Resolution 261-1994
James R. Paros
Public Safety Division
RESOLUTION NO.
261-1994
A RESOLUTION OF THE BOARD OF GOVERNORS OF THE LOWER
AND MIDDLE KEYS FIRE AND AMBULANCE DISTRICT OF MONROE
COUNTY, FLORIDA, AUTHORIZING THE EMERGENCY MEDICAL
SERVICES AMBULANCE BILLING OFFICE TO PETITION THE
FLORIDA DEPARTMENT OF BANKING AND FINANCE TO APPROVE
THE WRITE-OFF OF UNCOLLECTIBLE ACCOUNTS
WHEREAS, Florida Statute 17.041 allows the District to petition the
Department of Banking and Finance to approve the write-off of
uncollectible accounts; and
WHEREAS, it has been determined that the attached accounts are
uncollectible after routine and continuous attempts to collect payment of
same, now therefore,
BE IT RESOLVED BY THE BOARD OF GOVERNORS OF THE LOWER AND MIDDLE KEYS
FIRE AND AMBULANCE DISTRICT that the Department of Banking and Finance be
hereby requested to approve the write-off of the accounts attached hereto
and totaling the amount of $718,440.79.
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PASSED AND ADOPTED by the Board of Governors of the Lower and Middle
Keys Fire and Ambulance Taxing District of Monroe County, Florida, at a
z.fiula~~ m~ting of said Board held on the lZ.tb- day of AllpJl!';t"
A'. D. 19:94.:"-
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Chairman Cheal
Vice-Chairman Halenza
Commissioner London
Commissioner Fenhoff
Commissioner Freeman
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BOARD OF
LOWER AND
AMBULANCE
OF MONRO
GOVERNORS OF THE
MIDDLE KEYS FIRE
TAXING DISTRICT
OUNTY, FLORIDA
AND
(Seal)
and legal
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Attest: DANNY 1. XOIdlAGE, Clerk
roved as to form
sufficiency.
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Deputy Clerk ",
By
County Attorney's Office
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APPLICATION
STATE OF FLORIDA
DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES
OFFICE OF EMERGENCY MEDICAL SERVICES
EMERGENCY MEDICAL SERVICES COUNTY GRANT APPLICATION
GRANT NO.
1. Board of County Commissioners (grantee) Identification:
Name of County: rbnroe County, Florida
Business Address: 490 63rd Street, Suite 140
I1arathon, FL 33050
Phone # (..10 289 - 6002 Suncom # 472 - 6002
2. Certification: I, the undersigned official of the previuusly named county, cenify that to
the best of my knowledge and belief all information and data contained in this EMS County
Grant Application and its attachments are true and correct.
My signature acknowledges and ensures that I have read, understood, and will comply fully
with Appendix D of the Florida EMS County Grant Pro~ram booklet.
Title: r1ayor
Signature:
Date Signed: 08'17-91
3. Authorized Contact Person: Person designated authority and responsibility to provide
the depanment with repons and documentation on all activities, services, and expenditures
which involve this grant.
Name: James R. "Reqqie" paros
Title: Public Safety Director
Business Address:
490 63rd Street, Suite 140, l1arathon, FL 33050
Telephone:(~ 289-6002
SunCom: 472-6002
4. County's Federal Tax Identification Number: 59-6000-749
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5. Resolution: Attach a resolution from the Board of County Commissioners cenifying the
monies from the EMS County Grant will improve and expand the county's prehospital EMS
system and that the grant monies will not be used to supplant existing county EMS budget
allocations.
6. WorkPlDn:
Work Activities:
Time Frames:
Continued enhancements of the EMS D.H.F. Radio ccmnunication System to a
County-wide simulcasting capability.
7. Proposed Expenditure PlDn: Prepare a line item budget.
Recipient of
Line Item
Line
Item
Unit
Price
Ouantity
Total
Cost
r-bnroe County E'1S Ccmnunication Engineering and Equiprent
:;;158,043.16*
* Figure includes roll-over and interest accrued from FY 19S~ in the amount of
n06,406.33
Attach additional pages if necessary for item 7.
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8. .
APPLICATION
(Requires Signature)
REQUEST FOR COUNTY GRANT DISTRIBUTION (ADVANCE PAYMENT)
EMERGENCY MEDICAL SERVICES (EMS)
COUNTY GRANT PROGRAM
In accordance with the provisions of section 401, 113(2)(a) , F,S, , the undersigned hereby
requests an EMS county grant distribution (advance payment) for the improvement and
expansion of prehospital EMS,
Payment To: .
Florida
490 63rd Street, Suite 140
Aad.ress
Marathon, FL 33050
(Cuy) (State) (L-lp)
Federal Tax ID Number of county:
59-6000-749
ATIEST; DANNY L, KOIRAGE,
LI~~
Date: August 17, 1994
Printed Name:
Title: Mayor
SIGN AND RETURN WITH YOUR GRANT APPLICATION TO:
Department of Health and Rehabilitative
Services
Office of EmerK.ency Medical Services
EMS CountY. Grants
1317 Winewooa Boulevard
Tallahassee, Florida 32399-0700
For Use Only b] Department of Health and Rehabilitative Services,
Office of Emergency Medical Services
Amount: $ Grant Number:
Approved By:
Date:
Signature, State EMS Grant Officer
Fiscal Year:
Amount: $
~~an~ion Code
20- 30-100
E.O,
'TTR
Ob~S~re
Federal Tax J.D. V F
Beginning Date:
Ending Date:
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