Item H2
BOARD OF GOVERNORS
FIRE AMBUALNCE DISTRICT 1
AGENDA ITEM SUMMARY
Meeting Date: October, 19, 2005
Division:
Fire Rescue Services
Bulk Item: Yes
No-L
Department: Fire Rescue
Staff Contact Person: Camille Dubroff
AGENDA ITEM WORDING: Approval of Resolution authorizing the write off and deletion of
$103.94 from the Fire Rescue Accounts Receivable list.
ITEM BACKGROUND: The attached Resolution requests to write off and delete the balance of the
patient accounts that are listed on Exhibit A, in the total amount of $103.94.
In the case of Wayne Grierson, in the amount of $46.63, the insurance has paid their portion and any
future collection attempts are futile since the patient is deceased with no available funds in the estate.
In the case of Edward Lochel, in the amount of $57.31 the insurance has paid their portion and any
further collection attempts are futile since the patient is deceased with no available funds in the estate.
There will be no other payments on either of these two accounts in the future.
PREVIOUS RELEVANT BOG ACTION: None
CONTRACTIAGREEMENTCHANGES: N/A
STAFF RECOMMENDATIONS: Approval.
TOTAL COST:
N/A
BUDGETED: Yes
No
COST TO COUNTY:
N/A
SOURCE OF FUNDS:
N/A
REVENUE PRODUCING: Yes
No
AMOUNTPERMONTH_ Year
APPROVED BY: County Atty YES
DIVISION DIRECTOR APPROVAL:
gement N/ A
DOCUMENTATION:
Included X
Not Required
DISPOSITION:
AGENDA ITEM #
Revised 2/05
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Fire Rescue
RESOLUTION NO.
-2005
A RESOLUTION OF THE BOARD OF GOVERNORS
OF FIRE AND AMBULANCE DISTRICT 1 OF
MONROE COUNTY, FLORIDA AUTHORIZING
THE WRITE-OFF AND DELETION OF FIRE RESCUE
AMBULANCE ACCOUNTS RECEIVABLE
WHEREAS, Monroe County Fire Rescue Services provides ambulance service on a fee for
service basis; and
WHEREAS, attempts to collect the full amount from the service recipients on attached Exhibit
A have been made; and
WHEREAS, it has been determined that further collection efforts are fruitless as the insurance
has paid the maximum allowable on these claims, and the service recipients are now deceased with no
available funds in the estate;
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF GOVERNORS OF THE
FIRE AND AMBULANCE DISTRICT 1 OF MONROE COUNTY, FLORIDA:
That service recipients accounts receivable listed on attached Exhibit A in the amount of
$103,94 be written off and deleted from the County Fire Rescue accounts receivable list.
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
,2005,
Chairperson Kevin Madok
Commissioner David Rice
Commissioner George Neugent
Mayor Dixie Spehar
Councilman John Cromartie
(SEAL)
BOARD OF GOVERNORS, FIRE AND
AMBULANCE DISTRICT 1 OF
MONROE COUNTY, FLORIDA
By:
Mayor/Chairperson
Attest: DANNY L.KOLHAGE, Clerk
By
Deputy Clerk
MONROE COUNTY ATTORNEY
APPROVr, AS TO FORM:
/2A-~