01 10/24/09 $6 .00 $0.00 $0.00 $624.00 391 80 -01 10/ /0 76. 0 $0.00 $0.00 $76.60 392 980581-01 10/24/09 $612.00 $0.00 $0.00 $612.00 393 920304-01 10/25/09 $624.00 $0.00 $0.00 $6 .00 394 9007-01 10/ 6/09 $612.00 $0.00 $0.00 $612.00 95 900-01 10/ 7/ 9 $61 .00 $0.00 $0.00 $612.00 396 030 -01 10/28/09 $624.00 $0.00 $0.00 $624.00 397 08- 1 10/29/09 $672.00 $0.00 $0.00 $672.00 398 930568-02 10/ 1/ 9 $828.00 $0.00 $0.00 $82 .00 399 002-01 10/31/09 $6 .00 $0.00 $0.00 $624.00 1 Exhibit MonroeCounty Fire Rescue Ground Ambulance Account Receivables October 2013 Write-Offs--- 400 936 - 1 10/31/09 $828.00 $0.000. .0 1 - 1 10/31/09 $624.00 $0.00 .00 $62 .0 402 97006- 1 10/31/09 $888.00 $0.000. .00 403 7 - 1 10/31/09 $768.000.00 $0.0 $768. 0 404 6 - 1 11/01/09 $612.00 $0. 0 $0.00 $612.00 405 70- 1 11/01/09 $828.000. 0. 2 . 0 406 067- 1 11/01/09 $612.000. $0. $612. 0 7 77- 1 11/01/09 $136.320.0 $0.00 $136.32 408 6 - 1 11/02/09 $90.180. 0.00 $90.18 409 91 - 1 11/ / 9 $624.00 $0.00 $0.00 $624.00 410 920311-01 11/03/09 $624.00 $0.00 $0.00 $624.00 11 1 - 1 11/07/09 $612.000.0 0.0 1 . 0 412 97 -01 11/08/09 $816.000.00 $0. 0 $816.00 13 1 - 1 11/09/09 $201.06 $0.00 $0.001. 1 - 11/11109 $708.00 $0.00 $0.00 $708.00 415 990353-01 11/11/09 $600.000.0 $0. $600.00 416 910374-01 11/11/09 $304.120. 0 $0.00 $304.12 17 31- 1 11/12/09 $624.00 $0.00 $0.00 $624.00 1 2-01 11/12/09 $636.000. 0. 66.00 1 - 1 11/12/09 $624.000. 0.0 $624.00 420 177- 1 11/13/09 $876.000. 0 $0. 0 $876.00 1 06 - 1 11/13/09 $624.00 $0.00 $0.006 . 2 17 - 1 11/13/09 $7 .00 $0.00 $0.007 . 423 9806 -01 11/14/09 $624.000. 0. $624.00 2 3- 1 11/14/09 $624.00 $0.00 $0.00 $624.00 2 - 1 11/15/09 $624.00 $0.00 $0.00 $ 2 .00 6 8063 - 1 11/15/09 $612.00 $0.00 $0.00 $612.00 7 061- 11/15/09 $624.000. 0. 0 $624.00 428 71 - 1 11/15/09 $7 .00 $0.00 $0. $780.00 429 91031- 1 11/15/09 $122.400.0 0. 0 $1 . 0 3 - 1 11/17/09 $624.00 $0. 0 $0.00 $624.00 1 6 -01 11/18/09 $684.00 $0. 0 $0.00 $684.00 432 9 - 1 11/18/09 $864.00 $0.00 $0.00 $ .00 33 90 - 1 11/18/09 $636.00 $0.00 $0.00 $636.00 434 2- 1 11/20/09 $648.00 $0.00 $0.00 $648.00 435 930598-01 11/20/09 $840.000. 0. 0 $840.00 436 920325-01 11/20/09 $612.00 $0.00 $0.0061 . 7 063-01 11/20/09 $624.00 $0.00 $0.00 $624.00 438 - 1 11/21/09 $61 .00 $0.00 $0.0061 . 0 439 61- 1 11/22/09 $ 1 . 0 $0.00 $0.00 $816.00 440 - 1 11/23/09 $924.00 $0.00 $0.0 $92 . 0 1 61- 1 11/23/09 $648.000.0 0.0 $648.00 42 - 1 11/24/09 $612.00 $0.00 $0.00 $612.0 443 06 - 1 11/2 /09 $6 .00 $0.00 $0.00 $624.00 444 367- 1 11/26/09 $720.00 $0. 0 $0.00 $720.00 445 - 1 11/29/09 $672.00 $0.00 $0.00 $672.00 6 701-01 11/ / 9 $612.00 $0.00 $0.00 $612.00 7 1 - 1 11/29/09 $732.00 $0.00 $0.00 $73 . 0 448 061 - 1 11/29/09 $1,136.000. 0 $0.00 $1,16.00 9 - 1 11/30/09 $117.250.00 $0.00. $117.25 450 0661- 1 11/30/09 $636.000.0 0.00 $636.00 51 7 - 1 12/03/09 $744.00 $0.00 $0.00 $744.00 452 0667- 1 12/03/09 $624.00 $0.000. 0 $624.00 3 0 -01 12/03/09 $624.000. 0. 0 $624.00 5 -01 12/03/09 $624.000.00 $0.00 $624.00 455 3 - 1 1 / /09 $207.06 $0.00 $0.00 $207.06 6 67 - 1 12/04/09 $612.00 $0.00 $0.00 $612.00 7 3 - 1 12/07/09 $660.00 $0.00 $0.00 $660.00 458 990392-01 12/08/09 $1,028.00 $0.00 $0.00 $1,02 .00 1 Exhibit Monroe County Fire Rescue Ground Ambulance Account Receivables October 2013 Write-Offs 59 3069-01 1 /09/09 $708.00 $0.00 $0.00 $70 .00 460 9068 -01 12/09/09 $ .00 $0.00 $0.00 $6 .00 61 930631-01 1 /09/09 $936.00 $0.00 $0.00 $936.00 62 9063 -01 12/09/09 $ 12.00 $0.00 $0.00 $912.00 463 990395-01 12/1 /09 $684.00 $0.00 $0.00 $6 .00 464 90636-01 1 /13/09 $792.00 $0.00 $0.00 $792.00 465 980688-01 12/13/09 $624.00 $0.00 $0.00 $624.00 66 06 -01 12/1 /09 $624.00 $0.00 $0.00 $624.00 67 069 -01 1 /1 /09 $61 .00 $0.00 $0.00 $612.00 468 1020-01 1 /16/09 $816.00 $0.00 $0.00 $ 16.00 469 930642-01 12/16/09 $100.00 $0.00 $0.00 $100.00 70 0 97-01 1 11 /09 $612.00 $0.00 $0.00 $612.00 71 9102-01 1 /1 /09 $756.00 $0.00 $0.00 $756.00 472 99000-01 12/20/09 $612.00 $0.00 $0.00 $612.00 473 930649-01 12/ 0/09 $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 1 /21/09 $525.00 $0.00 $0.00 $525.00 76 9070 -01 12/2 /09 $612.00 $0.00 $0.00 $612.00 77 9070 -01 12/ 3/09 $660.00 $0.00 $0.00 $660.00 478 90706-01 1 / 3/09 $636.00 $0.00 $0.00 636.00 79 0710-01 12/25/09 $624.00 $0.00 $0.00 $624.00 0 9900 -01 12/ 6/09 $70.00 $0.00 $0.00 $720.00 1 9109-01 1 /26/09 $804.00 $0.00 $0.00 $804.00 482 97036-01 12/27/09 $756.00 $0.00 $0.00 $756.00 483 90716-01 1 /30/09 $612.00 $0.00 $0.00 $612.00 4 90666-01 12/31/09 $780.00 $0.00 $0.00 $780.00 485 910436-01 1 / 1/09 $107.83 $0.00 $0.00 $107.83 Write Offs Ground FY 2013 $314,416.96 $0.00 $70.00 $314,346.96 Original balance(or Balance when sent t cct# DOS collections) AdjusAdjustments n Final Balance These accounts are with MSB 1 017-01 6/06/10 $612.00 $0.00 $0.00 $612.00 2 07 -01 6/ 1/10 $611.91 $0.00 $0.00 $611.91 103 -01 /1 /10 $840.00 $0.00 $0.00 $840.00 3 Chapter T Bankruptcies $2,063.91 $0.00 $0.00 $2,063.91 902 TOTAL IVISB GROUND WRITEF 9 13 , 5,7 Account ate of Original Balance( r Number Service Balance when sent to AdjustmentsFinal Balance Collections) These accounts are with ADP(DOS=01/01/ 00 - 1 /31/200 ) 1 0000 -01 01/01/08 $545.00 $0.00 $0.00 $545.00 2 800007-01 01/02/08 $554.00 $198.26 $278.41 $77.33 3 0007 -01 01/11/08 $590.00 $0.00 $442.50 $147.50 0007 -01 01/12/08 $716.00 $112.31 $482.95 $120.74 5 0008 -01 01/13/08 $680.00 $0.00 $544.00 $136.00 6 0007-01 01/17/08 $770.00 $127.79 $513.77 $128.44 7 00103-01 01/18/08 $ 09.00 $104.96 $323.23 $80.81 0012 -01 01/23/08 $671.00 $0.00 $0.00 $671.00 9 80010-01 01/23/08 $509.00 $0.00 $0.00 $509.00 10 0011-01 01/24/08 $518.00 $0.00 $0.00 $518.00 11 0015-01 01/28/08 $905.00 $0.00 $0.00 $905.00 16 Exhibit Monroe County Fire Rescue Ground Ambulance Account Receivables October 2013 Write-Offs 1 - 1 02/05/08 $636.001 .9 86. 1 13 800231-01 02/07/08 $509.0010 . 6 $323.23 $80.81 14 800 - 1 02/09/08 $509.00 $1 . 6 $323.23 $80.81 15 800331-01 /16/ 8 $509.00 $0.00 $407.20 $101.80 16 - 1 02/16/08 $509.00 $0.00 $0.00 $509.00 17 3- 1 02/16/08 $509.00 $0.00 $0.00 $509.00 18 800321-01 /17/ _$518.00 $0.000. $ 1 .0 1 - 1 02/19/08 $509.000. $0.00 $509.00 20 067- 1 02/25/08 $509.00 $0.0037. 11. 0 1 61- 1 02/26/08 $608.000. 0 $0.00 $ 0 .0 2 - 1 03/02/08 $815.00 $0.00 $0.00 $ 1 .00 23 -01 0 / / 8 $609.00 $28.23 $464.62 $116.15 24 -01 03/05/08 $545.00 $0.00 $0.00 .0 25 800440-01 03/07/08 $518.00167.33 $280.54 $70.13 6 07 - 1 03/16/08 $780.00 $ . 3 $601.42 $150.35 7 8 - 1 03/16/08 $672.00 $0.00 $0.00 $672.00 28 - 1 03/19/08 $554.00 $104.96 $359.23 $89. 1 29 51 -01 03/21/08 $563.00 $189.72 $ 8.62 $7 .6 0 0012-01 03/22/08 $617.0010 .9 .6 $102. 1 31 - 1 03/22/08 $671.001 . 6 $452.83 $113.21 32 -01 / / 8 $608.00 $104.96 $402.43 $10 .61 33 - 1 / 6/08 $608.00 $104.96 $402.43 $100.61 34 800589-01 03/29/08 $698.00 $0.00 $107.1 35 - 1 04/01/08 $662.00 $149.52 $401.07 $111.41 6 017- 1 04/04/08 $509.00 $0.00 $0.00 $509.00 37 07-01 04/07/08 $518.00 $16 . 1 $248.59 $101.00 3 - 1 04/09/08 $671. 0 $10 .96 $452.83 $113.21 39 800661-01 /1 / 8 $518.00 $0.001 . 0 $103.60 40 7- 1 /11/08 $1,220.00 $0.000.00 $1,220.00 1 7- 1 04/12/08 $518.00 $0.00 $0.00 $518.00 4 - 1 04/13/08 $59. 0 $0.00 $0.0050 .00 43 800682-01 04/14/08 $509.00 $0.00 $0.00 $509.00 44 76 - 1 04/14/08 $509.00 $0.000.0 .0 45 - 1 04/16/08 $590.0017.3 3 .1 $84.53 6 07-01 04/16/08 $545.00 $40.00 $404.00 $101.00 7 6- 1 /17/08 $563.00 $104.96 $366.43 $ 1.61 48 71- 1 04/17/08 $509.00 $104.96 $354.04 $50.00 49 800706-01 0 /1 /08 $70T00 $0.00 $0.00 $707.00 50 76 -01 04/18/08 $518.00 $0.00 $0.00 $518.00 1 71- 1 04/21/08 $ . 0 $0.00 $0.00 $680.00 52 777- 1 04/24/08 $518.00 $0.000.00 $518.00 53 077 - 1 04/26/08 $518.00 $104.96 $330.43 $ .61 54 77-01 04/28/08 $509.00 $0. 0 $237.63 $ 71. 7 55 7 -01 04/29/08 $ 71. 0 $0.00 $0.00 $671.00 6 1 - 1 05/03/08 $554.000.00 $0.00 $554.00 7 - 1 05/06/08 $599.00 $0.00 $412.50 $16. 0 58 7- 1 05/08/08 $518.00 $0.00 $50.00 $ 6 .0 59 001-01 05/11/08 $ .00 $0.00 $489.75 $163.25 0 - 1 05/12/08 $509.00 $106.89 $302.11 $100.00 1 02- 1 05/15/08 $ 1 . 0 $0.00 $0.00 $518.00 62 800893-01 /19/08 $ 9 . 0 $104.96 $388.03 $97.01 63 091 - 1 05/19/08 $825.00 $38.16 $ . 8 $157.36 6 - 1 05/24/08 $554.00 $0.00 $0.00 $554.00 65 07 - 1 05/28/08 $653.00 $308.60 . 0 $20.00 66 7 - 1 05/29/08 $509.00 $167.33 $273.34 $68.33 67 17- 1 06/01/08 $509.00 $0.00 $0.00 $509.00 68 16- 1 06/03/08 $734.00 $0.00 $0.00 $73 .00 69 1 -01 0 /0 / 8 $653.00 $0.00 $0.00 $653.00 70 1 1-01 06/09/08 $653.00 _E_s6.66 $0.00 $653.00 17 Exhibit MonroeCounty Fire Rescue Ground Ambulance Account Receivables October 2013 Write-Offs 71 018- 1 06/09/08 $527.000.0 $0.00 $527.00 72 801093-01 06/1 /08 $780.00 $0.00 $0.00 $7 . 0 73 801094-01 06/15/08 $536.00 $104.96 $291.90 $139.14 74 661-01 06/26/08 $617.00 $167.33 $359.74 $89.93 75 680001-02 / / 1 .00 $0.00 $0.00 $518.00 76 6 - 1 06/28/08 $509.0017. 7 .3 $6 .3 77 61 - 1 06/28/08 $ 63. 0 $104.96 $366.43 $ 1. 1 78 6 - 1 06/29/08 $509.00 $0.00 $0.00 $509.00 79 7 -02 07/02/08 $518.003.11 $421.29 $3.60 80 7 - 1 07/05/08 $509.00 $0.00 $0.00 $509.00 81 760 - 1 07/06/08 $518.00 $0.00 $0.00 $ 1 .0 82 72- 1 07/07/08 $698.000. 0 $257.98 $440.02 83 70 - 1 07/08/08 $ 1 . 0 $93.11 $339.91 $84.98 84 71 - 1 07/11/08 $509.00 $0.00 $0. 0 $509.00 85 720 - 1 07/12/08 $509.000.0 7.2 $501.80 6 701-02 07/15/08 $509.00 $0.00 $0.00 $509.00 7 7 -02 07/18/08 $554.00 $93.11 $368.71 $92.18 88 710 - 1 07/21/08 $509.00 $0.00 $407.20 $101.80 89 71- 3 07/25/08 $527.00 $0.00 $0.00 $527.00 90 7001-03 07/30/08 $ 3 . 0 $0.00 $508.80 $127.20 91 70 - 2 07/30/08 $527.001 . 1 $372.59 $50.00 92 71 -03 07/31/08 $509.00 $157.35 $281.32 $70.33 93 810005-01 08/01/08 $807.00 $0. 0 $0.00 $807.00 94 71- 1 08/07/08 $590.00 $0.00 $0. 0 $ 90.0 95 72- 1 08/07/08 $509.00 $0.00 $0.00 $ .00 6 7 - 1 08/07/08 $644.000. $0.00 $644.00 7 7 - 1 08/07/08 $ .00 $0.00 $0.006 .00 98 00 - 1 08/09/08 $653.000.0 1 . 3 . 1 99 6 -02 08/16/08 $509.00 $0. 0 $0.00 $509.00 10 7000 -01 08/17/08 $ 90.00 $0.00 $0.00 $ 0.00 11 0001-02 08/19/08 $662.00 $197.72 $363.35 $100.93 1 - 08/19/08 $743.000. 0 $0.00 $73. 0 103 - 1 /1 /08 $ 1 .00 $93.11 $339.91 $84.98 10 2- 2 08/22/08 $599.00 $0.000.00 $599.00 1 -02 08/23/08 $644.00 $0.000. 0 $644.00 1 -02 08/24/08 $545.00 $0.00 $0.00 $545.00 17 -02 08/24/08 $734.00 $98.98 $609.61 $25.41 108 0 - 1 08/24/08 $536.00 $0.00 $0.00 .00 log 860002-03 / / 8 $662.00 $0.00 $75.00 $587.00 110 1 -03 08/31/08 $527.00 $0.00 $0.00 $ 7.00 111 100 -02 09/01/08 $662.00 $0.00 $0.00 $662.00 11 7- 1 09/03/08 $509.00 $93.11 $332.71 $83.18 113 950006-01 0 /0 /08 $770.00 $0.00 $0.00 $770.00 11 - 1 09/09/08 $842.00 $0.00 $0. 0 $842.00 115 1 -03 09/11/08 $563.000. 0.00 $563.00 116 980003-01 09/18/08 $624.0017. 7 $341.38 $85.35 117 9100 -02 09/21/08 $612.001 .1 $333.45 $83.36 118 930002-02 / / 7 . 0. 0 $0.00 $720.00 11 2-03 09/24/08 $624.00 $0.00 $0.00 $624.00 10 7 - 1 0 / 7/ 8 $852.00 $250.03 $481.57 $120.40 11 -02 09/28/08 $684.00 $0.00 $563.00 $121.00 1 - 1 0 / 8/08 $512.00 $0.00 $0.00 $512.00 123 9010-02 09/30/08 $660.00 $0. 0 $408.75 $251.25 124 900012-01 09/30/08 $648.0001. 37.25 $89.32 125 01001- 1 10/01/08 $1,044.00 . 1 $514.79 $12 .70 16 - 1 10/03/08 $900.00 $0.00 $0.00 $900.00 17 7 - 1 10/07/08 $624.000.0 $0. 0 $624.00 128 80002-01 1 / /08 $684.00 $271.91 $329.67 $82.42 129 000007-02 1 /1 / .64 $476.29 $11 . 7 1 Exhibit Monroe County Fire Rescue Ground Ambulance Account Receivables October 2013 Write-Offs 130 000009-01 10/10/08 $852.00 $0.000. .0 11 11- 10/11/08 $612.00 .0 $70. 1 13 - 1 10/12/08 $768.00 $222.23 $ 6.61 $109.16 133 3 -01 10/13/08 $624.000. $0. 62 .0 13 - 10/15/08 $828.00 $0.00 $0.00 $828.00 135 7 - 2 10/17/08 $612.00 $195.1933. $ 3.36 16 7000 - 2 10/17/08 $636.000.0 0 . 0 $127.20 17 7 - 1 1 /17/08 $624.00 $390.01 $187.19 $46.80 138 80005-01 10/18/08 $992.00 $2 . 6 $598.12 $149.52 139 - 1 10/18/08 $816.000. 0. 16. 0 140 000005-01 10/20/08 $912.000. 0.00 $912.00 11 11- 10/21/08 $876.00 $0. 0 $788.40 $87.60 142 0102- 1 / 1/ 8 $612.00 $387.93 $179.26 $44.81 13 1- 10/24/08 $612.001 .1 $333.45 $83.36 144 6 - 1 10/26/08 $624.00 $0.00 $0.006 . 1 - 1 1 /29/ 8 $876.00 $322.41 $378.59 $175.00 16 -01 11/08/08 $840.00 $106.22 17 71 - 1 11/13/08 $852.00 $0.00 $0.00 $852.00 14 1- 1 11/19/08 $624.00 $0. 0 $0.00 $624.00 149 880626-01 11/23/08 $624.00 $17. 7 $341.38 $85.35 10 87-01 11/23/08 $636.00 $0.00 $0. $636.0 11 - 1 12/06/08 $612.00 $0.00 $350.00 $262.00 152 81370- 1 12/10/08 $792.002 . .01 $50.00 13 6- 12/19/08 $660.000. 0.00 $660.00 154 820351-01 12/21/08 $612.000. 0 $0.00 $612.00 155 820352-01 12/21/08 $612.000.00 $0.0 $ 12.00 156 870288-01 12/21/08 $7 . 0 $254.40 $364.38 $101.22 17 86-01 12/ 1/08 $684.00 $0.00 $6 .00 $50.00 158 830784-01 12/26/08 $828.007 .6 . 0 $20.00 159 880673-01 12/26/08 $624.000.0 0. 62 .00 159 ADP Write Offs Ground1 ,17.00 $10,460.01 Date of Original Balance( r Accountr Service Balance when sent to AdjustmentsFinal Balance Collections) These accounts are with MSB (DOS= 1/01/20 - 1 /31/2 ) 1 3008-01 01/03/09 $804.00 $0.00 $0.00 $804.00 2 10 -01 01/19/09 $768.000. 0 $0. $768.00 71 - 1 01/20/09 $840.000.00 $0.00 $840.00 - 1 01/23/09 $684.00 $0.00 $547.2016. 0 9 - 1 1/2 /09 $816.00 $269.90 $436.88 $109.22 6 6- 1 01/30/09 $612.00 $0.00 $0.00 $61 . 0 7 0 - 1 02/10/09 $720.000.0 71 .6 0. 2 0 - 1 02/10/09 $612.000.0 0.00 $612.00 7 - 1 02/12/09 $840.00 $0.0067 .0 1 .00 10 910064-01 02/16/09 $852.00 $0.00 $0.00 $ . 0 11 0 - 1 02/17/09 $648.00 $0.00 $0.00 $6 .0 12 980122-01 02/28/09 $ 1 . 0 $0.00 $0.00 $ 12.0 13 990075-01 03/03/09 $660.00 $245.76 $ 1 .19 $2.05 14 980131-01 03/05/09 $660.00 $177.85 $385.72 $96.43 15 910091-01 03/14/09 $624.00 $0.00 $0.00 $ 2 .0 16 980169-01 03/26/09 $624.00 $ . 9 $306.41 $76.60 17 6- 1 03/28/09 $612.00 $171.49 $440.46 $n.05 18 980173-02 / 0/ 636.0 $0.00 $0.00 $636.00 19 910116-02 03/31/09 $76. 0 $0.00 $0.00 $756.00 20 11-02 03/31/09 $648.000. 0. 0 $648.00 1 1 - 1 04/04/09 $624.000.0 0.0 .00 22 1 - 1 04/07/09 $648.00 $176. 6 $377.39 $94.35 23 980192-01 0 /0 /09 $ 1 . 0 $0.00 $0.00 $812.00 1 Exhibit MonroeCounty Fire Rescue Ground Ambulance Account Receivables October 2013 Write-Offs 24 19 - 1 04/11/09 $612.00 $171.49 $32. 1 $88.10 25 2 - 1 04/15/09 $612.00171. 9 $352.41 $88.10 6 16- 1 04/18/09 $660.00177. .7 6. 3 7 1 - 1 04/21/09 $612.00 $0.000. $612.00 28 6- 1 05/03/09 $756.00 $0.000.00 $76.00 29 111- 1 05/05/09 $804.00 $0.00 $0.00 $80 . 0 30 910152-01 05/07/09 $1,040.00 $219.69 $621.37 $198.94 1 7 - 1 05/10/09 $792.000. 0 $791.89 $0.11 32 920146-01 05/11/09 $648.00 $194.59 $403.41 $ .0 33 61- 1 /19/ 7 . 0 $184.80 34 328 - 1 06/03/09 $852.00 $217.17 $507.86 $126.97 35 1 - 1 06/10/09 $660.000.00 $0.00 $660.00 36 711 - 1 06/11/09 $744.00 $0.00 $595.20 $148.80 37 11- 1 0 /1 / 9 $624.00 $0.00 $0.0 $ .00 38 930323-01 06/19/09 $840.00 $0.00 $0.00 . 39 1 - 1 06/22/09 $624.00 $251.59 $322.41 $50.00 0 117- 1 06/26/09 $816.00 $0.00 $0.00 $816.00 1 71 - 1 06/26/09 $816.00 $201.991. 1 $122.80 42 6- 1 06/28/09 $816.00 $201.99 $61 .10 $3.91 43 - 1 07/01/09 $636.00 $259.72 $329.28 $ 7.00 44 9701 - 1 07/01/09 $768.000. 0. 76 .00 45 3 - 1 07/03/09 $852.000. $0.00 $852.00 6 71 - 1 07/03/09 $768.00 $0.00 $767.80 $0.20 7 - 1 07/04/09 $732.000.00 $632.83 $99.17 48 6- 1 07/09/09 $624.000. 5.60 $618.40 49 77- 1 07/16/09 $684.00 $0.00 $0.008 .00 0 12 -01 07/18/09 $768.00 $0.00 $0.0076 . 0 1 3- 1 07/22/09 $612.00 $0.00 $0.00 $612.00 52 1 -02 07/26/09 $780.00 $20. 8 $391.46 $97.86 53 30 - 1 07/27/09 $900.00 $0.000.00 $ 0 .0 54 9716- 1 07/31/09 $756.00 $0.00 $0.0076. 55 16 - 1 08/06/09 $1,028.000. . 0 2 . 0 56 801 - 1 / 6/ 9 $612.00 $0.00 $489.60 $122.40 7 5 - 1 08/13/09 $848.00 $0.00 $0.00 . 0 58 6 - 1 08/28/09 $648.00 $261.85 $336.150.00 59 7 - 1 08/29/09 $684.00 $0.00 $0.00 $684.00 60 2 -01 09/21109 $624.00 $0.00 $0.00 $624.00 61 - 1 09/29/09 $840.00 $0.00 $0.00 $840.00 62 - 1 / 1/ 9 $76.00 $0.00 $0.00 $76.00 6 - 1 10/02/09 $612.000. 0. $612.00 64 920286-01 10/03/09 $624.00 $184.333 .67 $50.00 65 9 - 1 10/03/09 $624.000.00 $0.00 $6 .00 66 - 1 10/03/09 $612.00 $7 . 2 7 71 - 1 10/07/09 $756.000. $0.00 $7r,6.00 68 980017-01 10/09/09 $636.00 $0.00 $400.006. 69 980553-01 10/09/09 $624.00 $0.00 $0.00 $62 . 0 70 980562-01 1 /1 / 9 $612.00 $0.00 $0.00 $612.00 71 16- 1 1 /23/ 9 $852.00 $0.00 $0.00 $ 52. 0 72 980597-01 10/29/09 $624.00 $0.00 $0.0062 .0 7 -01 11/ /09 $67Z00 $179.44 $ . 1 74 980626-01 11/13/09 $624.000. $63.36 $0.64 75 990361-01 11/15/09 $624.00 $0.00 $499.20 $1 . 0 76 - 1 11/28/09 $648.00 $261.85 $336.15 $50.00 77 7 -01 11/28/09 $792.00 $0.00 $0.00 $792.00 78 980657-01 11/29/09 $612.000.00 $489.60 $122.40 79 930619-01 11/30/09 $864.00 $222.23 $513.42 $128.35 80 1 - 1 12/03/09 $780.00 $193.75 $ 6 .00 $117.25 1 367- 1 12/26/09 $840.000. 0. $ 0.0 82 81 - 1 1/11/308 $816.00 $ 33. 6 $465.71 $116.43 0 Exhibit A Monroe County Fire Rescue Ground Ambulance Account Receivables October 2013 Write-Offs 82 ADP Write Offs Ground FY 2013 1 $59,132.00 $5,417.21 $18,507.28 $35 207.51 241 TOTAL ADP GROUND WRITE OFFS FY 2012/2013 $92,861.05 i�,1,143GGROUNPA' BULANCE,W,RI,TE 21