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FEDRAC PKT 01-26-2016CITY OF Federal Way FINANCE/ECONOMIC DEVELOPMENT/REGIONAL AFFAIRS COMMITTEE [FEDRAC] TUESDAY — JANUARY 26, 2016 FEDERAL WAY CITY HALL APPROVAL 4:30 P.M. AGENDA HYLEBOS ROOM 1. CALL TO ORDER: Elected Officials in Attendance: Staff Members in Attendance: 2. PUBLIC COMMENT: 3. COMMITTEE BUSINESS: Topic Title /Description A. APPROVAL OF SUMMARY MINUTES - NOVEMBER 24, 2015 B. ORDINANCE: MAYER SEWER FRANCHISE C. ECONOMIC DEVELOPMENT REPORT D. SCORE — 2015 E. MONTHLY FINANCIAL REPORT - NOVEMBER 2015 F. VOUCHERS — NOVEMBER AND DECEMBER 2015 1 GIRIAM 5. FUTURE AGENDA ITEMS: Presenter/ Time Allotted Page # R.BucK 2 J. MULKEY S 10 Minutes Ade Ariwoola, Finance Director T. JOHNSON 36 10 Minutes 253 - 835 -2527 A. ARIWOOLA 40 10 Minutes A. ARIWOOLA 150 10 Minutes 166 A. ARIWOOLA 5 Minutes 6. NEXT MEETING: Tuesday, February 23, 2016 @ 4:30 p.m. Action or Discussion ACTION 01/26 Committee ACTION 02/02 FIRST READING DISCUSSION DISCUSSION ACTION 02/02 Council Consent ACTION 02/02 Council Consent Committee Members: City Staff: Dini Duclos, Chair Ade Ariwoola, Finance Director Susan Honda Robyn Buck, Administrative Assistant Martin Moore 253 - 835 -2527 Note: Additional materials may also be distributed for review /action during the meeting. Federal Way 2 th ersary This page was left intentionally blank. 4% cirx OF Federal Way City Council Finance /Economic Development /Regional Affairs Committee Tuesday, November 24, 2015 Federal Way City Hall 4:30 p.m. Hylebos Conference Room SUMMARY MINUTES CALL TO ORDER: Committee Chair Duclos called the meeting to order at 4:30 p.m. COMMITTEE MEMBERS IN ATTENDANCE: Via teleconference, Councilmember Celski and Councilmember Moore (arrived at 5:26pm) COMMITTEE MEMBER EXCUSED: COUNCILMEMBERS IN ATTENDANCE: Councilmember Honda, Deputy Mayor Burbidge, Councilmember Maloney STAFF MEMBERS IN ATTENDANCE: Finance Director, Ade Ariwoola; Chief of Staff, Brian Wilson; City Attorney, Amy Jo Pearsall; Parks Director, John Hutton; Recreation Coordinator, Craig Feldman; Economic Development Director, Tim Johnson; Community Development Director, Michael Morales; IT Manager, Thomas Fichtner; Court Administrator, Susanne White; Municipal Court Judge, David Larson; Municipal Court Judge, Rebecca Robertson; Parks Deputy Director, Steve Ikerd; Executive Assistant to Council, Jeri -Lynn Clark; Accounting Supervisor, Chase Donnelly; Administrative Assistant, Robyn Buck OTHERS PRESENT: Mark Koppang AGENDA APPROVAL: Motion to move Item F to Item 1 and move up the agenda items accordingly; motion seconded and carried 3 -0. APPROVAL OF SUMMARY MINUTES: Motion to approve the October 27, 2015 minutes as presented; motion seconded and carried 3 -0. Public Comment: No public comment. Tuesday, November 24, 2015 41 Page 1 4% cirx OF L Federal Way Jan -June Tourism Enhancement Grant (TEG) Awards Recommendation: Presented by Economic Director, Tim Johnson. There were six applications submitted and four chosen by LTAC for the TEG awards. Those four are: Highline College Foundation for $2,000, Federal Way Harmony Kings for $2,000, USSSA Washington Fast Pitch for $3,500, and Pacific Bonsai Museum for $3,000. The other two applicants were the Federal Way Symphony and the Husky Swimming Foundation. Husky swimming event was not chosen because it is a promotion to increase scholarship money at the collegiate level to have a swim team at UW. This is not to create a measureable impact on tourism in Federal Way. The three important categories that the dollars are to be use for include: marketing Federal Way, provide a capital improvement plan to enhance tourism and tourism and outreach. A map is included in the packet to show the 50 mile radius which is included in the State's definition of a tourist. This is an increase in the last year and a half from the 25 miles radius. There will be a year -end tourism and economic impact report to the Council. Councilmember Duclos would like specific application criteria so that potential applicants know the guidelines before they apply. Motion to approve and forward the Jan -June Tourism Enhancement Grant (TEG) Awards Recommendation to the December 1, 2015 consent agenda for approval; motion seconded and carried 3 -0. Community Center Pool Chemical Vendor Contract: Presented by Recreation Coordinator, Craig Feldman Amendment to the Orca Pacific contract — asking for $48,000. There was an increase in cost of chemicals to the distributor. This is the last year the contract can be amended. This is an inter -local agreement with King County. Motion to approve and forward the Community Center Pool Chemical Vendor Contract to the December 1, 2015 consent agenda for approval; motion seconded and carried 3- 0. Tuesday, November 24, 2015 3 Page 2 4% cirx OF Federal WTI Authorization to Purchase Spray Park Equipment for Town Square Park: Presented by Parks Director, John Hutton. The request is to purchase mechanical equipment not to exceed $179,496. The fountain is still in the final design stage. There will be a 50 ft concrete pad with spray nozzles controlled by a computer. There will be large artistic feature in the middle that will function as a fountain with the spray park on or when the spray park is off. The Arts Commission approved concept for the center section. The centerpiece is not climbable. Public Recreational Immunity prevents the City from being held liable in case of accident except for negligence. The cost per year to operate the spray park has not been finalized yet. Councilmember Duclos thinks this should be in an open meeting instead of consent and put on the City Council business agenda. Motion to approve and forward the Authorization to Purchase Spray Park Equipment for Town Square Park to the December 1, 2015 to the business agenda; motion seconded and carried 3 -0. Court Security Contract: Presented by Court Administrator, Susanne White. Seven different security agencies presented quotes. It was determined that Pierce County Security is exactly what Municipal Court felt that they need, even if Pierce County Security was not the lowest quote. Municipal Court is asking for an increase in the security budget of $5,000 in 2016 (totaling $79,848) and $10,000 in 2017 (totaling $84,848) to cover a full time and a part time guard. This would be a two year contract. The $10k will be in the budget amendment in March 2016. Motion to approve and forward the Court Security Contract to the December 1, 2015 consent agenda for approval; motion seconded and carried 3 -0. Federal Way Financial Window: Presented by Councilmember, Martin Moore. Wants to use Opengov to simplify the budget, engage the public, and move the City into the 20th Century. This is mainly a Finance System and not IT. Councilmember Duclos would like to have Councilmembers to put together questions about Opengov and how it relates to the City. Councilmember Celski spoke directly with the Opengov representative. There are hundreds of applications for which this can be used. It can be adapted to what the contracting city wants to tell the citizens. Councilmember Celski thinks we need to be Tuesday, November 24, 2015 4 Page 3 cirx OF " Federal Way on the cutting edge of technology. All committee and councilmembers present would like more research and information. Once that is completed to satisfaction, an RFP should be generated. A survey to the public could be made and used as part of the rebranding effort. Councilmember Duclos would like this put on the Retreat Agenda. No further action taken. Resolution: 2016 Fee Schedule: Presented by Finance Director, Ade Ariwoola. A revised copy of the fee schedule was presented showing 2015 and 2016 for comparison. In 2016 there will be a thorough review. The small increases now are to align us more with neighboring cities. The fee increase changes will be gradual. Councilmember Duclos requested that school district officials attend the December 1, 2015 City Council meeting and explain the reduction in their impact mitigation fees. Motion to approve and forward the Resolution: 2016 Fee Schedule to the December 1, 2015 consent agenda for approval; motion seconded and carried 3 -0. MONTHLY FINANCIAL REPORT — October 2015: Presented by Finance Director, Ade Ariwoola. Mr. Ariwoola summarized the Monthly Financial Report for October 2015. Notable areas include: • Dumas Bay Centre showed an increase of 19.6 %. The staff has improved the efficiency of DBC & FWCC. Councilmember Honda wanted to know if there is there a way to start a fund to remodel. She would like to see a private partnership /investors. Councilmember Maloney would like to see this item put on the Retreat agenda. • Hotel & lodging tax is up as well as restaurant food sales. Motion to approve and forward the October 2015 Monthly Financial Report to the December 1, 2015 consent agenda for approval; motion seconded and carried 3 -0. VOUCHERS - October 2015: Presented by Finance Director, Ade Ariwoola. On page 198 there were refunds for people not attending class. Councilmember Honda inquired about the item listed as Advertising for Mayor Ferrell on page 206. Mr. Ariwoola said this is a misnomer. He will look in to the description and email the councilmembers Tuesday, November 24, 2015 5 Page 4 4% cirx OF L Federal Way as to why it is listed as such. Chief of Staff Wilson said he has not seen anything campaign related or directly for Mayor Ferrell. Councilmember Honda also had a question about an item on pg 217, regarding the Enchanted Parks. Motion to approve and forward the October Vouchers to the December 1, 2015 consent agenda for approval; motion seconded and carried 3 -0. NEXT MEETING: Tuesday, January 26, 2016 @ 4:30 pm MEETING ADJOURNED: 6:45 p.m. Tuesday, November 24, 2015 6 Page 5 Federal Way 2 th ersary This page was left intentionally blank. COUNCIL MEETING DATE: February 2, 2016 ITEM #: CITY OF FEI)ERAL WAY CITY COUNCIL AGENDA BILL SUBJECT: Mayer Sewer Franchise Ordinance POLICY QUESTION: Should the City grant Joseph E. Mayer, Pamela R. Mayer, and Natalie A. Mayer a Franchise Ordinance to continue to maintain and operate a private sewer line within and through the City of Federal Way rights -of -way? COMMITTEE: Finance, Economic Development and Regional Affairs Committee MEETING DATE: January 26, 2016 CATEGORY: ❑ Consent ® Ordinance ❑ Public Hearing ❑ City Council Business ❑ Resolution ❑ Other STAFF REPORT BY: John Mulkey, P.E., Street Systems Manager DEPT: Public Works .. ..... .. Attachments: 1. Finance, Economic Development and Regional Affairs Committee memorandum dated January 26, 2016. 2. Mayer Sewer Franchise Ordinance Options Considered: 1. Approve the Ordinance and forward to the February 2, 2016 City Council meeting for first reading. 2. Modify the Ordinance and forward to the February 2, 2016 City Council meeting for first reading. 3. Reject the Ordinance and provide direction to staff. MAYOR'S RECOMMENDATION: The Mayor recommends forwarding Option 1 to the I Consent Agenda for approval. MAYOR APPROVAL: CHIEF OF STAFF: /�jr,� DIRECTOR APPROVAL: ;II G 2, 2016 City Council I(e COMMITTEE RECOMMENDATION: The Co(ntnittee recommends forwarding Option 1 to the February 2, 2016 City Council Ordinance agenda f¢r approval. Committee Chair Committee Member Committee Member PROPOSED COUNCIL MOTION: 1ST READING OF ORDINANCE (02/02/2016): "I move to forward the ordinance to a second readingfor enactment on the September 22, 2015 Council agenda. " 2ND READING OF ORDINANCE (02/16/2015): "I move approval of the Mayer Sewer Franchise ordinance. " (BELOW TO BE COMPLETED BY CITY CLERKS OFFICE) COUNCIL ACTION: ❑ APPROVED COUNCIL BILL# ❑ DENIED IST reading ❑ TABLED /DEFERRED /NO ACTION Enactment reading ❑ MOVED TO SECOND READING (ordinances only) ORDINANCE # REVISED — 08/12/2010 RESOLUTION # 8 CITY OF FEDERAL WAY MEMORANDUM DATE: January 26, 2016 TO: Finance, Economic Development and Regional Affairs Committee VIA: Jim Ferrell, Mayor FROM: Marwan Salloum, P.E., Public Works Director Jahn Mulkey, P.E. Interim Street System Manager` SUBJECT: Mayer Sewer - Franchise Ordinance BACKGROUND Joseph E. Mayer, Pamela R. Mayer, and Natalie A. Mayer have requested a franchise from the City of Federal Way, in order to maintain an existing private sewer line in the City owned or controlled rights -of -way. See attached copy of the proposed franchise ordinance. The term of this Franchise is for a period of ten (10) years commencing on the effective date of this Franchise consistent with franchises the City has granted to other utility provider. Joseph E. Mayer, Pamela R. Mayer, and Natalie A. Mayer agree to pay a fee or a charge in the amount of $1,000.00 to recover the actual reasonable administrative expenses incurred by the City that are directly related to preparing and approving this Franchise. Joseph E. Mayer, Pamela R. Mayer, and Natalie A. Mayer will maintain insurance of $1 Million combined single limit for commercial general liability and $500,000 for automobile insurance. A Certificate of Liability Insurance has been submitted to the City. The proposed franchise requires Joseph E. Mayer, Pamela R. Mayer, and Natalie A. Mayer to post a bond for $100,000. Additional bonding may be required as a condition of the right of way permit before commencing any work within the City to guarantee performance of construction, maintenance or repair in accordance with any permits required by this Franchise. cc: Project File Day File ORDINANCE NO. AN ORDINANCE OF THE CITY COUNCIL OF THE CITY OF FEDERAL WAY, WASHINGTON, GRANTING JOSEPH E. MAYER, PAMELA R. MAYER, AND NATALIE A. MAYER, A NONEXCLUSIVE FRANCHISE TO OCCUPY RIGHTS -OF- WAY OF THE CITY OF FEDERAL WAY, WASHINGTON, WITHIN THE SPECIFIED FRANCHISE AREA TO CONSTRUCT, MAINTAIN, REPAIR, OPERATE, AND REMOVE A PRIVATE SEWER LINE WITHIN AND THROUGH SPECIFIED RIGHTS -OF -WAY AND STREETS WITHIN THE CITY OF FEDERAL WAY. WHEREAS, Joseph E. Mayer, Pamela R. Mayer, and Natalie A. Mayer have requested a franchise from the City of Federal Way, in order to continue to maintain, repair, and operate a private sewer line within the City of Federal Way rights -of -way; and WHEREAS, the City Council of Federal Way finds that it is in the public interest to grant such a franchise, which will specify the rights and duties of Joseph E. Mayer, Pamela R. Mayer, and Natalie A. Mayer; and WHEREAS, RCW 35A.47.040 permits the City of Federal Way to grant nonexclusive franchises for the use of public streets, bridges or other public ways for, inter alia, poles, conduits, tunnels, towers and structures, pipes, wires, and appurtenances thereof for water, sewer, and other private and publicly owned and operated facilities; and WHEREAS, in granting such a nonexclusive franchise, the City of Federal Way reserves such other powers and authorities granted to Washington code cities by general law; NOW THEREFORE, THE CITY COUNCIL OF THE CITY OF FEDERAL WAY, WASHINGTON, DOES HEREBY ORDAIN AS FOLLOWS: Section 1. Definitions Ordinance No. 15- 10 Page 1 of 20 Rev 1115 Where used in this Franchise the following terms shall be defined as follows: 1.1 "City" means the City of Federal Way, Washington, a municipal corporation of the State of Washington, and its respective successors and assigns. 1.2 "Council" means the City of Federal Way Council acting in its official capacity. 1.3 "Director" means the Public Works Director, or designee, of the City of Federal Way Public Works Department. way. 1.4 "Facilities" means Franchisee's equipment to be located within the public right -of- 1.5 "FWRC" means the Federal Way Revised Code. 1.6 "Franchise Area" means only that portion of the SW Dash Point Road, 52nd Avenue SW and 53rd Avenue SW rights -of -way located in the City of Federal Way and shown in Exhibit A attached hereto, and /or any other areas approved by the Federal Way City Council and incorporated into this Ordinance via amendment. 1.7 "Franchisee" means Joseph E. Mayer, Pamela R. Mayer, and Natalie A. Mayer, and their respective successors and assigns if consented to by the City of Federal Way as provided in Section 24 herein. Section 2. Cram /Acccylairc 2.1 Grant of Franchise. The City hereby grants to Franchisee the nonexclusive right to enter upon the Franchise Area for the limited purpose of constructing, excavating, installing, maintaining, restoring, and repairing Facilities within the Franchise Area. This Franchise is specifically limited to the right for Franchisee to install Facilities owned and operated by Franchisee. This Franchise does not permit Franchisee to lease, rent, or otherwise allow use of conduits, space, or capacity provided by the Facilities to other Ordinance No. 15 -_ Page 2 of 20 11 Rev 1115 third - parties, and Franchisee covenants and agrees that it will not do so. 2.2 Acceptance by Franchisee. Franchisee shall have no rights under this Franchise, nor shall Franchisee be bound by the terms and conditions of this Franchise, unless Franchisee shall, within sixty (60) days after the effective date of this Franchise, file with the City its written acceptance of this Franchise and all of its terms and conditions. Section 3. Non - Franchise Area City Property This Franchise does not and shall not convey any right to Franchisee to install its Facilities on, under, over, across, or to otherwise use City -owned or leased properties of any kind outside the Franchise Area, or to install Facilities on, under, over, across or otherwise use any City -owned or leased property within the Franchise Area other than public roads, streets, avenues, alleys, and highways. Section 4. Term Subject to Franchisee filing its acceptance pursuant to Subsection 2.2, the term of this Franchise shall be for a period of ten (10) years commencing on the effective date of this Franchise, unless terminated earlier pursuant to this Franchise or other applicable law. At any time nor more than two (2) years, nor less than one hundred eighty (180) days before the expiration of the Franchise term, either party may request a renewal of the Franchise for an additional ten (10) year renewal period. Section 5. Location of Facilities 5.1 Locations. The Facilities permitted by this Franchise shall be installed and remain underground. The location of the Facilities, including any underground Facilities and appurtenances, their depths below surface of ground or grade of a right -of -way, and any related existing equipment to which the Facilities are connected are depicted on Exhibit A. Upon written request of the City, Ordinance No. 15- Page 3 of 20 12 Rev 1115 Franchisee shall update the map contained in Exhibit A to reflect actual or anticipated improvements to the system. Any such map ,(or update thereof) so submitted shall be for informational purposes only and shall not obligate Franchisee to undertake any specific improvements, nor shall such map be construed as a proposal to undertake any specific improvements. 5.2 Desi --n Markings. In the event the City desires to design new streets or intersections, renovate existing streets, or make any other public improvements, Franchisee shall at the City of Federal Way's reasonable request, provide the location of Franchisee's underground Facilities within the Franchise Area by either field markings or by locating the Facilities on the City's design drawings, and shall provide all other reasonable cooperation and assistance to the City. Section 6. Noninterference of Facilities Franchisee agrees to maintain its Facilities and perform any and all activities authorized by this Franchise: (1) so as not to unreasonably interfere with the free passage of traffic; (2) in accordance with the laws of the State of Washington and City Code requirements, Franchise provisions, regulations, resolutions and rules, as now existing or as hereafter amended; and (3) as required by the Director. This requirement applies whether the work is performed by the Franchisee, its agents, employees, subcontractors, or other third parties at Franchisee's direction. Section 7. Requirenient to Obtain Permits 7.1 11ci -nips and Permit Apt)[ications. Franchisee shall, at its expense, obtain all permits, (including rights -of -way permits), and pay all permit fees required by applicable City ordinances, regulations, resolutions and rules prior to commencing any work within the Franchise Area. Franchisee permit applications shall show the position and location of the proposed facilities to be constructed, laid, installed, or erected at that time, show their relative position to existing rights -of -way or property lines upon prints drawn to Ordinance No. 15- Page 4 of 20 13 Rev 1115 scale, designate rights -of -way by their names and improvements, such as, but not limited to, sidewalks, curbs, gutters, shoulders of roadway, ditches, paved roadways, roadways to property lines, turnouts, parking strips, telephone or electric distribution poles, and water pipes existing on the ground to be occupied, or as required by the Director. The Franchisee shall specify the class and type of materials to be used, equipment to be used, and mode of safeguarding and facilitating the public traffic during construction. Materials and equipment shall be in new or like -new condition for its type and kind. The manner of excavation, construction, installation, backfill, and temporary structures such as, but not limited to, traffic turnouts and road obstructions shall meet the standards of the FWRC and be satisfactory to the Director. All traffic control shall be in accordance with the right -of -way permit, and shall be in accordance with the Manual on Uniform Traffic Control Devices ( "MUTCD "). The Franchisee shall indicate on any permit application the time needed to complete the work. The time needed to complete the work is subject to approval by the City as a condition of the issuance of the permit or approval. 7.2 Emer =em y [ xce ptio p to Permit Rec uiren -e.nt. In the event of an emergency in which Franchisee's Facilities within the Franchise Area are in a condition as to immediately endanger the property, life, health or safety of any individual, Franchisee may take action immediately to correct the dangerous condition without first obtaining any required permit so long as: (1) Franchisee informs the City of the nature and extent of the emergency, and the work to be performed, prior to commencing the work; and (2) such permit is obtained by Franchisee as soon as practicable following cessation of the emergency. Section 8. Standard of Performance The Franchisee shall not excavate for a distance of more than one hundred feet (100') without immediately backfilling and compacting to surface grade and City standards. Backfilled trench areas Ordinance No. 15- Page 5 of 20 14 Rev 1115 within a driving lane must be patched, either temporarily or permanently, before the end of the work day in which they have been opened. Trench areas within the right -of -way, but not with in a driving lane, must also be patched within the time limits specified by the City on the right -of -way use permit. Final surface restoration shall be completed within thirty (30) days and shall be equal to or better than the surface condition prior to permit issuance. Any asphalt overlay completed within the Franchise Area during the five (5) year - period immediately prior to the date of permit application shall not be open cut by Franchisee unless required by an emergency and subject to the provisions of Subsection 7.2 above. Franchisee shall install new asphalt overlay on any street that is open cut, whether in an emergency or otherwise, for a minimum of one (1) block (approximately 500 feet) in length in both directions from the open cut, unless determined otherwise by the Director. Within fifteen (15) days of completion of any installation of Franchisee's Facilities within the Franchise Area, Franchisee shall submit to the Director plans, stamped by a Professional Engineer licensed by the State of Washington, showing the "as- built" location of the Facilities. Section 9. Survey Markers and Monuments Franchisee shall, using a licensed surveyor, immediately replace all markers or monuments disturbed during any work by Franchisee within the Franchise Area. Franchisee shall pay all costs associated with such lost, destroyed, or disturbed monuments or markers. Section 10. Surface Markings/Stakes Prior to Franchisee commencing any excavation work within the Franchise Area, Franchisee shall reference all monuments and markers relating to subdivisions, plats, highways, and other surveys. The reference points shall be located so that they shall not be disturbed during the Franchisee's operations under this Franchise. The method of referencing these monuments or other Ordinance No. 15- Page 6 of 20 15 Rev 1115 points shall be approved by the City before placement. The construction shall be made as expeditiously as conditions permit, and as directed by the City. The cost of monuments or other markers lost, destroyed, or disturbed, and the expense of replacement of the monuments, shall be borne solely by the Franchisee. A complete set of reference notes for monuments and other ties shall be filed with the City. Section 11. Right of City to Coniplete Work In the event Franchisee fails to comply with any applicable federal, state or City laws, ordinances, rules, regulations or standards or with any of the terms of this Franchise, and such noncompliance continues for a period of ten (10) days after Franchisee receives written notice from the City regarding the noncompliance, the City may, but in no event is the City obligated to, order any work completed, including without limitation Franchisee's obligation to repair pursuant to Section 13 herein and Franchisee's obligation to remove or relocate facilities pursuant to Section 12 herein. If the City causes such work to be done by its own employees or by any person or entity other than Franchisee, Franchisee shall, upon the City's written request, immediately reimburse the City for all reasonable costs and expenses incurred by the City in having such work performed, which costs may include the City's reasonable overhead expenses and attorneys' fees; however, the City shall not have any electrical work accomplished by any person or entity other than Franchisee or a qualified and licensed electrical contractor. Section 12. Required Relocation of Facilities 12.1 City Reservation of Fights. The City reserves the right to use, occupy and enjoy all or any part of the Franchise Area, either above, below, or adjacent to the Facilities, for any purpose that is not inconsistent with the terms and conditions of this Franchise. The rights reserved herein include, without limitation, the construction, installation, and/or maintenance of any electrical, water, Ordinance No. 15- Page 7 of 20 16 Rev 1/15 sewer or storm drainage line, traffic signals, street lights, trees, landscaping, bicycle paths and lanes, equestrian trails, sidewalks, other pedestrian amenities, and other public street improvement projects. This Franchise is not an exclusive Franchise shall not be construed to in any manner prohibit the City from granting other and further Franchises in, under, over, upon, and along the Franchise Area, nor from exercising such other powers and authorities granted to the City by the Washington State Constitution and general law. 12.2 Citv's Duties. In the event the City undertakes any work, including necessary maintenance within a right -of -way in which Franchisee's facilities are located, and such work necessitates the relocation of Franchisee's then existing Facilities within the Franchise Area, the City shall: (a) Provide written notice of the required relocation to Franchisee within a reasonable time prior to the commencement of such City work; and (b) Provide Franchisee with copies of pertinent portions of the City's plans and specifications so that Franchisee may relocate its Facilities to accommodate the City work Nothing in this section shall be construed as to relieve Franchisee of its duty and obligation to relocate its Facilities, at Franchisee's sole cost, for any improvement project undertaken by, or on behalf of, the City in the interest of public health, safety, welfare, necessity or convenience, as adjudged in the sole discretion of the City. 12.3 Franchisee's Duties. Within thirty (30) days of receipt of the City notice under Subsection 12.2(a) requiring relocation and receipt of the plans and specifications pursuant to Subsection 12.2(b), Franchisee shall raise, lower, or move such Facilities within the Franchise Area at its sole cost and expense to the location or position directed by the City, to cause the least interference with the improvement, repair, or alteration contemplated by the City and to conform to Ordinance No. 15- Page 8 of 20 17 Rev l /15 such new grades as may be established. If the City improves a right -of -way, Franchisee shall, at its sole cost and expense, upon receipt of notice, replace the Facilities located in the improved subgrade of the improvement with substitute Facilities conforming to the specifications for the improvement of the right -of -way. Section 13. Dainne Repair In case of damage by the Franchisee, its agents or employees or by the Facilities of the Franchisee to rights -of -way, or to public and private improvements within or adjacent to rights -of- way, the Franchisee agrees to repair the damage at its own cost and expense. The Franchisee shall, upon discovery of any such damage, immediately notify the City. The City will inspect the damage, and set a time limit for completion of the repair. If the City discovers damage caused by the Franchisee to rights -of -way, or to public and private improvements within or adjacent to rights -of- way, the City shall give the Franchisee notice of the damage and set a time limit in which the Franchisee must repair the damage. In the event the Franchisee does not repair a right -of -way or an improvement as required in this section, the City may repair the damage pursuant to Section 11 of this Agreement. Section 14. Default 14.1 Notice of Default. In addition to other remedies set forth herein, if Franchisee shall fail to comply with any of the provisions of this Franchise, the City may serve a written notice to Franchisee ordering such. compliance and Franchisee shall have sixty (60) days from the receipt of such notice in which to comply. 14.2 Revocation of Franchise. If Franchisee is not in compliance with this Franchise after the expiration of the sixty (60) day period, the City may, by resolution, declare the franchise immediately revoked. Ordinance No. 15- Page 9 of 20 18 Rev 1/15 Section 15. lArnited Riglit This Franchise is intended to convey only a limited right and interest to Franchisee in the Franchise Area. This Franchise is not a warranty of title or conveyance of any ownership interest in or to the Franchise Area to Franchisee. Section 16. Eminent Domain The existence of this Franchise shall not preclude the City from acquiring by condemnation, in accordance with applicable law, all or a portion of Franchisees Facilities within the Franchise Area for the fair market value thereof. In determining the value of such Facilities, no value shall be attributed to the right to occupy the Area conferred by this Franchise. Section 17. Vacation If at any time the City, by ordinance, vacates all or any portion of the Franchise Area, the City will not be liable for any damages or loss to the Franchisee by reason of such vacation. The City shall notify Franchisee in writing not less than 30 days before vacating all or any portion of the Franchise Area. The City may, after thirty (30) days written notice to Franchisee, terminate this Franchise with respect to any such vacated area. Section 18. Compliance with Laws 18.1 General. Franchisee shall comply with all applicable federal, state and City laws, franchises, resolutions, regulations, standards, policies and procedures, as now existing or hereafter amended or adopted, including without limitation the State Environmental Policy Act; provided, however, that if any term or condition of this Franchise and any term or condition of any City law, code, franchise, resolution, regulation, standard, procedure, permit or approval are in conflict, the term or condition of this Franchise will control. 18.2 Future City of Federal Way Ike UkAtioii. Franchisee acknowledges that the City may Ordinance No. 15- Page 10 of 20 19 Rev 1115 develop rules, regulations, ordinances and specifications for the use of the right -of -way which shall govern Franchisee's Facilities and activities hereunder as if they were in effect at the time this Franchise was executed by the City and Franchisee covenants and agrees to be bound by same. Section 19. Guarantee Franchisee shall guarantee work completed by the Franchisee under this Franchise for a period of 10 years against settlement or repair. Section 20. Charge for Administrative Costs Franchisee agrees to pay a fee or a charge of One Thousand and No /100 Dollars ($1,000.00) to recover the administrative expenses incurred by the City that are directly related to preparing and approving this Franchise. Nothing herein shall preclude the City from charging administrative fees or recovering any administrative costs incurred by the City in the approval of permits or in the supervision, inspection or examination of all work by Franchisee in the Franchise Area as prescribed in accordance with applicable provisions of the Federal Way Revised Code. Section 21. Indemnification Franchisee agrees to indemnify and hold harmless and defend the City, its elected officials, officers, employees, agents, and volunteers from any and all claims, demands, losses, actions and liabilities (including costs and all attorney's fees) to or by any and all persons or entities, including, without limitation, their respective agents, licensees, or representatives, arising from, resulting from, or connected with this Franchise to the extent caused in part or in whole by the acts, errors or omissions of the Franchisee, its officers, partners, shareholders, agents, employees, or by the Franchisee's breach of any provisions of this Franchise; provided, however, that this section shall not be construed as requiring Franchisee to indemnify, hold harmless or defend the City against claims or damages arising from the negligence of the City, its agents or employees. In the event any claim, Ordinance No. 15- Page 1 I of 20 20 Rev 1115 demand, suit or action is commenced against the City that gives rise to Franchisee's obligation pursuant to this Section 21, the City shall promptly notify Franchisee thereof. Franchisee's selection of an attorney to defend any such claim, demand, suit or action shall be subject to the City's approval, which shall not be unreasonably withheld. Franchisee shall not settle or compromise any such suit or action except with prior written consent of the City, which shall not be unreasonably withheld. The City shall have the right at all times to participate through its own attorney in any suit or action which arises pursuant to this Franchise when the City determines that such participation is required to protect the interest of the City or the public. In the event it is determined that RCW 4.24.115 applies to this Franchise, Franchisee agrees to defend, hold harmless and indemnify the City to the maximum extent permitted thereunder, to the full extent of Franchisee's negligence. Section 22. Insurance 22.1 Minimum Limits. The Franchisee agrees to carry as a minimum, the following insurance, in such forms and with such carriers as are satisfactory to the City. (a) The Franchisee agrees to procure and maintain for the duration of this Franchise and any renewals, general liability insurance against claims for injuries to persons or damages to property which may arise from, or in connection with Franchisee's facilities, operations, acts, and omissions under this Franchise at a level of no less than $1,000,000 per occurrence. (b) Automobile liability insurance with combined single limits of liability not less than $500,000 for bodily injury, including personal injury or death and property damage. 22.2 Mandatory lnSurance Provisions. The general liability insurance and automobile liability insurance policies shall be endorsed to contain the following provisions: (a) The City, its officers, elected officials, employees, and volunteers are to be named as additional insured; Ordinance No. 15- Page 12 of 20 21 Rev 1115 (b) Coverage shall apply separately to each insured against whom claim is made or suit is brought, except with respect to the limits of the insurer's liability; Coverage shall not be suspended, canceled, modified or reduced except after thirty (30) days prior written notice to the City delivered by certified mail, return receipt requested; and Coverage shall be primary as to the City, its officers, officials, employees and volunteers. Any insurance or self - insurance by the City, its officers, officials, employees or volunteers shall be in excess of Franchisee's required insurance. 22.3 Verification of Coverage. Franchisee shall furnish the City with certificates of insurance and original endorsements evidencing the coverages required by this Section. The certificates and endorsements shall be signed by a person authorized by the insurer to bind coverage on its behalf and must be received and approved by the City prior to the commencement of any work. At the City's request, Franchisee shall deliver certified copies of all required insurance policies. Section 23. Bond Before commencing work within the City, the Franchisee shall post a bond in the form attached as Exhibit B and in the amount of $100,000 to guarantee performance of the construction, performance, maintenance or repair in accordance with any permits required and with any provisions of this franchise. Procedures for submission and release of the bond shall be as provided by City Code. In the event that the Franchisee fails to perform as required herein or by any permits required, the City may perform the work as provided herein, and may have recourse to the bond in addition to or in lieu of the remedies provided herein, at the City's sole discretion. Franchisee shall be entitled to return of the bond, or portion thereof, as remains sixty (60) days after the expiration of the term of the Franchise, provided the City has not notified Franchisee of any actual or potential damages incurred as a result of Franchisee's operations pursuant to the Franchise or as a result of default Ordinance No. 15- Page 13 of 20 22 Rev 1115 thereunder. Section 24. General Provisions 24.1 Entire Agreement. This Franchise contains all of the agreements of the Parties with respect to any matter covered or mentioned in this Franchise and no prior agreements or understandings pertaining to any such matters shall be effective for any purpose. 24.2 Modificattoii. No provision of this Franchise may be amended or added to except by agreement in writing signed by both of the Parties. 24.3 Assi gimient. Franchisee shall not have the right to transfer or assign, in whole or in part, any or all of its obligations and rights hereunder without the prior written consent of the City. Any assignee shall, within thirty (30) days of the date of any approved assignment, file written notice of the assignment with the City together with its written acceptance of all terms and conditions of this Franchise. Notwithstanding the foregoing, Franchisee shall have the right, without such notice or such written contest, to mortgage its rights, benefits and privileges in and under this Franchise to the Trustee for its bondholders. 24.4 Attorney Fee s. In the event the City or the Franchisee defaults on the performance of any terms in this Franchise, and the Franchisee or the City places the enforcement of the Franchise or any part thereof or for the collection of any monies due, or to become due hereunder, in the hands of an attorney, or files suit upon the same, each party shall be responsible for its own attorneys' fees, costs and expenses. The venue for any dispute related to this Franchise shall be King County, Washington. 24.5 No Waiver. Failure of either party to declare any breach or default by the other party immediately upon the occurrence thereof, or delay in taking any action in connection therewith, shall not waive such breach or default, but such party shall have the right to declare any such breach or Ordinance No. 15- Page 14 of 20 23 Rev 1115 default at any time. Failure of either party to declare one breach or default does not act as a waiver of such party's right to declare another breach or default. 24.6 Governing, Law_ . 'This Franchise shall be made in and shall be governed by and interpreted in accordance with the laws of the State of Washington. 24.7 Authos-itya. Each individual executing this Franchise on behalf of the City and Franchisee represents and warrants that such individual is duly authorized to execute and deliver this Franchise on behalf of the Franchisee or the City. 24.8 Notices. Any notices required to be given by the City to Franchisee or by Franchisee to the City shall be delivered to the parties at the following addresses: Franchisee: 8/2s //2 5i- I'aea rxa, w a 9S'44y City: City of Federal Way Attn: City Attorney 33325 8th Avenue South Federal Way, WA 98003 Any notices may be delivered personally to the addressee of the notice or may be deposited in the United States mail, postage prepaid, to the address set forth herein. Any notice so posted in the United States mail shall be deemed received three (3) days after the date of mailing. 24.9 Cautions. The respective captions of the sections of this Franchise are inserted for convenience of reference only and shall not be deemed to modify or otherwise affect in any respect any of the provisions of this Franchise. 24.10 remedies Cunitilative. Any remedies provided for under the terms of this Franchise are not intended to be exclusive but shall be cumulative with all other remedies available to the City at law, in equity or by statute. Section 25. Several >ilitN, Ordinance No. 15- Page 15 of 20 24 Rev 1115 If any section, sentence, clause, or phrase of this Franchise should be held to be invalid or unconstitutional by a court of competent jurisdiction, such invalidity or unconstitutionality shall not affect the validity or constitutionality of any other section, sentence, clause or phrase of this Franchise. Section 26. Ratification Any act consistent with the authority and prior to the effective date of this Franchise is hereby ratified and affirmed. Section 27. Effective Date This Franchise shall take effect and be in full force thirty (30) days after its passage and publication, according to law (see Effective Date below). PASSED by the City Council of the City of Federal Way this day of .2015. CITY OF FEDERAL WAY MAYOR, JIM FERRELL ATTEST: CITY CLERK, STEPHANIE COURTNEY, CMC APPROVED AS TO FORM: CITY ATTORNEY, AMY JO PEARSALL Ordinance No. 15- Page 16 of 20 25 Rev 1/ 15 FILED WITH THE CITY CLERK: PASSED BY THE CITY COUNCIL: PUBLISHED: EFFECTIVE DATE: ORDINANCE NO. Ordinance No. 15- Page 17 of 20 26 Rev l /15 ACCEPTANCE: The undersigned hereby accepts all the rights and privileges of the above granted License and acknowledges that such rights and privileges are subject to and limited by all of the terms, conditions and obligations contained therein. DATED this -/J' -tkday of t' r .a ,. , 2015. osep E. Mayer Wu- fl, �, Y611 Pamela. R. May r N• Aie,j.,Mayer Ordinance No. 15- Page 18 of 20 27 Rev 1/] 5 EXHIBIT A LOCATION OF FACILITIES WITHIN THE FRANCHISE AREA Ordinance No. 15 -_ Page 19 of 20 28 Rev 1115 Parcel 321 020 01 07 Cty of Federal Way City of 33325 8th Ave S 1— A Both parcels are owned by Federal Way, Wa. 98003 IM nxi inAmrni (VV) www.cityoffederalway.com C 3rSTh sT 4 M1t. .M1 M1 M1 M1t 1 c CITY OF Federal Way This map is intended for use as a graphical representation. The City of Federal Way makes N no warranty as to its accuracy. EXHIBIT B PERFORMANCE /MAINTENANCE BOND Ordinance No. 15- Page 20 of 20 30 Rev 1115 CITY OF FEDERAL WAY PERFORMANCE /MAINTENANCE BOND KNOW ALL PEOPLE BY THESE PRESENTS: We, the undersigned Joseph E. Mayer, Pamela R. Mayer, and Natalie A. Mayer, ( "Principal ") and , the undersigned corporation organized and existing under the laws of the State of and legally doing business in the State of Washington as a surety ( "Surety "), are held and firmly bound unto the City of Federal Way, a Washington municipal corporation, ( "City ") in the penal sum of One Hundred Thousand Dollars and No /100 ($100,00.00) for the payment of which we firmly bind ourselves and our legal representatives, heirs, successors and assigns, jointly and severally. This obligation is entered into pursuant to the statutes of the State of Washington and the ordinances, regulations, standards and policies of the City, as now existing or hereafter amended or adopted. The Principal has entered into an Agreement with the City dated 2016, for a franchise to continue to maintain and operate a private sewer line within and through the City of Federal way rights -of -way. NOW, THEREFORE, if the Principal shall perform all the provisions of the Agreement in the manner and within the time period prescribed by the City, or within such extensions of time as may be granted under the Agreement, and shall pay all laborers, mechanics, subcontractors and material men or women, and all persons who shall supply the Principal or subcontractors with provisions and supplies for the carrying on of said work, and shall hold the City, their officials, agents, employees and volunteers harmless from any loss or damage occasioned to any person or property by reason of any carelessness or negligence on the part of the Principal, or any subcontractor in the performance of said work, and shall indemnify and hold the City harmless from any damage or expense by reason of failure of performance as specified in the Agreement, or from defects appearing or developing in the material or workmanship provided or performed undef the Agreement within a period of two (2) years after its final acceptance thereof by the City, then and in the event this obligation shall be void; but otherwise, it shall be and remain in full force and effect. And the Surety, for value received, hereby further stipulates and agrees that no change, extension of time, alteration or addition to the terms of the Agreement or to the work to be performed thereunder or the specifications accompanying the same shall in any way affect its obligation on this bond, and it does hereby waive notice of any change, extension of time, alterations or additions to the terms of the Agreement or to the Work. The Surety hereby agrees that modifications and changes maybe made in the terms and provisions of the Agreement without notice to Surety, and any such modifications or changes increasing the total amount to be paid the Principal shall automatically increase the obligation of the Surety on this 1 31 Performance Bond in a like amount, such increase, however, not to exceed twenty -five percent (25 %) of the original amount of this bond without the consent of the Surety. Within forty -five (45) days of receiving notice that the Principal has defaulted on all or part of the terms of the Agreement, the Surety shall make a written commitment to the City that it will either: (a) cure the default itself within a reasonable time period, or (b) tender to the City, the amount necessary for the City to remedy the default, including legal fees incurred by the City, or (c) in the event that Surety's evaluation of the dispute is not complete or in the event the Surety disputes the City's claim of default, the Surety shall notify the City of its finding and its intent, if any, to interplead. The Surety shall then fulfill its obligations under this bond, according to the option it has elected. Should Surety elect option (a) to cure the default, the penal sum of the Bond shall be reduced in an amount equal to the costs actually incurred by the Surety in curing the default. If the Surety elects option (b), then upon completion of the necessary work, the City shall notify the Surety of its actual costs. The City shall return, without interest, any overpayment made by the Surety and the Surety shall pay to the City any actual costs which exceed the City estimate, limited to the bond amount. Should the Surety elect option (c), the Parties shall first complete participation in mediation, described in the below paragraph, prior to any interplead action. In the event a dispute should arise between the Parties to this Bond with respect to the City's declaration of default by the Principal, the Parties agree to participate in at least four hours of mediation in accordance with the mediation procedures of United States Arbitration and Mediation ( "USA &M "). The Parties shall proportionately share in the cost of the mediation. The mediation shall be administered by the Seattle USA &M office, 4300 Two Union Square, 601 Union Street, Seattle, Washington 98101 -2327. The Surety shall not interplead prior to completion of the mediation. 2 32 DATED this day of CORPORATE SEAL OF PRINCIPAL: STATE OF WASHINGTON ) ss. COUNTY OF 1 , 2016. [PRINCIPAL] By: Joseph E. Mayer 31041 53`d Ave SW Federal Way, WA 98023 Date By: Pamela R. Mayer 31041 53`d Ave SW Federal Way, WA 98023 Date By: Natalie A. Mayer 31041 53`d Ave SW Federal Way, WA 98023 On this day personally appeared before me Joseph E. Mayer, Pamela R. Mayer and Natalie A. Mayer, to me known to be the individuals described in and who executed the foregoing instrument, and on oath swore that he /she /they executed the foregoing instrument as his /her /their free and voluntary act and deed for the uses and purposes therein mentioned. GIVEN my hand and official seal this day of Notary's signature Notary's printed name Notary Public in and for the State of Washington. My commission expires 3 33 20 . CORPORATE SEAL OF SURETY: APPROVED AS TO FORM: Amy Jo Pearsall, City Attorney G: \LawForms\PerformanceMaintenanceBond Rev. 01/15 4 34 Surety Attorney -in -Fact (Attach Power of Attorney) (Name of Person Executing Bond) (Address) (Phone) Federal Way 2 th ersary This page was left intentionally blank. 35 COUNCIL MEETING DATE: CITY OF FEDERAL WAY CITY COUNCIL AGENDA BILL SUBJECT: ECONOMIC DEVELOPMENT — RETAIL ACTIVITY POLICY QUESTION: Information Only COMMITTEE: ITEM #: MEETING DATE: CATEGORY: ❑ Consent ❑ Ordinance ❑ Public Hearing ❑ City Council Business ❑ Resolution X Other STAFF REPORT BY: Tim Johnson, d9irector Economic Development DEPT: Mayor's Office Attachments: Memo to FEDRAC chair an�i'committeemembers Options Considered: MAYOR'S RECOMMENDATION: 'n 0Lj MAYOR APPROVAL: CHIEF OF STAFF: T C.4/. k IA41 r COMMITTEE RECOMMENWTION: DIRECTOR APPROVAL: f �/ 0( p -/� Committee Chair Committee Member Committee Member PROPOSED COUNCIL MOTION: "PM " BELOW TO BE COMPLETED BY CITY CLERKS OFFICE) COUNCIL ACTION: ❑ APPROVED COUNCIL BILL # ❑ DENIED IST reading ❑ TABLED/DEFERRED/NO ACTION Enactment reading ❑ MOVED TO SECOND READING (ordinances only) ORDINANCE # REVISED — 1 /2015 RESOLUTION # 36 STAFF REPORT DATE: January 26, 2016 TO: Chair, Dini Duclos and Council Members, Finance, Economic Development and Regulatory A irs Committee FROM: Tim Johnson; Pirector )Economic Development SUBJECT: Economic Development- Retail Activities The following provides information on the latest retail activity as it pertains to openings, closings, site locations, expansions and construction for retail development in Federal Way. The Commons Mall At the Commons Mall interest has been focused upon the sale of the facility. The owner, the Irvine, California —based Steadfast Companies hired a team of retail experts to sell the Commons Mall but also the Everett Mall during the summer of 2015. According to Philip Voorhees, Executive Vice President of the real estate brokerage CBRE, hired to perform the sale, he identified that the selected buyer did not approve contingencies and canceled escrow during the holidays. The buyer was in a 1031 exchange, and the buyer appears to have dropped The Commons to pursue another acquisition. "This was a disappointment. However, the property will be marketed again in January and we expect to close a transaction during the first half of 2016 ", said Voorhees. Meanwhile, the following activities have or are taking place at The Commons: Macy's announced in late 2015 that it would close stores to improve efficiencies. The retailer specifically named the closing of 36 stores on January 6, 2016 and the elimination of 2600 Jobs. Only one store, downtown Spokane was announced for closure in Washington. Daiso, the Japanese merchandiser is expanding across from Dick's Sporting Goods. Red Robin will begin demolition of their existing facility and rebuild a new product at the same location during 2016. Honor Coffee will open at the former Starbuck's site at the Main Entrance on the north side of the mall. Costa Vida unfortunately has announced their closing. The store opened in November 2014. As of the writing of this document, City staff does not have any insight to the reason(s) for the closure. 1 Staff Report - FEDRAC - January 26, 2016 RON&6. ., ,,.„ r r. IG15 W7t1 a rw aire:!K-sWuCWU � utKArgM of Ablri Cq�M rr I4w �1�OMrM A9 rift 'Dw 2 N "`"WM WA SOUTM" ft, A" UWAAL dM THV TAr '-V� KA.ct. A°+o+rAPP K%S 37 Walmart The retailer announced on January 15, 2016 that it would close 159 stores in the nation and Puerto Rico. No stores in Washinglon State are scheduled for closure. A total of 269 stores are to be closed globally out of some 11,000. Of the 159 stores to be closed in the US and Puerto Rico that will see major closures include Alabama, Arkansas, California, North Carolina, and Texas. Walmart will close all of their Express stores that comprise 102 of the total of stores being shuttered in the US and Puerto Rico. These comprise the majority of stores to be closed. In addition to the 'Express Stores,' they will also close the following: • 12 Super Stores • 23 Neighborhood Stores a 4 Sam's Clubs Of interest, Walmart will open 300 stores this year, exceeding more than they close. As it pertains to stores in Federal Way, the smaller of the two, the 312th store is used as a regional training center for the company. Walmart managers stay for 6 weeks. The Clarion Hotel has a long term contract to house these visiting managers. City Center Plaza The new owner of the City Center Plaza- Mark MacDonald is making quick changes to his center. He is submitting permits for improved signage, lighting and landscaping. Additionally, he has entered into a contract to build new establishments. Mod Pizza, the Bellevue -based chain will be opening a store at the City Center Plaza in 2016. The chain opened 61 location in eight states creating over 1300 jobs in 2015 and plans to expand into six states and nearly double the number of establishments in the chain in 2016. The company was created by a husband and wife team- Scott and Ally Svenson Celebration Center The center owned by the Portland -based Harsch Investments continues to attract businesses to their different centers. As it pertains to retail activity at the center, the following will be locating there. Legendary Donuts, the Puget Sound -based retailer will open later in 2016 adjacent to the retailer Total Wine and Spirits. The company is founded, owned and operated by the husband and wife team of Shannon and Kenny Patton. This will be their third store. Chick -fil -A has submitted permits to build a new facility on the eastern side of the center Just off of Pacific Highway. No date for opening has been identified. Fitness Center, an independent fitness center will open its doors in 2016 in the western building at the center Pavilions The center owned by the Portland -based Harsch Investments continues to attract businesses. Burger King is working through the permit process to open at the former Arby's site along Pacific Highway. No date has been announced for opening. 2 1 Staff Report - FEDRAC - January 26, 2016 _ 38 7 -11 The 7/11 Corporation has relocated their regional offices for the Pacific Northwest to Federal Way. The main reason for their move was the low cost of doing business, this according to Jeff Brown Senior Real Estate Representative. They have located to 33915 1st Way, South, Suite 205 - not far from City Hall. They will also be doing renovations on their four existing stores and looking for one or two more sites in Federal Way. Hong Kong Market- Status Brian Hoang, of West Principles Investment is working diligently to open the doors of his Hong Kong Market at 356th and 215'. Brian and his partners have purchased the entire center which include Ace hardware, a pet store, Pizza Hut, a hair salon, a dry cleaners and Jersey's Pub. He intends to open on Saturday, January 30tH Former Albertson's — Status Jeff Stafford, broker for SeaPac Realty identified that they are in discussions with a variety of tenants for the site. As he previously identified to the City Council he hopes that an announcement will be made in 2016. Former Metropolitan Market - Status Brynn Telkamp of JSH Properties identified that they are making headway with several tenants — a general merchandise store, a pet shop and still looking at a third tenant. They had intended to lease to a fitness center, however, the property owner of the rest of the center entered into an agreement with another fitness chain, thus they are working to secure another tenant. Anytime Fitness has just opened at the Dash Point Center along with the expansion of HR Block. SeaTac Village The center owned by the Portland -based Harsch Investments continues to attract businesses. Cafe Rio is a self -serve eatery dishing up Mexican classics including hand - rolled tortillas, burritos & tacos. They are under construction on a pad site along 320th. They will join Qdoba's and Chipotle's in serving the community with similar food. Of interest, this chain is also headquartered in Utah similar to Costa Vida. Secondary Anchor Tenant Harsch management is being very silent about a new tenant. However, there appears to be an announcement brewing. Stay tune! Closure of Pawn Pros- Pac Highway A former pawn shop has closed at 32811 Pacific Hwy. Haggen's Grocery Store The end is near for the chain as the Federal Way store located on 312th and Pacific Highway is part of February 5th auction as it pertains to the bankruptcy proceedings. Haggen's had to sale or close 133 stores during 2015. It has fewer than two dozen left to release. Recall Haggen's was chosen by the Federal Trade Commission to purchase Albertson's /Safeway stores due to their merger Other Located at 31430 Pac Highway, a new store (yet to be named) will open its doors later this year. No date has been announced. 3 I Staff Report - FEDRAC - January 26, 2016 39 COUNCIL MEETING DATE: CITY OF FEDERAL WAY CITY COUNCIL AGENDA BILL SUBJECT: SCORE REPORT POLICY QUESTION: N/A Information Only COMMITTEE: FEDRAC CATEGORY: ❑ Consent ❑ City Council Business ITEM #: MEETING DATE: 01/26/2016 ❑ Ordinance ❑ Public Hearing ❑ Resolution Other STAFF REPORT BY: A& Ariwoola, Finance Director DEPT: Finance Attachments: 1. Vouchers /Salary Report 2. November and December SCORE and SCORE PDA Financials 3. Outside Medical 2015 Allocation of Budget 4. Quarterly Report October 2015 — December 2015 Inmate Trust Account 5. December Jail Statistics Options Considered: N/A Information Only MAYOR'S RECOMMENDATION: N/A Information Only DIRECTOR APPROVAL: MAYOR APPROVAL: Q., i I Initial /Date COMMITTEE RECOMMENDATION: N/A h?forlm for Only N/A N/A _ N/A Committee Chair Committee Member Committee Member PROPOSED COUNCIL MOTION: N/A Information Only (BELOW TO BE COMPLETED BY CITY CLERKS OFFICE) COUNCIL ACTION: ❑ APPROVED COUNCIL BILL # ❑ DENIED IST reading ❑ TABLED /DEFERRED/NO ACTION Enactment reading ❑ MOVED TO SECOND READING (ordinances only) ORDINANCE # REVISED— 1/2015 RESOLUTION # 40 Voucher �! SL: 07 a ]s c cuw ed 12 y/ T. 3112 ®!� 5 2368 1112512015 KCDC - AUBURN 4ZO990675 ARIEL L TORRES - BAIL CUSTODIAL. ACCOUNT 1,000.00 520818293 CORONA CRUZAGUIRRE - BAIL 2359 1112512015 AUBURN MUNICIPAL COURT IZOS10519 ROBERT ALYN CROMHEECKE - BAIL 2370 1112512015 KCDC - BELLEVUE DIVISION 521182414 ALEXSEY PODDUBNIY -SAIL 401 -000000- 237000 CUSTODIAL ACCOUNT BC0194351 DUSTIN JONES - BAIL 2371 11f2512015 FEDERAL WAY MUNICIPAL COURT 521 0 321 98 CODY CAYON - BAIL 2372 1112512015 KING COUNTY DISTRICT COURT C00015794 JOON H PARK - BAIL 2373 1112512015 CITY OF RENTON 15 -13508 RICHARD D KEELING - BAIL 401 -000006- 237000 CUSTODIAL ACCOUNT 5Z02OB936 MILESCONNER - BAIL 2374 1112512015 KCDC - SHORELINE. 615297611 ERIK KRUSE - BAIL (KENMORE) 2375 12!912015 KCDC- AUBURN 5Z1205528 JIENIZHANG - BAIL 2376 12191201S KING COUNTY DISTRICT COURT Y10295314 LUCIANO RAMOS - BAIL 2377 121912015 KITTITAS UPPER DISTRICT COURT 0 00 01 372 3 VASILIY FRANTSEVICH - BAIL 2378 12!912015 PACIFICIALGONA MUNICIPAL COURT 520945649 -1 VALENTIN BUTOV - BAIL . . . . . . . 1,000.00 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9YB128291 VASILIYFRANTSEVICH - BAIL 2379 121912015 CITY OF RENTON SZO627033 DYLAN KRAUSE - BAIL ....... ............................... Chock Amount: 420851142 -1 DYSHAY MARIE CARTER - BAIL CUSTCDIAL ACCOUNT . 2,10000 ........................ 521033813 KENNETH DRIVER -BAIL Chock Amount: $ 2,100.60 401 - 000000 - 237000 5Z1188707 ROGELIO LOPEZ HERNANDEZ - BAIL 2380 12/1612015 KCDC - AUBURN 520341292 JASCNMEDLIN - BAIL Chock Amount: 521082700 JONATHANCMANUEL - BAIL CUSTODIAL ACCOUNT 500.00 521218882 DAVIDANGELO - BAIL 543.00 401 -000000 - 237400 520163974 BRENT BOULANGER - BAIL 1,000.00 401 -000000 - 237000 CUSTODIAL ACCOUNT 420768048 DUSTIN SWEENEY - BAIL 401 -000000. 237000 CUSTODIAL ACCOUNT 500.00 401-000000-2,37000 CUSTODIAL. ACCOUNT 1,000.00 ............. Check Amount; .................. 1,0,00 401 - 000000 - 237000 CUSTODIAL ACCOUNT ....... 500.00 ............................... Check Amount: $ 506,00 401 -000000- 237000 CUSTODIAL ACCOUNT 1,000.00 401 -000000 - 237000 CUSTODIAL ACCOUNT 2,500.00 Chock Amount: 5 3,500.00 401 - 000000 - 237000 CUSTODIAL ACCOUNT ...................................... 500.00 Check Amount: $ 560.00 401 -000006- 237000 CUSTODIAL ACCOUNT 1:000.00 Check Amount: $ 1,000.06 401 - 000000 - 237000 CUSTODIAL ACCOUNT 500.00 401- 000000- 237000 CUSTODIAL ACCOUNT 600.00 ....... ............................... Check Amount: $1,106.00 401- 000000 - 237000 CUSTODIAL ACCOUNT 2,500.00 .. Check Amount: ................ $ 2,500.60 401 -000000 - 237000 CUSTODIAL ACCOUNT . . . . . . . 1,000.00 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Check Amount: $ 1,060.06 401 - 000000.237000 CUSTODIAL ACCOUNT 5,000.00 ....... ............................... Chock Amount: $ 5,000.00 401 -000000- 237000 CUSTCDIAL ACCOUNT . 2,10000 ........................ Chock Amount: $ 2,100.60 401 - 000000 - 237000 CUSTODIAL ACCOUNT 250.00 401 -000000 - 237000 CUSTODIAL ACCOUNT 2,600.00 Chock Amount: $ 2,850.06 401 - 000000 - 237000 CUSTODIAL ACCOUNT 500.00 401 - 000000 - 237000 CUSTODIAL ACCOUNT 543.00 401 -000000 - 237400 CUSTODIAL ACCOUNT 1,000.00 401 -000000 - 237000 CUSTODIAL ACCOUNT 2,500.00 Check Amount: $4,543.60 401 - 000000- 237000 CUSTODIAL ACCOUNT 500.00 401 -000000 - 237000 CUSTODIAL ACCOUNT 500.00 401 - 000000- 237000 CUSTODIAL ACCOUNT 1,000.00 401- 000000- 237000 CUSTODIAL ACCOUNT 2,600.00 401 -000000 - 237000 CUSTODIAL ACCOUNT 2,600.00 Chock Amount: $ 7,206A0 1 of 17 Voucher List of Bills Presented t :r' > Approval on 1/13/2016 12!1612015 KCDC- SCUTHDIVISION- BURIEN 5Z1026984 SANTANAGONZALESMARTINEZ - BAIL 401 - 000000 - 237000 CUSTODIAL ACCOUNT . . . . . . . . . . . . . . . 1.000,00 . . . . . . . . . . . . . . . . . . . . . . . Check Amount: $ 4,000.00 12116!2015 FEDERAL WAY MUNICIPAL COURT 5ZI133998 NICHOLAUS AARON REEVES - BAIL 401 -000000- 237000 CUSTODIAL ACCOUNT .... •--.. •. • 1,000.00 ....................... Chock Amount-, $ 1,000.00 12!1612015 KENT MUNICIPAL COURT K.00108986 ZACALA PACKARD - BAIL 401- GOGOOO- 237000 CUSTODIAL ACCOUNT ....... ............................... 100,00 Chock Amount: $ 100.00 1219 612015 KIT7TAS COUNTY SUPERIOR COURT 048001191 DUSTIN ENGQUIST - BAIL 401 -000000- 237000 CUSTODIAL ACCOUNT 200.00 Chock Amount: S200.00 1 211 6 12 01 5 PACIFICIALGONA MUNICIPAL COURT 4ZO136198 NATHEN BRUNO ZAFFINO - BAIL 401- 000000- 237000 CUSTODIAL ACCOUNT . . . . . . . . . . . . . 150.00 . . . . . . . . . . . . . . . . . . . . . . . . . Chock Amount: $ 150.00 12111612016 CITY OF RENTON CROO56691 LUIS HERNANDEZ ROBLERO - BAIL 401 -000000- 237000 CUSTODIAL ACCOUNT ...................................... 1.100.00 Chock Amount: $ 1,100,00 1212312015 KCDC - AUBURN 5Z1216060 WING NGAI LAM - BAIL 401- 000000 - 237000 CUSTODIAL ACCOUNT 1,000.00 Chock Amount: $1,000.00 12112312015 KCDC - BELLEVUE DIVISION EIC193122 ROBERT BEUCKMAN - BAIL 401 -000000 - 237000 CUSTODIAL ACCOUNT 500.00 Chock Amount: $ 500.00 12/2312015 BUCKLEY MUNICIPAL COURT 121193223 LUIS M CORNELIO DOMINGUEZ - BAIL 401 -000000- 237000 CUSTODIAL ACCOUNT . . . . . . . . . . . . . . 1,000.00 . . . . . . . . . . . . . . . . . . . . . . . . Check Amount: $ 1,000.00 1212312015 DES MOINES MUNICIPAL COURT C8724NP DARIN CLARKE- BAIL (NORMANDY PARK) 401- 000000 - 237000 CUSTODIAL ACCOUNT 10.000.00 Chock Amount: $ 10,000.00 12123/2015 FEDERAL WAY MUNICIPAL COURT CA0069329 GEORGE LAFAYETTE- BAIL 401 -000000- 237000 CUSTODIAL ACCOUNT ....... ............................... 1.700.00 Chock Amount: $ 1,700.00 1 2123 12 01 5 KENG COUNTY DISTRICT COURT Y12CO5123 HEBER GUERRA ALVARADO - BAIL 401 -000000- 237000 CUSTODIAL ACCOUNT 250.00 .................. Chock ChockAmount: $250.00 12/2312015 MILTON MUNICIPAL COURT 5Z1226859 RICHARD LYNCH - BAIL 401- 000000- 237000 CUSTODIAL ACCOUNT 2.000.00 Chock Amount: $ 2,000.00 1 7J23/201 5 CITY OF RENTON 5Z1237039 NORA RAE GENET - BAIL 401 -000000 - 237000 CUSTODIAL ACCOUNT .1.000.00 Chock Amount: $ 1,000.00 1215112015 ALGONAIPACIFIC MUNICIPAL COURT SZ1166800 MICHELLE WEBB - BAIL 401 - 000000- 237000 CUSTODIAL ACCOUNT 100:00 Chock Amount: $ 100.00 12/3112015 KCDC - AUBURN 521210347 NEKO SACARD REYNON - BAIL 401 - 000000 - 237000 CUSTODIAL ACCOUNT 1.000.00 Chock Amount: $1,000.00 12131121115 KCDC - COVINGTON 15- 302406 SURJIT SINGH SAMBA - BAIL 401 - 000000 - 237000 CUSTODIAL ACCOUNT 1.000.00 Check Amount: $ 1,000.00 12131/2015 KING COUNTY DISTRICT COURT 612148612 RAFAEL ALONSO VIRALTA PARRA -BAIL 401 -000000- 237000 CUSTODIAL ACCOUNT .1.000.00 Chock Amount: S1,000.00 2of17 3 of 17 Voucher List of Bills Presented for Approval on 1/13/216 2399 12131/2015 KING COUNTY DISTRICT COURT 4ZO135428 LORRIN L BEVERLY - BAIL 401 -000000- 237000 CUSTODIAL, ACCOUNT .................... 2,000.00 Chock Amount: S 2,000.00 2400 12/31/2015 MUCKLESHOOT TRIBAL COURTS MUC- CR- 10- 15-173 NATHANIEL DAKOTA ANTON - BAIL 401 - 000000 - 237000 CUSTODIAL ACCOUNT .250:00 Check Amount: $ 250.06 2401 12!3112015 PACIFICIALOONA MUNICIPAL COURT C000D9C39 RALPH CONDON - BAIL 401-000000-237000 CUSTODIAL ACCOUNT 200.00 3ZO103360 NICHOLAS MILLER - BAIL 401 - 000000- 237000 CUSTODIAL ACCOUNT 350.00 4ZO264227 URIEL GARCIA NICOLS - BAIL 401 - 000000 - 237000 CUSTODIAL ACCOUNT 500.00 ....... ............................... Chock Amount: $1,050.00 2402 12!3112015 WHITMAN COUNTY DISTRICT COURT P00151100 KEVIN HENDERSON - BAIL 401-000000-231000 CUSTODIAL ACCOUNT 1,050,00 Check Amount: $ 1.050.00 2403 11612016 KCDC - BELLEVUE DIVISION BC0155330 JOEL STETZER - BAIL 401 - 000000- 237000 CUSTODIAL ACCOUNT 500.00 1566282 LEE NICHOLLS - BAIL 401 -000000- 237000 CUSTODIAL ACCOUNT 1,000.00 ^.566444 BRANDONJUSTHAM - BAIL 401 -000000- 237000 CUSTODIAL ACCOUNT 2,000.00 Chock Amount: S 3,500.00 2404 1/6/2016 PACIF €CIALGONA MUNICIPAL COURT 42712833 ROBERT JAMES COOGAN - BAIL 401- 000000- 237000 CUSTODIAL ACCOUNT .................. ...... 250.00,. Chock Amount: $ 250.00 w 2405 1/13/2016 KCDC - BELLEVUE DIVISION BC194932 AUSTIN J ROBERSON - SAIL 401- 000000- 237000 CUSTODIAL ACCOUNT 1.000.00 Chock Amount: 51,000.00 2406 1113/2016 MUCKLESH007 TR13AL COURTS MUG -CR -0 911 5 -1 67 SHANNON R SAGATU - BAIL 401 -000000- 237000 CUSTODIAL ACCOUNT ................. - 250,00 Chock Amount: $ 250.00 2407 1/1312016 PACIFICIALGONA MUNICIPAL COURT 5)Z0596440 MELISSA FLYNN - BAIL 401- 000000. 237000 CUSTODIAL ACCOUNT 200.00 5ZO774024 ANDREY R TOCHINSKIY - BAIL 401-000000-237000 CUSTODIAL ACCOUNT 250,00 9Y6071256 MAEPOTTS - BAIL 401 -000000- 237000 CUSTODIAL ACCOUNT 350.00 6ZOO87658 BENJAMIN HENNIGAN - BAIL 401 - 000000- 237000 CUSTODIAL ACCOUNT 500.00 4ZO172C5713ZO87314 ROMAN TOCHINSK€Y - BAIL 401- 000000- 237000 CUSTODIAL ACCOUNT 750.00 . . . . . . . Check Amount: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,050.00 2408 111312016 KING COUNTY EAST DIVISION COURT CR0041062 MICHELLE M YU -13AIL 401- 000000- 237000 CUSTODIAL ACCOUNT 500.00 Chock Amount: S­500.'00' 2409 1/1312016 TUKWILA MUNICIPAL COURT CROD64187 MARCELLIS JAMON PIPKIN -HAIL 401 -000000- 237000 CUSTODIAL ACCOUNT 1.000:00 Chock Amount: $ 1,000.00 56350 12/2312015 WASHINGTON STATE DEPARTMENT OF REVENUE NOV 15 NOV 15 USE TAX FILING 401- 000000 - 231700 USE TAX PAYABLE 817.41 Chock Amount: $817.41 93617 11125!2015 WASHINGTON STATE DEPARTMENT OF REVENUE OCT 15 OCT 15 USE TAX FILING 401- 000000 - 231700 USE TAX PAYABLE 1:094.24 Chock Amount: $1,094.24 3 of 17 4of17 M4J=7 Llst of I ]Hs Presented for Lr� ppiraval on q. _. Description Mlnt# Amount jw 104336 1112512015 BENEFIT COORD I NATORS CORPORA71ON 746292 DEC 15- MED/DENNIS/LIFE 401 - 000000- 231509 ACCRUED BENEFIT PAY DENTAL 15,900.38 401 - 000000 - 231504 ACCRUED BENEFITS PAY - MEDICAL 130,186.05 401 -000000- 231507 ACCRUED BENEFITS PAY STANDARD 5,103.31 401 -000000 - 231508 ACCRUED BENEFITS PAY VISION 3,142.52 _ Chock Amount: S 154,332.26 104337 1112512015 IDAHO CHILD SUPPORT RECEIPTING 11252015 11/25/15 REM ID 321664 401- 000000- 231500 ACCRUED EMPLOYEE BENEFITS . 427.42 . . . . . . Chock Amount: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 427-42 104338 iV3012015 AMERICAN JAIL ASSN MBR85501 -16 PROFESSIONAL MEMBER DUES BARTLEY -2016 401 -000000 - 143701 PREPAYMENTS -0711ER 48.00 Chock Amount: $48.00 104339 1113012015 ARAMARK CORPORATION 000007902- CO0054 WE 11/25115 - FOOD SERVICE 401 - 523600. 410001 FOOD SERVICES 13,193.16 000007902- 000053 WE 11118115 - FCOD SERVICE & OPERATING SUPPLIES 401 - 523600. 410001 FOOD SERVICES 13,085.29 401 - 523600310000 OFFICE SUPPLIES 1,103.24 ........................ Check Amount: . ............. $ 27,381.69 104340 11130/2015 BOB BARKER CO INC WESDOD39962D IM SUPPLIES - SUICIDE JUMPSUITS & SMCCKS 401,523600- 310002 INMATE SUPPLIES 966.97 WES000400175 IM SUPPLIES - HYGIENE 401- 523600 - 310002 INMATE SUPPLIES 1,804.02 UT1000367329 IM SUPPLIES — CLOVES 401 - 523600310002 INMATE SUPPLIES 2,734.78 UT1 0 0036 69 69 IM SUPPLIES - HYGIENE 401- 523600- 310002 INMATE SUPPLIES 3,137.18 -1:1 -------------------------------------- Chock Amount: 58,644.95 104341 1113012015 COW GOVERNMENT INC BFG1012 (1) 8 GB SURFACE PRO TABLET & (1) COVER, BLACK 401- 523110- 350000 SMALL TOOLS/MINOR EQUIPMENT 1.500,15 .......... Chock Amount: ................. . 51,500.15 104342 1113012015 CORRECTIONAL TECHNOLOGIES INC 52930 IM SUPPLIES -KITCHEN 401 - 523600,310002 INMATE SUPPLIES ....... 514.36 ............................... Chock Amount; $ 514.36 104343 1113012015 EOUIFAX - CREDIT NW CORP 9434185 (8) CO & (2) ADMIN PRE - EMPLOYMENT CREDIT CHECK 401- 523100 - 410000 PROFESSIONAL SERVICES 15.37 401- 523600 - 410000 PROFESSIONAL SERVICES 60.96 Chock Amount: F76.55" 104344 1V3012015 CALLS, LLC OD4314183 BOOT RETURN- REF INVIl0043C7C48- ABLSON,K. 401 - 523600,310000 OFFICE SUPPLIES (178.43) 004206584 (2) SEW EMBLEMS - MAZURE, M. 401- 523600. 310000 OFFICE SUPPLIES 219 004383026 NAMEPLATE - ABLSON, K. 401. 523600- 310000 OFFICE SUPPLIES 13,09 004$82993 NAMEPLATE - GRASTY, D. 401 - 523600.310000 OFFICE SUPPLIES 13.09 004382985 CLASS A PARTIAL - GRASTY, D. 401- 523600 - 310000 OFFICE SUPPLIES 93.02 004382986 CLASS A PARTIAL & ALTERATIONS - GRASTY, D. 401. 523600,310000 OFFICE SUPPLIES 106.15 004307049 (2) PAT UNIFORM & CLASS A PARTIAL - ABLSON, K. 401- 523600 - 310000 OFFICE SUPPLIES 106,20 004382988 BOOTS - LAPSANSKY, D. 401. 523600. 310000 OFFICE SUPPLIES 164.25 004390028 BOOTS - ELLIS, J. 401- 523600. 310000 OFFICE SUPPLIES 180.62 094338642 BOOTS - ABLSON, K. 401. 523600 - 310000 OFFICE SUPPLIES 181.72 004298197 (100) SERVICE BARS. 401 - 523600310000 OFFICE SUPPLIES 219.00 004281.818 (100) SGT BADGES 401- 523600- 310000 OFFICE SUPPLIES 219,00 004307048 800TS & TRNG UNIFORM - ABLSON, K. 401- 523600 - 310000 OFFICE SUPPLIES 300.96 Chock Amount; S 1,420,88 104345 11130/2015 GREEN POWER LIGHTING SOLUTIONS, LLC. 634 W SUPPLIES - HYGIENE 401- 523600 - 310002 INMATE SUPPLIES 656.18 825 OPERATING SUPPLIES 401- 523500. 310000 OFFICE SUPPLIES 539.61 Check Amount: 1,195.79 4of17 104346 11!3012015 104347 11130/2015 104348 11130!2015 104345 1V30/2016 Voucher 0 €1 I Bills Presented for Approval on , 0 15 HARLAN FAIRBANKS CO LLC HIGHLINE WATER DISTRICT ICS JAIL SUPPLIES, INC. R,E. MULLINAX INVESTIGATIONS, LLC 104350 1113012015 OFFICE DEPOT INC 104Zi1 1113012015 01 104352 11/3012015 104353 1113012015 104354 1113012015 104355 11130/2015 104356 11/3012015 104357 11/3012015 104358 11130120015 104359 11/3012015 '84481 OPERATING SUPPLIES 1252015 -19761 NOV 15 -WATER 11252015 -19760 NOV 15 -WATER 11252015 -19759 NOV 15 -WATER 131623W IMSUPPLIES - HYGIENE 15 -1038 ADMIN BACKGROUND CHECK - ROGERS, K, '15 -1041 CO BACKGROUND CHECK - FONSECA, V. 15 -1037 CO BACKGROUND CHECK - CRUTE, D, 802384721002 OFFICE SUPPLIES 804305354001 OFFICE SUPPLIES PERFORMANCE SYSTEMS INTEGRATION 636005 REPLACE HEAT DETECTOR. N5 JANITORIAL CLOSET THOMAS C PETEK PHD 9068 (5) CO PRE - EMPLOYMENT PSYCH EVALUATIONS PITNEY BOWES GLOBAL FINANCIAL SERVICES, LLC 321945 POSTAGE SUPPLIES POWERDM$,INC. INVODOD1484 ANNUALSOFTWARE AGREEMENT. 11 117115 »1111 &116 PUGET SOUND ENERGY RICOH USA, INC. SOUTHCENTER ENGRAVING SS LANDSCAPING SERVICES, INC. TELERUS, INC. 200017903200 NOV NOV 15 - ELECTRICITY & GAS 503426SC79 NOV 15 - COPIER CHARGES 32314 OPERATING SUPPLIES 36283 NOV 15 - LANDSCAPING SERVICES TELINV0000325 NOV 15 -AIS INMATE LOOKUP SERVICE 401 - 523660- 310000 OFFICE SUPPLIES 266,00 ....... ............................... Chock Amount: 5 266.00 401 - 523500- 470000 UTILITIES 61,85 401- 523500- 470000 UTILITIES 151.47 401. 523500.470000 UTILITIES 7,652.39 ...... ...- Check Amount: .._ ........................ S7,865.71 401 - 523600 -310002 INMATE SUPPLIES 5:980:00 Chock Amount: $5,980.00 401 - 523100. 410000 PROFESSIONAL SERVICES 120.00 401- 523600. 410000 PROFESSIONAL SERVICES 240.00 401-523600-410000 PROFESSIONAL SERVICES 600 -00 Chock Amount: $ 960.00 401- 523100 - 310000 OFFICE SUPPLIES 2.03 401 - 523700- 310000 OFFICE SUPPLIES 36.50 ....... ............................... Chock Amount: $ 40.53 401-'-'23500- 480000 REPAIRS & MAINTENANCE 401.66 Chock Amount: S 497.Sfi 401.523600470000 PROFESSIONAL SERVICES 1,500:00 Chock Amount: . $ i,5Q0.00 407- 523100. 310000 OFFICE SUPPLIES 121.63 . . . . . . . Chock Amount: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $121,63 401 - 523110 - 490001 DUES/SUBSCRIPTIONS 1,761,61 401 - 000000 - 143701 PREPAYMENTS -OTHER 12,527,00 ....... Chock Amount: ............................... $14,288.61 401- 523500- 470000 UTILITIES 31.137.04 Chock Amount: ». $ 37.137.04 401- 523170420000 COMMUNICATION ...................................... 1,088.26 Chock Amount: $1,088.26 407- 5235001310000 OFFICE SUPPLIES 402.95 Check Amount: $402.96 401 - 5235000- 410000 PROFESSIONAL SERVICES 3.512.22 Check Amount: $3,512.22 401- 523110- 420000 COMMUNICATION _ _65000 Chock Amount: -$ 650.00 5 of97 Voucher List, of 3EHs. Presented Lbr A, pp oval on Ll1312015 104360 1113012015 VERIZON WIRELESS 104361 11/3012015 WAXITS ENTERPRISES, INC 104362 1113012015 WHITWORTH PEST SOLUTIONS INC 104363 121312015 CHEVRON AND TEXACO UNIVERSAL CARD 104364 12/812015 rn US BANK ONE CARD 9755258958 OCT10 -NOV9 - CELL SERVICE & (2) 16GB ]PHONE 6 GRAY 401- 523100. 420000 COMMUNICATION 888.85 401- 523600- 420000 COMMUNICATION 669.41 401,523110 ,350000 SMALL TOOLS/MINOR EQUIPMENT 326.48 Chock Amount: $ i,886.74 75530974 IM SUPPLIES - KITCHEN 401. 523600. 310002 INMATE SUPPLIES 17.94 75640981 IM SUPPLIES - KITCHEN 401 - 523600 - 310002 INMATE SUPPLIES 17.94 75644263 IM SUPPLIES - JANITORIAL 401- 523600. 310002 INMATE SUPPLIES 108.94 75633288 IM SUPPLIES - JANITORIAL 401- 623600- 310002 INMATE SUPPLIES 152.01 75638694 IM SUPPLIES - KITCHEN 401- 523600.310002 INMATE SUPPLIES 187.05 75641010 CUSTODIAL SUPPLIES 401- 523500. 310000 OFFICE SUPPLIES 100.89 . . . . . . . . . . . . . . . Chock Amount: . . . . . . . . . . . 5 . . . . . . . . . . 84.77 . . 3 269371 NOV 15 - MONTHLY PEST CONTROL 401- 523500- 410000 PROFESSIONAL SERVICES (20.45 Check Amount:......_ - - - -S 120.45 112415 -RO439 CHEVRONITEXACO FUEL 401 - 523600. 320000 FUEL CONSUMED ....... ............................... 1,87120 Chock Amount: 31,873.20 02584121 NCCHC -2014 STANDRDS FOR HLTH SVCS IN JAILS - BARTLEY 401- 523f00- 490001 DUESISUBSCRIPTIONS 86.55 29800020 AJA - CJM RECERTIFICATION - BARTLEY 401- 523100- 490001 DUES/SUBSCRIPTIONS 150.00 96800823 APA -2016 PAYROLL SOURCE 401- 523100 - 490001 DUESISUBSCRIPTIONS 27502 88379291 THOMPSONINFOSVCS- FLSA HANDBOOK GIBBON 401 - 523100- 490001 DUES/SUSSCRIPTICNS 536.99 88228423 ACA - NOV 15-OCT 16 PROFESSIONAL DUES - DICROCE 401- 523600 - 490001 DUES/SUSSCRfPTIONS 16.55 401 - 000000- 143701 PREPAYMENTS -OTHER 82.45 94243141 CODE 42 SOFTWARE - NOV 15 CRASHPLAN PRO SUB 401-523110490001 DUE&SUBSCRIPTIONS 67.41 19059755 76. FUEL 401 - 523600-320000 FUEL CONSUMED 22.96 35007528 SHELL OIL - FUEL 401. 523600. 320000 FUEL CONSUMED 26.42 74742766 POCKETPRESS - IM SUPPLIES - PROGRAMS 401- 523600 - 310002 INMATE SUPPLIES 8.99 94386006 AMAZON MKTPLACE - IM SUPPLIES -PROGRAMS 401 - 523600- 310002 INMATE SUPPLIES 122.36 79021977 AMAZON MKTPLACE - IM SUPPLIES - PROGRAMS 401 - 523600. 310002 INMATE SUPPLIES 131130 61392982 AMAZON MKTPLACE - IM SUPPLIES - REC 401 - 523600310002 INMATE SUPPLIES 184.90 1269D930 AMAZON MKTPLACE - IM SUPPLIES - KITCHEN 401- 523600 - 310002 INMATE SUPPLIES 247.20 71100125 ISLAM ICBOCKSTORE.COM - ]M SUPPLIES - PROGRAMS 401.523600.310002 INMATE SUPPLIES 272.13 00774317 PRINT PLACE- IM SUPPLIES - POSTCARDS 401 - 523600 - 310002 INMATE SUPPLIES 722.70 25527517 AMPAC HOLDINGS- IM SUPPLIES -BOOKING 401 - 523600 - 310002 INMATE SUPPLIES 997.58 38700094 COOKS DIRECT - IMSUPPLIES - KITCHEN 401 - 523600 - 310002 INMATE SUPPLIES 1,891.92 07636626 STAPLES -OFFICE SUPPLIES 401-523100-310000 OFFICE SUPPLIES 32.84 56831865 AMAZON.COM -OFFICE SUPPLIES 401 - 523100,310000 OFFICE SUPPLIES 39.42 09340531 BAJA FRESH -ADMIN ORAL BOARD LUNCHES 10!29115 401 - 523100- 310000 OFFICE SUPPLIES 40.22 16352225 TAH PRODUCTS - OFFICE SUPPLIES 401- 523100 - 310000 OFFICE SUPPLIES 45.75 88969507 AMAZON.COM - OFFICE SUPPLIES 401 - 523600. 310000 OFFICE SUPPLIES 18.81 61001192 AMAZON MKTPLACE - OPERATING SUPPLIES - MEDICAL 401- 523600. 310000 OFFICE SUPPLIES 19.98 76451285 AUNT BECKY & CELI - CO ORAL BOARD LUNCHES 11/3115 401 - 523600,310000 OFFICE SUPPLIES 33.35 61127817 AMAZON.COM - OPERATING SUPPLIES 401.523600.310000 OFFICE SUPPLIES 61190 70904543 AMAZON MKTPLACE - OPERATING SUPPLIES 401. 523600 - 310000 OFFICE SUPPLIES 217,10 47220317 AMAZON.COM - BOOTS - FREE, N. 401 - 523600- 310000 OFFICE SUPPLIES 262.75 26412636 AMAZON MKTPLACE -OPERATING SUPPLIES 401 - 523500. 310000 OFFICE SUPPLIES 11.98 47330392 AMAZON.CCM - OPERATING SUPPLIES - MEDICAL 401 - 523500 ,310000 OFFICE SUPPLIES 14.31 22061982 AMAZON.COM - OPERATING SUPPLIES 401 - 523500 -310000 OFFICE SUPPLIES 19.86 91858262 AMAZON MKTPLACE -OPERATING SUPPLIES 401- 523500- 310000 OFFICE SUPPLIES 34.95 6 of17 7of17 Voucher List of BiNs P7eset'_-e can 2 i?l _ /2Gn6 r-- yrr. Date I Vendor Name Invoice # D- A �I r, o:�a Amount 115980/6 PARTSKING.COM - OPERATING SUPPLIES 401523500- 310000 OFFICE SUPPLIES 41.90 12565787 AMAZON.COM - OPERATING SUPPLIES 401.523500- 310000 OFFICE SUPPLIES 43.98 17007151 AMAZON MKTPLACE - OPERATING SUPPLIES 401- 523500 - 310000 OFFICE SUPPLIES 49.99 OCOS5450 AMAZON.COM - OPERATING SUPPLIES 401.523500310000 OFFICE SUPPLIES 62.10 00140068 MCMASTER -CARR - OPERATING SUPPLIES 401- 523500 - 310000 OFFICE SUPPLIES 71.03 00092/92 PADLOCK OUTLET - OPERATING SUPPLIES 401- 523500. 310000 OFFICE SUPPLIES 129.39 97976034 IMPERIAL MANUFACTURING - OPERATINGSUPPLIES 407- 523500 - 310000 OFFICE SUPPLIES 138.02 13947995 ZORO TOOLS INC - OPERATING SUPPLIES 401- 523500. 310000 OFFICE SUPPLIES 198.36 60581997 IN ID ENHANCEMENTS - OPERATING SUPPLIES 401- 523500. 310000 OFFICE SUPPLIES 609.00 20881523 GOVERNMENT INDUSTRIAL -OPERATING SUPPLIES 401 - 523500.310000 OFFICE SUPPLIES 7,109.73 40525559 AMAZON MKTPLACE - OPERATING SUPPLIES 401- 523110 - 310000 OFFICE SUPPLIES 3.99 66034013 AMAZON MKTPLACE - OPERATING SUPPLIES 401 - 523170310000 OFFICE SUPPLIES 22.90 16412918 MRSC ROSTER - ANNUAL MEMBERSHIP FEE - 2016 401- 000000 - 143701 PREPAYMENTS -OTHER 120.00 96800823 -1 APA -2016 DUES, MCKENNEY 401-000000-143701 PREPAYMENTS -OTHER 219.00 40010593 HONEY BUCKE71FLOHAWKS - SERVICE CALL 401- 523500 - 480000 REPAIRS & MAINTENANCE 1,764.59 13447957 DOLLAMUR SPORTS - (6) INTERLOCKING DT MATS 401 - 523600- 350000 SMALL TOOLS/M1NOR EQUIPMENT 5.056.00 99495239 BESTBUYCOM -(1) ASUS 10.1" 32GB TABLET WI KEYBOARD 401-523110-350000 SMALL TOOLS/M1NOR EQUIPMENT 218.99 15864577 AMAZON.COM - REPLACEMENT TV - SUPPLY STOCK 401-523110-350000 SMALL TOOLS/M1NOR EQUIPMENT 381..05 53507464 AMAZON.COM - REPLACEMENT TV FOR S5 401- 523110- 350000 SMALL TOOLSWWOR EQUIPMENT 361.05 59438956 PAYPAL PSFOA MTG 2015 JESTER 11118116 401- 523100 - 490002 TRAINING 25.00 77737388 PAYPAL PSFOA MTG 2015 (5) ATTENDEES 12111/15 401- 523100. 490002 TRAINING 125.00 v 0008$986 RELIAS LEARNING - AUDITORS ORIENTATION TRNG DICRCCE 401- 523600- 490002 TRAINING 75.00 14194120 BUDGET RENTACARTOLLS- NCCHC CONF 2015 BARTLEY 401523100- 430000 TRAVEL 18.97 37901786 RESIDENCE INN BOTHELL GOVT ACCT HUSTON 11112 -11113 401,523100 - 430000 TRAVEL 176.79 ............. Check Amount: S 17,760.48 104365 92/912015 SEA KING COUNTY PUBLIC HEALTH 12062015 MEDICAL RECORDS 401. 523600. 490007 DUES/SUBSCRIPTIONS 50.00 Check Amount: S50.00 104366 12n1I2015 ACCEL NET, INC, 19670 DEC 15- INTERNET 401 - 523110420000 COMMUNICATION 2:05500 Check Amount: S 2,055.00 104367 12111/2015 RONALD W ANDERSON 12D42015 -MOWER CO BACKGROUND CHECK - MOWER, J. 401- 523600 - 410000 PROFESSIONAL SERVICES 627.95 12012015- LESTER CO BACKGROUND CHECK - I-ESTER,M. 407523600- 410000 PROFESSIONAL SERVICES 65590 Check Amount: $ 1,283.85 104368 12f1112015 ARAMARK CORPORATION 000007902 - 000056 WE 1212115 - FOOD SERVICE & OPERATING SUPPLIES 401 - 523600 - 410001 FOOD SERVICES 13,030.67 40lz23600310000 OFFICE SUPPLIES 141.36 Check Amount: $ i3,i72.23 104359 1211112015 ARBITRAGE COMPLIANCE SPECIALISTS, INC G4748 ARBITRAGE REBATE CALCULATION 420- 523100 - 410000 PROFESSIONAL SERVICES 4.500,00 Chock Amount: $4,500.00 104370 12/1112016 CITY OF AUBURN 15- 028847 (1) PRE - EMPLOYMENT POLYGRAPH - JONES, A. 407- 523600 - 410000 PROFESSIONAL SERVICES •e$259.3fi 259.36 Check Amount:- 104371 1211112015 BOB BARKER CO INC WFE00040D837 IM SUPPLIES -UNIFORMS 401-523600-310002 INMATE SUPPLIES _ 1,346.60 _ Chock Amount: S 1,346.fi0 104372 1211112015 COW GOVERNMENT INC BHS6937 (1) SURFACE PRO 4 DOCK 401-523110-3,50000 SMALL TOOLSIM1NOR EQUIPMENT ,191, 63 Chock Amount: $19'83 7of17 Voucher Lost of 3H]s PresanLecl for Approva0 on 111-3120 6 104373 1 1211112015 C COMCAST 1 112115 -0897873 D DEC 15 - CABLE 104374 1 12x1112015 C CONSOLIDATED TECHNOLOGY SERVICES (CTS) 2 2015110189 N NOV 15 - DATA COMMUNICATIONS 10475 1 1211112015 C COREMR CORPORATION 3 3881 D DEC 15 - MONTHLY FEE 104376 1 121111201S C CORRECTIONAL HEALTHCARE COMPANIES, INC. 7 7361ROID15 O OCT 15 -SVC NOT COVERED BILLBACK 7361 HC101.5 O OCT 15 - PHARMACY BIOLOGICALS 7361SC1016 0 007IS- STAFFING RECON 7361CC1015 O OCT 15 -ADP ADJUSTMENT- REF INV #7351 M01 015 7361MC1015 O OCT 15 - MONTHLY MEDICAL 7361 MHC1015 O OCT 15 - MENTAL HLTH COORDINATOR STAFFING 7361 MHG1015 O OCT 15 - MENTAL HLTH GRANT STAFFING 104377 1 1211112015 G GALLS, LLC 0 004463403 T TRNG UNIFORM PARTIAL - WELCH, J. 004448179 T TRNG UNIFORM - ABLSON. K 00 Co 104378 1 1211112015 G GOVERNMENTJOBS.COM, ING, I INVIG472 A ANNUAL JOB POSTING SUBSCRIPTION 11120116-11119116 104379 1211112015 GREEN POWER LIGHTING SOLUTIONS, LLC, 104380 12111/2015 HD SUPPLY FACILITIES MAINTENANCE, LTD 104381 1211112015 JON C. HOLLAND 104382 12/1112015 K & L GATES 642 645 9142018038 9142041768 9142041769 12012015 3185183 3188241 104383 12/1112015 MATTHEW BENDER & COMPANY, INC. 77933796 104384 12/1112015 OFFICE DEPOT INC 802384721003 807749253001 606000956001 IM SUPPLIES - HYGIENE & OFFICE SUPPLIES IM SUPPLIES - HYGIENE & OFFICE SUPPLIES OPERATING SUPPLIES OPERATING SUPPLIES OPERATING SUPPLIES (5) CO PRE - EMPLOYMENT POLYGRAPHS NOV 15 - LEGAL SERVICES NOV 15 - LEGAL SERVICES 12115.11116 LEAS NEXIS LAW LIBRARY OFFICE SUPPLIES OFFICE SUPPLIES OFFICE SUPPLIES 401 - 523500- 470000 UTILITIES 794,38 Chock Amount: F7 401- 523110 -020000 COMMUNICATION ......................71289. Check Amount: S 7ii.89 401. 523110 - 490001 DUESI'SUBSCRIPTIONS 660.00 ....... ............................... Check Amount: $ 660.00 401. 523600. 410014 3RD PARTY MEDICAL 505.00 401 - 523600 - 410014 3RD PARTY MEDICAL 6.578.70 401- 523600 - 410013 MEDICAL (8,173.29) 401523600- 410013 MEDICAL 2,257.90 401523600- 410013 MEDICAL 251,174.81 401- 523600 - 410015 MENTAL HEALTH GRANT MEDICAL 7,965.00 401- 523600 - 410015 MENTAL HEALTH GRANT MEDICAL 11,385.21 Chock Amount: $ x71,713.33 401 - 523600- 310000 OFFICE SUPPLIES 49.26 401 - 523600 - 310000 OFFICE SUPPLIES 100.66 Check Amount: $ 149.92 401 - 523100.490001 DUES/SUBSCRIPTIONS 143.63 401- 000000. 143701 PREPAYMENTS -OTHER 1,106.17 . . . . . . . . . . . . . . . . . Chock Amount: S . 1 . 2 5 0 0 . 401- 523600 - 310002 INMATE SUPPLIES 524.94 401 - 523100 - 310000 OFFICE SUPPLIES 59.06 401 - 523600. 310002 INMATE SUPPLIES 1,014.95 401- 523100 - 310000 OFFICE SUPPLIES 439.49 ...... ............................... . Chock Amount'* $2,038.46 401 - 523500- 310000 OFFICE SUPPLIES 27.36 401 - 523500 - 310000 OFFICE SUPPLIES 42.71 401- 523500 - 310000 OFFICE SUPPLIES 305.61 Check Amount: $ 3T5.88 401 - 523600. 410000 PROFESSIONAL SERVICES 1,000:00 Chock Amount: 5 1,000.00 401- 523100. 410000 PRCFESSIONAL SERVICES 95.00 401. 523100- 410000 PROFESSIONAL SERVICES 12.132.50 Chock Amount: $ 12,227.50 401 - 523600- 490001 DUES /SUBSCRIPTIONS _ 9:473:94 Chock Amount: $9,473.94 401 - 523100 - 310000 OFFICE SUPPLIES 5.40 401 - 523100- 310000 OFFICE SUPPLIES 201.04 401 - 523600- 310000 OFFICE SUPPLIES $.77 8of17 8of17 104385 12111/2015 104386 12!1112015 104387 12/1112015 1 04388 12!1112015 104389 12111/2015 4, 104090 12!1112015 104391 12111!2015 104392 1214/2016 104393 1211112015 104394 12!1112015 104395 12/11/2015 104396 12/1612015 104397 12116/2015 104398 12!1812015 Voucher List of Bills Presented fo i Approval on s e ( 2016 RICOH USA, INC. RICOH USA, INC. RIGHTSYSTEM INC SAFEGUARD BUSINESS SYSTEMS, INC. SCORE PETTY CASH FUND 808001031001 OPERATING SUPPLIES 8043 0 5 51 80 01 OPERATING SUPPLIES 5039451591 NOV 15 - COPIER CHARGES 95918648 (3) COPIER MACHINE LEASES- DEC 15 139060 INSTALLATION & INTEGRATION - CISCO 031099882 OFFICE SUPPLIES - DEPOSIT BAGS 11302015 PETTY CASH REIMBURSEMENTS THROUGH 11/30115 SHRED -IT US, LLC 1 58711 301 5 NOV 15 - SHREDDING SWANSON SERVICES CORPORATION 2015.1202A REPAIR KIOSK VALLEY COMMUNICATIONS CENTER 0016282 NOV 15 - MDTS VALLEY OCCUPATIONAL HEALTH SVC 11130115- 70004430 (6) CO & (1) ADMIN RANDOM DRUG TESTS 11!30115- 70004431 (3) CO PRE - PLACEMENT EXAMS WASHINGTON ASSOCIATION OF SHERIFFIPOLICE DUES 2015 -00876 NOV 2015•NOV 2016 ASSOCIATE DUES - KELLY XLDENT 0495011 -IN DEC 15 - IMAGEXL MAINTENANCE IDAHO CHILD SUPPORT RECEIPTING 12102015 1211CI15 REM ID 321664 SCORE OFFICERS GUILD 12102015 UNION DUES ARAMARK CORPORATION 000007902 - 000057 WE 1219115- FOOD SERVICE & OPERATING SUPPLIES 401 - 523600510000 OFFICE SUPPLIES 117.17 401- 523110. 310000 OFFICE SUPPLIES 179.25 ....... ............................... Chock Amount: S509163 401 - 523110- 420000 COMMUNICATION ................ _ - 1,116.54 Chock Amount: S 1,1iB.54 401- 523110 - 450000 OPERATING RENTALSVLEASES - 1:046.76 Chock Amount: $1,046.76 401- 523110- 410000 PROFESSIONAL SERVICES 766.50 ........................ Chock Amount: . . . . . . . . . . . . . . S 766.50 401 - 523100- 310000 OFFICE SUPPLIES 133.53 . . . . . . . . . . . . . . Chock Amount: . . . . . . . . . . . . . . . . . . . . . . . . $133.53 401- 523600- 320000 FUEL CONSUMED 9.10 401 -069900- 003699 MISCELLANEOUS REVENUE 36.56 401- 523600- 310000 OFFICE SUPPLIES 10.00 401- 523100 - 430000 TRAVEL 27.00 Chock Amount: S 82.68 401523100- 410000 PROFESSIONAL SERVICES 129.21 ....... ............................... Chock Amount: $1R' 401- 523600- 480000 REPAIRS & MAINTENANCE . . . . . . . . . . . . . . 1,166.50 . . . . . . . . . . . . . . . . . . . . . . . . Chock Amount: ST,166.50 401- 523600- 420000 COMMUNICATION . 135,00 . . . . . . . . . . . . . Chock Amount: . . . . . . . . . . . . . . . . . . . . . . . . 5 135.00 401 - 523100. 410000 PROFESSIONAL. SERVICES 115.50 401- 523600 - 410000 PROFESSIONAL SERVICES 693.00 401- 523600410000 PROFESSIONAL SERVICES 1,250,00 ....... ............................... Chock Amount: 5 2,058.50 401 -000000 - 143701 PREPAYMENTS -OTHER 75,00 ....... ............................... Chock Amount: $75,00 401 - 523110- 490001 DUES/SUBSCRIPTIONS 40.00 Chock Amount: $ 40.00 401- 000000- 231500 ACCRUED EMPLOYEE BENEFITS 427:42 Chock Amount: - $427.42 401 - 000000. 231500 ACCRUED EMPLOYEE BENEFITS 5.250.00 Chock Amount: $ 5,250.00 401 - 523600 - 410001 FOOD SERVICES 12,878.22 401. 523600- 310000 OFFICE SUPPLIES 625.53 ....... ............................... Chock Amount: S T3,7aT.75 9of17 Voucher List of Bills Presented for Approval on 1/13/2016 104399 12/1812015 BOB BARKER CO INC WEB000402523 IM SUPPLIES - HYGIENE & REC 104400 12178/2015 COOKS DIRECT, INC. N342352 IM SUPPLIES - KITCHEN 104401 12118/2015 CORRECTIONAL HEALTHCARE COMPANIES, INC. 7351M1215 DEC 15- MONTHLY MEDICAL 401- 523600. 410013 M MEDICAL 2 251,174.61 7361MI115 NOV 15- MONTHLY MEDICAL 104402 12/1812015 CREATIVE FUEL STUDIOS, LLC 1803 HR DESIGN SVCS, OFICE SUPP & HR RECRUITMENT SUPP 104403 12/18/2016 GREEN POWER LIGHTING SOLUTIONS, LLC. 654 IM SUPPLIES -HYGIENE 104404 1211812015 CITY OF KENT FINANCE RE 37551 (7) CC & (2) ADMIN PRE - EMPLOYMENT POLYGRAPHS 104405 12118/2015 MATTHEW NADER 09092015 VALLEY MEDICAL - ADDITIONAL PRE - PLACEMENT EXAMS Cn $2,472.52 401523600- 410000 P PROFESSIONAL SERVICES 1 1,783.15 0 Chock Amount: $ $ i,783.i5 401 - 523100- 310000 O OFFICE SUPPLIES ( 104406 1211812015 OFFICE DEPOT INC 807666345001 OR FOR I NV *806767125001 OFFICE SUPPLIES OFFICE SUPPLIES 1 150.36 401 - 523100 ,310000 O 810393030001 OFFICE SUPPLIES 401523100- 310000 O OFFICE SUPPLIES 3 318.70 810393482001 OFFICE SUPPLIES 595.56 401- 523100 - 310000 O OFFICE SUPPLIES 1 810379797001 OFFICE SUPPLIES OFFICE SUPPLIES 1 164.25 401- 523600.310000 O 806767125001 OPERATING SUPPLIES & OFFICE SUPPLIES ....... . ............................... 308945821001 OFFICE SUPPLIES 55.00 401. 523100. 410000 P PROFESSIONAL SERVICES 2 809809922001 OPERATING SUPPLIES PROFESSIONAL SERVICES 7 7,807.50 809805853001 OPERATING SUPPLIES 104407 12718/2015 PACIFICA LAW GROUP LLP 26123 NOV 15 - LEGAL SERVICES S 600.00 401- 523100 - 450000 O OPERATING RENTALS/LEASES 3 26122 NOV 15 - LEGAL SERVICES Chock Amount: S S 324.54 401- 523100- 420000 C 26124 NOV 15 - LEGAL SERVICES 104408 12!1812015 THOMAS C PETEK PHD 9092 (2) CO PRE - EMPLOYMENT PSYCH EVALUATIONS 104409 12!1812015 PITNEY BOWES GLOBAL FINANCIAL SERVICES, LLC 7006030 -DC15 POSTAGE MACHINE LEASE - DEC 15 104410 12118/2015 PITNEY BOWES GLOBAL FINANCIAL SERVICES, LLC 12032015 POSTAGE 104411 12!1812015 RECOLOGY CLEANSCAPES, INC. 0001725765 NOV 15- GARBAGE SERVICE 401- 523600 - 310002 I INMATE SUPPLIES 1 1,177.13 Chock Amount: S Si, ?77.13 401 - 523600-310002 I INMATE SUPPLIES 2 249.51 ....... . ............................... 401. 523600- 410013 M MEp1CAL 2 251.174.81 401- 523600. 410013 M MEDICAL 2 251,174.61 .... ..... . .. .. °..........._.._...... 401 - 523100. 410000 P PROFESSIONAL SERVICES 6 693.75 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40152360010002 I INMATE SUPPLIES 4 437.45 Chock Amount: S S437.45 401- 523100- 470000 P PROFESSIONAL SERVICES 5 549.04 401 - 523600- 410000 P PROFESSIONAL SERVICES 1 1,923.46 Chock Amount: $ $2,472.52 401523600- 410000 P PROFESSIONAL SERVICES 1 1,783.15 Chock Amount: $ $ i,783.i5 401 - 523100- 310000 O OFFICE SUPPLIES ( (28.36} 401. 523100,310000 O OFFICE SUPPLIES 9 94.40 401 - 5231%,310000 O OFFICE SUPPLIES 1 150.36 401 - 523100 ,310000 O OFFICE SUPPLIES 2 274.04 401523100- 310000 O OFFICE SUPPLIES 3 318.70 401- 523600 - 310000 O OFFICE SUPPLIES 5 595.56 401- 523100 - 310000 O OFFICE SUPPLIES 1 1,217.64 401 - 523600 - 310000 O OFFICE SUPPLIES 1 164.25 401- 523600.310000 O OFFICE SUPPLIES 3 383.25 ....... . ............................... 401- 523100- 410000 P PROFESSIONAL SERVICES 5 55.00 401. 523100. 410000 P PROFESSIONAL SERVICES 2 2,765.00 401- 523100 - 410000 P PROFESSIONAL SERVICES 7 7,807.50 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 401- 523600 - 410000 P PROFESSIONAL SERVICES 6 600.00 Chock AmOUnt: S S 600.00 401- 523100 - 450000 O OPERATING RENTALS/LEASES 3 324.54 Chock Amount: S S 324.54 401- 523100- 420000 C COMMUNICATION 3 361.63 401- 523600.420000 C COMMUNICATION 6 638.37 ...... . ....... Voucher Last of Bills Presented for Approval on 1113/22 G 104412 12118MIS SAFEGUARD BUSINESS SYSTEMS, INC. 031112439 OFFICE SUPPLIES - AP ENVELOPES OFFICESUPPUES 73.01 031120860 OFFICE SUPPLIES - DEPOSIT BOOKS 104413 12/1812015 SOUTHCENTER ENGRAVING 32401 OPERATING SUPPLIES & EMPLOYEE RECOGNITION 104414 12118/2015 SWANSON SERVICES CORPCRATION 15 -1208A NOV 15 - SMARTCARD RECONCILIATION 104415 1211812015 UNISOFT INC N98847 BARRACUDA WEB FILTER 11115115 - 11114/18 PROFESSIONAL SERVICES 250.00 N98818 BARRACUDA SPAM FIREWALL 11115115-11114/18 104416 12!18!2015 WAKIF'S FNTFRPRISFS, INC 75661425 IM SUPPLIES- JANITORIAL 119.24 401 - 000000- 143701 PREPAYMENTS -OTHER 75561427 IM SUPPLIES -JANITORIAL 401 - 523110 -490001 DUES✓SUBSCRIPTIONS 75657817 IM SUPPLIES - JANITORIAL & KITCHEN cn 4,018.13 75666614 OFFICE SUPPLIES ....... Chock Amount: ............................... $ 6,976.64 401.523600. 310002 75641CIC -1 OR FOR INV #75641010 CUSTODIAL SUPPLIES 260.61 401 - 523600-310002 INMATE SUPPLIES 75657822 CUSTODIAL SUPPLIES 104417 1212312016 RONALD W ANDERSON 12112015- BOISTURE CO BACKGROUND CHECK - BOISTURE, J. 104418 1212312015 ARAMARK CORPORATION COCOC7902- 000058 WE 12116115 - FOOD SERVICE 104419 12/23/2015 BOB BARKER CC INC WE6000403154 IM SUPPLIES - HYGIENE 63.12 INEB000403014 IM SUPPLIES - REC $ 5,817.47 401-523600-410000 PROFESSIONAL SERVICES WEB000403853 IM SUPPLIES - HYGIENE 104420 122312015 CLEARWATER PACKAGING, INC. 28121 IM SUPPLIES - BOOKING 104421 1212312015 GALLS, LLC 004514961 TRNG UNIFORM PARTIAL - JONES, A. $ 12,769,51 401 - 52360010002 INMATE SUPPLIES 004514912 (1) PAT UNIFORM - JONES,A. 401 - 523600310002 INMATE SUPPLIES 404499383 BOOTS - ANDERSON, B. 104422 12123/2015 GREEN POWER LIGHTING SOLUTIONS, LLC, 662 IM SUPPLIES - HYGIENE & OFFICE SUPPLIES Chock Amount: $ 2,236.20 401 - 523600.310002 653 CUSTODIAL SUPPLIES & OPERATING SUPPLIES 401 - 523100- 310000 OFFICE SUPPLIES 55.56 401 - 523600- 310000 OFFICESUPPUES 73.01 Check Amount: S 156.57 401 - 523100 -310000 OFFICE SUPPLIES 10.95 401 - 523500 -310000 OFFICE SUPPLIES 65.70 Check Amount: $ 76.65 401 - 523100 - 410000 PROFESSIONAL SERVICES 250.00 Check Amount: $250.00 401-523110-490001 OUESISUBSCRIPTIONS 119.24 401 - 000000- 143701 PREPAYMENTS -OTHER 2.659,07 401 - 523110 -490001 DUES✓SUBSCRIPTIONS 180.20 401 - 000000- 143701 PREPAYMENTS -OTHER 4,018.13 ....... Chock Amount: ............................... $ 6,976.64 401.523600. 310002 INMATE SUPPLIES 260.61 401 - 523600-310002 INMATE SUPPLIES 650.62 401- 523600- 310002 INMATE SUPPLIES 4,543.06 401 - 523100 - 310000 OFFICE SUPPLIES 159.17 401 - 523500 - 310000 OFFICE SUPPLIES (59.31) 401 - 523500 -310000 OFFICE SUPPLIES 63.12 Check Amount: $ 5,817.47 401-523600-410000 PROFESSIONAL SERVICES 627.95 Check Amount: $ 627.95 401 - 523600. 410001 FOOD SERVICES ....... 12,789.51 ............................... Check Amount: $ 12,769,51 401 - 52360010002 INMATE SUPPLIES 197.11 401 - 523600310002 INMATE SUPPLIES 509.18 401 - 523600 - 310002 INMATE SUPPLIES 1,531.91 Chock Amount: $ 2,236.20 401 - 523600.310002 INMATE SUPPLIES . . . . . 3.080.00 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Chock Amount; $2,080.00 401 - 523600 - 310000 OFFICE SUPPLIES 4926 401- 523600 - 310000 OFFICE SUPPLIES 69.63 401- 523600- 310000 OFFICE SUPPLIES 179.66 Chock Amount: $ 256.97 401 - 523600 - 310002 INMATE SUPPLIES 524.94 401 - 523100 - 310000 OFFICE SUPPLIES 177.23 401. 523500. 310000 OFFICE SUPPLIES 779.41 . . . . . . Chock Amount: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,481.58 11 of 17 104423 12!2312015 104424 12123/2015 104426 12/2312015 Voucher of Bills Presented ' IE r r!} Approval on s i 2016 INTEGRA TELECOM HOLDINGS, INC. R.E. MULLINAX INVESTIGATIONS, LLC DAVIA NENDICK 104426 12/2312015 RIGHT SYSTEM INC 104427 12123/2015 104428 12/2312015 104429 12/2312015 Cn N 104430 12123/2015 104431 12123!2015 104432 =2312016 104433 12/2312015 104434 12123/2015 104435 1212312015 104436 12/2312016 104437 1212312016 SOUTHCENTER ENGRAVING SS LANDSCAPING SERVICES, INC. TALYST. INC. 13503229 DEC 15. JAN 16 TELECOMMUN[CATIONS 15 -1044 CO BACKGROUND CHECK - GERATHS, J. 07022015 AJA CJO APPLICATION FEE - NENDICK, D. 06042015 AJA CJO EXAM FEE - NENDICK D. 139267 11!21115- 11120116 C1SCO SUPPORT & LICENSES 32482 OPERATING SUPPLIES 36551 DEC 15 - LANDSCAPING SERVICES 0000129724 DEC 15 - MONTHLY SERVICE 0000129481 SUPPLIES - PAPER &RIBBON TYLER BUSINESS FORMS 223797 OFFICE SUPPLIES - W -2, 1095C & 1099 FORMS WASHINGTON STATE PATROL 116003809 NOV 15 - (1) BACKGROUND CHECK WAXIE'S ENTERPRISES, INC 75670408 IM SUPPLIES - JANITORIAL RONALD W ANDERSON 12212015 - HANSON ADMIN BACKGROUND CHECK. HANSON, S. 401523600- 490002 '12212015 -JONES ADMINBACKGROUNDCHECK - JONES. M. 401523600- 490002 1 21 72 01 5- ROSARIO CO BACKGROUND CHECK - ROSARIO, L. CORRECTIONAL HEALTHCARE COMPANIES, INC. 7361 RP0915 SEP 15 - SVC NOT COVERED BILLBACK 401- 523110 - 490001 7361 RCD815 -1 AUG 15 - SVC NOT COVERED 31LLBACK 401- 000000 - 143701 7361 RP1015 OCT 15 - SVC NOT COVERED BILLBACK EQUIFAX - CREDIT NW CORP 9483170. (8) CO & (4) ADMIN PRE - EMPLOYMENT CREDIT CHECK LOOMIS ARMORED US, LLC 11729051 NOV15 -DEC15 - ARMORED CAR SERVICE SPILLMAN TECHNOLOGIES INC 31813 111116- 12131116 ANNUAL MAINTENANCE 401 - 523110- 420000 COMMUNICATION 3:046.08 Check Amount: $ 3,046.08 401- 523600 - 410000 PROFESSIONAL SERVICES 600.00 Chock Amount: - S600.00 401523600- 490002 TRAINING 95.00 401523600- 490002 TRAINING 195.00 Check Amount: .�...,,.�....,.S 290.00 401- 523110 - 490001 DUES/SUBSCRIPTIONS 182.96 401- 000000 - 143701 PREPAYMENTS -OTHER 1,445.85 ....... ............................... Chock Amount: $ 7;628.89 401523500- 310000 OFFICE SUPPLIES 175,20 _ Chock Amount: $ 475.20 401- 523500 - 410000 PROFESSIONAL SERVICES 3.512.22 Chock Amount: $3,542.22 401- 523600- 490001 DUE=UBSCRIPTIONS 3,011.25 401 - 523600- 310000 OFFICE SUPPLIES 1,329:10 ....... ............................... Chock Amount: 5 4,34D,35 401- 523100- 310000 OFFICE SUPPLIES ....... ............................... 59.85 Chock Amount: 3 59.SS 401. 523600410000 PROFESSIONAL SERVICES 34.75 Check Amount: $ 34.75 401- 523600. 310002 INMATE SUPPLIES .05 Chock Amount: .694 $ 694.05 401- 523100. 410000 PROFESSIONAL SERVICES 627.95 401- 523100 - 410000 PROFESSIONAL SERVICES 655.90 401 - 523600 - 410000 PROFESSIONAL SERVICES 600.00 ....... ............................... Chock Amount: $ 9,883.85 401 - 523600-410014 3RD PARTY MEDICAL 774.31 401 - 523600 - 410014 3RDPARTYMEDICAL 1,471.49 401 - 523600- 410014 3RD PARTY MEDICAL 5,170.09 Chock Amount; $7,415.89 401 - 523100- 470000 PROFESSIONAL SERVICES 30.54 401- 523600- 410000 PROFESSIONAL SERVICES 6115 ....... ............................... Chock Amaunk $ 92.29 401 - 523100- 410060 PROFESSIONAL SERVICES . . . . . . . . . . . . . 389.76 . . . . . . . . . . . . . . . . . . . . . . . . . Check Amount. $ 389.76 401 - 000000- 143701 PREPAYMENT&OTHER 75,106.00 Check Amount: $75,406.00 12 of 17 Voucher Los-c mfr SHIs Presented for A prova0 on 2,121.3/2016 13 of 17 Vendor i, Description Account 104438 12/2812015 IDAHO CHILD SUPPORT RECEIPTING 12242015 12/24115 REM 11) 321664 401- 000000 - 231500 ACCRUED EMPLOYEE BENEFITS 421.42 Chock Amount: S427.42 104439 1213112015 US BANK ONE CARD 82536923 THE UPS STORE - POSTAGE 401- 523110. 420000 COMMUNICATION 14,96 03399519 DYN'DYN.COM - DEC15 -DEC16 DOMAIN REG RENEWAL 401-523110-490001 DUES/SUBSCRIPTIONS 15.00 79388863 CODE 42 SOFTWARE - DEC 15 CRASHPLAN PRO SUB 401- 523110. 490001 DUES/SUBSCRIPTIONS 57.41 05255163 AMAZON.COM - IM SUPPLIES - PROGRAMS 401 - 523600 410002 INMATE SUPPLIES 8.12 76769861 AMAZON MKTPLACE - IM SUPPLIES - PROGRAMS 401- 523600- 310002 INMATE SUPPLIES 32.88 77088091 AMAZON MKTPLACE -1M SUPPLIES -PROGRAMS 401-523600- 310002 INMATE SUPPLIES 32.88 77105537 AMAZON MKTPLACE - IM SUPPLIES - PROGRAMS 401- 523600 - 310002 INMATE SUPPLIES 43.85 07977547 AMAZON MKTPLACE - IM SUPPLIES - REC 401- 523600 - 310002 INMATE SUPPLIES 49.99 34109327 AMAZON MKTPLACE - IM SUPPLIES - REC 401 - 523600. 310002 INMATE SUPPLIES 65.94 93527922 AMAZON MKTPLACE - IM SUPPLIES - PROGRAMS 401 - 523600 -010002 INMATE SUPPLIES 98.14 63959216 AMAZON MKTPLACE- IM SUPPLIES- PROGRAMS 401- 523600.310002 INMATE SUPPLIES 149.71 31633255 AMAZON.COM - IM SUPPLIES - PROGRAMS 401 - 523600 -010002 INMATE SUPPLIES 253.70 95304996 RUBBER STAMP CHAMP - OFFICE SUPPLIES 401- 523100. 310000 OFFICE SUPPLIES 14.25 00747747 SUBWAY - LABOR NEGOTIATIONS LUNCHES 1212115 401 - 523100 - 310000 OFFICE SUPPLIES 14.76 86715187 OFFICE DEPOT - HR OFFICE SUPPLIES 401 - 523100. 310000 OFFICE SUPPLIES 54.36 60901520 1NGALLINA"S BOX LUNCH - LEG. OPEN HOUSE 1218115 401 - 523100.310000 OFFICE SUPPLIES 177.17 01315453 PRINT PLACE - SCORE RESOURCE BOOKS 401 - 523100410000 OFFICE SUPPLIES 788.40 cn 54493726 OLYMPUS PRESS - HR OFFICE SUPPLIES 401523100410000 OFFICE SUPPLIES 1,997.60 w 75252281 BANCHEROS GLASS -EE RECGNTN,(5C)COSTR3,(20)PAPERWTS 401- 523100 - 310000 OFFICE SUPPLIES 2,114.72 54321514 AMAZON.COM - OPERATING SUPPLIES 401. 523500. 310000 OFFICE SUPPLIES 13.78 76466437 AMAZON.COM - OPERATINGSUPPLIES 401-523500-310000 OFFICE SUPPLIES 13,78 57604436 AMAZON.CCM- OPERATING SUPPLIES 401- 523500. 310000 OFFICE SUPPLIES 29.70 94639325 HOMEDEPOT.COM - OPERATING SUPPLIES 401-523-500-310000 OFFICE SUPPLIES 36.09 89001158 AMAZON MKTPLACE -OPERATING SUPPLIES 401- 523500. 310000 OFFICE SUPPLIES 53,89 73607720 FRED -MEYER - OPERATING SUPPLIES 401- 523500 - 310000 OFFICE SUPPLIES 73.50 36010572 GORDON ELECTRIC - OPERATING SUPPLIES 401- 523500.310000 OFFICE SUPPLIES 122.09 '6100238 SUPPLYDIRECT - OPERATING SUPPLIES 401523500310000 OFFICE SUPPLIES 139.25 '5400022 KINEQUIP INC - OPERATING SUPPLIES 401- 523500- 310000 OFFICE SUPPLIES 150.32 01211565 CKE PARTS - OPERATING SUPPLIES 401 - 523500- 310000 OFFICE SUPPLIES 152.66 02204684 PAYPAL LAUDRYNATIO - OPERATING SUPPLIES 401- 523500 - 310000 OFFICE SUPPLIES 367.38 11514264 BEST BUY - OPERATING SUPPLIES 401 - 523110- 310000 OFFICE SUPPLIES 38.30 88927826 UNITED RENTALS - CR FOR INV #81674099 401523500- 450000 OPERATING RENTALS/LEASES (1,115.01) 81674099 UNITED RENTALS- ARTICULATING BOOM 401- 523500 - 450000 OPERATING RENTALSILEASES 2,400.00 19251780 DYN- DYN.COM - (1 YR) RENEWALS FOR DNS SERVICE 401- 000000- 143701 PREPAYMENTS -OTHER 60.00 60255925 CORE 42 SOFTWARE - JAN 16 CRASHPLAN PRO SUB 401 - 000000- 143701 PREPAYMENTS -OTHER 67.41 01045080 AMAZQNPRIME MEMBERSHIP- ANNUAL MBRSHP DUES 401-000000- 143701 PREPAYMENTS -OTHER 99,00 54000344 ATTY &NOTARY SUPP - SEMINAR 2116/15 CONLEY 401 -000000- 143701 PREPAYMENTS -OTHER 125.00 54000013 ATTY &NOTARY SUPP - SEMINAR 2116116 MCKENNEY & ROY 401 - 000000 - 143701 PREPAYMENTS -OTHER 250.00 08800011 GREASE MONKEY - OIL CHANGE WHITE ESCAPE 401- 523500. 480000 REPAIRS & MAINTENANCE 109.05 26908531 AMAZON MKTPLACE- (1) BOOK CART - PROGRAMS 401 - 523600 -050000 SMALL TOOL&MINOR EQUIPMENT 287.10 99068069 THE WEBSTAURANT STORE -(1) REPLACEMT H0BART BEATER 401- 523500 - 350000 SMALL TOOLS/MINOR EQUIPMENT 245.21 67948027 MARRIOTT JMHCP GRANT TRNG 12113. 12117115 BARTLEY 401- 523100- 430001 TRAVEL 819.84 67948035 MARRIOTT JMHCP GRANT TRNG 12113- 12117115 WHITNEY 401- 523600- 430001 TRAVEL 819.84 Chock Amount: $ 11,352.06 104440 1213112015 CORRECTIONAL HEALTHCARE COMPANIES, INC. 7361 HC1115 NOV 15 - PHARMACY BIOLOGICALS 401- 523600 - 410014 3RD PARTY MEDICAL 954.29 7361 SC1115 NOV 15 - STAFFING RECON 401.523600410013 MEDICAL (6,913.75) 13 of 17 14 of 17 InioMce # Description ion 7361CC1115 NOV 15 -AOP ADJUSTMENT -REF INV 9736IM1115 401- 523600 - 410013 MEDICAL 1,966.97 7361MCHIIIS NOV 15 - MENTAL HLTH COORDINATOR STAFFING 401 - 523600 - 410015 MENTAL HEALTH GRANT MEDICAL 7,985.00 7361 MHGI I I B NOV 15 - MENTAL HLTH GRANT STAFFING 401- 5236OC- 410015 MENTAL HEALTH GRANT MEDICAL 11,38521 .. .............. . . . ............... Chock Amount: _ . . $15,379.72 104441 1213112015 DOOLEYENTERPRISES, INC. 52139 OPERATING SUPPLIES 401- 523600- 310000 OFFICE SUPPLIES ....................'5,t ?76.32 Chock Amount: $5,176.32 104442 1213112015 HIGHLINE WATER DISTRICT 12232015 -19761 DEC 15 -WATER 401- 523500- 470000 UTILITIES 61.85 12232015 -19760 DEC 15 - WATER 401 - 523500 470000 UTILITIES 126.27 12232015 -19759 DEC 15- WATER 401 - 523500.470000 UTILITIES 6,203.99 Check Amount: $ 6,392.11 104443 1213112015 R.E. MULLI MAX INVESTIGATIONS, LLC 15 -1047 ADMIN BACKGROUND CHECK -ROTH, C. 401 - 523100- 410000 PROFESSIONAL SERVICES 600.00 15-1 D46 CO BACKGROUND CHECK - ALFONSO, M. 401 - 523600410000 PROFESSIONAL SERVICES ....... ............................... 300.00 Check Amount: S 900.00 104444 1213112015 PRECISION DYNAMICS CORPORATION 3220532 IM SUPPLIES - WRISTBANDS 401- 523600- 310002 INMATE SUPPLIES . . . 441.32 Chock Amount: S441.32 104445 12/3112015 VALLEY COMMUNICATIONS CENTER 0016339 DEC 15 - MDT$ 401 - 523600- 420000 COMMUNICATION 735.00 cn Chock Amount: $135.00 104446 12!3112015 WASHINGTON STATE CRIMINAL JUSTICE TRNG 20116347 (1) CO ACADEMY 1012312015- 11/2012015 401- 523600 - 510000 INTERGOVERNMENTAL ..... 986.00 Chock Amount: 5 986.00 104447 1213112015 CHEVRON AND TEXACO UNIVERSAL CARD 122415 -80439 CHEVRONITEXACO FUEL 401- 523600 - 320000 FUEL CONSUMED ..................... 1,722.86 _ ... _ .. . . . . . . . . Chock Amount: $1,722.86 104443 12131120/5 ARAMARK CORPORATION 000007902 -000059 WE 12/23115 - FOOD SERVICE 401 - 523600- 410001 FOOD SERVICES ........... .,12.813.16., Check Amount: $12,813.16 104449 12131/2015 CITY OF AUBURN 45 -028956 (1) PRE - EMPLOYMENT POLYGRAPH - BOISTURE, J. 401- 523600 - 410000 PROFESSIONAL SERVICES ..324.20 Check Amount: 5 324.20 104450 1273112015 BOB BARKER CO INC WEBODD404302 IM SUPPLIES - HYGIENE 401- 523600,310002 INMATE SUPPLIES 2,136.24 UT1 0 0 037 0620 IM SUPPLIES -GLOVES 401- 523600 - 310002 INMATE SUPPLIES 2,734.78 UT1000370135 (2) 6 FT BENCHES 401 - 523500. 350000 SMALL TOOLS/MWOR EQUIPMENT 7.510.81 Chock Amount: 5 6,38i.83 104451 1213172015 GALLS, LLC 004568593 CLASS A PARTIAL - MILLER, M. 401- 523600 - 310000 OFFICE SUPPLIES 4.38 004568602 CLASS A PARTIAL - MILLER, M. 401-522600-310000 OFFICE SUPPLIES 11.99 004568609 CLASS A PARTIAL - MILLER, M. 401- 523600.310000 OFFICE SUPPLIES 13,09 004568594 PAT UNIFORM PARTIAL - MILLER, M. 401 - 523600. 310000 OFFICE SUPPLIES 17.50 004568608 CLASS A PARTIAL- MILLER, M. 401- 523600. 310000 OFFICE SUPPLIES 21.89 004568613 TRNG UNIFORM PARTIAL - MILLER,M. 401- 523600 - 310000 OFFICE SUPPLIES 49.26 004568500 CLASS A PARTIAL - MILLER, M. 401- 523600- 310000 OFFICE SUPPLIES 93.02 004568603 CLASS A PARTIAL - MILLER, M. 401- 523600 - 310000 OFFICE SUPPLIES 93.02 004568599 (2) TRNG UNIFORMS PARTIAL - MILLER, M. 401 - 523600. 310000 OFFICE SUPPLIES 113.75 004568592 PAT UNIF PARTL & TRNG UNIF PARTL- MILLER, M. 401- 523600- 310000 OFFICE SUPPLIES 123.78 004568659 BOOTS - MILLER, M. 401- 523600. 310000 OFFICE SUPPLIES 159.82 14 of 17 15 of 17 psi c -7 Sprps Presented for Approval on 1.113120-25 004533554 BOOTS, PAT UNIF PARTL & TRNG UNIF PARTLSAETURN, B 401,523600 ,310000 OFFICE SUPPLIES 288,94 ....... ............................... Check Amount: 5990,44 104452 12131/2015 GREEN POWER LIGHTING SOLUTIONS, LLC. 622 IM SUPPLIES - HYGIENE 401-523600-310002 INMATE SUPPLIES 437.45 673 IM SUPPLIES- HYGIENE 401 - 523600 -310002 INMATE SUPPLIES 656.18 .............. Check Amount: . . . . . . . . . ........... S 1,093,63 104453 1213112015 ICS JAIL SUPPLIES, INC. 132557W -01 IM SUPPLIES - REC 401- 523600- 310002 INMATE SUPPLIES 84.00 132557W IM SUPPLIES - HYGIENE & REC 401- 523600- 310002 INMATE SUPPLIES 2,300.00 131934W IMSUPPLIES - HYGIENE 401- 523600 - 310002 INMATE SUPPLIES 2,800.00 Chock Amount: $5,154.00 104454 12131/2015 DANIEL KOIDAHL 07072015 AJA CJO APPLICATION FEE - KCIDAHL, D. 401 - 523600 - 490002 TRAINING 95.00 08202015 AJA CJC EXAM FEE - KOIDAHL, D, 401- 523600- 490002 TRAINING 195,00 Check Amount: S 290.00 104455 1x3112015 LN. CURTIS AND SONS 7500572 -00 (15) BELTS & OPERATING SUPPLIES 401 - 523600. 310000 OFFICE SUPPLIES 1.057 04 Chock Amount: S1,057.04 104456 1213112015 R.E. MULLINAX INVESTIGATIONS, LLC 15 -1045 ADMIN BACKGROUND CHECK - MARAR, V. 401 - 523100 - 410000 PROFESSIONAL SERVICES 300.00 Chock Amount: $ 300.00 ci 104457 12131/2015 PERFORMANCE SYSTEMS INTEGRATION 638590 QUARTERLY FIRE ALARM INSPECTION 401-523500- 410000 PROFESSIONAL SERVICES 6,340,00 » µS Chock Amount: 6,340.00 104458 1x3112015 POP'S TESTING SERVICE 5429 02 2015 - BACKFLOW RE- TEST & REPAIR 401-523600-410000 PROFESSIONAL SERVICES - 251.66 Chock Amount: $251,66 104459 1213112015 PUBLIC SAFETY TESTING INC 2015 -6578 OCT -DEC 15 - SUBSCRIPTION FEES & (3) PST COUPONS 401- 523100 - 410000 PROFESSIONAL SERVICES .,.... »..»»».. 930.00 » ».. ».»......... Chock Amount: $ 930,00 104460 1213112015 PUGET SOUND ENERGY 200017903200 DEC DEC 15 - ELEOTRICITY & GAS 401 - 523500 - 470000 UTILITIES »35,173.31 Chock Amount: $35,173.31 104461 1213112015 RICOH USA, INC. 5039696655 DEC 15- COPIER CHARGES 401. 523110. 420000 CCMMUNICATION 902.68 Check Amount: $ 902.68 104462 1213112015 TELERUS, INC. TELINV0000341 DEC 15 -AIS INMATE LOOKUP SERVICE 401-523110-420000 COMMUNICATION .650;00 Check Amount: $ 650A0 104463 12131/2015 UNISOFT INC N98898 REPLACEMENT UNINTERRUPTIBLE POWER SUPPLIES 401 - 523110 - 310000 OFFICE SUPPLIES 1,353.03 N98748 REPLACEMENT NETWORK LOAD BALANCE EQUIPMENT 401. 523110- 310000 OFFICE SUPPLIES 9,076.78 Check Amount: S 10,431,81 104464 1x3112015 VERIZON WIRELESS 9756897771 NOV10 -DEC9 - CELL SERVICE 401- 523100 - 420000 COMMUNICATION 724.90 40 1-523600-420000 COMMUNICATION 667.86 Chock Amount: S T,392.76 104465 1213112015 WASHINGTON STATE PATROL 00059550 OCT15- ❑EC15ACCESS USER FEE 401. 523600 - 490001 DUES/SUBSCRIPTIONS 534,00 Check Amount: S 534.40 15 of 17 Ysuchar List- 4's' _11H[s ?resantee -For ,= apprcwaa on L f a13/20 aiS 104466 1213112015 WAX12S ENTERPRISES, INC 75681$50 IM SUPPLIES - JANITORIAL OFFICE SUPPLIES 276.42 75699954 CUSTODIAL SUPPLIES 104467 12!3112015 WHITWORTH PEST SOLUTIONS INC 294604 DEC 15 - MONTHLY PEST CONTROL 104468 11812016 ACCEL NET, INC. 19913 JAN 15- INTERNET 104469 11812016 RONALD W ANDERSON 01022016-FIELDS CO BACKGROUND CHECK - FIELDS, A. 104470 11812016 COMCAST 122415.0897873 JAN 16 -CABLE 104471 118!2016 CCREMR CORPORATION 3941 JAN 16 - MCNTHLY FEE 104472 1/812016 SHELBY HANSON 01052016-1 (2) WORK PANTS - HANSON, S. Check Amount: 01052016 (2) WORK PANTS - HANSON, S. cn 860.00 Check Amount: S $60,00 401 - 523100 - 310000 OFFICE SUPPLIES 104473 11812016 R.E. MULLINAX INVESTIGATIONS, LLC 16 -1049 CO BACKGROUND CHECK - CEGELSKE, A. 104474 11812016 TALYST, INC. 0000130675 JAN 16- MONTHLY SERVICE 104475 11812016 WASHINGTON CITIES INSURANCE AUTHORITY 40119 2016 LIASILITYlPROGRAM ASSESSMENTS 104476 11812016 XLDENT 0497422 -IN JAN 16 - IMAGEXL MAINTENANCE 104477 1/812016 ARAMARK CORPORATION 000007902 - 000050 WE 12130115 - FOOD SERVICE & OPERATING SUPPLIES 104478 1/812016 CORRECTIONAL HEALTHCARE COMPANIES, INC. 73SIRC1115 NOV 15 -SVC NOT COVERED BILLBACK 104479 11812016 GALLS, LLC 004596517 SEW EMBLEMS - JARAMILLO, M. 40.00 004541728 BOOTS - HUTZELL, D. 104480 11812016 GREEN POWER LIGHTING SOLUTIONS, LLC. 674 OFFICE SUPPLIES & IM SUPPLIES- HYGIENE 104481 V812016 PUBLIC SAFETY TESTING INC 2015 -6628 HR RECRUITMENT SUPPLIES 401 - 523600 - 310002 INMATE SUPPLIES 84.62 401 - 523500 ,310000 OFFICE SUPPLIES 276.42 ....... ............................... Chock Amount: S36f.04 401. 523500- 410000 PROFESSIONAL SERVICES 120.45 Check Amount: $ 920.45 401. 523110 - 420000 COMMUNICATION 2.055.00 Chock Amount: S 2,055.00 401 - 523600- 410000 PROFESSIONAL SERVICES 627.95 Chock Amount: S 62295 401- 523500. 470000 UTILITIES 833.86 Check Amount: $833.86 401 -523110- 490001 DUES/SUBSCRIPTIONS 860.00 Check Amount: S $60,00 401 - 523100 - 310000 OFFICE SUPPLIES 35.01 401 - 523100.310000 OFFICE SUPPLIES 49.31 ....... ............................... Check Amount: S 84.32 401 - 523600- 410000 PROFESSIONAL SERVICES 600.00 Check Amount: S 600.00 401- 523600. 490001 DUES/SUBSCRIPTIONS 3.011.25 Chock Amount: 8 3,011.25 401 - 523100- 460000 INSURANCE 174 333.00 Chock Amount: S 174,333.00 401-523110-490001 DUESfSUBSCRIPTIONS 40.00 Chock Amount: $40.00 401 - 523600 -410001 FOOD SERVICES 12.506.70 401 - 523600,310000 OFFICE SUPPLIES 141.36 ....... ............................... Check Amount: $12,648.06 401.523600- 410014 3RD PARTY MEDICAL 8,213.96 Chock Amount: 8 8,293.96 401- 523600 - 310000 OFFICE SUPPLIES 15.22 401- 523600. 310000 OFFICE SUPPLIES 200.00 Chock Amount: 5 295.22 401- 523600- 310002 INMATE SUPPLIES 437.45 401- 523100. 310000 OFFICE SUPPLIES 1,00543 Chock Amount; S (,442.88 401.523100. 310000 OFFICE SUPPLIES ,1,750,00 Chock Amount: $ 9,750.00 16 of 17 Voucher � k of Bills Presented . o , Approval on E ' it f 6 104482 118/2016 SCORE PETTY CASH FUND 104483 111112016 104484 1111/2016 104485 1/12/2016 104486 1/1212016 104487 1117!2016 104488 111212016 cn v 104489 111212016 104480 1112/2016 104491 111212016 104492 1112/2016 104493 1/1312016 IDAHO CHILD SUPPORT RECEIPTING SCORE OFFICERS GUILD ARAMARK CORPORATION PENNY BARTLEY HD SUPPLY FACILITIES MAINTENANCE, LTD CITY OF KENT FINANCE 12312045 PETTY CASH REIMBURSEMENTS THROUGH 12131/15 01082016 IIW16 REM ID 321664 01062018 UNION DUES 000007902 -000061 WE 116/16 - FOOD SERVICE D1062016 JMHCP CONF 1 2114 - 1 211 611 5 PER DIEM BARTLEY 9142521015 OPERATING SUPPLIES RI 37837 (4) CO & (5) ADM IN PRE - EMPLOYMENT POLYGRAPHS MIDWAY SEWER DISTRICT 010531 -000 PITNEY BOWES GLOBAL FINANCIAL SERVICES. LLC 01032016 RECOLOGY CLEANSCAPES, INC. SHRED -IT US, LLC BENEFIT COORDINATORS CORPORATION 0001772073 1587121015 755199 NOV/DEC 15 -SEWER POSTAGE DEC 15 - GARBAGE SERVICE DEC 15 - SHREDDING JAN 16 - MEDIDENNISILIFE 401469900- 003699 MISCELLANEOUS REVENUE 36,80 401,523100310000 OFFICE SUPPLIES 19.15 ....... Check Amount: ............................... $55.95 401. 000000. 231500 ACCRUED EMPLOYEE BENEFITS Check Amount: .427.42 $427.42 401. 000000- 231500 ACCRUED EMPLOYEE BENEFITS Chock Amount: ,5.350:00 $ 5,350.00 401 - 523600 - 410001 FOOD SERVICES 12.326.66 Chock Amount: S12,326.66 401 - 523100- 430001 TRAVEL 337.41 Chock Amount: $ 337.41 401-523500410000 OFFICE SUPPLIES 595:74 Chock Amount: $ 595.74 401- 523100 - 410000 PROFESSIONAL SERVICES 1,421.73 401 - 523600410000 PROFESSIONAL SERVICES 1,180.03 •- ............................• Chock Amount: $ 2,601.76 401 - 523500- 470000 UTILITIES 11.562.30 Chock Amount: S11,562.30 401- 523100- 420000 COMMUNICATION 417.83 401 - 523600- 420000 COMMUNICATION 582.17 ....... Chock Amount: ............................... $ 1,000.00 401. 523500470000 UTILITIES Check Amount: .1.590.21 5 1,590.21 401 - 523100. 410000 PROFESSIONAL SERVICES 67.73 Chock Amount: , $ 67.73 401 - 000000- 231509 ACCRUED BENEFIT PAY DENTAL 14,161.50 4 0 1- 0 00 00 0 - 231504 ACCRUED SENEFITSPAY- MEDICAL 138,826,12 401- 000000 - 231507 ACCRUED BENEFITS PAY STANDARD 5,047.65 401400000- 231508 ACCRUED BENEFITS PAY VISION 2,619.34 ....... Chock Amount: ............................... S 160,654.61 SCORE OPERATIONS $ 1,895,110.80 SCORE PDA $ 4,500.00 SCORE CAPITAL $ Grand Total $ 1,899,610.80 TOTAL: 51,899,610.80 17 of 17 SCORE Salaries Nov 1- 30,2015 Pay Date FTE Checks Direct Deposit Taxes Ben /beds Total 11/25/2015 143 5,419.57 299,939.36 59,602.60 274,617.33 $ 639,578.86 12/10/2015 142 - 360,271.52 79,748.90 133,375.12 $ 573,395.54 Total $ 5,419.57 $ 660,210.88 $ 139,351.50 $ 407,992.45 $ 1,212,974.40 SCORE Salaries December 1 -31, 2015 Pay Date FTE Checks Direct Deposit Taxes Ben /beds Total 12/24/2015 1/8/2016 140 $ - $ 310,999.46 142 $ 3,340.44 $ 332,133.10 $ 62,371.31 $ 69,906.95 $ 281,920.89 $ 137,338.01 $ 655,291.66 $ 542,718.50 Total $ 3,340.44 $ 643,132.56 $ 132,278.26 $ 419,258.90 $ 1,198,010.16 58 Financial Summary - Operating Fund 59 2014 Actual 2015 2015 Actual As Of Adjusted As Of 11/30/2014 2014 Actual %of Total Budget 11/30/2015 %Used Resources Beginning Fund Balance $ 5,463,956 $ 5,463,956 100,00% $ 11,274,143 $ 11,274,143 100.00% Operating Revenue Member Service Payments 13,059,479 14,246,704 91.67% 15,366,918 14,086,342 91.67% Federal Grant 46,408 102,313 45.36% 151,556 45,064 29.73% State Grant 750 750 100.00% - - Revenue from Contracting Cities 8,147,094 9,039,125 90.13% 12,000,000 9,469,591 78.91% Revenue from Contracting Cities - Health 218,774 219,637 99.61% - 127,224 Intergovernmental Revenue 42,400 48,400 87.60% 30,000 38,400 128.00% Charges for Services 209,095 241,707 86.51% 225,000 245,958 109.31% Miscellaneous 3,260 3,931 82.94% - 22,991 Interest Earnings 1,781 1,787 99.99% 2,000 7,837 391.85% Total Operating Revenue 21,729,047 23,904,354 90.90% 27,775,474 24,043,407 86.56% Transfers In Transfer -In - - 0.00% - 0.00% Total Transfers In - - 0.00% - - 0.00% Total Resources 27,193,003 29,368,310 92.59% 39,049,617 35,317,551 90.44% Expenditures Operating Expenditures Salaries & Wages 7,138,659 7,847,273 90.97% 9,927,582 8,200,480 82.60% Personnel Benefits 2,755,448 3,016,890 91.33% 4,398,773 3,156,955 71.77% Overtime 878,525 978,117 89.82% 690,000 809,620 117.3410 Operating Supplies 310,737 362,880 85.63% 471,510 292,575 62.05°/ Consumables 1,071,974 1,199,293 89.38% 1,440,371 1,086,599 75.44% Professional Services 219,059 243,827 89.84% 368,320 340,003 92.31% Medical Services 2,112,891 2,126,718 99.35% 2,613,384 1,912,042 73.16% Outside Medical Services 424,222 484,841 87.5010 400,000 169,500 42.37% Other Services & Charges 382,952 414,130 92.47% 550,782 412,726 74.93% Insurance 146,609 146,609 100.0010 200,000 149,961 74.98% Utilities 468,468 546,075 85.79% 969,290 546,322 56.36% Maintenance 141,386 165,047 85.66% 120,645 109,924 91.11% Intergovernmental 14,250 14,250 100.00% 43,695 33,734 77.20% Capital Outlays 15,652 15,652 100.00% 102,000 178,681 175.18% Transfers Out 998,985 1,215,231 82.21% 6,675,970 6,672,9S3 99.95% Total Operating Expenditures 17,079,817 18,776,831 90.96% 28,972,322 24,072,075 83.09% Total Expenditures 17,079,817 18,776,831 90,96% 28,972,322 24,072,075 83.09% Ending Fund Balance $ 10,113,186 $ 10,591,479 95.48% $ 10,077,295 $ 11,245,476 111.59% 59 Financial Summary - Reserve Fund Resources Beginning Fund Balance - ERR Beginning Fund Balance - Contingency Operating Revenue Intergovernmental Revenue Miscellaneous Interest Earnings Total Operating Revenue Transfers In Transfer -In - Equipment Reserve Transfer-In - Contingency Reserve Total Transfers In Total Resources Expenditures Operating Expenditures Intergovernmental Transfers Out Total Operating Expenditures Total Expenditures Ending Fund Balance - ERR Ending Fund Balance - Contingency Total Ending Fund Balance 2015 2015 Actual Adjusted As Of 2014 Actual Budget 11/30/2015 $ 1,421,597 $ 2,215,237 $ 2,215,237 $ 1,482,264 $ 1,906,145 $ 1,906,145 2,025 6,327 2,025 6,327 792,409 206,576 998,985 792,409 792,409 1,106,646 5,234,355 $ 2,214,006 3,007,646 $ 3,010,936 $ 1,688,840 $ 2,220,383 $ 2,223,419 $ 3,902,846 $ 5,228,029 $ 5,234,355 60 Financial Summary - Debt Service Fund 61 2015 2015 Actual Adjusted As Of 2014 Actual Budget 11/30/2015 Resources Beginning Fund Balance $ 3,674,721 $ 3,717,818 $ 3,717,818 Debt Service Revenue Member Payments 5,540,135 - - Interest Earnings - - - Total Debt Service Revenue 5,540,135 - - Transfers In Transfer -In - 5,469,324 5,466,307 Total Transfers In - 5,469,324 5,466,307 Total Resources 9,214,856 9,187,142 9,184,125 Expenditures Debt Service Expenditures Debt Service 5,420,868 5,401,305 5,402,369 Total Debt Service Expenditures 5,420,868 5,401,305 5,402,369 Total Expenditures 5,420,868 5,401,305 5,402,369 Ending Fund Balance $ 3,793,988 $ 3,785,837 $ 3,781,756 61 Financial Summary - Capital Fund Resources Beginning Fund Balance Capital Revenue Member Payments Revenue from Contracting Cities intergovernmental - State Miscellaneous Interest Earnings Inusrance Recoveries Total Capital Revenue Transfers In Transfer -In Total Transfers In Total Resources Expenditures Capital Expenditures Operating Supplies Professional Services Capital Outlays Total Capital Expenditures Transfers Out Transfer Outs Total Transfers Out Total Expenditures Ending Fund Balance 2015 Adjusted 2015 Actual As 2014 Actual Budget Of11/30/2015 $ 18,477 $ - $ 100,000 2,212 102,212 100,000 18,477 202,212 6,115 - 12,363 202,212 18,477 202,212 100,000 2,212 102,212 100,000 100,000 202,212 18,477 202,212 - $ (0) $ - $ 202,212 62 2015 SCORE PDA Financials Beginning Fund Balance Revenue: Receipt from Federal Rebate Transfer -In from SCORE for Debt Service Payment Investment Interest Total Revenue and Other Sources Total Resources Expenditures: Professional Services Debt Service Principal Debt Service Interest Total Expenditures Ending Fund Balance 2014 Actual 2015 Adjusted Budget 2015 Actual As Of 11/30/2015 % Used $ 844,019 1,514,410 5,420,868 $ 832,967 1,513,594 5,401,305 $ 832,967 756,797 5,402,369 96.80% 49.95% 100.55% $ 6,935,278 $ 6,914,899 $ 6,159,166 89.42% 4,995,069 100.00% $ 7,022,500 $ $ 7,779,297 $ 7,747,866 $ 6,992,133 90.24% $ 5,934 $ 6,000 $ 7,065 117.74% 1,950, 000 1,990,000 1,990,000 100.00% 5,066,566 4,995,069 4,995,069 100.00% $ 7,022,500 $ 6,991,069 $ 6,992,133 100.02% $ 756,797 $ 756,797 $ - 0.00% 63 Financial Summary - Operating Fund 64 DRAFT as of 1/14/2015 2014 Actual 2015 2015 Actual As Of Adjusted As Of 12/31/2014 2014 Actual %of Total Budget 12/31/2015 %Used Resources Beginning Fund Balance $ 5,463,956 $ 5,463,956 100.00% $ 11,274,143 $ 11,274,143 100.00% Operating Revenue Member Service Payments 14,246,704 14,246,704 100.00%. 15,366,918 15,365,918 100.00% Federal Grant 144,852 144,852 100.005fw 151,556 45,064 29.73% State Grant 750 750 100.00% - 105,161 Revenue from Contracting Cities 9,868,795 9,868,795 100.00% 12,000,000 11,012,556 91.77% Revenue from Contracting Cities - Health 278,253 278,253 100.00% - 157,027 Intergovernmental Revenue 48,400 48,400 100.00% 30,000 40,400 134.67% Charges for Services 247,065 247,065 100.00% 225,000 269,610 119.83% Miscellaneous 3,994 3,994 100.00% - 23,015 Interest Earnings 2,009 2,009 100.01% 2,000 9,405 470.25% Total Operating Revenue 24,840,822 24,840,822 100.00% 27,775,474 27,029,157 97.31% Transfers In Transfer -In - - 0100% - - 0.00% Total Transfers In - 0.00% - - 0.00% Total Resources 30,304,778 30,304,778 100.00% 39,049,617 38,303,300 98.09% Expenditures Operating Expenditures Salaries & Wages 7,931,647 7,931,647 100.00% 9,927,582 9,102,217 91.69% Personnel Benefits 3,027,508 3,027,508 100.00% 4,398,773 3,494,487 79.44% Overtime 993,100 993,100 100.00% 690,000 878,095 127.26% Operating Supplies 425,373 425,373 100.00% 471,510 341,839 72.50% Consumables 1,224,923 1,224,923 100.00% 1,440,371 1,191,864 82.75% Professional Services 262,982 262,982 100.00% 368,320 383,023 103.99% Medical Services 2,094,702 2,094,702 100:00% 2,613,384 2,693,446 103.06% Outside Medical Services 539,659 539,669 100.00% 400,000 193,167 48.29% Other Services & Charges 422,307 422,307 100.00% 550,782 442,993 80.43% Insurance 146,609 146,609 100.00% 194,300 149,961 77.18% Utilities 569,447 569,447 100.00% 969,290 503,444 62.26% Maintenance 167,982 167,982 100.00% 120,645 124,585 103.27% Intergovernmental 14,250 14,250 100.00% 43,695 34,720 79.46% Capital Outlays 23,603 23,603 100.00% 102,000 178,681 175.18% Transfers Out 1,215,231 1,215,231 100.00% 6,b81,670 6,677,453 9994% Total Operating Expenditures 19,059,333 19,059,333 100.00% 28,972,322 26,489,975 91.43% Total Expenditures 19,059,333 19,059,333 100.00% 28,972,322 26,489,975 91.43% Ending Fund Balance $ 11,245,445 $ 11,245,445 100.00% $ 10,077,295 $ 11,813,325 117.23% 64 DRAFT as of 1/14/2015 Financiai Summary - Reserve Fund DRAFT as of 1/14/2015 65 2015 2015 Actual Adjusted As Of 2014 Actual Budget 12/31/2015 Resources Beginning Fund Balance - ERR $ 1,421,597 $ 2,215,237 $ 2,215,237 Beginning Fund Balance - Contingency $ 1,482,264 $ 1,906,145 $ 1,906,145 Operating Revenue Intergovernmental Revenue Miscellaneous Interest Earnings 2,025 - 7,452 Total Operating Revenue 2,025 - 7,452 Transfers In Transfer -In - Equipment Reserve 792,409 792,409 792,409 Transfer -In - Contingency Reserve 206,576 314,237 314,237 Total Transfers In 998,985 1,106,646 1,106,646 Total Resources 3,904,871 5,228,028 5,235,480 Expenditures Operating Expenditures Intergovernmental Transfers Out Total Operating Expenditures - Total Expenditures - - Ending Fund Balance - ERR $ 2,214,006 3,007,646 $ 3,011,521 Ending Fund Balance - Contingency $ 1,688,840 $ 2,220,383 $ 2,223,959 Total Ending Fund Balance $ 3,902,846 $ 5,228,029 $ 5,235,480 DRAFT as of 1/14/2015 65 Financial Summary - Debt Service Fund DRAFT as of 1/14/2015 66 2015 2015 Actual Adjusted As Of 2014 Actual Budget 12/31/2015 Resources Beginning Fund Balance $ 3,674,721 $ 3,717,818 $ 3,717,818 Debt Service Revenue Member Payments 5,540,135 - - Interest Earnings - - - Total Debt Service Revenue 5,540,135 - - Transfers In Transfer -In - 5,475,024 5,470,807 Total Transfers In - 5,475,024 5,470,807 Total Resources 9,214,856 9,192,842 9,188,625 Expenditures Debt Service Expenditures Debt Service 5,420,868 5,407,005 5,406,869 Total Debt Service Expenditures 5,420,868 5,407,005 5,406,869 Total Expenditures 5,420,868 5,407,005 5,406,869 Ending Fund Balance $ 3,793,988 $ 3,785,837 $ 3,781,756 DRAFT as of 1/14/2015 66 Financial Summary - Capital Fund Resources Beginning Fund Balance Capital Revenue member Payments Revenue from Contracting Cities Intergovernmental - State Miscellaneous Interest Earnings Inusrance Recoveries Total Capital Revenue Transfers In Transfer -In Total Transfers In Total Resources Expenditures Capital Expenditures Operating Supplies Professional Services Capital Outlays Total Capital Expenditures Transfers Out Transfer Outs Total Transfers Out Total Expenditures Ending Fund Balance 2015 Adjusted 2015 Actual As 2014 Actual Budget Of 12/31/2015 $ 18,477 $ - $ - 100,000 2,212 102,212 100,000 100,000 18,477 202,212 6,115 - 12,363 202,212 18,477 202,212 18,477 202,212 $ (0) $ - $ DRAFT as of 1/14/2015 67 100,000 2,212 102,212 100,000 100,000 202,212 202,212 2015 SCORE PDA Financials DRAFT as of 1/14/2015 68 2015 Adjusted 2015 Actual As 2014 Actual Budget of 12/31/2015 % Used Beginning Fund Balance $ 844,019 $ 832,967 $ 832,967 96.80% Revenue: Receipt from Federal Rebate 1,514,410 1,513,594 1,517,676 100.27% Transfer -In from SCORE for Debt Service Payment 5,420,868 5,407,005 5,406,869 100.00% Investment Interest - - - Total Revenue and Other Sources $ 6,935,278 $ 6,920,599 $ 6,924,545 100.06% Total Resources $ 7,779,297 $ 7,753,566 $ 7,757,512 100.05% Expenditures: Professional Services $ 5,934 $ 11,700 $ 11,565 98.84% Debt Service Principal 1,950,000 1,990,000 1,990,000 10OM% Debt Service Interest 5,066,566 4,995,069 4,995,069 100.00% Total Expenditures $ 7,022,500 $ 6,996,769 $ 6,996,633 100.00% Ending Fund Balance $ 756,797 $ 756,797 $ 760,879 100.54% DRAFT as of 1/14/2015 68 Outside Medical 2015 Allocation of Budget 69 Estimated 2016 2015 Ending Beginning Amount Medical Reserve as of 11130/2015 as of 11/3012015 83,509.23 Ending Medical Member Agency 2015 Ending Member Agency 2015 Budget 2015 Expenses Amount Burien $ - as of 11/3012015 as of 11/30/2015 Auburn $ 95,240 11,730.77 83,509.23 Burien 16,960 10,144.77 6,815.23 Des Moines 11,920 80.84 11,839.16 Federal Way 111,320 21,152.24 90,167.76 Renton 107,720 29,396.37 78,323.63 SeaTac 24,760 11,035.92 13,724.08 Tukwila 32,080 16,197.25 15,882.75 $ 400,000 99,738.16 $ 300,261.84 69 Estimated 2016 2015 Ending Beginning Amount Medical Reserve as of 11130/2015 as of 11/3012015 83,509.23 Ending Medical Member Agency Reserve 11,839.16 as of 12131/2014 Auburn $ 238,321 Burien $ - Des Moines $ 23,621 Federal Way $ 147,048 Renton $ 62,799 SeaTac $ 39,441 Tukwila $ 16,069 $ 527,299 69 Estimated 2016 2015 Ending Beginning Amount Medical Reserve as of 11130/2015 as of 11/3012015 83,509.23 321,830.15 6,815.23 6,815.23 11,839.16 35,459.98 90,167.76 237,216.19 78,323.63 141,122.20 13,724.08 53,165.27 15,882.75 31,951.48 300,261.84 827,560.50 CH" [CORRECT IONAI FSF nEALTTICARE COMP&NTES Billable Jurisdiction Auburn Auburn Auburn Auburn Auburn Auburn Auburn Auburn Auburn Auburn Auburn Auburn Auburn Auburn Auburn Auburn Auburn Auburn Auburn Auburn Auburn Auburn Auburn Auburn Auburn Auburn Auburn Auburn Auburn Auburn Auburn Auburn Auburn Auburn Auburn Auburn Auburn Auburn Auburn Auburn Auburn Auburn Auburn Auburn Auburn Auburn Auburn Auburn Auburn Auburn Auburn Auburn Auburn Auburn Auburn Auburn Auburn Auburn Auburn Auburn Auburn First Name MARK JOHN REID REID REID JONATHAN JAMES BRANDON COURTNEY COURTNEY SHARNICE JOSE KAYLA KAYLA RACHEL RYAN FERNANDEZ JOSE JOSE DEANDR PATRICK MARIA ADRIAN REAGAN DEBORAH BENJAMIN BENJAMIN RICHARD ARTEM ARTEM BRANDON LEVI LEVI LEVI KEAGAN ADRIAN TALALELEI TAtALELEI TAI ALFI_F.I JESSE FAITH FAITH FAITH WILFRED RICHARD MARTIN TYLER KENNETH RYAN SCOTT SCOTT SCOTT MICHAEL PATRICK ROGER ROGER CHRISTOPHER CHRISTOPHER DFMOND DEMOND LAMARCUS Cap Report - IBNR & Accrual Detall SCORE, WA For Contract Period From September 2015 to September 2016 DOS Agency Estimate Account Description Diagnosis Totals 12/14/2014 12/29/2014 1/6/2015 1/6 /2015 1/6/2015 1/13/2015 1/13/2015 1/21/2015 1/25/2015 1/25/2015 1/21/2015 1/3/2015 12/31/2014 1/3/2015 1/12/2015 1/28/2015 1/11/2015 1/3/2015 1/3/2015 12/29/2014 12/10/2014 1/26/2015 8/15/2014 2/17/2015 2/4/2015 3/12/2015 3/18/2015 2/14/2015 1/29/2015 1/29/2015 7/25/2014 2/3/2015 2/3/2015 2/3/2015 8/13/2014 2/25/2015 3/9/2015 3/16/2015 3/16/2015 2/9/2015 2/28/2015 3/5/2015 3/5/2015 2/27/2015 3/14/2015 3/16/2015 3/22/2015 3/23/2015 2/5/2015 2/17/2015 2/26/2015 2/26/2015 2/10/2015 3/15/2015 2/17/2015 2/17/2015 2/12/2015 2/12/2015 8/1/2014 8/11/2014 2/25/2015 $17.50 Pathology $17.50 Pathology $2.25 Pathology $2.50 Pathology $2.89 Pathology $2.50 Pathology $17.50 Pathology $17.50 Pathology $5.50 Pathology $7.00 Pathology $17.50 Pathology $2.25 Pathology $5.50 Pathology $2.47 Pathology $17.50 Pathology $17.50 Pathology $17.50 Pathology $2.50 Pathology $2.89 Pathology 10.00 Radiology 10.00 Radiology 10.00 Radiology $10.00 Radiology $17.50 Pathology $10.00 Radiology $17.50 Pathology $5.50 Pathology $17.50 Pathology $2.25 Pathology $2.89 Pathology $10.00 Radiology $6.00 Pathology $6.70 Pathology $17.50 Pathology $10.00 Radiology $2.50 Pathology $17.50 Pathology $2.25 Pathology $2.89 Pathology $10.00 Radiology $17.50 Pathology $6.00 Pathology $6.70 Pathology $10.00 Radiology $17.50 Pathology $17.50 Pathology $17.50 Pathology $4.50 Pathology $6.70 Pathology $17.50 Pathology $6.00 Pathology $6.70 Pathology $17.50 Pathology $17.50 Pathology $2.25 Pathology $2.89 Pathology $6.70 Pathology $17.50 Pathology $10.00 Radiology $10.00 Rapt )logy $10.00 Radiology Page 1 Pathology Pathology Pathology Pathology Pathology Pathology Pathology Pathology Pathology Pathology Pathology Pathology Pathology Pathology Pathology Pathology Pathology Pathology Pathology X -Ray X -Ray X -Ray X -Ray Chlamydia /GC Amplifica X -Ray Chlamyd €a /GC Amplifica Urine Culture, Routine Chlamydia /GC Amplifica CBC With Differential/ Comp. Metabolic Panel X -Ray HCV Antibody Pane1083824 Chla mydia /GC Amplifica X -Ray Hemoglobin Alc Chlamydia /GC Amplifica CBC With Differential/ Comp. Metabolic Panel X -Ray Chlamydia /GC Amplifica HCV Antibody Pane1083824 X -Ray Chlamyd is /GC Ampl €fica Chlamydia /GC Amplifiica Chlamydia /GC Amplifica Phenyto €n (Dilantin), Pane1083624 Chlamydia /GC Amplifica HCV Antibody PanEI083824 Ch lamyd i a /GC Amplifica Chlamydia/GC Amplifica CBC With Differential/ Comp. Metabolic Panel Pane1083824 Chlamyd €a /GC Amplifica X -Ray X -Ray X -Ray Bllling Period December -14 January -15 January -15 January-15 January-15 January-15 January-15 January-15 January-15 January-15 January-15 January-15 January-15 January-15 January-15 January-15 January-15 January-15 January-15 February-15 February-15 February-15 March -15 March -15 March -15 March -15 March -15 March -15 March -15 March -15 March -15 March -15 March -15 March -JS March -1S March -15 March -15 March -15 March -15 March -15 March -15 March -15 March -15 March -15 March -15 March -15 March -15 March -15 March -15 March -15 March -15 March -15 March -15 March -15 March -15 March -15 March -15 March -15 March -15 March -15 March -15 CORRECTIONAL j u?'antckxEconsrh"7rs ��uL Cap Report - IBNR & Accrual Detail SCORE, WA For Contract Period From September 2015 to September 2016 Billable First Name DOS Agency Estimate Account Description Diagnosis Billing Period Jurisdiction Totals Auburn LAUREN 2/7/2015 $17.50 Pathology Chlamydia /GCAmpliflca March -15 Auburn VINCENT 3/3/2015 $17.50 Pathology Chlamydia /GCAmplifica March -15 Auburn ROD 2/S/2015 $6.70 Pathology Pane1083824 March -15 Auburn KEVIN 2/10/2015 $86.65 Hospitalization (ER) Skin Disorder March -15 Auburn STANLEY 11/26/2014 $11.18 Hospitalization (ER) Angina Pectoris March -15 Auburn STANLEY 11/26/2014 $898.00 Hospitalization (ER) Angina Pectoris March -15 Auburn TALALELEI 12/25/1014 $212.10 Hospitalization Gastrointestinal Hemorrhage March -1S Auburn JUDE 4/16/2015 17.50 Pathology Chlamydia /GCAmplifica April -15 Auburn COLIN 4/13/2015 17.50 Pathology Chlamydia /GCAmp9fica April -15 Auburn LOUIS 3131/2015 17.50 Pathology Chlamydia /GCAmplifica Apr1l -1S Auburn LOUIS 4/8/2015 39.33 Pathology Trich vag by NAA April -15 Auburn LOUIS 4115/2015 6.50 Pathology Prostate- SpecificAg, April -15 Auburn VERONICA 4/6/2015 175.00 Diagnostic Lab Ultrasound April -15 Auburn VERONICA 412/2015 17.50 Pathology Chlamydla /GCAmplifica April -15 Auburn ALEX 4/12/2015 17.50 Pathology Chlamydia /GCAmpliflca April -15 Auburn KEVIN 2/9/2015 829.58 Hospitalization (ER) Skin Disorder April -15 Auburn KEVIN 2/1012015 1,732.73 Hospitalization (ER) Skin Disorder April -15 Auburn KEVIN 2/1012015 142.50 Pathology Skin Disorder April -15 Auburn KEVIN 2/10/2015 1,595.64 Radiology Skin Disorder April -15 Auburn SHAD 4/712015 17.50 Pathology Chlamydla /GCAmplifica April -15 Auburn TALAtELEI 3/16/2015 10.00 Radiology X -Ray April -15 Auburn TALALELEI 3/28/2015 10.00 Radiology X -Ray April -15 Auburn MATTHEW 3123/2015 10.00 Radiology X -Ray April -15 Auburn ERIC 4/8/2015 17.50 Pathology Chlamydia /GCAmplifica April -15 Auburn NORWOOD 4/16/2015 17.50 Pathology Chlamydia /GCAmplifica April -15 Auburn CARNESHA _ 4/17/2015 175.00 Diagnostic Lab Ultrasound April -15 Auburn CARNESHA 4/7/2015 17.50 Pathology Chlamyd €a /GCAmplifica April -15 Auburn CARNESHA 4/16/2015 9.00 Pathology hCG,Beta Subunit, Qnt, April -15 Auburn CARNESHA 4/1612015 2.25 Pathology CBC With Differential/ April -15 Auburn CARNESHA 4/16/2015 2.89 Pathology Comp. Metabolic Panel April -15 Auburn CARNESH 3/29/2015 10.00 Radiology X -Ray April -15 Auburn RODERICK 4/27/2015 17.50 Pathology Chia mydia/GC Am plifica April -15 Auburn DAVID 3/7/2015 10.00 Radiology X -Ray April -15 Auburn MALAEIMi 4/11/2015 17.50 Pathology Chlamydia /GCAmplifica April-15 Auburn RUSSELL 3/31/2015 17.50 Pathology Chlamydia /GCAmplifica April-IS Auburn VINCENT 3/19/2015 10.00 Radiology X -Ray April -15 Auburn PAVEL 5/13/2015 17.50 Pathology Chlamydia /GCAmplifica May -15 Auburn JOHN 5/8/2015 17.50 Pathology Chlamydla /GCAmplifica May -15 Auburn Don 4/28/2W5 10.00 Radiology X -Ray May -15 Auburn DONALD 5/2/2015 2.25 Pathology CBC With Differential/ May -15 Auburn DONALD 512/2015 2,89 Pathology Comp. Metabolic Panel May -15 Auburn SHAD 5/712015 6.70 Pathology Pane1083824 May -15 Auburn SHAD 5/712015 6.00 Pathology HCV Antibody May -IS Auburn TANEKA 5/1812015 9.00 Pathology hCG,Beta Subunit, Cent, May -15 Auburn TANEKA 5/1812015 2.25 Pathology CBC With Differential/ May -15 Auburn Dornmenic 4/14120I5 10.00 Radiology X -Ray May -15 Auburn Joshua 4/20/2015 10.00 Radiology X -Ray May -15 Auburn DEANNA 512212015 17.50 Pathology Chlamydia /GCAmplifica May -1S Auburn MORGAN 5/4/2015 17.50 Pathology Chlamydia /GCAmpliflca May -15 Auburn AVERY 5/4/2015 4.50 Pathology ValproicAcld (Depakot May -15 Auburn AVERY 5/4/2015 4.50 Pathology Carbamaze&E(Tegretol May -15 Auburn RONNIE 5/2912015 1.78 Pathology CBC With Differential) June -15 Auburn RONNIE 5/29/2015 2.75 Pathology Prothrombin Time (PT) June -15 Auburn RONNIE 5/29/2015 2.89 Pathology Comp. Metabolic Panel June -15 Auburn LOUIS 6/512015 4.50 Pathology Valproic Acid (Depakot June -15 Auburn LOUIS 6/19/2015 4.50 Pathology Valproic Acid (Depakot June -15 Auburn LAURA 6/11/2015 17:50 Pathology Chlamydla /GCAmpliflca June -15 Auburn JASMIN 6/612015 17.50 Pathology Chlamydla /GCAmplifica June -15 Auburn KEVIN 6/9/2015 2.25 Polloiogy CBC With Differential/ June -15 Auburn KEVIN 6/9/2015 2.89 Pathology Comp. Metabolic Panel June -15 Page 2 l!'Aul1lCORP BCrr 0NAe �e i A HEALTHCARE COMPIENTE.$ Cap Report - IBNR & Accrual Detall SCORE, WA For Contract Period From September 2015 to September 2016 Billable First Name DOS Agency Estimate Account Description Diagnosis Billing Period Jurisdiction Totals Auburn KEVIN 2/9/2015 78.61 Hospitalization (ER) Skin Disorder June -15 Auburn JASON 6/4/2015 17.50 Pathology Chlamydia /GCAmp €ifica June -15 Auburn JASON 5/19/2015 10.00 Radiology X -Ray June -15 Auburn JASON 5/22/2015 10.00 Radiology X -Ray June -15 Auburn MICHAEL 6/10/2015 2.25 Pathology CBC With Differential/ June -15 Auburn MICHAEL 6/1012015 2.89 Pathology Comp. Metabolic Panel June -15 Auburn KYLE 5/27/2015 17.50 Pathology Chlamydia /GCAmpliflca June -15 Auburn MARK 5/12/2015 10.00 Radiology X -Ray June -15 Auburn MARK 5/18/2015 10.00 Radiology X -Ray June -15 Auburn AUDREY 6/23/2015 17.50 Pathology Chlamydia /GCAmplifica June -15 Auburn COLEENA 6/23/2015 2,25 Pathology CBC With Different €all June -15 Auburn COLEENA 6/23/2015 17.50 Pathology Chlamydia /GCAmplifica June -15 Auburn RICKY 6/2412015 4.50 Pathology Valproic Acid (Depakot June -15 Auburn EULALIO 5/22/2015 10.00 Radiology X -Ray June -15 Auburn SHANE 5/2/2015 10.00 Radiology X -Ray June -15 Auburn STEVIE 6/3/2015 6.00 Pathology HCVAntibody June -15 Auburn STEPHEN 5/29/2015 4.00 Pathology Lithium (Eskalith(R)), June -15 Auburn ROBERT 6/17/2015 17.50 Pathology Chlamydia /GCAmplifica June -15 Auburn KEVIN 6/12/2015 17.50 Pathology Chlamydia /GCAmplifica June -15 Auburn TALALELEi 12/25/2014 237.38 Hospitalization (ER) Gastrointestinal Hemorrhage July -15 Auburn REDMOND 7/2412015 17.50 Pathology Ch €amydia /GCAmplifica July -15 Auburn PAUL 712/2015 2.25 Pathology CBC With Differential/ July -15 Auburn PAUL 7/2/2015 2.89 Pathology Camp. Metabolic Panel July -15 Auburn PAUL 7/8/2015 17.50 Pathology Chlamydia /GCAmplifica July -15 Auburn SYLVIA 6/26/2015 17.50 Pathology Chlamydia /GC Ampllflca July -15 Auburn RONNIE 7/10/2015 2.25 Pathology CBC With Differential/ July -15 Auburn RONNIE 7/10/2015 2.75 Pathology Pfothrombin Time (PT) July -15 Auburn RONNIE 7/10/2015 2.89 Pathology Comp. Metabolic Panel July -15 Auburn LOUIS 7/24/2015 4.50 Pathology ValprolcAcid (Depakot July -15 Auburn DOUGLAS 7/28/2015 17.50 Pathology Chlamydia /GCAmplifica July -15 Auburn ALEKSANDR 7127/2015 6.70 Pathology Pane1083824 July -15 Auburn ALEKSANDR 7/27/2015 6.00 Pathology HCV Antibody July -15 Auburn ALEKSANDR 7127/2015 17.50 Pathology Chlamydia /GCAmpliflca July -15 Auburn KASONTER 7/16/2015 2.50 Pathology Hemoglobin Alc July -15 Auburn SHAUN 7/22/2015 17.50 Pathology Chlamydia /GCAmplifica July -15 Auburn SHAUN 7/28/2015 6.70 Pathology PaneIO83824 July -15 Auburn SHAUN 7128/2015 6.00 Pathology HCV Antibody July -15 Auburn RACHEL 6/9/2015 10.00 Radiology X- Ray - Finger; July -1S Auburn WESLEY 7/12/2015 2.75 Pathology Prothrombin Time (PT) July -15 Auburn PATRICK 6/19/2015 10.00 Radiology X- Ray - Tib /Fib July -15 Auburn TIFFANY 7/8/2015 17.50 Pathology Chlamydia /GCAmplifica July -15 Auburn FATUMA 7/20/2015 2.25 Pathology CBC With Differential/ July -15 Auburn ZACHARY 7/1/2015 6.70 Pathology PaneIO83824 July -15 Auburn ZACHARY 7/1/2015 9.00 Pathology HCV Ab w /Rflx to Verif July -15 Auburn ZACHARY 7/6/2015 2.89 Pathology Comp. Metabolic Panel July -15 Auburn TODD 7/25/2015 17.50 Pathology Chlamydia /GCAmpliflca July -15 Auburn CASEY 7/2/2015 5.50 Pathology Urine Culture, Routine July -1S Auburn CASEY 7/1/2015 17.50 Pathology Chlamydia /GCAmplifica July -15 Auburn JOSHUA 7126/2015 17.50 Pathology Chlamydia /GCAmplifica July -15 Auburn THELMA 7/8/2015 17.50 Pathology Chlamydia /GCAmplifica Juty -15 Auburn BEAU 613/2015 10.00 Radiology X -Ray - Hand July -15 Auburn BEAU 614/2015 10.00 Radiology X -Ray - Hand July -15 Auburn Lorraine 7/3112015 10.00 Radiology Foot August -15 Auburn KEVIN 2/1012015 101.59 Hospitalization (ER) Skin Disorder August -15 Auburn Taylor 7/2912015 10.00 Radiology Foot August -15 Auburn HEATHER 8/10/2015 2,626.56 HHB STRIBILD * *30TABS ONLY" 150- 150 -200 -300 MG August -15 Auburn ROBERT 8/31/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 Auburn ROBERT 9/16/2015 17.50 PaY�)logy Chlamydia /GCAmplifica September -15 Auburn RALPH 7/30/2015 17.50 Pathology Chlamydia/GC Am plifica September -1S Page 3 !1 CORRECTIONAL l JL,H' I[£AITHCARECOMPANTES Cap Report - IBNR &AccrualDetaiI SCORE, WA For Contract Period From September 2015 to September 2016 Billable First Name DOS Agency Estimate Account Description Diagnosis Billing Period Jurisdiction Totals Auburn NICOLAS 7/29/2015 L00 Pathology Lithium (Eskalith(R)), September -15 Auburn BRIAN 8/1512015 17.50 Pathology Chlamydia /GCAmplifica September -15 Auburn VALERIE 8/4/2015 9.00 Pathology hCG,Beta Subunit, Qnt, September -15 Auburn VALERIE 8/4/2015 2.25 Pathology CSC With Differential/ September -15 Auburn VALERIE 8/4/2015 10.76 Pathology Rh Factor September -15 Auburn VALERIE 8/4/2015 6.70 Pathology PancI083824 September -15 Auburn VALERIE 8/4/2015 6.00 Pathology HCVAntibody September -15 Auburn VALERIE 8/4/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 Auburn VALERIE 8/10/2015 175.00 Diagnostic Lab Ultra Sound September -15 Auburn VALERIE 8/10/2015 9.00 Pathology hCG,Beta Subunit, Qnt, September -15 Auburn VALERIE 8110/2015 2.25 Pathology CBC With Differential/ September -15 Auburn VALERIE 8/17/2015 9.00 Pathology hCG,Beta Subunit, Opt, September -15 Auburn CARL 9/7/2015 4.00 Pathology Amylase, Serum September -IS Auburn CARL 9/7/2015 3.00 Pathology Lipase, Serum September -15 Auburn CARL 9/7/2015 2.89 Pathology Comp. Metabolic Panel September -15 Auburn MICHAEL 8/10/2015 17.50 Pathology Chlamydia /GCAmplifica September -IS Auburn TARA 9115/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 Auburn BERNNIE 7/30/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 Auburn JENNIFER 8/26/2015 1.00 Pathology Thyroxine (T4) September -1S Auburn JENNIFER 8/2612015 2.00 Pathology TSH September -15 Auburn PAUL 9/5/2015 4.00 Pathology Amylase, Serum September -15 Auburn PAUL 9/512015 3100 Pathology Lipase, Serum September -15 Auburn PAUL 9/5/2015 2.25 Pathology CBC With Differential/ September -15 Auburn PAUL 9/5/2015 2.89 Pathology Comp. Metabolic Panel September -15 Auburn CHARLOTTE 9/1712015 1.00 Pathology Thyroxine (T4) September -15 Auburn CHARLOTTE 9/17/2015 2.00 Pathology TSH September -15 Auburn RICKY 7/31/2015 10.00 Radiology SHOULDER September -15 Auburn CASEY 7/31/2015 6.70 Pathology Pane1083824 September -15 Auburn CASEY 7/31/2015 6.00 Pathology HCV Antibody September -15 Auburn ELIZABETH 8/5/2015 2.50 Pathology Hemoglobin Alc September -15 Auburn HEATHER 8/10/2015 2.89 Pathology Comp. Metabolic Panel September -15 Auburn HEATHER 8/11/2015 2.25 Pathology CBC With Differential/ September -15 Auburn HEATHER 8/14/2015 20.00 Pathology HelperT- Lymph -CD4 September -15 Auburn ALAN 8/27/2015 10.00 Radiology ANKLE September -15 Auburn JORDAN 7/30/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 Auburn JORDAN 8/4/2015 6.70 Pathology Pane1083824 September -15 Auburn JORDAN 8/4/2015 6.00 Pathology HCVAntibody September -15 Auburn MARISA S/Z/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 Auburn MARISA 8/10/2015 175.00 Diagnostic Lab Ultra Sound September -15 Auburn GLADYS 9125/2015 6.70 Pathology Panef 083824 September -I5 Auburn JOSEPH 9/17/2015 10.00 RADIOLOGY HUMERUS October -15 Auburn STEVEN 10/23/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Auburn JULIA 11/2412015 2.80 Pathology Magnesium, Serum November -15 Auburn JULIA 11/2412015 2.25 Pathology CBC With Differential/ November -I5 Auburn JULIA 11/2412015 2.89 Pathology Comp. Metabolic Panel November -15 Auburn DEREK 11/25/2015 17.50 Pathology Chlamydia/GC Am plifica November -15 Auburn DEREK 11/25/2015 6.70 Pathology Pane1083824 November -15 Auburn DEREK 11/25/2015 6.00 Pathology HCVAntibody November -15 Auburn KYLE 10/23/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Auburn ANTHONY 10/23/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Auburn Deotis 10/14/2015 10.00 Radiology Hand November -15 Auburn DANA 11/16/2015 17.50 Pathology Chlamydia /GCAmplifica November -1S Auburn DANIEL 11/20/2015 7.00 Pathology Sensitivity Organism# November -15 Auburn DANIEL 11/20/2015 8.75 Pathology Aerobic Bacterial Cult November -15 Auburn DANIEL 11/20/2015 13.98 Pathology Anaerobic Culture November -15 Auburn COURTNEY 11/23/2015 6.00 Pathology HCVAntibody November -15 Auburn Paola 10/8/2015 10.00 Radiology Abdomen November -15 Auburn PAOLA 10/6/2015 17.50 pghology Chlamydia /GCAmplifica November -15 Auburn PAOLA 10/13/2015 2.25 Pathology CBC With Differential/ November -15 Page 4 p 11�CORRECT10\A17 HI Cap Report - IBNR & Accrual Detail SCORE, WA For Contract Period From September 2015 to September 2016 Billable First Name DOS Agency Estimate Account Description Diagnosis Billing Period Jurisdiction Totals Auburn RADON 10/25/2015 6.00 Pathology HCVAntibody November -15 Auburn RADON 10/25/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Auburn CASEY 11/19/2015 6.70 Pathology Pane1083824 November -15 Auburn CASEY 11/19/2015 6.00 Pathology HCV Antibody November -15 Auburn CASEY 11/19/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Auburn RONNIE 11/23/2015 3.25 Pathology Urinalysis, Complete November -15 Auburn TERRAN 10119/2015 17.50 Pathology Chlamydia /GCAmpI €flca November -15 Auburn Loule 10/4/2015 10.00 Radiology Hand November -15 Auburn AMANDA 10127/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Auburn AMANDA 11/2412015 5.50 Pathology Urine Culture, Routine November -15 Auburn TOM 10/2812015 17.50 Pathology Chlamydia /GCAmplifica November -15 Auburn RACHEL 10/1612015 17.50 Pathology Chlamydfa /GCAmplifica November -15 Auburn RANSON 10/3012015 8.75 Pathology Aerobic Bacterial Cult November -15 Auburn Magic 10/11/2015 10.00 Radiology Chest November -15 Auburn IKEIM 11/21/2015 31.55 Pathology H5V 1 and 2- Specific A November -15 Auburn DEVAN 10127/2015 17.50 Pathology Chlamydia /GC Amplifica November -15 Auburn FRANCOIS 10131/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Auburn Ronald 10/11/2015 10.00 Radiology Abdomen November -15 Auburn SONYA 9/30/2015 17.50 Pathology Chlamyd €a /GCAmplifica November -15 Auburn RONALD 10/12/2015 2.25 Pathology CBC With Differential/ November -15 AuburnTotal $11,730.77 Burien TERRENCE 11110/2014 $17.50 Pathology Pathology November -14 Burien LEON 11/12/2014 $17.50 Pathology Pathology November -14 Burlen DEAN 11/2612014 $17.50 Pathology Pathology December -14 Burien RONDINA 1/512015 1,126A8 HHB HHB January -15 Burien RONDINA 1/5/2015 203.21 HHB HHB January -15 Burien RONDINA 1/5/2015 647.54 HHB- HHB January -15 Burien RONDINA 1/512015 1,265.31 HHB HHB January-15 Burien JASON 1/1/2015 17.50 Pathology Pathology January -15 Burien HASSAN 12/1612014 10.00 Radiology X -Ray February-15 Burien JAMES 12/24/2014 10.00 Radiology X -Ray February-15 Burien SHOMARI 8/26/2014 10.00 Radiology X -Ray March -15 Burien JOSE 318/2015 17.50 Pathology Chla mydia/GC Amplifica March -IS Burien OMAR 2/10/2015 4.00 Pathology Lithium (Eskalith(R)), March -15 Burien ROMAN 3/17/2015 17.50 Pathology Chlamyd €a /GCAmplifica March -15 Burlen JESSICA 3/19/2015 288.60 HHB HHB March -IS Burlen JESSICA 3/19/2015 307.31 HHB HHB March -15 Burien JESSICA 3/27/2015 615.57 HHB HHB March -15 Burien ARDEN 4/22/2015 124.67 HHB HHB April -15 Burien ARDEN 4/22/2015 604.$4 HHB HHB April -15 Burien ARDEN 4/22/2015 49.05 HHB HHB April -15 Burien ARDEN 4/24/2015 1,398.98 HHB HHB AprII -15 Burien JESSICA 4/6/2015 615.57 HHB HHB April -15 Burien JESSICA 4/29/2015 615.57 HHB HHB April -15 Burlen JESSICA 4/30/2015 206.86 HHB HHB April -IS Burien JESSICA 4/20/2015 1,398.98 HHB HHB April -15 Burien JESSICA 4/30/2015 235.25 HHB HHB April -15 Burien JESSICA 3130/2015 17.50 Pathology Chlamydia /GCAmpI €flca April -15 Burien FRANCISCO 4114/2015 17.50 Pathology Chlamydia /GCAmpI €flca April -IS Burien OMAR 5/5/2015 4.00 Pathology Lithium (Eskalith(R)), May -15 Burien OMAR 5121/2015 4.00 Pathology Lithium (Eskalith(R)), May -15 Burien Frank 4 /1012015 10.00 Radiology X -Ray May -15 Burien RANDALL 5112/2015 2.25 Pathology CBC With Differentia If May -15 Burien RANDALL 5/1212015 2.89 Pathology Comp. Metabolic Panel May -15 Burien RANDALL 5/12/2015 11.00 Pathology Ammonia, Plasma May -15 Burien CANDACE 5/1912015 10.00 Radiology X -Ray June -15 Burien JESSICA 5/8/2015 10.00 Radiology X -Ray June -15 Burien MICHAEL 6/15/2015 2.25 Payaology CBC With Differential/ June -IS Burlen MICHAEL 6/15/2015 13.00 Pathology Hgb Alc With eAG Estim June -15 Page 5 1-1 CORRECTIONAL � V11V REunicAMMINNIES Cap Report - IBNR & Accrual Detail SCORE, WA For Contract Period From September 2015 to September 2016 Billable First Name DOS Agency Estimate Account Description Diagnosis Billing Period Jurisdiction Totals Burien MICHAEL 6/1512015 2.89 Pathology Comp. Metabolic Panel June -15 Burlen CHRISTOPHER 5/28/2015 10.00 Radiology X -Ray June -15 Burien JOSEPH 6/1/2015 10.00 Radiology X- Ray - Wrist July -15 Burien ERIC 7/16/2015 17.50 Pathology Chlamydia /GCAmplifica July -15 Burien SHAYNE 6/18/2015 10.00 Radiology X -Ray - Hand July -15 Burien Elliott 7/4/2015 10.00 Radiology Hand August -15 Burien CARELL 7/30/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 Burien EZEO 9/27/2015 10.00 RADIOLOGY CHEST October -15 Burien JAMES 9/7/2015 10.00 RADIOLOGY CHEST October -15 Burien TINA 9/30/2015 10.00 RADIOLOGY SHOULDER October -15 Burien DOUGLAS 9/20/2015 10.00 RADIOLOGY HAND October -15 Burien DOUGLAS 9/2012015 10.00 RADIOLOGY KNEE October -15 Burien NORMAN 10/23/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Burien JESSICA 10/25/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Burien KENDALL 10/20/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Burien JERAY 10/15/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Burien Total $10,144.77 Des Moines IBRAHIMA 9/30/2014 $3.34 Pathology Pathology October -14 Des Moines STEPHANIE 12/29/2014 10.00 Radiology X -Ray February-15 Des Moines JAMIE 1/14/2015 10.00 Radiology X -Ray February-15 Des Moines KYLE 1/29/2015 10.00 Radiology X -Ray February-15 Des Moines DAVID 6/1412015 10.00 Radiology X -Ray- Elbow July -15 Des Moines DERRICK 8/13/2015 10.00 Radiology FACIAL September -15 Des Moines ERIC 8/3/2015 10.00 Radiology RIBS September -15 Des Moines DEMETRIUS 10/24/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Des Moines Total $80.84 Federal Way RONDINA 10/16/2014 (2.89) Pathology Pathology October -14 Federal Way LATONIA 10/13/2014 82.00 Pathology Pathology October -14 Federal Way MELINDA 11/2512014 (257.09) Diagnostic Imaging ULTRASOUND CALL November -14 Federal Way SEAN 121212014 (17.50) Pathology Pathology December -14 Federal Way JERRY 12/16/2014 2.25 Pathology Pathology December -14 Federal Way QUYNNYE 12/2612014 ($17.50) Pathology Pathology December -14 Federal Way YEGOR 1/19/2015 6.70 Pathology Pathology January-15 Federal Way YEGOR 1/1912015 9.00 Pathology Pathology January-15 Federal Way YEGOR 1/19/2015 17.50 Pathology Pathology January-I5 Federal Way VITALIY 1/13/2015 1730 Pathology Pathology January-15 Federal Way CARRELL 1/13/2015 17.50 Pathology Pathology January-15 Federal Way JERRY 1/28/2015 2.25 Pathology Pathology January-15 Federal Way JERRY 1/28/2015 3.00 Pathology Pathology January-15 Federal Way MARQUITA 1/8/2015 17.50 Pathology Pathology January-15 Federal Way IRVIN 1/10/2015 82.00 Pathology Pathology January-15 Federal Way ALEXANDER 1/28/2015 6.70 Pathology Pathology January-15 Federal Way ALEXANDER 1/28/2015 9.00 Pathology Pathology January -15 Federal Way CARMEN 1/8/2015 2.25 Pathology Pathology January -15 Federal Way CARMEN 1/8/2015 2.89 Pathology Pathology January -15 Federal Way CARMEN 1/8/2015 6.70 Pathology Pathology January -15 Federal Way CARMEN 11812015 9.00 Pathology Pathology January-15 Federal Way CARMEN 1/8/2015 17.50 Pathology Pathology January-15 Federal Way HAZEL 1/13/2015 17.50 Pathology Pathology January-15 Federal Way HAZEL 1/19/2015 5.50 Pathology Pathology January-I5 Federal Way FELICIA 12130/2014 17.50 Pathology Pathology January-15 Federal Way QUAN 1/6/2015 26430 HHB HHB January-15 Federal Way QUAN 1/6/2015 1,292.58 HHB HHB January-15 Federal Way QUAN 11612015 1,308.85 HHB HHB January-15 Federal Way KAYLA 1/7/2015 1750 Pathology Pathology January-15 Federal Way CHRISTOPHER 1/27/2015 17.50 Pathology Pathology January-15 Federal Way ALEXANDRIA 1/16/2015 17.50 Pj ology Pathology January-15 Federal Way JOSE 1/19/2015 2.25 Pathology Pathology January -15 Page 6 Page 7 CHLCORRECT]ONAe "FA""CAREco` Fi,N Cap Report - IBNR & Accrual Detail SCORE, WA For Contract Period From September 2015 to September 2016 Billable First Name DOS Agency Estimate Account Description Diagnosis Billing Period Jurisdiction Totals Federal Way JOSE 1/19/2015 2.89 Pathology Pathology January-15 Federal Way MARCUS 1120/2015 2.00 Pathology Pathology January-15 Federal Way JOSE 5/7/2014 35.80 Ambulance Abdominal Pain January-15 Federal Way Kayla 9/27/2014 8.51 Hospiialization Chest pain NOS February-IS Federal Way Kayla 9/27/2014 300.79 Hospitalization (ER) Renal failure NOS February-15 Federal Way Jose 517/2014 393.76 Ambulance Abdmnal pain unspcfsite February-15 Federal Way JERRY 1/28/2015 10.00 Radiology X -Ray February-IS Federal Way DAVID 12/9/2014 10.00 Radiology X -Ray February-15 Federal Way ALEX 112812015 10.00 Radiology X -Ray February-15 Federal Way BRIAN 2124/2015 130.58 HHB HHB February-15 Federal Way ANITA 2/5/2015 612.13 HHB HHB February-15 Federal Way EFRAIN 3/10/2015 17.50 Pathology Chlamydia /GCAmplifica March -15 Federal Way EFRAIN 3/18/2015 2.50 Pathology Hemoglobin Alc March -15 Federal Way ALEN 3/21/2015 17.50 Pathology Chlamydia /GCAmpliflca March -15 Federal Way ZACHARY 2/3/2015 17.50 Pathology Chfamydia /GCAmplifica March -15 FederafWay JERALD 2/10/2015 17.50 Pathology Chlamydia /GCAmplifica March -I5 Federal Way BRITTANY 3/5/2015 17.50 Pathology Chlamydia /GCAmpliflca March -15 Federal Way NOEL 2/19/2015 17.50 Pathology Chlamydia /GCAmpliflca March -15 Federal Way RANDAL 3/21/2015 17.50 Pathology Chlamydia /GCAmpliflca March -IS FederafWay TYRELL 3/17/2015 6.70 Pathology Pane1083824 March -15 Federal Way TYRELL 3/17/2015 17.50 Pathology Chlamydia /GCAmplifica March -15 Federal Way MATTHEW 3/20/2015 17.50 Pathology Chlamydia /GCAmpliflca March -15 Federal Way TENIKKA 2/3/2015 17.50 Pathology Chlamydia /GCAmpliflca March -15 Federal Way KEVIN 8116/2014 10.00 Radiology X -Ray March -15 Federal Way KENNETH 8114/2014 10.00 Radiology X -Ray March -15 Federal Way AURRIA 3/20/2015 17.50 Pathology Chfamydia /GCAmpliflca March -15 Federal Way CHUCKIE 21712015 17.50 Pathology Chlamydia /GCAmpf!ffca March -15 Federal Way ALEXSANDER 1/3012015 17.50 Pathology Chlamydia /GCAmpliflca March -15 Federal Way CRAIG 3/24/2015 6.00 Pathology HCVAntibody March -15 Federal Way CRAIG 3/24/2015 6.70 Pathology Pane1083824 March -15 Federal Way CAMERON 2/10/2015 17.50 Pathology Chlamyd!a /GCAmplifica March -15 Federal Way IAN 214/2015 17.50 Pathology Chlamydia /GC Amplifica March -15 Federal Way IAN 2/12/2015 6.00 Pathology HCVAntibody March -15 Federal Way [AN 2/12/2015 6.70 Pathology Panel 083824 March -15 Federal Way JOSH 2/24/2015 17.50 Pathology Chlamydia /GC Amplifica March -15 Federal Way LYDIA 3/9/2015 17.50 Pathology Chlamydia /GCAmpliflca March -15 Federal Way DAVID 7/23/2014 10.00 Radiology X -Ray March -15 Federal Way JAMES 2/4/2015 10.00 Radiology X -Ray March -IS FaderalL "lay HFATYER 3 /17/2015 17.50 Patho!ogy Chlamyd!a/GCAmp!Mca March -15 Federal Way PRESTON 313/2015 4.00 Pathology Lithium (Fskalith(R)), March -15 Federal Way RUBEN 2/4/2015 17.50 Pathology Chfamydla /GCAmplifica March -IS Federal Way CARNFSHA 3/23/2015 2.25 Pathology CBC With Differential/ March -15 Federal Way REBECCA 2/1812015 17.50 Pathology Chlamydia /GCAmplifica March -15 Federal Way MATTHEW 3/22/2015 17.50 Pathology Chlamydia /GCAmplifica March -15 Federal Way JANINE 2/S/2015 2.00 Pathology TSH March -15 Federal Way JANINE 2/5/2015 2.25 Pathology CBC With Differential/ March -15 Federal Way JANINE 21512015 2.50 Pathology Hemoglobin Alc March -15 Federal Way JANINE 2/5/2015 2.89 Pathology Comp. Metabolic Panel March -15 Federal Way LEE 2126/2015 2.25 Pathology C(3C With Differential/ March -15 Federal Way LEE 2176/2015 2.89 Pathology Camp. Metabolic Panel March -15 Federal Way LEE 2/26/2015 3.00 Pathology Lipase, Serum March -15 Federal Way LEE 2/26/2015 4.00 Pathology Amylase,Serum March -15 Federal Way EVELYN 2/3/2015 17.50 Pathology Chlamydia /GCAmplifica March -15 Federal Way BRIAN 3/4/2015 124.67 HHB HHB March -15 Federal Way BRIAN 3/4/2015 600.21 HHB HHB March -15 Federal Way BRIAN 31412015 612.13 HHB HHB March -15 Federal Way MICHAEL 3/11/2015 122.79 HHB HHEI March -15 Federal Way MICHAEL 3/23/2015 122.79 HHB HHB March -15 Federal Way TAMMY 4/11/2015 17.50 Pathology Chlamydia /GCAmplifica April -15 Federal Way ANTJUAN 416/2015 17.50 Padfi)[ogy Chlamydia /GCAmplifica April -15 Page 7 "_ i-1 /l CORRECTlohAi �-'H` r'E"'CMEco` MMES Cap Report - ISNR & Accrual Detail SCORE, WA For Contract Period From September 2015 to September 2016 Billable First Name DOS Agency Estimate Jurisdiction April -15 Pathology Totals Federal Way ANTIUAN 3/18/2015 10.00 Federal Way LINDA 4/24/2015 2.25 Federal Way LINDA 4/24/2015 2.89 Federal Way JERRY 4/22/2015 3.00 Federal Way JERRY 4/72/2015 2.25 Federal Way JERRY 4/22/2015 5.82 Federal Way JERRY 4/22/2015 2.89 Federal Way NICOLE 4/16/2015 17.50 Federal Way GANTULGA 3123/2015 10.00 Federal Way TERENCE 4/16/2015 17.50 Federal Way JESSICA 4/16/2015 17.50 Federal Way REON 3/31/2015 17.50 Federal Way RACHAEL 4/11/2015 17.50 Federal Way RACHAEL 4/15/2015 6.70 Federal Way RACHAEL 4120/2015 2.25 Federal Way RACHAEL 4120/2015 2.89 Federal Way SARAH 4/22/2015 17.50 Federal Way SARAH 4/27/2015 6.70 Federal Way SARAH 4/2712015 6.00 Federal Way JONATHAN 4/512015 17.50 Federal Way JFSSIKA 3/30/201S 10.00 Federal Way PRESTON 3/3112015 4.00 Federal Way RANSON 3/27/2015 10.00 Federal Way STEVEN 3/27/2015 10.00 Federal Way JASON 4/27/2015 4.50 Federal Way JACKSON 4/1/2015 17.50 Federal Way JOSHLIA 3/18/2015 10.00 Federal Way Tupuola 4/10/2015 10.00 Federal Way STERLING 5/21/2015 17.50 Federal Way STERLING 5/25/2015 6.70 Federal Way STERLING 5/75/2015 6.00 Federal Way REBECCA 5/1/2015 17.50 Federal Way DONALD 5/5/2015 17.50 Federal Way DONALD 5/6/2015 6.70 Federal Way SHANA 5124/2015 17.50 Federal Way Johnnie 4/23/2015 10.00 Federal Way REON 3113/2015 1,26936 Federal Way RACHAEL 513/1015 2.2S Federal Way RACHAEL 514/2015 3.00 Federal Way RACHAEL 514/2015 2.25 Federal Way RACHAEL 5/412015 2,89 Federal Way RACHEL 5/6/2015 175.00 Federal Way WALTER 4/29/2015 17.50 Federal Way WALTER 512212015 17.50 Federal Way JULIE 5/1012015 3.25 Federal Way JULIE 5/10/2015 17.50 Federal Way Lorenzo 4/26/2015 10.00 Federal Way CLINT 51912015 17.50 Federal Way PRESTON 5/22/2015 4.00 Federal Way Stacy 4/1012015 10.00 Federal Way Stacy 4/11/2015 10.00 Federal Way JASON 212512015 2,394.85 Federal Way JASON 2/25/2015 902.93 Federal Way RAYMOND 5/14/2015 17.50 Federal Way Glyn 4/25/2015 10.00 Federal Way ANDRE 4/29/2015 17.50 Federal Way EVELYN 5/12/2015 17.50 Federal Way STERLING 6/8/2015 2.89 Federal Way DONALD S/S/2015 10.00 Account Description Diagnosis Billing Period Radiology X -Ray April -15 Pathology CBC With Differentia I/ April -15 Pathology Comp. Metabolic Panel April -1S Pathology Lipase, Serum April -15 Pathology CBC With Differential/ April -1S Pathology C- Reactive Protein, Qu April -15 Pathology Comp. Metabolic Panel April -15 Pathology Chlamydia /GCAmplifica April -15 Radiology X -Ray April -15 Pathology Chlamydia /GCAmpli€ica April -15 Pathology Chia mydia/GC Amplifica April -15 Pathology Chlamydia /GCAmplifica April -15 Pathology Chlamydia /GCAmplifica April -15 Pathology Pane1083824 April -15 Pathology CBC With Differential/ April -1S Pathology Camp. Metabolic Panel April -15 Pathology Chlamydia /GCAmplifica April -15 Pathology Pane1083824 April -15 Pathology HCV Antibody April -15 Pathology Chlamydia /GCAmplifica April -15 Radiology X -Ray April -15 Pathology Lithium (Eskalith(R)), April -15 Radiology X -Ray April -15 Radiology X -Ray April -15 Pathology Valproic Acid (Depakot April -15 Pathology Chlamydia /GCAmplifica Apr11-15 Radiology X -Ray April -15 Radiology X -Ray May -15 Pathology Chlamydia /GCAmplifica May -15 Pathology Pane1083824 May -15 Pathology HCVAntibody May -15 Pathology Chiamydia /GCAmplifica May -15 Pathology Chlamydia /GCAmplifica May -15 Pathology Pane1083824 May -15 Pathology Chlamydia /GCAmplifica May -15 Radiology X -Ray May -15 Hospitalization Open Wounds May -15 Pathology CBC With Differential] May -15 Pathology Lipase, Serum May -15 Pathology CBC With Differential/ May -15 Pathology Comp. Metabolic Panel May -15 Radiology ULTRASOUND May -15 Pathology Chlamydia /GCAmplifica May -15 Pathology Chlamyd)a /GCAmplifica May -15 Pathology Urinalysis, Complete May -15 Pathology Chlamydia /GCAmplifica May -I5 Radiology X -Ray May -15 Pathology Chia mydia /GCAmplifica May -15 Pathology Lithium (Eskalith(R)), May -15 Radiology X -Ray May -15 Radiology X -Ray May -15 Hospitalization Head Injury May -15 Radiology Head Injury May -15 Pathology Chlamydia /GCAmplifica May -15 Radiology X -Ray May -15 Pathology Chlamydia / GCAmplifca May -15 Pathology Chlamydia/GC Am plifica May -15 P?*Ology Comp. Metabolic Panel June -15 Radiology X -Ray June -IS Page 8 Page 9 �Tj�ICURRFC1'IONAL HEALTHCARE COHMTES Cap Report - IBNR & Accrual Detail SCORE, WA For Contract Period From September 2015 to September 2016 Billable First Name DOS Agency Estimate Account Description Diagnosis Billing Period Jurisdiction Totals Federal Way CORTEZ 6/8/2015 17.50 Pathology Chia mydia /GC Amp lifica June -15 Federal Way JOHNNY 6/18/2015 6.22 Pathology CMPI3 +LP +2AC +CRC /D /Pit June -15 Federal Way JOHNNY 6/18/2015 20.00 Pathology HelperT- Lymph -CD4 June -15 Federal Way JOHNNY 6/18/2015 103.50 Pathology RealTime Abbott June -15 Federal Way JOHNNY 611912015 2.47 Pathology Comp. Metabolic Panel June -15 Federal Way ROBERT 6/3/2015 6.70 Pathology Pane1083824 June -15 Federal Way ROBERT 6/312015 17.50 Pathology Chlamydia /GC Amplifica June -15 Federal Way BERNARDO 5/14/2015 10.00 Radiology X -Ray June -15 Federal Way MONTEZ 4/12/2015 1,249.36 Hospitalization (ER) Open Wounds June -15 Federal Way MONTEZ 4/12/2015 289.83 Off -site Radiology Open Wounds June -15 Federal Way YESENIA 6/5/2015 39.92 Pathology T4 and TSH June -IS Federal Way YFSFNIA 6 /5/2015 2.89 Pathology Comp. Metabolic Panel June -15 Federal Way YESENIA 6/I5/2015 4.00 Pathology Lithium (Eskalith(R)), June -15 Federal Way WILLIAM 6/12/2015 17.50 Pathology Chiamydia /GCAmplifica June -15 Federal Way CHRISTINA 6/6/2015 17.50 Pathology Chiamydia /GCAmplifica June -15 Federal Way MARCUS 6/3/2015 2.50 Pathology Hemoglobin A1c June -15 Federal Way MARCUS 6/3/2015 2.00 Pathology Lipid Panel With LDL /H June -15 Federal Way MARCUS 61712015 2.00 Pathology TSH June -15 Federal Way MARCUS 61712015 2.89 Pathology Comp. Metabolic Panel June -15 Federal Way QUINTON 6/12/2015 17.30 Pathology Chlamydia /GCAmplifica June -15 Federal Way PRESTON 615/2015 4.00 Pathology Lithium (Fskalith(R)), June -15 Federal Way PRESTON 6/17/2015 1.001 Pathology Thyroxine (T4) June -15 Federal Way PRESTON 6/17/2015 2.00 Pathology TSH June -15 Federal Way PRESTON 6/17/2015 2.89 Pathology Comp. Metabolic Panel June -15 Federal Way JENE 6/4/2015 17.50 Pathology Chlamydia /GCAmplifica June -15 Federal Way JENE 5/14/2015 10.00 Radiology X -Ray June -15 Federal Way NEIL 5/28/2015 10.00 Radiology X -Ray June -15 Federal Way RICHARD 6/12/2015 2.25 Pathology CBC With Differential/ June -15 Federal Way RICHARD 6/12/2015 2.89 Pathology Comp. Metabolic Panel June -15 Federal Way KERI 6/12/2015 17.50 Pathology Chlamydia /GCAmplifica June -15 Federal Way KERI 6115 /2015 6.70 Pathology Pane1083824 June -15 Federal Way KERI 6/15/2015 189 Pathology Comp. Metabolic Panel June -15 Federal Way BARRY 6/1/2015 2.00 Pathology TSH June -15 Federal Way BARRY 611/2015 2.89 Pathology Camp. Metabolic Panel June -15 Federal Way JANINE 2/612015 230.05 Hospitalization (ER) psychosis June -15 Federal Way DEREK 5/612015 10.00 Radiology X -Ray June -15 Federal Way LUCERIC €A 6/24/2015 35.00 Pathology 7336365 +Crt-Scr June -15 Federa €Way NICOLE 6;1/2015 17.50 Pathology Ch!amydia/GCAmp!ifica June -15 Federal Way EVER 3/27/2015 230.05 Hospitalization (ER) Cardiac Dysfhythmla July -15 Federal Way EVER 3/27/2015 106.21 Hospital €zatlon (ER) CardiacDysrhythmia July -15 Federal Way JERRY 4/14 /2015 704.00 Hospitalization Regional Enteritis July -15 Federal Way JERRY 4/14/2015 209.68 Hospitalization Regional Enteritis July -15 Federal Way JERRY 4/14/2015 326.20 Hospitalization Regional Enteritis July-15 Federal Way JERRY 4/14 /2015 304.20 Hospitalization Regional Enteritis July -15 Federal Way DENNIS 12/20/2014 157.31 Hospitalization (ER) Heart Disease July -15 Federal Way ANTHONY 7/24/2015 17.50 Pathology Chlamydia /GCAmplifica July -15 Federal Way MICHAEL 7/10/2015 17.50 Pathology Chia mydia /GCAmplifica July -15 Federal Way RICHARD 7122/2015 4.50 Pathology Val proic Acid (Depakot July -15 Federal Way RICHARD 7122/2015 430 Pathology Phenytoin (Dilantin), July -15 Federal Way RICHARD 7/2212015 6.70 Pathology Pane1083824 July-15 Federal Way RICHARD 7122/20I5 6.00 Pathology HCV Antibody July -15 Federal Way STEVEN 7/2412015 17.50 Pathology Chlamydia /GC Amp lifica July -15 Federal Way TONY 71912015 2.25 Pathology CBC With Differential/ July -15 Federal Way TONY 7/912015 2.89 Pathology Comp. Metabolic Panel July -15 Federal Way ANGELA 7/15/2015 6.70 Pathology Pane1083824 July -15 Federal Way ANGELA 7/15/2015 6.00 Pathology HCV Antibody July -15 Federal Way ANGELA 7/15/2015 17.50 Pathology Chlamydia /GCAmplifica July -15 Federal Way MICHAEL 7/1712015 17.50 Pathology Chlamydia /GCAmplifica July -15 Federal Way MICHAEL 7/18/2015 6.70 Pathology PaneI083824 July -15 Page 9 I--i CO RR E CT 10 NAi 11 11FALTrc+REca IPns3rs Cap Report - IBNR & Accrual Detail SCORE, WA For Contract Period from September 2015 to September 2016 Billable First Name DOS Agency Estimate Account Description Diagnosis Billing Period Jurisdiction Totals Federal Way MICHAEL 7/18/2015 6.00 Pathology HCVAntibody July -15 Federal Way RICHARD 7/14/2015 4.50 Pathology Phenytoln (Dllantin), July -15 Federal Way ANTHONY 6130/2015 6.70 Pathology Panel 083824 July -15 Federal Way ANTHONY 6/30/2015 9.00 Pathology HCV Ab w /Rfix to Verif July -15 Federal Way ROBERT 7/15/2015 6.70 Pathology Pane1083824 July -15 Fed era] Way ROBERT 7/1512015 6.00 Pathology HCVAntibody July -15 Federal Way ROBERT 7/15/2015 17.50 Pathology Chlamydla /GCAmplifica July -IS Federal Way NICOLE 718/2015 17.50 Pathology Chlamydla /GCAmplifica July -15 Federal Way TREEVA 7/17/2015 17.50 Pathology Chlamydia /GCAmplifica July -15 Federal Way KOMAR 6/5/2015 10.00 Radiology X- Ray - Face July -15 Federal Way DANNY 7/16/2015 6.70 Pathology Panel 083824 July-15 Federal Way LAURA 7/17/2015 17.50 Pathology Chlamydia /GCAmplifica July -15 Federal Way ROBERT 7/10/2015 17.50 Pathology Chlamydia /GCAmplifica July -15 Federal Way JUAN 6/30/2015 2.89 Pathology Comp. Metabolic Panel July -15 Federal Way DAMAR 712512015 17.50 Pathology Chlamydia /GCAmplifica July -15 Federal Way DAMAR 7/29/2015 6.70 Pathology Pane1083824 July -15 Federal Way DAMAR 7/29/2015 6.00 Pathology HCV Antibody July -15 Federal Way CHAMPELL 7/18/2015 17.50 Pathology Chlamydia /GCAmplifica Juiy -15 Federal Way RONALD 6/25/2015 10.00 Radiology X -Ray- Hand July-15 FederalWay JOHNNY 6/18/2015 1,203.54 HHB PREZISTA60OMG July-15 Federal Way JOHNNY 6118/2015 860.49 HHB REYATAZ300 MG July-15 Federal Way DENISE 7/27/2015 4.00 Pathology Hth]um (FskalithtR )), July -15 Federal Way SUNG 6/18/2015 10.00 Radiology X- Ray - Shoulder July-15 Federal Way KEVIN 6/26/2015 10.00 Radiology X- Ray - Hand July -15 FederalWay KEVIN 6/27/2015 10.00 Radiology X- Ray - Shoulder July-15 Federal Way KEVIN 6/27/2015 10.00 Radiology X -Ray- Wrist July -15 Federal Way KEVIN 6/2712015 10.00 Radiology X- Ray - Wrist Juty -15 Federal Way JONATHAN 7/5/2015 17.50 Pathology Chlamydia /GCAmplifica July -15 Federal Way SHELBY 7/15/2015 6,00 Pathology HCVAntibody July-15 Federal way SHELBY 7/15/2015 17.50 Pathology Chlamydia/GC Am plifica July-15 Federal Way FRANK 7/11/2015 3.23 Pathology Phosphorus, Serum July -15 Federal Way FRANK 7/1112015 4.00 Pathology Amylase, Serum July -15 Federal Way FRANK 7/11/2015 3.00 Pathology Lipase, Serum July -15 Federal Way FRANK 7/11/2015 2.80 Pathology Magnesium, Serum July -15 federal Way FRANK 7/11/2015 2.25 Pathology CBC With Differential/ July -15 Federal Way FRANK 7/11/2015 2.89 Pathology Comp. Metabolic Panel July -15 Federal Way FRANK 7/22/2015 2.68 Pathology Comp. Metabolic Panel July -15 Federal Way FRANK 7]27/2015 3.23 Pathology Phosphorus, Serum Jury -15 Federal Way FRANK 7/27/2015 4.00 Pathology Amylase, Serum July -15 Federal Way FRANK 7/27/2015 3.00 Pathology Lipase, Serum July -15 Federal Way FRANK 7/2712015 2.80 Pathology Magnesium, Serum July-15 Federal Way FRANK 7/2712015 2.89 Pathology Comp. Metabolic Panel July -15 Federal Way FRANK 7/27/2015 2.25 Pathology CBC With Differential/ July-15 Federal Way FRANK 7/27/2015 11.00 Pathology Ammonia, Plasma July -15 Federal Way SERGIO 7/17/2015 17.50 Pathology Chlamydia /GCAmplifica July -15 Federal Way ANNETTE 7/28/2015 17.50 Pathology Chlamydia /GCAmplifica Jufy -15 Federal Way JOSHUA 7/14/2015 17.50 Pathology Chlamydia /GCAmplifica July -15 Federal Way JASON 7124/2015 4.50 Pathology - Valprolc Acid (Depakot July-15 Federal Way TAIRA 6/26/2015 17.50 Pathology Chlamydia /GCAmplifica July -15 Federal Way MARTELL 7/10/2015 17,50 Pathology Chlamydia /GCAmplifica July -15 Federal Way TORREY 7/21/2015 6.70 Pathology Pane] 083824 July -15 Federal Way TORREY 7/2112015 6.00 Pathology HCVAntibody July 15 Federal Way Tony 7/1412015 10.00 Radiology Chest August -15 Federal Way Damar 7/29/2015 10.00 Radiology Wrist August -15 Federal Way Gary 7/25/2015 10.00 Radiology Foot August -15 Federal Way MONTEZ 4/12/2015 79.26 Hospitalization (ER) Open Wounds of Multiple and Unspecified Sites August -15 Federal Way MONTEZ 4/12/2015 70.85 Hospitalization (ER) Open Wounds of Multiple and Unspecified Sites August -15 Federal Way Frank 7/23/2015 10.00 Raftlogy Chest August -15 Federal Way Jason 7/1/2015 10,00 Radiology Ankle August -15 Page 10 Page 11 MCY_T`ICORRECTIONAG 1111 II E'er -n'CARE msLPA-'aM Cap Report -1 BN R & Accrual Detail SCORE, WA For Contract Period From September 2015 to September 2016 Billable First Name DOS Agency Estimate Account Description Diagnosis Billing Period Jurisdiction Totals Federal Way JANINE 2/612015 128.86 Hospitalization Psychosis August -15 Federal Way JANINE 2/6/2015 131.12 Hospitalization Psychosis August -15 Federal Way JANINE 2/6/2015 250.55 Hospitalization Psychosis August -15 Federal Way Mark 7/16/2015 10.00 Radiology Wrist August -15 Federal Way ELIZABETH 8112/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 Federal Way RICHARD 7/31/2015 4.50 Pathology Phenyto €n (Dilantin), September -15 Federal Way RICHARD 811/2015 4.50 Pathology ValproicAcid (Depakot September -15 Federal Way RICHARD 8/17/2015 24.62 Pathology Free Va 1p rolc Acid (De September -15 Federal Way RICHARD 8/31/2015 4.50 Pathology ValproicAcid (Depakot September -15 Federal Way RICHARD 9/1112015 4.50 Pathology ValproicAcid (Depakot September -15 Federal Way RICHARD 9/11/2015 4.50 Pathology Phenytoln (Dilantin), September -15 Federal Way LYSA 8/12/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 Federal Way TONY 8/5/2015 10.00 Radiology SKULL September -15 Federal Way BOBBY LEE 8/26/2015 10.D0 Radiology WRIST September -15 Federal Way ASSETU 9/25/2015 6.70 Pathology PaneI G83824 September -15 Federal Way A55FTU 9/25/2015 6.00 Pathology HCVAntibody September -IS Federal Way WALLACE 8/24/2015 17.50 Pathology Chlamydla /GCAmplifica September -15 Federal Way TREEVA 8/4/2015 6.70 Pathology Pane €083824 September -15 Federal Way TREEVA 8/4/2015 6.00 Pathology HCVAntibody September -15 Federal Way BRIAN 8/1/2015 10.00 Radiology CHEST September -15 Federal Way DANNY 8/17/2015 2.25 Pathology CBC With Differential/ September -15 Federal Way DANNY 8/17/2015 6.50 Pathology Prostate - Specific A& September -15 Federa€ Way DANNY 8/17/2015 2.89 Pathology Comp. Metabolic Panel September -15 Federal Way WILLIAM 9/2/2015 5.06 Pathology Hematocrit September -15 Federal Way JUAN 9/3/2015 2.50 Pathology Hemoglobin A1c September -15 Federal Way JUAN 9/3/2015 6.D0 Pathology HCVAntibody September -15 Federal Way MEGAN 8/3/2015 6.70 Pathology Pane1083824 September -15 Federal Way MEGAN 8/3/2015 6.00 Pathology HCV Antibody September -15 Federal Way MEGAN 8/3/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 Federal Way AVERY 9/21/2015 17.50 Pathology Chlamyd €a / GCAmplifca September -15 Federal Way DENISE 9/23/2015 4.00 Pathology Lithium (Eskalith(R)j, September -15 Federal Way ANTHONY 8/24/2015 17.50 Pathology Chlamydia /GC Amp lifica September -15 Federal Way DAMIAN 9/21/2015 17.50 Pathology Chlamydla /GCAmplifica September -15 Federal Way JESSE 8/24/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 Federal Way DAVID 8124/2015 10.00 Radiology CHEST September -15 Federal Way RICHARD 8/4/2015 4.50 Pathology ValproicAcid (Depakot September -15 Federal Way RICHARD 8/4/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 Federai Way FRANK 8/712015 3.23 Pathulugy "phosphorus, Serurn Septe .ber 15 Federal Way FRANK 8/7/2015 4.00 Pathology Amylase, Serum September -15 Federal Way FRANK 81712015 3.00 Pathology Llpase,Serum September -15 Federal Way FRANK 817/2015 2.80 Pathology Magnesfum,Serum September -15 Federal Way FRANK 8/7/2015 2.75 Pathology Prothrombin Time (PT) September -15 Federal Way FRANK 8/7/2015 2.68 Pathology Comp. Metabolic Panel September -15 Federal Way FRANK 8/10/2015 3.23 Pathology Phosphorus, Serum September -15 Federal Way FRANK 8/10/2015 4.00 Pathology Amylase, Serum September -15 Federal Way FRANK 8/1012015 3.00 Pathology Lipase, Serum September -15 Federal Way FRANK 8/10/2015 2.80 Pathology Magneslum, Serum September -15 Federal Way FRANK 8/10/2015 2.25 Pathology CBC With Differential/ September -I5 Federal Way FRANK 8/10/2015 11.00 Pathology Ammonia, Plasma September -15 Federaf Way FRANK 8/10/2015 2.89 Pathology Camp. Metabolic Panel September -15 Federal Way SHALANA 8/10/2015 6.70 Pathology Pane1083824 September -15 Federal Way SHALANA 8/10/2015 6.00 Pathology HCVAntlbody September -15 Federal Way SHALANA 811012015 17.50 Pathology Chlamydia /GCAmplifica September -15 Federal Way SHALANA 9/3/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 Federal Way SHALENA 8114/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 Federal Way CHARLES 8/1112015 2.50 Pathology Hemoglobin A1c September -15 Federal Way CHARLES 8/11/2015 2,89 Pathology Comp. Metabolic Panel September -15 Federal Way GERRY 9/25/2015 17.50 PaWlogy Chlamyd €a /GCAmplifica September -15 Federal Way GERRY 9/25/2015 6.70 Pathology Panel W3824 September -15 Page 11 nTL�Tn CORRECTIONA) �1.�1ll 1 HEMrrcumCasrau-rrs Cap Report -1BNR & Accrual Detail SCORE, WA For Contract Period From September 2015 to September 2016 Billable First Name DOS Agency Estimate Account Description Diagnosis Billing Period Jurisdiction Totals FederalWay GERRY 9/2512015 6.00 Pathology HCVAntibody September -15 FederalWay NICKOLAS 7/31/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 Federal Way LARRY 8/21/2015 10.00 Radiology CHEST September -15 Federal Way LARRY 8/25/2015 2.25 Pathology CBC With Differential/ September -15 Federal Way MARK 7/30/2015 6.70 Pathology Pane1083824 September -15 Federal Way MARK 7130/2015 6.00 Pathology HCVAntibody September -15 Federal Way STEVEN 8119/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 Federal Way JIMMIE 8/5/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 FederalWay JIMMIE 8/6/2015 6.70 Pathology Pane1083824 September -15 FederalWay JIMMIE 8/612015 6.00 Pathology HCVAntibody September -15 Federal Way NASRO 9/7/2015 10.DD RADIOLOGY WRIST October -15 Federal Way SOTHYRAK 9/27/2015 10.00 RADIOLOGY HAND October -15 Federal Way DEVIT 9/1/2015 10.00 RADIOLOGY ELBOW October -15 FederalWay GERRY 9/11/2015 10,00 RADIOLOGY CHEST October -15 Federal Way EZ €O 10/22/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 FederalWay VALELIA 10/20/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 federal Way JAMES 11/14 /2015 6.70 Pathology PaneI 083824 November -15 FederalWay JAMES 11/1412015 6.00 Pathology HCVAntibody November -15 FederalWay JAMES 11/14/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Federal Way JASOND 10/28/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Federal Way SABRINA 10/1/2015 6.70 Pathology Pane1083824 November -15 FederalWay SABRINA 1011/2015 6.00 Pathology HCVAntibody November -15 FederalWay SABRINA 10/1/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 FederalWay DAKOTA 111812015 17.50 Pathology Chlamydia /GCAmplifica November -15 FederalWay SERGEY 10/23/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Federal Way KASHAE 10/30/2015 6.70 Pathology Pane1083824 November -15 FederalWay KASHA€ 10/30/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Federal Way ERIC 10/16/2015 7.00 Pathology Sensitivity Organism # November -15 Federal Way ERIC 10/16/2015 8.75 Pathology Aerobic Bacterial Cult November -15 Federal Way ERIC 10/16/2015 13.98 Pathology Anaerobic Culture November -15 FederalWay GEOFFREY 10/16/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 FederalWay KAYLA 11/1/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Federal Way DESMOND 10/8/2015 2.25 Pathology CBC With Differential/ November -15 Federal Way DESMOND 10/8/2015 2.89 Pathology Comp. Metabolic Panel November -15 Federal Way CHRISTA 11/18/2015 2.25 Pathology CBC With Differential/ November -15 Federal Way CHRISTA 11/18/2015 2.89 Pathology Comp. Metabolic Panel November -15 FederalWay KELLY 1012/2015 2.25 Pathology CBC With Differentia If November -15 FederalWay KELLY 10/21201:, 6170 Pathology Pane1083824 November -15 Federal Way KELLY 10/2/2015 6.00 Pathology HCVAntibody November -15 Federal Way KELLY 10/2/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Federal Way KELLY 10/2/2015 2.89 Pathology Comp. Metabolic Panel November -I5 FederalWay ANTHONY 10/21/2015 6.70 Pathology Pane €083824 November -15 FederalWay ANTHONY 10/21/2015 6.00 Pathology HCVAntibody November -15 Federal Way ANTHONY 10/23/2015 2.25 Pathology CBC With Differential/ Novem4er -15 Federal Way ANTHONY 10/23/2015 2.75 Pathology Prothrombin Time (PT) November -15 federal Way ANTHONY 10/23/2015 5.74 Pathology Hop B Surface Ab November -15 FederalWay ANTHONY 10/23/2015 5.00 Pathology HBsAg Screen November -15 FederalWay ANTHONY 10/23/2015 2.89 Pathology Comp. Metabolic Panel November -15 Federal Way ANTHONY 11/10/2015 2.50 Pathology Hemoglobin Alc November -15 Federal Way ANTHONY 11/10/2015 2.00 Pathology Lipid Panel With LDL/H November -15 Federal Way TERENCE 11/3/2014 250.55 Hospitalization Peripheral Vascular Disease November -15 FederalWay ROBERT 10/19/2015 4.50 Pathology Valproic Acid (Depakot November -15 Federal Way SARAH 11/13/2015 6.70 Pathology PaneI083824 November -15 FederalWay SARAH 11/13/2015 6.00 Pathology HCVAntibody November -15 FederalWay SARAH 11/13/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 FederalWay GENA 10/5/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Federal Way GENA 10/24/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 FederalWay FULTON 10/27/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Federal Way DENISE 9/30/2015 4.00 Pathology Lithium (Eskalith(R)), November -15 Page 12 "!1 Ii CORRECTIONAL HEALTHCARE COMPANIES tap Report -18NR & Accrual Detail SCORE, WA For Contract Period From September 2015 to September 2016 Billable First Name DOS Agency Estimate Account Description Diagnosis Billing Period lurisdlction Totals Federal Way DENISE 11/2/2015 4.00 Pathology Lithium (Eskalith(R)), November -15 Federal Way DENISE 11/14/2015 4.00 Pathology Lithium (Eskalith(R)), November -15 Federal Way LUCY 10/10/2015 17.50 Pathology Chlamydla /GCAmplifica November -15 Federal Way DEBRA 11/24/2015 3.25 Pathology Urinalysis, Complete November -15 Federal Way DEBRA 11/24/2015 5.50 Pathology Urine Culture, Routine November -15 Federal Way NAPOLEON 11/21/2015 17.50 Pathology Chlamydia/GC Am plifica November -15 Federal Way DARSHAY 10/18/2015 4.50 Pathology Valproic Acid (Depakot November -15 Federal Way WILLIAM 1011812015 3.25 Pathology Urinalysis, Complete November -15 Federal Way WILLIAM 10/1812015 17.50 Pathology Chlamydia /GCAmplifica November -15 Federal Way WILLIAM 10/25/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Federal Way EDUARDO 10/1012015 2.58 Pathology Basic Metabolic Panel November -15 Federal Way CODY 10/25/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Federal Way MARCUS 10/14/2015 2.25 Pathology CSC With Differential/ November -15 Federal Way MARCUS 10/14/2015 8.77 Pathology TSH +Free T4 November -15 Federal Way MARCUS 10/14/2015 2.89 Pathology Comp. Metabolic Panel November -15 Federal Way STEPHEN 10/25/2015 6.70 Pathology Pane1083824 November -15 Federal Way STEPHEN 10/25/2015 6.00 Pathology HCVAntibody November -15 Federal Way DANIEL 11/3/2015 2.50 Pathology Hemoglobin Aic November -15 Federal Way DANIEL 111312015 4.00 Pathology Thyroid Panel With TSH November -15 FeciefalWay JASON 913012015 17.50 Pathology Chlamydia /GCAmplifica November -15 Federal Way JASON 10/12/2015 2.25 Pathology CBC With Differential/ November -15 Federal Way JASON 10/12/2015 4.00 Pathology Lithium (Eskalith(R)), November -15 Federal Way JASON 10/12/2015 2.89 Pathology Comp. Metabolic Panel November -15 Federal Way ROBERT 11/21/2015 6.70 Pathology Pane1083824 November -15 Federal Way ROBERT 11/21/2015 6.00 Pathology HCVAntibody November -15 Federal Way LOSALINE 11/8/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Federal Way LOSALINE 11/19/2015 6.70 Pathology Pane1083824 November -15 Federal Way LOSALINE 11/19/2015 6.00 Pathology HCVAntibody November -15 Federal Way MATTHEW 11/7/2015 6.70 Pathology Panel 083824 November -15 Federal Way MATTHEW 11/7/2015 6.00 Pathology HCVAntibody November -15 Federal Way MATTHEW 1117/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Federal Way EDMUND 10/15/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Federal Way REBECCA 11110/2015 17.50 Pathology Chlamydla /GCAmplifica November -15 Federal Way REBECCA 11/16/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Federal Way IKEiM 11/21/2015 6.00 Pathology HCV Antibody November -15 Federal Way MARK 10/29/2015 15.50 Pathology Hepatitis, Diagnostic November -15 Federal Way MARK 10/29/2015 6.70 Pathology Pane1083824 November -15 Federal Way STACY 11/14/2015 3.25 Pathology Urinalysis, COnlplete November 15 Federal Way LARRY 11/25/2015 21.50 Pathology Hepatitis Panel (4) November -15 Federal Way Raymel 10/9/2015 10.00 Radiology Hand November -15 Federal Way Jose 10/6/2015 10.00 Radiology Chest November -15 Federal Way Gena 10/5/2015 10.00 Radiology Facial November -15 Federal WayTotal $21,152.24 Renton ANNE 10/19/2014 $2.25 Pathology Pathology October -14 Renton ISRAHiMA 9/30/2014 ($3.34) Pathology Pathology October -14 Renton CLUYNNYE 12/26/2014 $17.50 Pathology Pathology December -14 Renton CASEY 12/13/2014 ($82.00) Pathology Pathology December -14 Renton SULTANA 12/29/2014 $31.51 Pathology Pathology January-15 Renton MINDY 1/25/2015 $17.50 Pathology Pathology January -15 Renton MARK 1/14 /2015 $2.25 Pathology Pathology January-15 Renton MARK 1/14/2015 $2.89 Pathology Pathology January-15 Renton MARK 1/14/2015 $4.50 Pathology Pathology January-15 Renton ANN 1/12/2015 $2.50 Pathology Pathology January-15 Renton ANNE 1/23/2015 $2.25 Pathology Pathology January-15 Renton ANNE 1/23/2015 $2.50 Pathology Pathology January-15 Renton ANNE 1/23/2015 $2.89 Pathology Pathology January-15 Renton ANNE 1/23/2015 $3.00 Pathology Pathology January-15 Renton ANNE 1/23/2015 $4.00 Pat�tology Pathology January-15 Page 43 ON AL M �Lj�ICORRECT1 neAMICAReCOMPANIrS Cap Report - IBNR & Accrual Detail SCORE, WA For Contract Period From September 2015 to September 2016 Billable First Name DOS Agency Estimate Account Description Diagnosis Billing Period Jurisdiction Totals Renton THOMAS 1/7/2015 $12.87 Pathology Pathology January-15 Renton THOMAS 1/7/2015 $2.87 Pathology Pathology January-15 Renton THOMAS 11712015 $2.89 Pathology Pathology January-15 Renton THOMAS 1/7/2015 $3.00 Pathology Pathology January-15 Renton JESSIE 1/12/2015 $17.50 Pathology Pathology January-15 Renton JESSIE 1/16/2015 $6.70 Pathology Pathology January-15 Renton JESSIE 1/16/2015 $9.00 Pathology Pathology January-15 Renton MICHAEL 1/14/2015 $17.50 Pathology Pathology January-15 Renton ROBERT 1/14/2015 $17.50 Pathology Pathology January 15 Renton XIOUDAN 1/20/2015 $17.50 Pathology Pathology January -IS Renton XIOUDAN 1/23/2015 $6.70 Pathology Pathology January-15 Renton XIOUDAN 1/23/2015 $21.50 Pathology Pathology January -15 Renton JUAN 1/6/2015 $2.25 Pathology Pathology January-15 Renton JUAN 1/6/2015 $2.89 Pathology Pathology January-IS Renton JUAN 1/6/2015 $5.50 Pathology Pathology January-15 Renton SONNY 1/14/2015 $4.50 Pathology Pathology January-15 Renton MELINDA 1/6/2015 $25.40 Pathology Pathology January-15 Renton GABRIELLE 1/5/2015 $17.50 Pathology Pathology January-I5 Renton MANUEL 1/26/2015 $6.70 Pathology Pathology January-15 Renton BILLIE 1/5/2015 $17.50' Pathology Pathology January-15 Renton ANNE 1/16/2015 10.00 Radiology X -Ray February-15 Renton ANNE 1/20/2015 10.00 Radiology X -Ray February-15 Renton HEATHER 12/10/2014 10.00 Radiology X -Ray February-15 Renton ROBERT 1/22/2015 10.00 Radiology X -Ray February-15 Renton MERVIN 12/24/2014 10.00 Radiology X -Ray February-15 Renton MCKENZIE 3/20/2015 $17.50 Pathology Chlamydia /GCAmpliflca March -15 Renton KEVIN 3/19/2015 $2.25 Pathology CBC With Differential/ March -15 Renton KEVIN 3/19/2015 $2.89 Pathology Comp. Metabolic Panel March -15 Renton KEVIN 3/19/2015 $3.00 Pathology Lipase, Serum March -15 Renton MARK 2/24/2015 $4.50 Pathology Valproic Acid (Depakat March -15 Renton DEMETRIAN 2/20/2015 $17.50 Pathology Chlamydla /GCAmpliflca March -15 Renton MACEO 2/17/2015 $17.50 Pathology Chlarydia /GCAmpliflca March -15 Renton INDIA 3/16/2015 $2.25 Pathology CBC With Differential/ March -15 Renton INDIA 3/16/2015 $2.89 Pathology Comp. Metabolic Panel March -15 Renton INDIA 3/16/2015 $6.00 Pathology HCV Antibody March-IS Renton INDIA 3116/2015 $6.70 Pathology PaneI 683824 March -15 Renton INDIA 3/16/2015 $10.76 Pathology Rh Factor March -15 Renton INDIA 3/16/2015 $13.00 Pathology Hgb A1c with eAG Estim March -1S Re „ion INDIA 3,1512015 $17.50 Pathology Chlamydia /GCAmplif'sca March-15 Renton JOHN 3/25/2015 $17.50 Pathology Chlamydia /GCAmpliflca March -15 Renton TARA 2/11/2015 $17.50 Pathology Chlamydia /GCAmplifica March -15 Renton KASEY 3/3/2015 $17.50 Pathology Chia mydia /GCAmpliiica March -15 Renton GREGORY 3/17/2015 $17.50 Pathology Chlamydia /GCAmplifica March -15 Renton BRYAN 2/18/2015 $17.50 Pathology Chlamydia /GCAmplifica March -15 Renton ANNE 2/26/2015 $2.25 Pathology CBC With Differential/ March -15 Renton ANNE 2/26/2015 $2.89 Pathology Comp. Metabolic Panel March -15 Renton ANNE 2/26/2015 $4.00 Pathology Amylase, Serum March -15 Renton JAYLA 3/10/2015 $17.50 Pathology Chlamydia /GCAmpliflca March -15 Renton AUTUMN 3/3/2015 $17.50 Pathology Chlamydia /GCAmpliiica March -15 Renton DANIEL 2/24/2015 $17.50 Pathology Chlamydia /GCAmpliiica March -15 Renton NATHANIEL 2/26/2015 $17.50 Pathology Chlamydla /GCAmpliiica March -15 Renton NICHOLAS 2/18/2015 $17.50 Pathology Chlamydia /GCAmpliFlca March -15 Renton NICOLAS 2/20/2015 $6.00 Pathology HCVAntibody March -15 Renton NICOLAS 2/20/2015 $6.70 Pathology Pane1083824 March -15 Renton GABRIEL 7/29/2014 $10.00 Radiology X -stay March -15 Renton ERICK 2/4/2015 $10.00 Radiology X -Ray March -15 Renton CEASAR 1/30/2015 $17.50 Pathology Chlamydia /GCAmpliiica March -15 Renton CEASAR 2/3/2015 $6.00 Pathology HCV Antibody March -15 Renton CEASAR 2/3/2015 $6.70 Pathology Pane1083624 March -15 Renton RANDALL 2/17/2015 $6.00 PR$ology HCVAntibody March -15 Renton RANDALL 2/17/2015 $6.70 Pathology Pane1083824 March -15 Page 14 Page 15 VJt1VICORRECTIONAL In j� Ile.unrcvaecowv\us Cap Report - IBNR & Accrual betall SCORE, WA For Contract Period From September 2015 to September 2016 Billable First Name DOS Agency Estimate Account Description Diagnosis Billing Period Jurisdiction Totals Renton SAMUEL 2117/2015 $17.50 Pathology Chlamydia /GCAmplifica March -15 Renton DANTE 3116/2015 $17.50 Pathology Chlamydia /GCAmplifica March -15 Renton ATHINA 216/2015 $6.00 Pathology HCVAntibody March -15 Renton ATHINA 2/6/2015 $6.70 Pathology Pane1083824 March -15 Renton ATHINA 2/9/2015 $2.25 Pathology CBC With Differential/ March -15 Renton ATHINA 219/2015 $2.89 Pathology Camp. Metabolic Panel March -15 Renton ATHINA 3112/2015 $17.50 Pathology Chlamyd €a /GCAmplifica March -15 Renton BRIAN 2/14/2015 $17.50 Pathology Chlamydia /GCAmplifica March -15 Renton DOUGLAS 3/4/2015 $4.00 Pathology Lithium (Eskalith(R)), March -15 Renton ANNA MARIE 7/26/2014 $10.00 Radiology X -Ray March -15 Renton ERNEST 3/13/2015 $4.50 Pathology ValproicAcid (Depakot March -15 Renton TONYA 3/23/2015 $4.00 Pathology Lithium (Fskalith(R)), March -15 Renton JOSEPH 3110/2015 $17.50 Pathology Chlamydia /GCAmplitica March -15 Renton JASON 2/10/2015 $10.00 Radiology X -Ray March -15 Renton JASON 2/17/2015 $6.70 Pathology Panel O83824 March -15 Renton LAQUISHA 2/16/2015 $17.50 Pathology Chlamydia /GCAmplifica March -15 Renton GAVIN 2/2/2015 $10.00 Radiology X -Ray March -15 Renton MARIAN 3/11/2015 $17.50 Pathology Chia mydia /GCAmplifica March -15 Renton RICHARD 8/1812014 $10.00 Radiology X -Ray March -15 Renton SHENICKA 2/11/2015 $11.18 Hospitalization (ER) Epilepsy March -15 Renton TIMOTHY 2/7/2015 $1,283.33 Hospitalization (ER) Hypertension March -15 Renton TIMOTHY 2/7/2015 $146.90 Hospitalization (ER) Hypertension March -15 Renton TIMOTHY 2/7/2015 $181.92 Hospitalization (ER) Hypertension March -15 Renton TIMOTHY 2/7/2015 $9,24 Hospitalization (ER) Hypertension March -15 Renton CLARK 3/18/2015 $175.00 Diagnostic Lab Ultrasound March -15 Renton Charles 7/29/2014 $17.02 Hospitalization Atrial fibrillation March -15 Renton MARK 4/2812015 6.70 Pathology Pane] 083824 April -15 Renton MARK 4/28/2015 17.50 Pathology Chlamydia /GCAmpI €fica April -15 Renton JEFFRIES 4/1012015 6.70 Pathology Pane1083824 April -15 Renton JEFFRIES 4/10/2015 17.50 Pathology Chlamydia /GCAmplifica April -15 Renton ELEANOR 419/2015 6.70 Pathology Pane1083824 April -15 Renton ELEANOR 4/912015 6.00 Pathology HCV Antibody April -15 Renton SHENICKA 2/11/2015 1,375.58 Hospitalization (ER) Epilepsy April -15 Renton SHENICKA 2/11/2015 314.71 Pathology Ep €lepsy April -15 Renton SHENICKA 2/11/2015 232.07 Radiology Epilepsy April -15 Renton TIMOTHY 2/7/2015 898.00 Hospitalization (ER) Hypertension April -15 Renton ANDREW 3/30/2015 6.70 Pathology Pane1083824 Apr €1 -15 Renton ANDREW 3130/2015 17.50 Pathology Chlamydia / GCAmplifca April -1S Renton CHRISTOPHER 4/2/2015 2.12 ?athology RPP, April -15 Renton CHRISTOPHER 4/212015 6.70 Pathology Pane1083824 Aprii -15 Renton CHRISTOPHER 41212015 6.00 Pathology HCVAntibody April -15 Renton CHRISTOPHER 4/2/2015 17.50 Pathology Chlamyd €a /GCAmplifica April -15 Renton CHRISTOPHER 4/612015 4.50 Pathology Phenyto€n (Difantin), April -15 Renton CHRISTOPHER 3/2712015 10.00 Radiology X -Ray April -15 Renton THOMAS 4/21/2015 4.00 Pathology Lithium (Eskalith(R)), April -15 Renton GREGORY 4/2712015 17.50 Pathology Chlamydia /GCAmplifica April -15 Renton GREGORY 4/28/2015 6,70 Pathology Pane1083824 April -15 Renton JOSEF 4/15/2015 17.50 Pathology Chlamydia /GCAmplifica April -15 Renton MELVIN 4/27/2015 9.35 Pathology CMPI3 +LP +2AC +CBC /D /Plt April -15 Renton MELVIN 4127/2015 20.00 Pathology Helper T- Lymph -CD4 April -15 Renton MELVIN 4128/2015 2.89 Pathology Camp. Metabolic Panel April -15 Renton MELVIN 4/22/2015 718.12 HH8 HHB April -IS Renton MELVIN 4122/2015 11398.98 HHB HHB April -15 Renton ICY 4/20/2015 17.50 Pathology Chlamydia /GCAmplifica April -15 Renton ERICK 3/8/2015 10.00 Radiology X -Ray April -15 Renton RANDALL 3/1812015 10.00 Radiology X -Ray April -15 Renton LAUDETFE 3/10/2015 10.DD Radiology X -Ray April -15 Renton FAITH 4/15/2015 17.50 Pathology Chlamydia /GCAmpI €f €ca April -15 Renton ATHINA 4/1512015 17.50 Pathology Chlamydia /GCAmplifica April -15 Renton CASEY 4/2/2015 1,012.80 WB HHB April -15 Renton ERNEST 4/7/2015 4.50 Pathology Valproic Acid (Depakot April -15 Page 15 _"`��ICO RRECT I ONA I➢ IIFALMCARMC051MVE5 Cap Report -1BNR & Accrual Detail SCORE, WA For Contract Period From September 2015 to September 2016 Billable First Name DOS Agency Estimate Jurisdiction April -15 Totals X -Ray Renton MICHELLE 412/2015 175.00 Renton ZACHARY 4/15/2015 17.50 Renton SERGEY 3/17/2015 10.00 Renton JEFFARAY 4/21/2015 17.50 Renton ARTURO 5/7/2015 1.78 Renton ARTURO 5/7/2015 2.89 Renton ARTURO 5/7/2015 11.00 Renton MARK 4/30/2015 4.50 Renton MARK 5/20/2015 4.50 Renton BRIANNA 5/1412015 17.50 Renton BRIANNA 5/18/2015 17.50 Renton BRIANNA 5/21/2015 5.50 Renton DAKOTA 5/16/2015 17.50 Renton INIDIA 5/6/2015 21.60 Renton MYRA 12/31/2014 1,427.41 Renton MYRA 12/31/2014 2,478.02 Renton MYRA 12/31/2014 735.05 Renton Tom 4/13/2015 10.00 Renton Anthony 4/21/2015 10.00 Renton SHANITA 5/20/2015 17.50 Renton MELVIN 5/12/2015 1,344.30 Renton MELVIN 5/22/2015 1,398.98 Renton MELVIN S/8/2015 6.00 Renton MELVIN 5/8/2015 17.50 Renton KOLLEEN 5/23/2015 17.50 Renton DON 5/21/2015 17.50 Renton SHAWN 5/18/2015 264.30 Renton SHAWN 5/18/2015 642.90 Renton SHAWN 5118/2015 1,398.98 Renton SHAWN 5/11/2015 98100 Renton SHAWN 5/11/2015 2.00 Renton SHAWN 5111/2015 2.12 Renton SHAWN 5/11/2015 6.00 Renton SHAWN 5111/2015 2.89 Renton SHAWN 5111/2015 17.50 Renton SHAWN 5/11/2015 38.00 Renton TIMOTHY 5/10/2015 3.25 Renton TIMOTHY 511012015 17.50 Renton ENKHTAIAN 5/2012015 2.00 Renton ENKHTAIAN 5/20/2015 2.89 Renton DALLAS 6/16/2015 17.50 Renton DALLAS 6/22/2015 17.50 Renton BRIANNA 611/2015 2100 Renton BRIANNA 6/1/2015 2.25 Renton BRIANNA 6/1/2015 6.70 Renton BRIANNA 6/1/2015 2.89 Renton MICHAEL 5/1/2015 10.00 Renton MICHAEL 5/7/2015 10.00 Renton WILLIAM 611012015 2.25 Renton WILLIAM 6/10/2015 2.89 Renton JASON 6/13/2015 2.50 Renton JASON 6/1312015 2.25 Renton JASON 6/13/2015 2.89 Renton JASON 6/24/2015 S.DO Renton JASON 6/24/2015 6.00 Renton JASON 6/24/2015 2.89 Renton LESTER 611612015 17.50 Renton CHAUN 5/19/2015 10.00 Renton ANTHONY 5/29/2015 10.00 Account Description Diagnosis Billing Period Diagnostic Lab Ultrasound April -15 Pathology Chlamydla /GCAmplifica April -15 Radiology X -Ray April -15 Pathology Chlamydia /GCAmplifica April -1S Pathology CSC With Differential/ May -15 Pathology Comp. Metabolic Panel May -15 Pathology Ammonia, Plasma May -15 Pathology Valproic Acid (Depakot May -15 Pathology ValproicAcid (Depakot May -15 Pathology Chlamyd €a /GCAmplif€ca May -15 Pathology Chlamydia /GCAmplifica May -15 Pathology urine Culture, Routine May -15 Pathology Chlamydia /GCAmplifica May -15 Pathology Glucose (2 Spec) Toler May -15 Hospitalization Deficiency Anemia May -15 Hospitalization Deficiency Anemia May -15 Pathology Deficiency Anemia inlay -15 Radiology X -Ray May -15 Radiology X -Ray May -15 Pathology Chlamydia /GCAmplifica May -15 HH13 HHB May -15 HHB HHB May -15 Pathology HCVAnt#body May -15 Pathology Chlamydia /GC Amplifica May -15 Pathology Chlamydia / GCAmplifica May -15 Pathology Chlamydla /GCAmplifica May -15 HHB HHB May -15 HHB HHB May -15 HHB HHB May -15 Pathology RNA, Real Time PCR (No May -15 Pathology TSH May -15 Pathology RPR May -15 Pathology HCVAntibody May -15 Pathology Comp. Metabolic Panel May -15 Pathology Chlamydia /GCAmplifica May -15 Pathology CD4 /CD8 Ratio Profile May -15 Pathology Urinalysis, Complete May -15 Pathology Chlamyd)a /GCAmplifica Niay -15 Pathology Lipid Panel With LOT /H May-15 Pathology Comp. Metabolic Panel May -15 Pathology Chlamydia /GCAmplifica June -15 Pathology Chlamydia /GCAmplifica June -15 Pathology TSH June -15 Pathology CBC With Differential/ June -15 Pathology Pane1083824 June -15 Pathology Comp. Metabolic Panel June -15 Radiology X -Ray June -15 Radiology X -Ray June -15 Pathology CBC With Differential/ June -IS Pathology Comp. Metabolic Panel June -15 Pathology Hemoglobin A1c June -15 Pathology CBC With Differential/ June -15 Pathology Comp. Metabolic Panel June -I5 Pathology HBsAgScreen June -15 Pathology HCV Antibody June -15 Pathology Comp. Metabolic Panel June -IS Pathology Chlamydia /GCAmplifica June -15 Rglyology X -Ray June -15 Radiology X -Ray June -15 Page 16 Mew!l COP RECTIONAI rrrauacxRZCQMMME5 Cap Report -18NR & Accrual Detail $CORE, WA For Contract Period From September 2015 to September 2016 Billable First Name DOS Agency Estimate Account Description Diagnosis Billing Period Jurisdiction Totals Renton MELVIN 6/1012015 1,344.30 HHB TIVICAY50MG June -15 Renton MELVIN 6/10/2015 1,398.98 HHB TRUVADA200 -300 MG June -15 Renton MICHAEL 6/17/2015 2.50 Pathology Hemoglobin Alt June -15 Renton MICHAEL 6/17/2015 2.25 Pathology C8C With Differential/ June -15 Renton MICHAEL 6/17/2015 2.89 Pathology Comp. Metabolic Panel June -15 Renton FAITH 6/1612015 6.70 Pathology Pane1083824 June -15 Renton FAITH 6/16/2015 6.00 Pathology HCV Antibody June -15 Renton FAITH 6/16/2015 2.89 Pathology Comp. Metabolic Panel June -15 Renton ANGELENA 6/18/2015 17.50 Pathology Chlamydia /GCAmplifica June -15 Renton ERIC 6/1/2015 17.50 Pathology Chlamydia /GCAmplifica June -15 Renton ROBERT 6/14/2015 17.50 Pathology Chlamydia /GCAmplifica June -15 Renton ANDREW 615/2015 17.50 Pathology Chlamydia /GCAmplifica June -15 Renton SHAWN 5/11/2015 10.00 Radiology X -Ray June -I5 Renton SHAWNTEKA 611/2015 17.50 Pathology Chlamydia /GCAmplifica June -15 Renton TIMOTHY 5/8/2015 10.00 Radiology X -Ray June -15 Renton TIMOTHY 5/8/2015 10.00 Radiology X -Ray June -15 Renton TIMOTHY 5/8/2015 10.00 Radiology X -Ray June -15 Renton JAY 6/1/2015 2.50 Pathology Hemoglobin Alc June -15 Renton JAY 6/1/2015 2.25 Pathology CBC With Differential/ June -15 Renton JAY 6/1/2015 1730 Pathology Chlamydia /GCAmplifica June -1S Renton JAY 6/1/2015 2.89 Pathology Comp. Metabolic Panel June -15 Renton JAY 6/17/2015 6.00 Pathology HCV Antibody June -15 Renton JAY 6117/2015 2.89 Pathology Comp. Metabolic Panel June -15 Renton RICARDO 6/14/2015 17.50 Pathology Chlamydia /GCAmpIIfrca June -15 Renton ERIC 6/1/2015 6.70 Pathology Pane €083824 June -15 Renton ERIC 6/1 /2015 6.00 Pathology HCV Antibody June -15 Renton MYRA 12/31/2014 157.31 Hospitalization (ER) Anemia July -15 Renton Tangia 12/2/2013 421.00 Specialty Services Anemia July 2015 Renton DAVID 7/23/2015 6.70 Pathology Pane1083824 July -15 Renton DAVID 7/23/2015 6.00 Pathology HCVAntibody Jufy -15 Renton DAVID 7/23/2015 17.50 Pathology Chia mydia /GCAmplifica July -15 Renton NICHOLAS 7/26/2015 17.50 Pathology Chlamydia /GCAmplifica July -15 Renton REG €NALD 7/17/2015 17.50 Pathology Chlamydia /GCAmplifica July-15 Renton RONDINA 6129/2015 17.50 Pathology Chlamydia /GCAmplifica JUN -15 Renton RONDINA 6/29/2015 2.89 Pathology Comp. Metabolic Panel July -15 Renton RONDINA 6129/2015 38.00 Pathology CD4 /CD8 Ratio Profile July -15 Renton RONDINA 612912015 98.00 Pathology RNA, Real Time PCR (No July -15 Renton RONDi€ A 71'6/21715 493.31 HHB ABACAV'iR 3W NIG luly -15 Renton RONDINA 716/2015 238.12 HHB EPZ€COM 600 -300 MG July -15 Renton RONDINA 7/6/2015 1,292.58 HHB I NTELENCE 200 MG July -15 Renton RONDINA 7/6/2015 1,398.98 HHB NORVIR 100 MG July -15 Renton SKY 7/9/2015 17.50 Pathology Chlamydia /GCAmplifica July -15 Renton LEONARD 7/20/2015 2.75 Pathology Prothfombin Time (PT) July -15 Renton JONATHAN 7/8/2015 17.50 Pathology Chlamydia /GCAmplifica July -15 Renton JONATHAN 7/15/2015 2.50 Pathology Hemoglobin Alc July -15 Renton DEBORAH 6/29/2015 17.50 Pathology Chlamydia /GCAmplifica July -15 Renton LESTER 7/3/2015 6.70 Pathology PaneI083824 July -15 Renton LESTER 7/3/2015 6.00 Pathology HCVAntibody July -15 Renton ANTHONY 6/2/2015 10.00 Radiology X- Ray - Elbow July -15 Renton ANTHONY 6122/2015 10.00 Radiology X- Ray - Forearm July -15 Renton ANTHONY 6/27/2015 10.00 Radiology X- Ray - Humerus July -15 Renton ANTHONY 7/912015 17.50 Pathology Chlamydia /GCAmplifica July -15 Renton KYLE 6/27/2015 4.00 Pathology Lithium (Eskalith(R)), July -15 Renton KYLE 7/14/2015 4.00 Pathology Lithium (Eskalith(R)), July -15 Renton MARISSA 7/7/2015 17.50 Pathology Chfamydia /GCAmpfiflca July -15 Renton ATHINA 7/22/2015 2.50 Pathology Hemoglobin Alc July -15 Renton CHRISTOPHER 7/23/2015 17.50 Pathology Chlamydia /GCAmplifica July -15 Renton KELBY 6/912015 10.00 Rag�logy X- Ray - Chest July -15 Renton KELBY 7/10/2015 4.50 Pathology Valproic Acid(Depakot July -15 Page 17 fl ll CORR£CTIONAC J11 �HC1 I WAMICURE COMP.+.,Tes Cap Report -I BN R & Accrual Detali SCORE, WA For Contract Period From September 2015 to September 2016 Billable First Name DOS Agency Estimate Account Description Diagnosis Billing Period Jurisdiction Totals Renton KELBY 7/22/2015 17.50 Pathology Chlamydia /GCAmplifica July -15 Renton KELBY 7/24/2015 4.50 Pathology ValproicAcid (Depakot Juiy -15 Renton KELBY 7/24/2015 6.70 Pathology Pane1083824 July -15 Renton KELBY 7124/201S 6.00 Pathology HCVAntibody Juty -15 Renton PAMELA 7/8/2015 17.50 Pathology Chlamydia /GC Amp lifica July -15 Renton TIMOTHY 7/17/2015 2.89 Pathology Comp. Metabolic Panel July -15 Renton JACOB 6/26/2015 6.70 Pathology PaneI083824 July -15 Renton JACOB 6/26/2015 6.00 Pathology HCVAntlbody July -15 Renton JACOB 7/22/2015 17.50 Pathology Chlamydia /GCAmplifica July -15 Renton KYLE 7/29/2015 4.50 Pathology Valproic Acid (Depakot July -15 Renton JOSE 7/2812015 2.75 Pathology Prothrombin Time (PT) July -15 Renton Arturo 7/13/2015 10.00 Radiology Chest August -15 Renton Eric 7/21/2015 10.00 Radiology Hand August -15 Renton Eric 7/21/2015 10.00 Radiology Chest August -15 Renton SHENICKA 2/11/2015 15S.9S Hospitalization (ER) Epilepsy August -15 Renton Anthony 7/1/2015 10.00 Radiology Elbow August -15 Renton Anthony 7/17/2015 10.00 Radiology Elbow August -15 Renton Octavio 7/2/2015 10.00 Radiology Chest August -15 Renton Jared 7/2/2015 10,00 Radiology Chest August -15 Renton David 7/17/2015 10.00 Radiology Shoulder August -15 Renton Maygag 7/24/2015 10.00 Radiology Elbow August -IS Renton DARRON 8/31/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 Renton CHARLES 8/4/2015 6.70 Pathology Pane1083824 September -15 Renton CHARLES 8/4/2015 6.00 Pathology HCVAntlbody September -15 Renton CHARLES 8/13/2015 2.50 Pathology Hemoglobin Alc September -15 Renton JAKE 81712015 17.50 Pathology Chlamydia /GCAmplifica September -15 Renton JENNIFER 8/7/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 Renton NATHAN 9/22/2015 6.70 Pathology Pane1083824 September -15 Renton NATHAN 9/22/2015 6.00 Pathology HCVAntibody September -15 Renton WILLIAM 8/20/2015 10.00 Radiology LUBMARSACHRAL September -15 Renton HOPE 9/5/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 Renton SUMMER 8/13/2015 2.00 Pathology TSH September -15 Renton SUMMER 8/13/2015 2.25 Pathology CBC With Differential/ September -15 Renton SUMMER 8/13/2015 10.76 Pathology Rh Factor September -15 Renton SUMMER 8/13/2015 6.70 Pathology Pane1083824 September -15 Renton SUMMER 8/13/2015 6.00 Pathology HCVAntibody September -1S Renton SUMMER 8/13/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 Renton SUMMER 8%13/2015 2.89 Pathology Comp. Metabolic Panel Septerber-15 Renton KEVIN 8/21/2015 11.130 Pathology Ammonia, Plasma September -15 Renton KEVIN 8/25/2015 2.89 Pathology Comp. Metabolic Panel September -15 Renton NICOLE 9/24/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 Renton NICOLE 9128/2015 6.70 Pathology Pane1083824 September -15 Renton NICOLE 9/28/2015 6.00 Pathology HCVAntlbody September -15 Renton RICHARD 8/11/2015 10.00 Radiology WRIST September -15 Renton RICHARD 911012015 6.70 Pathology PanelOS3824 September -15 Renton RICHARD 9/10/2015 6.00 Pathology HCV Antibody September -15 Renton RICHARD 9/1012015 17.50 Pathology Chia mydia/GC Am plifica September -1S Renton LARON 8/11/2015 17.50 Pathology Chia mydia/GC Am plifica September -15 Renton LEONDEZ 812212015 2.75 Pathology Prothrombin Time (PT) September -15 Renton DEONTE 7/28/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 Renton LATIA 8/19/2015 2.25 Pathology CBC With Differential/ September -15 Renton LATIA 8/20/2015 10.00 Radiology CHEST September -15 Renton LAQUITA 9/25/2015 17.50 Pathology Chlamydia /GCAmpI €fica September -15 Renton THOMAS 91112015 17.50 Pathology Chlamydia /GCAmplifica September -1S Renton ANTHONY 8/912015 17.50 Pathology Chlamydia /GCAmplifica September -15 Renton ATHINA 8/20/2015 10.00 Radiology S September -1S Renton ATHINA 8/25/2015 10.00 Radiology CHEST September -15 Renton KELBY 9/28/2015 4.50 Pzawology Valprolc Acid (Depakot September -15 Renton KELBY 9/28/2015 6.70 Pathology Pane1083824 September -1S Page 18 T1 �nT- JL.l� xe;uxcAR co }iPAurs Cap Report - IBNR & Accrual Detail SCORE, WA For Contract Period From September 2015 to September 2016 Billable First Name DOS Agency Estimate Account Description Diagnosis Billing Period Jurisdiction Totals Renton KELBY 9/28/2015 6.00 Pathology HCVAntibody September -15 Renton ROCKY 9/212015 17.50 Pathology Chia mydia /GCAmplifica September -15 Renton SUSAN 911512015 17.50 Pathology Chlamydia /GCAmplifica September -15 Renton KEVIN 8/S/2015 10.00 Radiology HAND September -15 Renton JAVIER 8/25/2015 2.00 Pathology TSH September -15 Renton JAVIER 8/25/2015 2.25 Pathology CBC With Differential/ September -15 Renton JAVIER 8/25/2015 2.89 Pathology Comp. Metabolic Panel September -15 Renton DESEAN 8/7/2015 6.70 Pathology Pane1083824 September -15 Renton DESEAN 8/7/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 Renton DESEAN 8/7/2015 2.89 Pathology Comp. Metabolic Panel September -15 Renton JENNIFER 7/30/2015 17.50 Pathology Chlamydia /GCAmplifica September -1S Renton JENNIFER 7/30/2015 6.70 Pathology PaneI083824 September -15 Renton JENNIFER 7/30/2015 6.00 Pathology HCVAntibody September -15 Renton JOSHUA 81712015 17.50 Pathology Chlamydia /GCAmplifica September -15 Renton ASHLEY 8/3/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 Renton JERMELL 9/2/2015 2.12 Pathology RPR September -15 Renton JERMELL 9/2/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 Renton THOMAS 9/9/2015 10.00 RADIOLOGY HAND October -15 Renton JOSEPH 10/20/2015 477.59 HHB VIREAD300mg October -15 Renton JOHN 10/2612015 2.50 Pathology HemoglobinAic November -15 Renton JOHN 11/12/2015 2.50 Pathology HemoglobinAic November -15 Renton JOHN 11/12/2015 2.00 Pathology Lipid Panel With LDL/H November -15 Renton JAMES 11/28/2015 614.78 HHB STRIBILD * *30 TABS ONLY* * 150 -150- 200 -300 MG November -15 Renton TODD 10/31/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Renton DAKOTA 11/3/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Renton ROBERT 10/23/2015 6.70 Pathology PaneI083824 November -15 Renton MARK 10/7/2015 6.70 Pathology PaneI083824 November -15 Renton MARK 1017/2015 6.00 Pathology HCVAntibody November -15 Renton MARK 1017/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Renton JULIAN 10/1212015 7.00 Pathology Sensitivity Organism 9 November -15 Renton JULIAN 10/12/2015 8.75 Pathology Aerobic Bacterial Cult November -15 Renton ANTHONY 11/1412015 4.50 Pathology Phenytoin (Dilantin), November -15 Renton BRANDON 10/25/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Renton ALVIN 11/16/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Renton ALVIN 11/23/2015 6.70 Pathology Pane1083824 November -15 Renton ALVIN 11/23/2015 6.00 Pathology HCVAntibody November -15 Renton JESSE 10/23/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Re.tor, JESSE 10129;2015 G.70 Pathology Pane1093'.24 fvovcrnbor 4.5 Renton JESSE 10/29/2015 6.00 Pathology HCVAntibody November -15 Renton CURTIS 11/26/2015 6.70 Pathology Pane1083824 November -15 Renton CURTIS 11/26/2015 6.00 Pathology HCVAntibody November -15 Renton CURTIS 11/26/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Renton SARAH 10/19/2015 2.25 Pathology CBC With Differential/ November -15 Renton MEGAN 11 /1/2015 6.70 Pathology Pane1083824 November -15 Renton MEGAN 11/1/2015 6.00 Pathology HCVAntibody November -15 Renton MEGAN 11/1/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Renton JUSTIN 11/6/2015 7.00 Pathology Sensitivity Organismff November -15 Renton JUSTIN 11/6/2015 8.75 Pathology Aerobic Bacterial Cult November -15 Renton JUSTIN 11/6/2015 13.98 Pathology Anaerobic Culture November -15 Renton ALEXIS 9/30/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Renton AMANDA 11/18/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Renton ERICK 10/25/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Renton VERONICA 10/8/2015 17.50 Pathology Chlamydia / GCAmplifca November -15 Renton Melvin 10/29/2015 10.00 Radiology Forarm November -15 Renton Melvin 10/29/2015 10.00 Radiology Hand November -15 Renton Melvin 10/2912015 10.00 Radiology Hand November -15 Renton JOSHUA 11/17/2015 - 7.00 Pathology Sensitivity Organism R November -15 Renton JOSHUA 11/17/2015 22.12 PlWlogy Anaerobic and Aerobic November -15 Renton JOSHUA 11/17/2015 6.70 Pathology Pane1083824 November -15 Page 19 rpn�7nIC0 RR F.CT10NAL VHV I]FAMICARECO11V aES Cap Report - IBNR & Accrual Detail SCORE, WA For Contract Period from September 2015 to September 2016 Billable first Name DOS Agency Estimate Account Description Diagnosis Billing Period Jurisdiction Totals Renton JOSHUA 11/17/2015 6.00 Pathology HCV Antibody November -15 Renton BRIAN 10/1512015 17.50 Pathology Chlamydia /GCAmplifica November -15 Renton ROBERT 10/28/2015 17.50 Pathology Chia mydia / GCAmplifica November -15 Renton MARISSA 10/9/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Renton ROBERT 11/9/2015 6.70 Pathology Pane1083824 November -15 Renton ROBERT 11/9/2015 6.00 Pathology HCV Antibody November -15 Renton CASS] E 11/2/2015 7.00 Pathology Sensitivity Organism 0 November -15 Renton CASSIE 11/2/2015 5.50 Pathology Urine Culture, Routine November -15 Renton MARK 10/19/2015 2.12 Pathology RPR November -15 Renton MARK 10119/2015 6.70 Pathology Pane1083824 November -15 Renton MARK 10/19/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Renton DANIEL 11/18/2015 6.70 Pathology Pane1083824 November -15 Renton DANIEL 11/18/2015 6.00 Pathology HCV Anti body November -15 Renton KENYATTA 10/6/2015 4.50 Pathology Valproic Acid (Depakot November -15 Renton K17ZY 11/112015 17.50 Pathology Chlamydia /GCAmplifica November -15 Renton JENNIFER 11/30/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Renton MANUEL 11/12/2015 2.00 Pathology Lipid Panel With LDt/H November -15 Renton CARL 9/30/2015 4.00 Pathology Lithium (Eskalith(R)), November -15 Renton CARL 10/2/2015 2.50 Pathology Hemoglobin Alc November -15 Renton SUSAN 11/4/2015 6.70 Pathology Pane1083824 November -1S Renton SUSAN 11/4 /2015 6.00 Pathology HCVAntibody November -15 Renton SUSAN 11/21/201S 4.00 Pathology Thyroid Panel With TSH November -15 Renton SUSAN 11/21/2015 1.78 Pathology CBC W1th Differential/ November -15 Renton SUSAN 11/21/2015 12.01 Pathology Bleeding Profile November -15 Renton MARLON 10/14/2015 22.12 Pathology Anaerobic and Aerobic November -15 Renton SARAH 11121/2015 5.50 Pathology Urine Culture, Routine November -1S Renton SARAH 11/21/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Renton Richard 1011/2015 10.00 Radiology lib /Fib November -15 Renton MARVIN 11/24/2015 8.32 HHB AZATHIOPRiNE50MG November -1S Renton ANTHONY 10/2912015 2.25 Pathology CBC With Differential/ November -15 Renton ANTHONY 10/29/2015 2.89 Pathology Comp. Metabolic Panel November -15 Renton ENKHTAIVAN 11/3/2015 2.25 Pathology CBC With Different ia l/ November -15 Renton ENKHTAIVAN 11/3/2015 3.44 Pathology Lipid Panel November -15 Renton ENKHTAIVAN 11/3/2015 2.89 Pathology Comp. Metabolic Panel November -15 Renton Total $29,396.37 SeaTac KENNETH 1/18/2015 2.50 Pathology Pathology January-15 SeaTac N AI-IEN 1/23/2015 17.V Pat agf Pathology F an ary _ 5 SeaTac SHAYLA 1/28/2015 10.00 Radiology X -Ray February-15 SeaTac VINCENT 3/24/2015 17.50 Pathology Chlamydia /GC Ampliffca March -15 SeaTac GEORGE 8/4/2014 10.00 Radiology X -Ray March -15 SeaTac DENRIO 3117/2015 6.70 Pathology Pane1083824 March -15 SeaTac DENRIO 3/17/2015 17.50 Pathology Chlamyd €a /GCAmplifica March -15 SeaTac DAWN 3/2/2015 17.50 Pathology Chlamydia /GCAmplifica March -15 SeaTac W 2/12/2015 17.50 Pathology Chlamydia /GCAmplifica March -15 SeaTac EDGAR 2116/2015 17.50 Pathology Chlamydia /GCAmplifica March -15 SeaTac IRA 2/20/2015 6.70 Pathology Pane1083824 March -15 SeaTac IRA 2/20/2015 17.50 Pathology Chlamydia / GCAmplifica March -15 SeaTac ROBERT 10/23/2014 118.38 Hospital €zaVon (ER) Umbilical Hernia March -15 SeaTac DISEAN 3/1612015 10.00 Radiology X -Ray April -15 SeaTac ROBERT 4/16/2015 6.70 Pathology Pane] 083824 April -15 SeaTac ROBERT 4/1612015 66.76 Pathology HIV 1/2 Ab Differentia April -15 SeaTac ROBERT 4/1612015 6.00 Pathology HCV Antibody April -15 SeaTac ROBERT 4116/2015 2.25 Pathology CBC With Differentia!/ April-15 SeaTac DEMARCUS 3/3112015 17.50 Pathology Chlamydia /GCAmplifica April -15 SeaTac DAWN 3/15/2015 10.00 Radiology X -Ray April -15 SeaTac JAMES 4/8/2015 17.50 Pathology Chlamydia /GCAmplifica April -15 SeaTac Milo 4/28/2015 10.00 Radiology X -Ray May -15 SeaTac Milo 4/2812015 10.00 Rkology X -Ray May -15 SeaTac Robert 4/15/201S 10.00 Radiology X -Ray May -15 Page 20 rpin n CORRECTIONAL I II VHL HrAILTnCARECOMPA'11ES Cap Report - IBNR & Accrual Detail SCORE, WA For Contract Period From September 2015 to September 2016 Billable First Name DOS Agency Estimate Account Description Diagnosis Billing Period Jurisdiction Totals SeaTac Robert 4/18/20I5 10.00 Radiology X -Ray May -15 SeaTac JON 5/2612015 17.50 Pathology Chlamydia / GCAmplifica May -15 SeaTac DYLAN 5/8/2015 17.50 Pathology Chlamydia /GCAmpliflca May -15 Seatac JONATHAN 5/26/2015 10.00 Radiology X -Ray June -15 Seatac JASON 2/25/2015 252.90 Hospitalization (ER) Abdominal Pain June -15 Seatac WILLIAM 6/24/2015 17.50 Pathology Chlamydia /GCAmpliflca June -15 Seatac JASON 2/25 /2015 121.35 Ambulance Abdominal Pain July -15 Seatac ALFRED 7/1/2015 4.50 Pathology ValprolcAcid (Depakot July -15 Seatac TONNIE 7/12/2015 17.50 Pathology Chlamydia /GCAmpliflca July -15 Seatac TALAOMAGA 7/26/2015 17.50 Pathology Chlamydia / GCAmplifica July -1S Seatac MARIO 7/10/2015 17.50 Pathology Chlamydia /GCAmpliflca July -15 Seatac WEND] 7/27/2015 6.70 Pathology Pane1083824 July -15 Seatac WENDI 712712015 6.00 Pathology HCV Antibody July -15 Seatac ADRIAN 711912015 17.50 Pathology Chlamydia / GCAmpliflca July -15 Seatac JARED 8/7/2015 17.50 Pathology Chlamydia / GCAmpliflca September -15 Seatac PRISCILLA 1/11/2015 78.61 Hospitalization (ER) Anemia September -15 SeaTac PRISCILLA 111212015 82.17 Hospitalization (ER) Anemia September -15 Seatac SEAN 9/4/2015 17.50 Pathology Chlamydia /GCAmpliflca September -15 Seatac ALMEDINA 9/7/2015 17.50 Pathology Chlamydia /GCAmpliflca September -15 Seatac TONNIE 8/11/2015 6.70 Pathology PaneI083824 September -15 Seatac TONNIE 8/11/2015 6.00 Pathology HCV Antibody September -15 Seatac TONNIE 8111/2015 56.70 Pathology H5V 1 and 2 IgM Abs, I September -15 Seatac TONNIE 8/12/2015 2.12 Pathology RPR September -15 Seatac TONNIE 8/12/2015 17.50 Pathology Chlamydia / GCAmplifica September -15 Seatac DAVID 812412015 17.50 Pathology Chlamydia / GCAmplifica September -15 SeaTac COLTON 9/18/2015 10.00 RADIOLOGY ABDOMEN October -15 Seatac PRISCILLA 1/11/2015 1,535.90 Hospitalization (ER) Anemia November -15 Seatac PRISCILLA 1/11/2015 119.65 Hospitalization (ER) Anemia November -15 Seatac PRISCILLA 1/11/2015 65.93 Hospitalization (ER) Anemia November -15 Seatac PRISCILLA 1/12/2015 1,535.76 Hospitalization (ER) Anemia November -15 Seatac PRISCILLA 1/12/2015 85.47 Pathology Anemia November -15 Seatac PRISCILLA 1/12/2015 65.95 Pathology Anemia November -15 Seatac PRISCILLA 1/12/2015 119.80 Pathology Anemia November -15 SeaTac JOSE 10/13/2015 2.50 Pathology Hemoglobin Alc November -15 SeaTac CLAUDE 11/11/2015 2.50 Pathology Hemoglobin Aic November -15 SeaTac CLAUDE 11/11/2015 2.25 Pathology CBC With Differential/ November -15 SeaTac CLAUDE 11/11/2015 2.89 Pathology Comp. Metabolic Panel November -15 SeaTac CLAUDE 11/16/2015 2.80 Pathology Magnesium. Serum November -15 SeaTac CLAUDE 11/16/2015 4.55 Pathology Electrolyte Panel November -15 SeaTac RAUL 11/14/2015 17.50 Pathology Chlamydia /GC Amplifica November -15 SeaTac LAWRENTE 11/8/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Seatac JASON 2/25/2015 1,690.27 Hospitalization (ER) Abdominal Pain November -15 Seatac JASON 2/25/2015 111.96 Pathology Abdominal Pain November -15 Seatac JASON 2/25/2015 3.06 Pathology Abdominal Pain November -15 Seatac JASON 2/25/2015 27.53 Pathology Abdominal Pain November -15 Seatac JASON 2/25/2015 168.23 Pathology Abdominal Pain November -15 Seatac JASON 2/25/2015 285.08 Pathology Abdominal Pain November -15 Seatac JASON 2/26/2015 193.92 Pathology Abdominal Pain November -15 Seatac JASON 2/25/2015 3,637.48 Radiology Abdominal Pain November -15 SeaTac THOMAS 10/27/2015 6.70 Pathology PaneI083824 November -15 SeaTac THOMAS 10/27/2015 6.00 Pathology HCVAntibody November -15 SeaTac CHRISTIE 11/26/2015 17.50 Pathology Chlamydia/GCAmplifica November -15 SeaTac Total $11,035.92 Tukwila HERMAN 12/3/2014 (4.501 Pathology Pathology December -14 Tukwila CASEY 12/13/2014 $82.00 Pathology Pathology December -14 Tukwila BRIAN 1/9/2015 89.77 HHB HHB January-15 Tukwila BRIAN 1/9/2015 215.97 HHB HHB January-15 Tukwila BRIAN 1/912015 437.95 SIB HHB January-15 Page 21 (�n CORRECTIONAC H11-1 HEALTHCAREMNIF.IMES ` Cap Report - IBNR & Accrual Detail SCORE, WA For Contract Period From September 2015 to September 2016 Billable First Name DOS Agency Estimate Account Description Diagnosis Billing Period Jurisdiction Totals Tukwila LATOSHA 1/26/2015 264.30 HHB HHB January-15 Tukwila LATOSHA 1/2612015 1,292.58 HHB HHB January-15 Tukwila LATOSHA 1/26/2015 1,308.85 HHB HHB January-15 Tukwila LATOSHA 1/30/2015 264.30 HHB HHB January -15 Tukwila LATOSHA 1/30/2015 685.60 HHB HHB January -15 Tukwila LATOSHA 1/30/2015 655.67 HHB HHB January-15 Tukwila SUMMER 1/17/2015 $17.50 Pathology Pathology January-15 Tukwila JEREMY 12/4/2014 10.00 Radiology X -Ray February-15 Tukwila LATOSHA 1/30/2015 10.00 Radiology X -Ray February-15 Tukwila LATOSHA 2121/2015 1,283.31 HHB HHB February -15 Tukwila LATOSHA 2/24/2015 1,155.22 HHB HHB February-15 Tukwila ANGEL 2/8/2015 17.50 Pathology Chlamydia /GCAmplifiica March -15 Tukwila ANGEL 2/9/2015 3.25 Pathology Urinalysis, Complete March -15 Tukwila DARREN 2/912015 10.00 Radiology X -Ray March -15 Tukwila ALTER 2/13/2015 10.00 Radiology X -Ray March -15 Tukwila ALIER 3/3/2015 2.25 Pathology CBC With Differential/ March -15 Tukwila ALIER 3/3/2015 2.89 Pathology Comp. Metabolic Panel March -15 Tukwila ALEXANDER 3/20/2015 17.50 Pathology Chlamydia /GCAmplifica March -15 TukvAla LATOSHA 1/30/2015 2.89 Pathology Comp. Metabolic Panel March -15 Tukwila LATOSHA 1/30/24315 10150 Pathology Rea ITimeAbbott March -15 Tukwila LATOSHA 2/11/2015 20.00 Pathology He€perT- Lymph -CD4 March -15 Tukwila LATOSHA 3/17/2015 4.00 Pathology Lithium (Eskahth(R)), March -15 Tukwila LATOYNA 2/16/2015 17.50 Pathology Chlamydia /GCAmplifica March -15 Tuhvila JONATHAN 1/30/2015 17.50 Pathology Chlamydia /GCAmplifica March -15 Tukw €]a AVERY 2/20/2015 450 Pathology ValproicAcid (Depakot March -15 Tukwila AVERY 2/20/2015 4.50 Pathology Carba maze pin e(Tegretol March -15 Tukwila AVERY 3/19/2015 4.50 Pathology Valproic Acid (Depakot March -15 Tukwila AVERY 3/19/2015 4.50 Pathology Carbamazepine(Tegretol March -15 Tukwila TRINA 10/24/2014 - Hospitalization Constipation March -15 Tukwila Alter 6/17/2014 17.74 Hospitalization (ER) Injury-site NOS March -15 Tukwila LATOSHA 3/17/2015 1,308.85 HHB HHB March -15 Tukwila LATOSHA 3/23/2015 514.82 HHB HHB March -15 Tukwila LATOSHA 3/30/2015 124.67 HHB HHB March -15 Tukwila DAMION 4/21/2015 5.50 Pathology Urine Culture, Routine April -15 Tukwila DAMION 4/21/2015 17.50 Pathology Chlamydia /GCAmpfiFlca April -15 Tukwila GENA 3/27/2015 17.50 Pathology Chlamydia /GCAmplifica April -15 Tukwila NUUR. 3/31/2015 6.70 Pathology PaneI083824 April -15 Tukwila NUUR 3/31/2015 17.50 Pathology Chlamydia /GCAmplifica April -15 Tukwila ERIC 4/1412015 17.50 Pathology CManty"a/ GCAmplifica April -15 Tukwila Nuur 4/13/2015 10.00 Radiology X -Ray May -15 Tukwila ALEXANDEER 5111/2015 124.67 HHB HHB May -15 Tukwila ALEXANDEER 5111/2015 604.54 HHB HHB May -15 Tukwila ALEXANDEER 5/11/2015 654.19 HHB HHB May -15 Tukwila MELISSA 6/17/2015 17.50 Pathology Chia mydia /GCAmplifica June -15 Tuk%-Ma TERRANCE 6/9/2015 17.50 Pathology Chlamydia /GCAmplifica June -15 Tukwila JASON 5/4/2015 10.00 Radiology X -Ray June -I5 Tukwila SHAKIRA 6/1012015 9.00 Pathology hCG,Beta Subunit, Qnt, June -15 Tukwila SHAKIRA 6/10/2015 2.25 Pathology CBC With Differential/ June -15 Tukwila GENEVIEVE 6/22/2015 17.50 Pathology Chlamydia /GCAmplifica June -15 Tukwila KARL 5/18/2015 10.00 Radiology X -Ray June -15 Tukwila KARRIEM 6/15/2015 175.00 Diagnostic Imaging ULTRASOUND CALL June -15 Tukwila STEVEN 4/30/2015 10.00 Radiology X -Ray June -15 Tukwila TRY 6/11 /2015 17.50 Pathology Chlamydia /GCAmplifica June -15 Tukwila REGIRAJESWARAI 5/18/2015 10.00 Radiology X -Ray June -15 TukvAla OLIVIA 6/19/2015 17.50 Pathology Chlamydia /GCAmplifica June -15 Tukwila JESSICA 7/3/2015 17.50 Pathology Chlamydia /GCAmplifica July -15 Tukwila BOBBY 8/31/2015 264.30 HHB NORVIR 100 MG August -15 Tukwila BOBBY 8/31/2015 1,292.58 HHS REYATAZ300MG August -15 Tukwila BOBBY 8/31/2015 1,398.98 PB TRUVADA200 -300 MG August -15 Tukvlla WILLIAM 8/25/2015 94.65 HHB TACROUMUS 1 MG August -15 Page 22 ff-IFf-I C0RR£CTIONAG BENJAMIN 7/6/2015 9.29 HHB NORViR 100 MG VH` IFEALIH CARE Ca?1RCNTi$ Algona Cap Report - IBNR &Accrual Detail 6.70 Pathology Pane1083824 November -15 Algona SCORE, WA 11/17/2015 6.00 Pathology HCV Antibody November -15 For Contract Period From September 2015 to September 2016 LEAH Billable First Name DOS Agency Estimate Account Description Diagnosis Billing Period Jurlsdlctlon 10/20/2014 2.25 Totals Pathology October -14 Bellevue Tukwila Bobby 9/212015 264.30 HHB NORVIR 100 MG September -15 Tukwila HEATHER 8/3/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 Tukwila SYLVESTER 9/23/2015 4.50 Pathology Valproic Acid {Depakot September -15 Tukwila BRENT 9/26/2015 2.25 Pathology CBC With Differential/ September -15 Tukwila BRENT 9/26/2015 2.89 Pathology Comp. Metabolic Panel September -15 Tukwila BRITTANY 8/25/2015 10.00 Radiology ABDOMEN September -15 Tukwila BRITTANY 9/10/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 Tukwila BRITTANY 9/1712015 4.50 Pathology Valproic Acid (Depakot September -15 Tukwila HAZEL 9/2112015 17.50 Pathology Chlamydia /GCAmplifica September 15 Tukwila CHRISTIAN 9127/2015 2.89 Pathology Comp. Metabolic Panel September -IS Tukwila DAWN 9/22/2015 17.50 Pathology Chlamydia /GC Amplifica September -15 Tukwila MARCI 7/30/2015 6.70 Pathology PaneIO93824 September -15 Tukwila MARCI 7/30/1015 6.00 Pathology HCVAntibody September -15 Tukwila MARCI 7/30/2015 17.50 Pathology Chlamydia /GCAmp11fica September -15 Tukwila DABLEYA 9/3/2015 6.00 Pathology HCV Antibody September -15 Tukwila RACHEL 8/7/2015 17.50 Pathology Chlamydia /GCAmplinca September -15 Tukwila JESSE 8/20/2015 10.00 Radiology FACIAL September -15 Tukwila TAMMARA 9/1712015 17.50 Pathology Chlamydia /GC Amplifica September -15 TUKWILA PAGO 7/3/2015 301.87 Hospitalization (ER) CNS Disorder October -15 Tukwila BRITTANY 9/4/2015 10.00 RADIOLOGY ABDOMEN October -15 Tukwila NAKENDRA 9/29/2015 10.00 RADIOLOGY SHOULDER October -15 Tukwila RICHARD 9/2/2015 10.00 RADIOLOGY ELBOW October -15 Tukwila RICHARD 9/2/2015 10.00 RADIOLOGY ABDOMEN October -15 Tukwila MAHAMED 9/1/2015 10.00 RADIOLOGY FACIAL October -15 Tukwila Marijana 10/17/2015 10.00 Radiology Shoulder November -15 Tukwila SYLVESTER 1015/2015 4.50 Pathology Valprolc Acid {Depakot November -15 Tukwila SYLVESTER 10/20/2015 2.58 Pathology Basic Metabolic Panel November -15 Tukwila TRINA 10/2612014 170.46 Hospitalization Constipation November -15 Tukwila TRINA 10/26/2014 250.55 Hospitalization Constipation November -15 Tukwila TRINA 10126/2014 11.18 Hospitalization (ER) Constipation November -15 Tukwila Brittany 10/1/2015 10.00 Radiology Chest November -15 Tukwila Maylynn 1011512015 10.00 Radiology Wrist November -15 Tukwila DEVONN 11 /IS /2015 4.50 Pathology Valproic Acid (Depakot November -15 Tukwila Jeffrey 1001/2015 10.00 Radiology Abdomen November -15 Tukwila MARK 10/6/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Tukwila SHARMAINE 11/25/2015 6.70 Pathology Pane1083824 November -15 Tukwila SHARMAINE 11/25/2015 6.00 Pathology HCVAntibody November -15 Tukwila SHARMAINE: ii/25 /2015 1750 Pathoiogy ChiamydiajtjCAmpiifica Novernber -i5 Tukwila Michelle 10/1612015 10.00 Radiology Abdomen November -15 Tukwila MICHELLE 10/15/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Tukwila MICHELLE 10/16/2015 2.25 Pathology CBC With Differential/ November-15 Tukwila MICHELLE 10/16/2015 2.89 Pathology Comp. Metabolic Panel November -15 Total $16,197.25 Total Member Agency Billed $99,738.16 Algona BENJAMIN 7/6/2015 9.29 HHB NORViR 100 MG July -15 Algona LEVI 11/1712015 6.70 Pathology Pane1083824 November -15 Algona LEVI 11/17/2015 6.00 Pathology HCV Antibody November -15 Belevue LEAH 9/17/2015 175.00 Diagnostic Lab Ultra Sound September -15 Bellevue MITCHELL 10/20/2014 2.25 Pathology Pathology October -14 Bellevue MITCHELL 10/20/2014 2150 Pathology Pathology October -14 Bellevue MITCHELL 1012012014 2.89 Pathology Pathology October -14 Bellevue MITCHELL 10/20/2014 3.44 Pathology Pathology October -14 Bellevue MITCHELL 10/20/2014 9.00 Pathology Pathology October -14 Bellevue NYAJIOX 111612014 17.50 Pathology Pathology November -14 Bellevue JESSICA 12/8/2014 2.00 Pathology Pathology December -14 Bellevue JESSICA 12/8/2014 2.25 Pathology Pathology December -14 Bellevue JESSICA 12/8/2014 2.89 PaRlogy Pathology December -14 Page 23 "CH"TLi�n CORRECTIOnai I1EALT cCaaeco -SIP.- ors Cap Report - IBNR & Accrual Detail SCORE, WA For Contract Period From September 2015 to September 2016 Billable First Name DOS Agency Estimate Account Description Diagnosis Billing Period Jurisdiction Totals Bellevue JESSICA 12/8/2014 6.70 Pathology Pathology December -14 Bellevue JESSICA 12/8/2014 17.50 Pathology Pathology December -14 Bellevue JESSICA 1/26/2015 2.87 Pathology Pathology January-15 Bellevue JESSICA 1/26/2015 10.76 Pathology Pathology January-15 Bellevue JESSICA 1/26/2015 21.50 Pathology Pathology January-15 Bellevue JESSICA 1/26/2015 21.60 Pathology Pathology January-15 Bellevue JONATHAN 1/$/2015 17.50 Pathology Pathology January-15 Bellevue KIMIKO 1/8/2015 17.50 Pathology Pathology January-15 Bellevue CHRISTOPHER 3/16/2015 2.89 Pathology Comp. Metabolic Panel March -15 Bellevue CHRISTOPHER 3/16/2015 31.51 Pathology Levetiracetam (Koppra) March -15 Bellevue CHRISTOPHER 3/16/2015 75.73 Pathology Lamotrigine (Lamictal) March -15 Bellevue WILLARD 3/15/2015 17.50 Pathology Chlamydia /GCAmplifica March -15 Bellevue MICHAEL 8/1/2014 10.00 Radiology X -Ray March -15 Bellevue LILLY 8/11/2014 10.00 Radiology X -Ray March -15 Bellevue KRISTIAN 2/412015 10.00 Radiology X -Ray March -15 Bellevue KRISTIAN 2/8/2015 17.50 Pathology Chlamydia /GCAmplifica March -15 Bellevue KiMIKO 2/24/2015 10.00 Radiology X -Ray March -15 Bellevue KIMIKO 3/4/2015 17.50 Pathology Chlamydia /GCAmplifica March -15 Bellevue MICHELE 1/15 /2015 898.00 Hospitalization (ER) Pregnant State Incidental March -15 Bellevue JORGE 3/30/2015 10,00 Radiology X -Ray April -15 Bellevue Rick 8/26/2014 96.36 Hospitalization ( €R) HEAD AND NECKSYMPTOMS April -15 Bellevue KRISTIAN 4/9/2015 2.00 Pathology Lipid Panel With LDt/H April -15 Bellevue KRISTIAN 4/17/2015 100 Pathology TSH April -15 Bellevue KRISTIAN 4/17/2015 2.25 Pathology CBC With Differential/ April -15 Bellevue KRISTIAN 4/17/2015 6.70 Pathology Pane] 083824 April -15 Bellevue KRISTIAN 4/17/2015 2.89 - Pathology Comp. Metabolic Panel April -15 Bellevue KRISTIAN 6/22/2015 15.00 Pathology Vitamin D, 25- Hydroxy June -1S Bellevue MICHAEL 7/10/2015 17.50 Pathology Chlamydia /GCAmplifica July -15 Bellevue SUNNY 9/1/2015 6.70 Pathology PaneI083824 September -15 Bellevue SUNNY 9/1/2015 6.00 Pathology HCV Antibody September -15 Bellevue SUNNY 911/2015 17.50 Pathology Chlamydia /GC Ampliflca September -15 Bellevue MALLORY 8110/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 Bellevue JONATHAN 9/2/2015 2.50 Pathology Hemoglobin Alc September -15 Bellevue LEAH 9/13/2015 2.00 Pathology TSH September -15 Bellevue LEAH 9/13/2015 9.00 Pathology hCG,Beta Subunit, Qnt, September -15 Bellevue LEAH 9/13/2015 2.25 Pathology CBC With Differential/ September -15 Bellevue LEAH 9/13/2015 15.50 Pathology Hepatitis, Diagnostic September -15 Bellevue LEAH 9/13/2015 6.70 Pathology Pane1083824 September -15 Beiievue LEAH 91,13/2015 17.50 Pathology Chia r ydia /GCAmplifica September -15 Bellevue LEAH 9/18/2015 1.00 Pathology Thyroxine (T4) September -15 Bellevue LEAH 9/18/2015 2.00 Pathology TSH September -15 Bellevue LEAH 9/18/2015 2,25 Pathology CBC With Differential/ September -15 Bellevue LEAH 9/18/2015 10.76 Pathology Rh Factor September -15 Bellevue MATTHEW 8/10/2015 39.92 Pathology T4 and TSH September -15 Bellevue MATTHEW 8/10/2015 2.89 Pathology Comp. Metabolic Panel September -15 Bellevue JAKE 8/5/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 Bellevue KRISTIAN 8/5/2015 2.58 Pathology Basic Metabolic Pane] September -15 Bellevue KRISTIAN 8/18/2015 2.25 Pathology CBC With Differential/ September -15 Bellevue JENNIFER 9/25/2015 4.00 Pathology Lithium (Fskalith(R)), September -15 Bellevue MALLORY 9/30/2015 2.50 Pathology Hemoglobin Alc November -15 Bellevue MITCHELL 10/512015 2.50 Pathology Hemoglobin Alc November -15 Bellevue MITCHELL 10/5/2015 6.70 Pathology Pane] 083824 November -15 Bellevue MITCHELL 10/5/2015 6.00 Pathology HCV Antibody November -15 Bellevue NALONG 10/31/2015 6.00 Pathology HCV Antibody November -15 Bellevue NALONG 10/31/2015 17.50 Pathology Chia mydia / GCAmpliRca November -I5 Bellevue DAVID 11/23/2015 2.50 Pathology Hemoglobin Alc November -15 Bellevue DAVID 11/23/2015 2.25 Pathology CBC With Differential/ November -15 Bellevue DAVID 11/23/2015 2.89 Pathology Comp. Metabolic Panel November -15 Bellevue CHRISTOPHER 11/23/2015 2.50 Pathology Hemoglobin Alc November -15 Bellevue KRISTIAN 11/1/2015 4.00 Pmology Amyla5e,Serum November -15 Bellevue KRISTIAN 11/1/2015 3.00 Pathology Lipase, Serum November -15 Page 24 CORRECTSONA I-MC(��'(!i jt,/ HF.SLiHCARECIIbIPA. \3E5 Cap Report- IBNR & Accrual Detail SCORE, WA For Contract Period From September 2015 to September 2016 Billable First Name DOS Agency Estimate Account Description Diagnosis Billing Period Jurisdiction Totals Bellevue KRISTIAN 11/1/2015 2.50 Pathology Hemoglobin A1c November -15 Bellevue KRISTIAN 11 /1/2015 3.25 Pathology Urinalysis, Complete November -15 Bellevue KRISTIAN 11/1/2015 2.00 Pathology TSH November -15 Bellevue KRISTIAN 11/1/2015 2.25 Pathology CBC With Differential/ November -15 Bellevue KRISTIAN 11/1/2015 2.89 Pathology Camp. Metabolic Panel November -15 Bellevue KRISTIAN 1111/2015 0.37 Pathology Hepatic Function Panel November -15 Bellevue JENNIFER 10/5/2015 4,00 Pathology Lithium (Fskalith(R)), November -15 Bonney Lake DONNA 7/22/2015 17.50 Pathology Chlamydia /GCAmplifica July -15 Bonney Lake THOMAS 7/14/2015 17.50 Pathology Chlamydia /GC Ampliflca July -15 Bonney Lake STEVEN 8/12/2015 4.50 Pathology Phenytoin (Dilantin), September -15 Bonney Lake KENNETH 8/21/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 Buckley HANNAH 5/25/2015 17.50 Pathology Chlamydia /GCAmplifica May -15 Buckley VAN)A 5/19/2015 17.50 Pathology Chlamydia /GCAmplifica May -15 Buckley BRANDON 7/14/2015 4.50 Pathology Valproic Acid {Depakot July -15 Buckley BRANDON 7/16/2015 4.00 Pathology Lithium (Eskalith(R)), July -15 Covington NICHOLAS 11/10/2014 17.50 Pathology Pathology November -14 Covington MICHAEL 7/28/2014 10.00 Radiology X -Ray March -15 Covington ALEXA 7/16/2015 2.25 Pathology CBC With Differentia l/ July -15 Covington ALEXA 7/16/2015 10.76 Pathology Rh Factor July -15 Covington ALEXA 7/16/2015 6.70 Pathology Pane1083824 July -15 Covington ALEXA 7/16/2015 6.00 Pathology HCVAntibody July -15 Covington ALEXA 7/16/2015 17,50 Pathology Chlamydia /GCAmplifica July -15 Covington ALEXA 7116/2015 2.89 Pathology Comp. Metabolic Panel July -15 Covington MARILEA 6/2912015 175.00 Diagnostic Lab Ultra Sound September -15 Covington ROBERT 8/4/2015 6.70 Pathology Pane1083824 September -15 Covington ROBERT 8/4/2015 6.00 Pathology HCVAntibody September -15 Covington ROBERT 8/4/2015 17.50 Pathology Chlamydia /GCAmplifica September -1S Covington JASON 10/23/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Covington Julie 10/7/2015 10.00 Radlology Chest November -15 Covington JASON 10/28/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 DOC DARRYL 10/13/2014 17.50 Pathology Pathology October -14 DOC KEVYN 10/2312014 17.50 Pathology Pathology October -14 DOC PARIS 10/29/2014 17.50 Pathology Pathology October -14 DOC MATTHEW 9/29/2014 27.00 Pathology Pathology October -14 DOC WILLIAM 10/10/2014 17.50 Pathology Pathology October -14 DOC CLARA 10/23/2014 2.25 Pathology Pathology October -14 DOC CLARA 10/23/2014 2.89 Pathology Pathology October -14 DOC CLARA 10/29/2014 2.75 Pathology Pathology October -14 DOC ZEBULON 9/30/2014 27,00 Pathology Pathology October -14 DOC PAUL 10124/2014 5.50 Pathology Pathology October -14 DOC PATRICK 9/27/2014 27.00 Pathology Pathology October -14 DOC BRUCE 10/20/2014 2.25 Pathology Pathology October -14 DOC BRUCE 10/20/2014 2.86 Pathology Pathology October -14 DOC WILLIAM 1012812014 6.70 Pathology Pathology October -14 DOC WILLIAM 10/28/2014 17.50 Pathology Pathology October -14 DOC STEPHANIE 10/28/2014 82.00 Pathology Pathology November -14 DOC NATHAN 11/16/2014 17.50 Pathology Pathology November -14 DOC SARAH 11/11/2014 17.50 Pathology Pathology November -14 DOC ECHO 11/10/2014 17.50 Pathology Pathology November -14 DOC MARCEL 11/21/2014 17.50 Pathology Pathology November -14 DOC KIMBERLY 11/17/2014 17.50 Pathology Pathology November -14 DOC DONOVAN 11/2412014 3.11 Pathology Pathology November -14 DOC STEPHANIE 11/24/2014 2.89 Pathology Pathology November -14 DOC STEPHANIE 11/24/2014 6.70 Pathology Pathology November -14 DOC STEPHANIE 11/24/2014 17.50 Pathology Pathology November -14 DOC STEPHANIE 11/24/2014 21.50 Pathology Pathology November -14 DOC STEPHANIE 11/25/2014 305.76 Diagnostic Imaging ULTRASOUNDCALL November -14 DOC STEPHANIE 11/25/2014 42.11 Diagnostic lmaging SET -UP COMPONENT ULTRASOUND November -14 DOC STEPHANIE 11125/2014 42.11 Diagnostic Imaging OBST MORE THAN 14 WEEKS November -14 DOC STEPHANIE 11/25/2014 42.11 Diagnoy4}f Imaging OBST MORE THAN 14 WEEKS November -14 DOC STEPHANIE 11/2512014 (305.76) Diagnostic Imaging ULTRASOUND CALL November -14 Pago 25 T�nICORRECTIONAL _"p J VHV 11MUIC5REMIP.L11E5 Cap Report - iBNR & Accrual Detail SCORE, WA For Contract Period From September 2015 to September 2016 Billable First Name DOS Agency Estimate Account Description Diagnosis Billing Period Jurisdiction Totals STEPHANIE 11/25/2014 (42.11) Diagnostic Imaging SET -UP COMPONENT ULTRASOUND November -14 STEPHANIE 11/25/2014 (42.11) Diagnostic imaging OBST MORE THAN 14 WEEKS November -14 STEPHANIE 11/25/2014 (42.11) Diagnostic Imaging OBSTMORE THAN 14 WEEKS November -14 STEPHANIE 11/25/2014 175.00 Diagnostic Imaging ULTRASOUND CALL November -14 STEPHANIE 11/26/2014 2.25 Pathology Pathology November -14 TEVITA 111712014 17.50 Pathology Pathology November -14 SHARIDA 11/11/2014 17.50 Pathology Pathology November -14 WILLARD 11/24/2014 17.50 Pathology Pathology November -14 KENNETH 11/17/2014 17.50 Pathology Pathology November -14 SARAH 11/10/2014 5.50 Pathology Pathology November -14 SARAH 11110/2014 17.50 Pathology Pathology November -14 SARAH 11/10/2014 2.25 Pathology Pathology November -14 SARAH 11/10/2014 2.89 Pathology Pathology November -14 SARAH 11/11/2014 2.25 Pathology Pathology November -14 SARAH 11/11/2014 2.89 Pathology Pathology November -14 DONTA 11/5/2014 17.50 Pathology Pathology November -14 SUSAN 11/4/2014 S.50 Pathology Pathology November -14 SUSAN 11/4/2014 7.00 Pathology Pathology November -14 SUSAN 11/4/2014 17.50 Pathology Pathology November -14 TAKISHA 12/1/2014 17.50 Pathology Pathology December -14 SEAN 12/2/2014 17.50 Pathology Pathology December -14 MARK 12/14/2014 17.50 Pathology Pathology December -14 MARK 12/14/2014 (17.50) Pathology Pathology December -14 ANDREA 12/10/2014 2.25 Pathology Pathology December -14 BRIAN 11130/2014 17.50 Pathology Pathology December -14 JUDITH 12/4/2014 4.00 Pathology Pathology December -14 RYAN 12/21/2014 6.70 Pathology Pathology December -14 LANCE 12/16/2014 35.00 Pathology Pathology December -14 MICHAEL 11/30/2014 17.50 Pathology Pathology December -14 CRYSTAL 12/26/7014 17.50 Pathology Pathology December -14 STEPHEN 12/18/2014 17.50 Pathology Pathology December -14 STEPHEN 12/25/2014 6.70 Pathology Pathology December -14 PAUL 11/27/2014 17.50 Pathology Pathology December -14 PAUL 11127/2014 44.81 Pathology Pathology December -14 DONALD 12/16/2014 20.00 Pathology Pathology December -14 DONALD 12/1612014 98.00 Pathology Pathology December44 DONALD 12/16/2014 2.89 Pathology Pathology December -14 JOHN 1/8/2015 17.50 Pathology Pathology January-15 CHRISTOPHER 1/25/2015 2.25 Pathology Pathology lanuary-15 CHRISTOPHER 1/25/2015 2.75 Pathology Pathology January-15 DESHAWN 1/4/2015 17.50 Pathology Pathology January-15 DONALD 12/30/2014 17.50 Pathology Pathology January-15 DONALD 1/5/2015 6.50 Pathology Pathology January-15 JAMES 1/26/2015 2.50 Pathology Pathology January-15 JAMES 1/26/2015 2.87 Pathology Pathology January -15 JAMES 1126/2015 2.89 Pathology Pathology January-15 JAMES 1/26/2015 3.00 Pathology Pathology January -15 ANDREA 117/2015 79.50 HHB HHB January-15 MAXWELL 1/25/2015 4.50 Pathology Pathology January-15 DAVID 11112015 17.50 Pathology Pathology January -15 JAMES 1/1/2015 5.50 Pathology Pathology January-15 JAMES 1/112015 17.50 Pathology Pathology January-15 JAMES 1/23/2015 2.25 Pathology Pathology January-15 JAMES 1/23/2015 2.89 Pathology Pathology January-15 GREGORY 1/6/2015 5.50 Pathology Pathology January-15 GREGORY 1/6/2015 17.50 Pathology Pathology January-15 CHRISTOPHER 112012015 4.50 Pathology Pathology January-15 TERRA 1/8/2015 17.50 Pathology Pathology January-15 KENNETH 1/25/2015 17.50 Pathology Pathology January-15 ALICE 1/18/2015 82.00 P9ffiology Pathology January-15 KRISTOPHER 1/25/2015 2.75 Pathology Pathology January-15 Page 26 M/i �]'!� Ht. CORRECTIONAC 1�.' T"LTHCARECOXIMNIES Cap Report - IBNR & Accrual Detail SCORE, WA For Contract Period From September 2015 to September 2016 Billable First Name DOS Agency Estimate Account Description Diagnosis Billing Period Jurisdiction Totals DOC CODIA 2/12/2015 127.82 HHB HHB February-15 DOC CODIA 2/1312015 13.85 HHB HHB February-15 DOC CHARLES 2/3/2015 1,012.80 HHB HHB February-15 DOC SANTOS 1/2/2015 10.00 Radiology X -Ray February-15 DOC BOBBY 12/29/2014 10.00 Radiology X -Ray February-I5 DOC JAMES 1/26/2015 10.00 Radiology X -Ray February-15 DOC RYAN 1/16/2015 10.00 Radiology X -Ray February-15 DOC RYAN 1/16/2015 10.00 Radiology X -Ray February-15 DOC RYAN 1116/2015 10.D0 Radiology X -Ray February-15 DOC RYAN 1/16/2015 10.00 Radiology X -Ray February-15 DOC JASON 12/2512014 10.00 Radiology X -Ray February-15 DOC RYAN 12/6/2014 10.00 Radiology X -Ray February-15 DOC THEO 1/13/2015 10.00 Radiology X -Ray February-15 DOC MICHAEL 1/14/2015 10.00 Radiology X -Ray February-15 DOC BOBBIE 2/14/2015 17.50 Pathology Chlamydia /GCAmplifica March -15 DOC NICHOLAS 3/412015 1.90 Pathology Urinalysis, Routine March -15 DOC NICHOLAS 3/4/2015 17.50 Pathology Chlamydia /GCAmplifica March -15 DOC COLBY 2/12/2015 17.50 Pathology Chlamydia /GCAmplifica March -15 DOC SHALISA 3/11/2015 17.50 Pathology Chlamydia /GCAmplifica March -15 DOC MFIGHAN 3/12/2015 17.50 Pathology Chlamydia /GCAmplifica March -15 DOC ROBERT 3/1812015 6.70 Pathology PaneIO83824 March -15 DOC ROBERT 3/18/2015 17.50 Pathology Chlamydia/GC Am plifica March -15 DOC MEGAN 2/4/2015 2.50 Pathology Hemoglobin Alc March -15 DOC MEGAN 2/11/2015 17.50 Pathology Chlamydia /GCAmplifica March -15 DOC CARLOS 3/14/2015 2.89 Pathology Comp. Metabolic Panel March -15 DOC CARLOS 3/14/2015 2.25 Pathology CBC With Differential/ March -15 DOC MICHAEL 2113/2015 17.50 Pathology Chlamydia /GCAmplifica March -15 DOC DUSTIN 3/26/2015 6.70 Pathology Pane1083824 March -15 DOC DUSTIN 3/26/2015 17.50 Pathology Chlamydia /GCAmplifica March -15 DOC EMMANUEL 812512014 10.00 Radiology X -Ray March -15 DOC KILEY 2/6/2015 17.50 Pathology Chlamydia /GCAmplifica March -15 DOC KILEY 2/9/2015 3.25 Pathology Urinalysis, Complete March -15 DOC KILEY 3/23/2015 17.50 Pathology Chlamydia /GCAmplifica March -15 DOC BRIAN 3/23/2015 2.25 Pathology CBC With Differential/ March -15 DOC BRIAN 3/23/2015 2.89 Pathology Comp. Metabolic Panel March -15 DOC BRIAN 3123/2015 3.00 Pathology Lipase, Serum March -15 DOC NATHAN 2/7/2015 4.50 Pathology Valproic Acid (Depa kot March -15 DOC NATHAN 2/13/2015 4.00 Pathology Lithium (Eskalith(R )j, March -15 DOC Dcnsnnc 2/20,/2015 2.25 Pathology CBC WithDifferertial/ March-15 DOC DENNIS 2/20/2015 2,89 Pathology Comp. Metabolic Panel March -15 DOC CURTIS 2/11/2015 10.00 Radiology X -Ray March -15 DOC FRANK 2/18/2015 2.75 Pathology Prothrombin Time (PT) March -15 DOC PARIS 2/19/2015 17.50 Pathology Chlamydia /GCAmplifica March -15 DOC JOSEPH 3/6/2015 215 Pathology CBC With Differential/ March -15 DOC JOSEPH 3/6/2015 2.89 Pathology Comp. Metabolic Panel March -15 DOC JOSEPH 3/9/2015 5.00 Pathology HBsAg Screen March -15 DOC JOSEPH 3/9/2015 6.00 Pathology HCV Antibody March -15 DOC JOSEPH 319/2015 30.85 Pathology Hep B Core Ab, Tot March -15 DOC DEMETRIUS 2/612015 17.50 Pathology Chlamydia /GCAmplifica March -15 DOC DANIEL 8/612014 10.00 Radiology X -Ray March -15 DOC ADAM 81812014 10.00 Radiology X -Ray March -15 DOC BRUCE 2/26/2015 17.50 Pathology Chlamydia /GCAmplifica March -15 DOC JEFFREY 2/17/2015 17.50 Pathology Chlamydia /GCAmplifica March -15 DOC KALIN 2/6/2015 17.50 Pathology Chlamydla /GCAmplifica March -15 DOC KELSEY 3/23/2015 2.89 Pathology Comp. Metabolic Panel March -15 DOC KELSEY 3/23/2015 20.00 Pathology Helper T- Lymph -CD4 March -15 DOC KELSEY 3/23/2015 98.00 Pathology RNA, Real Time PCR (No March -15 DOC JAMES 2113/2015 4.50 Pathology Phenytoin {Dilantin }, March -15 DOC RUSSELL 3124/2015 4.00 Pathology Lithium (Eskalith(R)), March -15 DOC THAVEY 2/1812015 6.70 Pa %logy PaneIO83824 March -15 DOC WILLIAM 3/212015 4.50 Pathology ValproicAcid (Depakot March -15 Page 27 "H" ICORRECTIONA14 1111 kfI��Recoxati�-s Cap Report - IBNR &Accrual Detail SCORE, WA For Contract Period From September 2015 to September 2016 Billable First Name DOS Agency Estimate Account Description Diagnosis Billing Period Jurisdiction Totals OC MICHAEL 8/1/2014 10.00 Radiology X -Ray March -15 OC STARLENE 8/8/2014 10.00 Radiology X -Ray March -15 OC CLINTON 2/10/2015 6.70 Pathology Panel 083824 March -15 OC CLINTON 2/10/2015 17.50 Pathology Chlamydia /GCAmplifica March -15 OC RYAN 8/6/2014 10.00 Radiology X -Ray March -15 OC CHRISTOPHER 3/6/2015 4.50 Pathology Valproic Acid (Da pakot March -15 OC KENDAL 3/19/2015 4.50 Pathology Valprolc Acid (Depakot March -15 OC JONNI 3/20/2015 17.50 Pathology Chlamydla /GCAmplifica March -15 OC MICHAEL 71212015 2.00 Pathology TSH March -15 OC MICHAEL 2/2/2015 2.75 Pathology CBC With Differential/ March -15 OC MICHAEL 2/2/2015 2.50 Pathology Hemoglobin Alc March -15 OC KARL 3/9/2015 17.50 Pathology Chlamydia /GCAmplifica March -15 OC CANDACE 8/18/2014 10.00 Radiology X -Ray March -15 OC KENNETH 3/4/2015 4.50 Pathology ValprolcAcid (Depakot March -15 OC DONALD 3/12/2015 17.50 Pathology Chlamydia /GCAmplifica March -15 OC WILLIAM 3/1812015 17.50 Pathology Chlamydia /GCAmplifica March -15 OC WILLIAM 3/24/2015 6.70 Pathology Pane1083824 March -15 OC DAGAN 2/13/2015 4.00 Pathology Lithium (Eskalith(R)), March -15 OC ROBYN 2/2212015 17.50 Pathology Chlamydia /GCAmplifica March-15 OC ANDREW 3/16/2015 2.25 Pathology CBC With Differential/ March -15 OC ANDREW 3/16/2015 2.89 Pathology Comp. Metabolic Panel March -15 OC ANDREW 3/16/2015 3100 Pathology Sedimentation Rate -Wes March -15 OC ANDREW 3/16/2015 6.00 Pathology HCV Antibody March -15 OC ANDREW 3/16/2015 6.70 Pathology Pane1083824 March -15 OC ANDREW 3/16/2015 17.50 Pathology Chlamydia /GCAmplifica March -15 OC MATTHEW 3/20/2015 2,503.98 HHB HHS March -15 OC DELANO 3/25/2015 175.00 Diagnostic Lab Ultrasound March -15 OC DELANO 3/25/2015 175.00 Diagnostic Lab Ultrasound March -15 OC SELLERS 3/2/2015 175.00 Diagnostic Lab Ultrasound March -15 OC KELSEY 3/23/2015 1,047.39 HHB HHB March -15 OC MATTHEW 1/1/2015 1,284.52 Hospitalization (ER) Epilepsy March -15 OC MATTHEW 1/1/2015 353.29 Hospitalization (ER) Epilepsy March -15 OC MATTHEW 1/1/2015 38.90 Hospitalization (ER) Epilepsy March -15 OC JONATHAN 3/9/2015 133.40 HHB HHB March -15 OC JONATHAN 3/9/2015 647.54 HHB HHB March -15 OC LENNY 3/17/2015 437.95 HHB HHB March -15 OC CONOR 3/2/2015 10.00 Radiology X -Ray April -15 OC AMBER 4/20/2015 17.50 Pathology Chlamydia /GCAmplifica April -15 0C JAMES - 4114/ 01S 4.50 H 1 g ?at�lola P r D. Ph en ( !ant4a), April-IS OC JUSTIN 4/27/2015 175.00 Diagnostic Lab Ultrasound April -15 OC KILEY 3/31/2015 2.25 Pathology C8C With Differential/ April -15 OC ROBERT 4/3/2015 2.89 Pathology Comp. Metabolic Panel April -1S OC STEVEN 4/1/2015 17.50 Pathology Chlamydia /GC Amplifica April -15 OC WILLIAMS 4/13/2015 17.50 Pathology Chlamydia /GCAmplifica April -15 OC RYAN 4/23/2015 6.70 Pathology Pane1083824 April -15 OC SHANE 4/5/2015 17.50 Pathology Chlamydia /GCAmplifica April -15 OC DEMETRIUS 4114/2015 6.70 Pathology Panel MaS24 April -15 OC DEMETRIUS 4/14/2015 17.50 Pathology Chlamydia /GCAmplifica April -15 0C DAVID 3/30/2015 1.00 Pathology Thyroxine (T4) April -15 OC DAVID 3/30/2015 2.00 Pathology TSH April -15 -OC DAVID 3/30/2015 2.12 Pathology RPR April -15 ,OC DAVID 3/30/2015 6.70 Pathology Pane1083824 Aprii -15 OC DAVID 3/30/2015 6.00 Pathology HCV Antibody April -1S ,OC DAVID 3/30/2015 17.50 Pathology Chlamyd €a /GCAmplifica April -15 ,OC AARON 4/1/2015 17.50 Pathology Ch lamydia/GC Amp lifica April -15 ,OC ISAIAH 41712015 17.50 Pathology Chlamydia / GCAmplifica April -15 10C ISAIAH 4/13/2015 6.70 Pathology Panel083824 April -15 IOC JUSTIN 3/18/2015 10.00 Radiology X -Ray Aprii -15 IOC DAVID 3/21/2015 10.00 Raftlogy X -Ray April -15 OC CHRISTOPHER 4/10/2015 124.67 9WHB HHB April -15 10C CHRISTOPHER 4/10/2015 604.54 HHB HHB April -15 Page 28 Page 29 iH�C0RR$CTIONAt HCALIHCARE COHPNIMS Cap Report - IBNR & Accrual Detail SCORE, WA For Contract Period From September 2015 to September 2016 Billable first Name DOS Agency Estimate Account Description Diagnosis Billing Period Jurisdiction Totals OC CHRISTOPHER 4/10 /2015 654.19 HHB HHB April -15 OC SARAH 4/24/2015 4.00 Pathology Lithium (Eskalith(R)), April -15 OC ANTONIO 4/14/2015 6.70 Pathology Pane1083824 April -15 OC ANTONIO 4/14/2015 17.50 Pathology Chlamydia /GCAmplifica April -15 OC ANTONIO 4/23/2015 17.50 Pathology Chlamydia /GCAmpliflca April -15 OC CHRISTOPHER 4/6/2015 17.50 Pathology Chlamydla /GCAmplifica April -15 OC DANIEL 11/7/2014 196.62 Hospitalization (ER) Joint Disorder April -15 OC DANIEL 11/7/2014 78.84 Hospitalization (ER) Joint Disorder April -15 OC TIMOTHY 4110/2015 6.70 Pathology Pane1083824 April -IS OC TIMOTHY 4/10/2015 17.50 Pathology Chlamydia /GCAmplifica April -15 OC JOANN 3/31/2015 2.25 Pathology CBC With Differential/ April -15 OC JOANN 3/3112015 2.89 Pathology Comp. Metabolic Panel April -15 OC JOANN 4/6/2015 2.25 Pathology CBC With Differential/ April -15 OC JOANN 4/8/2015 11.00 Pathology Ammonia, Plasma April -15 OC JOANN 3/3012015 10.00 Radiology X -Ray April -15 OC JOANN 3/30/2015 10.00 Radiology X -Ray April -15 OC JAMES 4/17/2015 563.22 HHB HHB April -15 OC JAMES 4/1712015 628.61 HHB HHB April -15 OC ISAIAH 3/24/2015 10.00 Radiology X -Ray April -15 OC MARKEISHA 4/312015 17.50 Pathology Chlamydia /GCAmplifica April -15 OC ROGER 4/9/2015 17.50 Pathology Chlamydla /GCAmplifica April -15 OC HERBERT 3/13/2015 10.00 Radiology X -Ray April -15 OC WM 3/27/2015 10.00 Radiology X -Ray April -15 OC ANDREW 10/29/2014 11.18 Hospitalization (ER) Paralysis April -15 OC ROBERT 4/28/2015 2.25 Pathology CBC With Differential/ April -15 OC ROBERT 4128/2015 2.00 Pathology Lipid Panel With LDL /H April -15 DC ROBERT 4/28/2015 2.89 Pathology Camp. Metabolic Panel April -15 DC TRAHN 5/11/2015 2,257.57 HFIB HHB May -15 OC FLOYD 5/12/2015 12.87 Pathology C difficile Toxins AiB May -15 DC EDWARD 5/20/2015 514.54 HHB HHB May -15 OC 105HUA 5/21/2015 17.50 Pathology Chlamydia /GCAmplifica May -15 OC James 4/29/2015 10.00 Radiology X -Ray May -15 DC AARON 5/13/2015 6.70 Pathology Pane1083824 May -15 DC AARON 5/13/2015 17.50 Pathology Chlamydia /GCAmplifica May -15 DC AARON 5113/2015 2.89 Pathology Comp. Metabolic Panel May -15 DC Daniel 4/8 /2015 10.00 Radiology X -Ray May -15 3C DARNELL 5124/2015 17.50 Pathology Chlamydia /GCAmplifica May -15 DC RAMON 5/25/2015 17.50 Pathology Chlamydia /GCAmplifica May -15 DC (MEGAN 5/7/2015 17.50 Pathology Chlamydia /GCAmplif-ca May -15 DC Kiley 2/1612015 10.00 Radiology X -Ray May -15 DC RICHARD 5/2612015 2.89 Pathology Comp. Metabolic Panel May -15 DC CYNTHIA 5/27/2015 2.00 Pathology TSH May -15 DC Jason 4/9/2015 10.00 Radiology X -Ray May -15 DC Jason 4/9/2015 10.00 Radiology X -Ray May -15 DC ANDREW 5/1812015 6.70 Pathology Pane1083824 May -15 DC ANDREW 5/18/2015 17.50 Pathology Chlamydia /GCAmpliflca May -15 DC IVORY 5/10/2015 17.50 Pathology Chlamydia /GCAmpliflca May -15 DC ANTHONY 4/29/2015 6.70 Pathology Pane1083824 May -15 ]C ANTHONY 4/29/2015 17.50 Pathology Chlamydia /GCAmplifica May -15 DC JASON 5/1/2015 17.50 Pathology Chlamydia /GCAmpliflca May -15 3C Christopher 4/10/2015 10.00 Radiology X -Ray May -15 3C JORDAN 5/12/2015 17.50 Pathology Chlamydia /GCAmplifica May -15 1C KIM 4/30/2015 4.50 Pathology Phenytoin (Dilantin), May -15 X Rigoberto 4116/2015 10.00 Radiology X -Ray May -15 DC KEVIN 5/18/2015 6.70 Pathology Pane1083824 May -15 JC KEVIN 5/18/2015 17.50 Pathology Chlamydla /GCAmpliflca May -15 DC REYMOND 5/1/2015 6.70 Pathology Pane1083824 May -15 DC REYMOND 5/1/2015 17.50 Pathology Chlamydia /GCAmplifica May -15 DC Reymond 4/11/2015 10.00 Radiology X -Ray May -15 ]C Reymond 4119/2015 10.00 RoWlogy X -Ray May -15 )C Wendy 4/6/2015 10100 Radiology X -Ray May -15 Page 29 NHLCORRECTIONAL HFAIT cAMCOMPAN" Cap Report - IBNR & Accrual Detail SCORE, WA For Contract Period From September 2015 to September 2016 Billable First Name DOS Agency Estimate Account Description Diagnosis Billing Period Jurisdiction Totals OC JEREMY 5/1/2015 17.50 Pathology Chlamydia /GCAmplifica May -1S OC MONICA 5/20/2015 17.50 Pathology Chia mydia /GCAmplifica May -15 OC COREY 5/8/2015 17.50 Pathology Chlamydia /GCAmplifica May -15 OC ABDULRASHID 413012015 6.70 Pathology Panel D83824 May -15 OC ABDULRASHID 4/30/2015 17.50 Pathology Chlamydia /GCAmplifica May -15 OC MONICA 5/15/2015 2.50 Pathology Hemoglob €nAlc May -15 OC Charles 4110/2015 10.00 Radiology X -Ray May -15 OC Monty 4/20/2015 10.00 Radiology X -Ray May -15 OC BENJAMIN 4/29/2015 6.70 Pathology Panel083824 May -15 OC BENJAMIN 4/29/2015 6.00 Pathology HCV Antibody May -15 OC BENJAMIN 4/29/2015 17.50 Pathology Chlamyd €a /GCAmplifica May -15 OC NATHAN 5/12/2015 630 Pathology Pane1083824 May -15 OC NATHAN 5/12/2015 17.50 Pathology Chlamydia /GCAmplifica May -IS OC JAMES 5/4/2015 1,204.04 HHB HHB May -IS OC JAMES 514/2015 1,344.30 HHB HHB May -15 OC JAMES 5/13/2015 563.22 HHB HHB May -15 OC JAMES 5113/2015 628.67 HHB HHB May -15 OC JAMES 5/2712015 563.22 HHB HHB May -15 OC JAMES 5/27/2015 628.67 HHB HHB May -15 OC Barbara 4/4/2015 10.00 Radiology X -Ray May -IS OC DONTA 5/12/2015 17.50 Pathology Chlamydia /GCAmplifca May -15 OC DONTA 5/26/2015 6.70 Pathology Pane1083824 May -15 OC DONTA 5/26/2015 6.00 Pathology HCV Ant €body May -15 OC CHARLES 5/18/2015 17.50 Pathology Chlamydia /GCAmplifica May -15 OC GEORGE 5/27/2015 10.00 Radiology X -Ray June -15 OC BOBBIE 6/23/2015 17.50 Pathology Chlamydia /GCAmplifica June -15 OC MARTIN 6115/2015 6170 Pathology Pane1083824 June -15 OC LARRY 6/24/2015 2.25 Pathology CBC With Differential/ June -15 OC JARED 6116/2015 17.50 Pathology Chlamydia /GCAmplifica June -15 OC MICHAEL 6/16/2015 2.25 Pathology CBC With Differential/ June -15 OC MICHAEL 6/16/2015 11.00 Pathology Ammonia, Plasma June -15 OC MICHAEL 6/16/2015 2.89 Pathology Comp. Metabolic Panel June -15 OC DUSTIN 6/17/2015 17.50 Pathology Chlamydla / GCAmplifica June -15 OC GERRI 6/17/2015 6.00 Pathology HCVAntibody June -15 OC GERRI 6/17/2015 17.50 Pathology Chlamydia /GCAmplifica June -15 OC LATONIA 6/1212015 2,626.56 HHB STRIBILD *3o TABS ONLY* 150- 150- 200 -300 MG June -15 OC LATONIA 6/15/2015 2.25 Pathology CBC With Differential/ June -15 OC LATONIA 6/15/2Os5 2.12 Pathology RPR Ilene -15 OC LATONIA 6 /1512015 2.89 Pathology Comp. Metabolic Panel June -15 OC LATONIA 6 /15/2015 38.00 Pathology CD4 /CD9 Ratio Profile June -15 OC LATONIA 6/1712015 2.12 Pathology RPR June -15 OC LATONIA 6/17/2015 17.50 Pathology Chlamydia /GCAmplifica June -15 OC MELISSA 6/3/20J5 175.00 Diagnostic lmaging ULTRASOUND CALL June -15 OC MELISSA 61212015 2.25 Pathology CBC With Differential/ June -IS OC MELISSA 6/3/2015 9.00 Pathology hCG,Beta Subunit, Qnt, June -15 OC DALE 6/25/2015 17.50 Pathology Chlamydia /GCAmplifica June -15 DC ANTONIO 6/812015 673.40 HHB TIVICAY50MG June -15 DC ANTONIO 6/812015 700.74 HHB TRUVADA 200 -300 MG June -15 DC KALIN 6/17/2015 4.50 Pathology ValproicAcid (Depakot June -15 DC MYRIAH 6/2/2015 17.50 Pathology Chlamydia /GCAmplifca June -15 OC JENNIFER 6112/2015 17.50 Pathology Chlamydia /GCAmplifica June -15 OC LAUREN 5/29/2015 17.50 Pathology Chlamydia /GCAmplifica June -15 OC LAUREN 5130/2015 2.25 Pathology CBC With Differential/ June -15 OC DAMIAN 6/12/2015 17.50 Pathology Chlamydia /GCAmplifica June -15 DC CHRISTOPHER 6/8/2015 2.89 Pathology Comp. Metabolic Panel June -15 DC CHRISTOPHER 6/8/2015 38.D0 Pathology C04 /C08 Ratio Profile June -15 OC CHRISTOPHER 618/2015 98.00 Pathology RNA, Real Time PCR (No June -15 OC CHRISTOPHER 6/15/2015 235 Pjl�pIogy Prothrombin Time (PT) June -15 DC CHRISTOPHER 6/15/2015 5.00 Pathology HBsAgScreen June -15 Page 30 l "1 CORRECTIONAL "C RFALTrrceaFcOMPANTrs Cap Report - fBNR &AccrualDetalI SCORE, WA For Contract Period From September 2015 to September 2016 Billable First Name DOS Agency Estimate Account Description Diagnosis Billing Period Jurisdiction Totals DOC CHRISTOPHER 6/15/2015 6.00 Pathology HCVAntibody June -15 DOC CHRISTOPHER 6/5/2015 124.67 HHB NORVIR 100 MG June -15 DOC CHRISTOPHER 6/5/2015 604.54 HHB REYATAZ300MG June -15 DOC CHRISTOPHER 6/5/2015 654.19 HHB TRUVADA 200 -300 MG June -15 DOC JEVANTE 5/28/2015 10.00 Radiology X -Ray June -15 DOC JEREMY 5/1/2015 10.00 Radiology X -Ray June -15 DOC ANDRE 6/24/2015 17.50 Pathology Chlamydia /GCAmplifica June -15 DOC ANTOINE 5/25/2015 10.D0 Radiology X -Ray June -15 DOC DAVID 514/2015 10.00 Radiology X -Ray June -15 DOC BRANDON 6/19/2015 17.50 Pathology Chlamydia /GCAmplifica June -15 DOC CHANTA 6/25/2015 17.50 Pathology Chlamydia /GCAmplifica June -15 DOC ASHLEY 2/24/2015 291.69 Hospitalization (ER) Epilepsy June 2015 DOC DEANNA 6/6/2015 17.50 Pathology Chlamydia /GCAmplifica June -15 DOC DEWAYNE S/4/2015 10.00 Radiology X -Ray June -15 DOC KRISTINE 6/8/2015 2,25 Pathology CBC With Differential/ June -15 DOC KRISTINE 6/8/2015 2.89 Pathology Camp. Metabolic Panel June -15 DOC BOBBIE 12/30/2014 150.77 Hospitalization (ER) Other Multiple and III - Defined Dislocations July 2015 DOC BOBBIE 12130/2014 373.68 Hospitalization (ER) Other Multiple and ill- Defined Dislocations Jufy2015 DOC DUSTIN 6/26/2015 10.00 Radiology X- Ray - Foot July -15 DOC LARRY 6129/2015 4.50 Pathology Valproie Acid (Depakot July -15 DOC ROBERT 6/5/2015 10.00 Radiology X- Ray - Chest July -15 DOC DAVID 7/25/2015 3.25 Pathology Urinalysis, Complete July -15 DOC DAVID 7/2512015 5.50 Pathology Urine Culture, Routine July -15 DOC DAVID 7/25/2015 17.50 Pathology Chlamydia /GCAmplifica July -15 DOC JUSTIN 7/25/2015 17.50 Pathology Chlamydia /GCAmplifica July -15 DOC JESSICA 7/27/2015 6.00 Pathology HCVAntibody July -15 DOC JESSICA 7/27/2015 17.50 Pathology Chlamydia /GCAmplifica July -15 DOC JESSICA 7/27/2015 6.70 Pathology Pane1083824 July -15 DOC CHRISTINE 6127/2015 17.50 Pathology Chia mydia /GC Amp lifica July -15 DOC CRAIG 6/12/2015 10.00 Radiology X- Ray - Ankle July -15 DOC SHANE 6/3012015 17.50 Pathology Chlamydia /GCAmplifica Jufy -15 DOC BRENT 7/19/2015 17.50 Pathology Chlamydia /GCAmplifica July -15 DOC JEFFREY 7/27/2015 2,249.60 HHB TRIUMEQ 600-50-300 MG July -15 DOC JEFFREY 7/2712015 2.89 Pathology Comp. Metabolic Panel July -15 DOC JEFFREY 7/27/2015 38.00 Pathology CD4 /CD8 Ratio Profile Juiy -15 DOC JEFFREY 7/27/2015 98.00 Pathology RNA, Real Time PCR (No July -15 DOC JONATHAN 6/30/2015 17.50 Pathology Chlamydia /GCAmplifica July -15 DOC DAVID 6/8/2015 10.00 Radlology X- Ray - Foot July ..IS DOC DARRYL 7/26/2015 17.50 Pathology Chlamydia /GCAmplifica July -15 DOC SHAWN 7121/2015 17.50 Pathology Chlamydia /GCAmplifica July -15 DOC PAUL 7/22/2015 4.50 Pathology ValprolcAcid (Depakot July -15 DOC ALAN 6/30/2015 10.00 Radiology X- Ray - Elbow July -15 DOC TYRONE 7/13/2015 17,50 Pathology Chlamydia /GCAmplifica July-15 DOC ROBERT 6/29/2015 2.25 Pathology CBC With Differentlal/ )uly -15 DOC R013ERT 6/29/2015 2.89 Pathology Comp. Metabolic Panel July -15 DOC RODERICK 7/1712015 17.50 Pathology Chlamydia /GCAmplifica July -15 DOC NATHAN 6/1/2015 10.00 Radiology X- Ray - Hand July -15 DOC JOHNATHAN 7/2112015 6.70 Pathology Pane1083624 July -15 DOC JOHNATHAN 7/21/2015 6.00 Pathology HCVAntibody July -15 DOC JOHNATHAN 7/21/2015 17.50 Pathology Chlamydia /GCAmplifica July -15 DOC SCOTT 6/10/2015 10.00 Radiology X- Ray - Femur July -15 DOC AMANDHLA 7/25/2015 2.75 Pathology Prothrombin Time (PT) July -15 DOC MATTHEW 7/8/2015 17.50 Pathology Chlamydia /GCAmplifica July -15 DOC DARREL 7/2/2015 17.50 Pathology Chlamydia /GCAmplifica July -15 DOC KRISTINE 6/812015 10.00 Radiology X- Ray - Chest July -15 DOC Charles 7/27/2015 10.00 Radiology Facial August -15 DOC DARREN 8/19/2015 137.24 HHB ENOXAPARIN SODIUM 80 MG /0.8 ML August -15 DOC CODIA 8121/2015 14.66 iff CYCLOSPORINE 50 MG August -I5 DOC CODIA 8/21/2015 71.38 HHB CYCLOSPORINE MODIFIED 100 MG August -15 Page 3i taliu'[�/i CORRECT1oNAC ��'13V B`L'uCARECUMPANTLS Cap Report -1BNR &Accrual Detail SCORE, WA For Contract Period From September 2015 to September 2016 Billable First Name DOS Agency Estimate Account Description Diagnosis Billing Period Jurisdiction Totals DOC RAPHAELLA 8/21/2015 124.67 HHB NORVIR 100 MG August -15 DOC RAPHAELLA 8/21/2015 604.54 HHB REYATA7300MG August -I5 DOC RAPHAELLA 8121/2015 654.19 HHB TRUVADA 200 -300 MG August -IS DOC RAPHAELLA 8131/2015 303.52 HHB REYATAZ 300 MG August -15 DOC Kacey 7121/2015 10.DD Radiology Wrist August -15 DOC Jeric 7/28/2015 10.00 Radiology hand August -15 DOC Nodle 7/16/2015 10.00 Radiology Ankle August -15 DOC Dustin 7/7/2015 10,00 Radiology Shoulder August -15 DOC Robert 7/3/2015 10.00 Radiology Chest August -15 DOC Robert 71612015 10.00 Radiology Chest August -1S DOC Greg 7/31/2015 10.00 Radiology Chest August -15 DOC BOBBIE 9/1612015 17.50 Pathology Chlamydla /GCAmpliflca September -15 DOC JOHN 8/6/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 DOC MICHAEL 8/18/2015 17.50 Pathology Chlamydia /GCAmpliflca September -15 DOC MICHAEL 8/4/2015 10.00 Radiology HAND September -15 DOC BROOKE 8/27/2015 4.50 Pathology Valproic Acid (Depakot September -15 DOC WILLIE 8/21/2015 10.00 Radiology WREST September -15 DOC WILLIE 8/21/2015 10.00 Radiology ANKLE September -15 DOC JOSEPH 9/23/2015 6.00 Pathology HCVAntibody September -15 DOC JOSEPH 9123/2015 17.50 Pathology Chlamydia /GCAmpliflca September -15 DOC ASHLEY 9116/2015 17.50 Pathology Chlamydla /GCAmplifica September -15 DOC GAVIN 8129/2015 17.50 Pathology Chlamydia /GCAmpliflca September -15 DOC RAMON 9/4/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 DOC AMY 9/23/2015 175.00 Diagnostic Lab Ultra Sound September -15 DOC AMY 9/1912015 2.25 Pathology CSC With Differential/ September -15 DOC AMY 9/19/2015 2.89 Pathology Camp. Metabolic Panel September -15 DOC AMY 9/1912015 2.25 Pathology CBC With Differential/ September -1S DOC AMY 9/19/2015 3.00 Pathology Sedimentation Rate -Wes September -15 DOC AMY 9/21/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 DOC JAMES 9/1/2015 4.50 Pathology Phenytoin (Dilantln), September -1S DOC CHRISTOPHER 8/11/2015 6.70 Pathology Pane3083824 September -15 DOC CHRISTOPHER 8/11 /2015 6.00 Pathology HCV Antibody September -15 DOC CHRISTOPHER 8/11/2015 1730 Pathology Chlamydia /GCAmpliflca September -15 DOC SAMANTHA 9121/2015 17.50 Pathology Chlamydia /GCAmpliflca September -15 DOC ANDREW 9/15/2015 17.50 Pathology Chlamydia /GCAmpliflca September -15 DOC KONSTANTINE 8/10/2015 10.00 Radiology KNEE September -15 DOC MICHAEL 8/17/2015 4.50 Pathology Phenytoin (Dilantin), September -15 DOC MICHAEL 8/20/2015 4.50 Pathology Phenytoin (Dilantin), Septembef -1S DOC STEPHANIE 9/14/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 DOC TUJUAN 911/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 DOC RAPHAELLA 91712015 63.59 HHB NORVIR 100 MG September -15 DOC RAPHAELLA 9/7/2015 303.52 HHB REYATAZ300MG September -15 DOC RAPHAELLA 9/7/2015 328.35 HHB TRUVADA 200 -300 MG September -15 DOC RAPHAELLA 9/1112015 89.77 HHB NORVIR 100 MG September -15 DOC RAPHAELLA 9/11/2015 432.53 HHB REYATA7300MG September -15 DOC RAPHAELLA 9111/2015 467.99 HHB TRUVADA 200 -300 MG September -15 DOC BRENDAN 8/31/2015 17.50 Pathology Chlamydia /GCAmpliflca September -15 DOC MELISSA 8/11/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 DOC MICHAEL 8/18/2015 6.70 Pathology Pane1083824 September -15 DOC MICHAEL 8/18/2015 6.00 Pathology HCV Antibody September-15 DOC JUSTIN 9/22/2015 6.70 Pathology PanelO83624 September -15 DOC JUSTIN 9/22/2015 6.00 Pathology "CV Antibody September -15 DOC JUSTIN 9/22/2015 17.50 Pathology Chlamydia /GCAmpliflca September -15 DOC DARRYL 7/30/2015 17.50 Pathology Chlamydia /GCAmpliflca September -15 DOC SHAWN 9/8/2015 2.25 Pathology CBC With Differential/ September -15 DOC SHAWN 9/8/2015 6.70 Pathology Pane1083824 September -15 DOC SHAWN 9/8/2015 6.00 Pathology HCVAntibody September -15 DOC DANIELLE 9/8/2015 17.50 Po"logy Chlamydia /GCAmplifica September -15 DOC PAUL 8127/2015 430 Pathology Valprolc Acid (Depakot September -15 Page 32 _Bp!l lI CORRECTIONAL �ELH` irEAITHCARE COMPJ -TES Cap Report- IBNR &Accrual Detail SCORE, WA For Contract Period From September 2015 to September 2016 Billable First Name DOS Agency Estimate Account Description Diagnosis Billing Period Jurisdiction Totals DOC PAUL 9/4/2015 4.50 Pathology Valproic Acid (Depakot September -15 DOC PAUL 9/4/2015 6.70 Pathology Pane1083824 September -15 DOC PAUL 9/4/2015 6.00 Pathology HCVAntibody September -15 DOC LAWRENCE 8/24/2015 6.70 Pathology PaneIO83824 September -15 DOC MONICA 81812015 17.50 Pathology Chlamydla /GCAmplifica September -15 DOC MICHAEL 9/18/20I5 406.83 HHB ENOXAPARIN SODIUM 120 MG /0.8 ML September -15 DOC MICHAEL 9/2712015 2.75 Pathology Prothrombin Time (PT) September -IS DOC BRANDIE 812612015 17.50 Pathology Chlamydia /GCAmplifica September -15 DOC CORY 9/19/2015 1.57 Pathology CBC With Differential/ September -15 DOC DEANNA 8/27/2015 10.00 Radiology CHEST September -15 DOC TYRONE 7/21/2015 430.02 Ambulance Hypotension September -1S DOC FRANK 8/22/2015 3.23 Pathology Phosphorus, Serum September -15 DOC FRANK 8122/2015 4.00 Pathology Amyiase, Serum September -15 DOC FRANK 8/22/2015 3.00 Pathology Lipase, Serum September -15 DOC FRANK 8/2212015 2.80 Pathology Magnesium, Serum September -15 DOC FRANK 8/22/2015 2.25 Pathology CBC With Differential/ September -15 DOC FRANK 8/22/2015 11.00 Pathology Ammonia, Plasma September -15 DOC FRANK 8/22/2015 2.89 Pathology Comp. Metabolic Panel September -15 DOC FRANK 8/31/2015 10.00 Radiology ABDOMEN September -15 DOC AMY 8/21/2015 4.00 Pathology Thyroxine (T4) Free, D September -I5 DOC AMY 8/21/2015 2.00 Pathology TSH September -15 DOC JENNIFER 8/27/2015 17.50 Pathology Chia mydia/GC Amp lifica September -15 DOC NAVEY 9/15/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 DOC CHRISTOPHER 9/1/2015 6.70 Pathology Pane1083824 September -15 DOC CHRISTOPHER 9/1/2015 6.00 Pathology HCV Antibody September -15 DOC CHRISTOPHER 9/112015 17.50 Pathology Chlamydia /GCAmplifica September -15 DOC SIR OSVALD 9/3/2015 17.50 Pathology Chlamydla /GCAmplifica September -15 DOC TREVIS 9/21/2015 4.DD Pathology Lithium (Eskalith(R)), September -15 DOC MITCHELL 8/4/2015 17.50 Pathology Chlamydia /GC Amplifica September -15 DOC SERGEY 7/30/2015 6.70 Pathology Pane1083824 September -15 DOC SERGEY 7/30/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 DOC DENNIS 8/1/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 DOC DEAN 8/7/2015 6.70 Pathology Panel083824 September -IS DOC DEAN 817/2015 6.00 Pathology HCV Antibody September -15 DOC DEAN 8/7/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 DOC DEAN 8/12/2015 4.50 Pathology Valproic Acid (Depakat September -15 DOC AZIA 812412015 6.70 Pathology Pane1083824 September -15 DOC AZIA _ 81124,2015 G.W Pathology I9CVAntibody SCPt8dnbcr -15 DOC AZIA 8/24/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 DOC WILLIAM 8/2612015 4.50 Pathology ValproicAcid (Depakot September -15 DOC WILLIAM 8/17/2015 10.00 Radiology CHEST September -15 DOC DAVID 8/26/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 DOC DAVID 9/30/2015 10.00 RADIOLOGY SHOULDER October -15 DOC STEVEN 9/15/2015 10.00 RADIOLOGY FACIAL October -15 DOC AMY 9/17/2015 10100 RADIOLOGY CHEST October -15 DOC LESLIE 912312015 10.00 RADIOLOGY WRIST October -15 DOC FEDER 9/2312015 10.00 RADIOLOGY ABDOMEN October -15 DOC JEFFREY 9/7/2015 10.00 RADIOLOGY KNEE October -15 DOC DANIEL 9/29/2015 10.00 RADIOLOGY HAND October -15 DOC DANIEL 9/3012015 10.00 RADIOLOGY HAND October -15 DOC YURI 12/11/2014 1,479.16 Ambulance Heart Disease October -15 DOC YURI 12/1112014 120.50 Ambulance Heart Disease October -15 DOC CORY 9/18/2015 10.00 RADIOLOGY ABDOMEN October -15 DOC SHELBY 9/21/2015 10.00 RADIOLOGY HAND October -15 DOC BOBBIE 10 /15/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 DOC Bobbie IOJ14/2015 10.00 Radiology Hand November -15 DOC Bobbie 10115/2015 10.00 Radiology Ribs November -15 DOC Juan 1012512015 10.00 R"Vogy Chest November -15 DOC TESSA 11/12/2015 6.70 Pathology Pane1083824 November -15 Page 33 ! !'1T�ll`CORRECTIONAL l A VH` r�SLDICARECO'IMN--rrs Cap Report - IBNR & Accrual Detail SCORE, WA For Contract Period From September 2015 to September 2016 Billable First Name DOS Agency Estimate Account Description Diagnosis Billing Period JudsdIctlon Totals OC TESSA 11/12/2015 6.00 Pathology HCVAntibody November -15 OC TESSA 11/12/2015 17.50 Pathology Chlamydia /GC Ampliflca November -15 OC ZACHARY 11/7/2015 17.50 Pathology Chlamydia /GCAmplif€ca November -15 OC CHRIS 11/17/2015 6.70 Pathology Pane1083824 November -SS OC CHRIS 11/17/2015 6.00 Pathology HCVAntibody November -15 OC MICHAEL 10/8/2015 17.50 Pathology Chlamydia /GCAmpliflca November -15 OC MICHAEL 10/10/2015 6.70 Pathology Pane1083824 November -15 OC MICHAEL 10110/2015 6.00 Pathology HCVAntibody November-IS OC MICHAEL 11/13/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 OC DONTAE 11/26/2015 4.50 Pathology Phenytoin (Dilantin), November -15 OC DONTAE 11/26/2015 6.70 Pathology Pane] 083824 November -15 OC DONTAE 11/26/2015 6.00 Pathology HCV Antibody November -15 OC FARRAH 11/10/2015 6.70 Pathology Pane[ 083824 November -15 OC FARRAH 11/10/2015 6.00 Pathology HCVAntibody November -15 OC FARRAH 11/1012015 17.50 Pathology Chlamydia /GC Ampliflca November -15 OC GAVIN 10/2912015 230 Pathology Hemoglobin A1c November -15 OC GAVIN 10/29/2015 2.25 Pathology CBC With Differential/ November -15 OC GAVIN 10/29/2015 2.89 Pathology Comp. Metabolic Panel November -1S OC FRANKIE 11/3/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 OC MICHAEL 10/7/2015 17.50 Pathology Chia mydia /GC Ampliflca November -15 OC ZACHARY 10/23/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 OC JAMES 10/31/2015 17.50 Pathology Chlamydia /GCAmpliflca November -1S OC ANTONIO 10/26/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 OC ANTONIO 11/26/2015 6.70 Pathology Pane]083824 November -15 OC ANTONIO 11/26/2015 6.00 Pathology HCVAntibody November -1S OC ANTONIO 11/26/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 0C CHARLOTTE 11123/2015 19.83 Pathology Thyroid Panel November -15 OC THOMAS 11/25/2015 5.74 Pathology Hep B Surface Ab November -15 OC THOMAS 11/25/2015 6.70 Pathology Pane1083824 November -15 OC THOMAS 11/25/2015 6.00 Pathology HCVAntibody November -15 OC ADREN 10/24/2015 6.70 Pathology Pane1083824 November -15 OC ADREN 10/24/2015 6.00 Pathology HCVAntibody November -15 OC ADREN 10/24/2015 17.50 Pathology Chlamydia /GCAmpI €mica November -15 OC STANLEY 10/1/2015 4.50 Pathology ValproicAcid (Depakot November -15 OC KRYSTAL 10/1/2015 6.70 Pathology Pane1083824 November -15 OC KRYSTAL 10/1/2015 6.00 Pathology HCVAntibody November -15 OC KRYSTAL 10/1/2015 17.50 Pathology Chlamydia /GCAmplifca November -15 OC E) Al !nl 11ro�2015 6.7u" Pathology Panel 083924 11 avers: ba.-1 5 OC FJAI 11/8/2015 6.00 Pathology HCVAntibody November -15 OC EJAI 11/8/2015 17.50 Pathology Chlamydia/GC Ampliflca November -15 OC LESLIE 10/27/2015 17.50 Pathology Chlamydia /GC Ampliflca November -15 OC LESLIE 10/29/2015 2.25 Pathology CBC With Differential/ November -15 OC LESLIE 10/29/2015 4.50 Pathology ValproicAcid (Depakot November -15 OC LESLIE 10/29/2015 2.89 Pathology Comp. Metabolic Panel November -1S OC DANIEL 10/31/2015 17.50 Pathology Chlamydia /GC Ampliflca November -15 OC CANDACE 11/17/2015 6.70 Pathology Pane1083824 November -15 OC CANDACE 11/17/2015 6.00 Pathology HCVAntibody November -15 OC CANDACE 11/19/2015 17.50 Pathology Chlamydia /GCAmpI €flca November -1S OC MICHAEL 10/27/2015 17.50 Pathology Chlamydia /GCAmpliflca November -15 OC JAMES 11/26/2015 6.70 Pathology Pane1083824 November -15 OC JAMES 11/26/2015 6.00 Pathology HCVAntibody November -15 OC JAMES 11/26/2015 17.50 Pathology Chlamyd €a /GCAmplifica November -15 OC BILLY 10/23/2015 17.50 Pathology Chlamydia /GCAmplifca November -15 0C ERNEST 11/25/2015 2.50 Pathology HemoglobinAlc November -15 OC ERNEST 11/25/2015 2.25 Pathology CBC With Differential/ November -15 OC ERNEST 11/25/2015 3.44 Pathology Lipid Panel November -15 OC ERNEST 11/25/2015 2.89 Pathology Comp. Metabolic Panel November -15 OC MICHAEL 1011012015 6.70 Pj "logy Pane1083824 November -15 OC MICHAEL 10/10/2015 6.00 Pathology HCVAntibody November -15 Page 34 CMp/��•�r--1�r!'1 CORRECTIONAL RFAL7HCARF,CO) MISS Cap Report -I BNR & Accrual Detail SCORE, WA For Contract Period From September 2015 to September 2016 Billable First Name DOS Agency Estimate Account Description Diagnosis Billing Period Jurisdiction Totals DOC MICHAEL 10/10/2015 34.88 Pathology H5V, IgM 1 /II Combinat November -15 DOC DAVID 11/212015 17.50 Pathology Chlamydia /GCAmplifica November -15 DOC Joshua 10/8/2015 10.00 Radiology Wrist November -15 DOC Desiree 10/28/2015 10.00 Radiology Hand November -15 DOC CHRISTOPHER 11/12/2015 6.70 Pathology Pane1083824 November -15 DOC CHRISTOPHER 11/12/2015 6.00 Pathology HCVAntibody November -15 DOC MIRANDA 11/23/2015 9.00 Pathology hCG,Beta Subunit, Qnt, November -15 DOC MIRANDA 11/23/2015 2.25 Pathology CBC With Differential/ November -15 DOC MIRANDA 11/23/2015 6.70 Pathology Pane1083824 November -15 DOC MIRANDA 11/2312015 6.00 Pathology HCVAntibody November -15 DOC MIRANDA 11/23/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 DOC MIRANDA 11/23/2015 2.89 Pathology Comp. Metabolic Panel November -15 DOC DIANA 10/30/2015 7.00 Pathology Sensitivity Organism It November -I5 DOC DIANA 10/30/2015 5.50 Pathology Urine Culture, Routine November -15 DOC DIANA 10/30/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 DOC ROBERT 11/ 6/2015 6.70 Pathology Pane1083824 November -15 DOC ROBERT 11/6/2015 6.00 Pathology HCVAntibody November -15 DOC ROBERT 11/6/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 DOC JONATHAN 11/2412015 2.80 Pathology Magnesium, Serum November -15 DOC JONATHAN 11/24/2015 2.89 Pathology Comp. Metabolic Panel November -15 DOC DUNG 10/28/2015 17.50 Pathology Chlamydla /GC Ampl €fica November -15 DOC RACHELLE 10/30/2015 6.70 Pathology Pane1083824 November -15 DOC RACHELLE 10/30/2015 31.55 Pathology HSV 1 and 2- Specific A November -15 DOC JEFFREY 10/30/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 DOC BRANDON 11/13/2015 6.70 Pathology Pane1083824 November -15 DOC BRANDON 11113/2015 6.00 Pathology HCVAntibody November -15 DOC BRANDON 11/13/2015 17.50 Pathology Chia mydia/GC Am plifica November -15 DOC JAZMINE 11/612015 17.50 Pathology Chlamydia /GCAmplifica November -15 DOC KIMBERLY 101912015 7.00 Pathology Sensitivity Organism 4 November -15 DOC KIMBERLY 10/9/2015 3.25 Pathology Urinalysis, Complete November -15 DOC KIMBERLY 10/9/2015 5.50 Pathology Urine Culture, Routine November -15 DOC Kimberly 10/7/2015 10.00 Radiology Foot November -15 DOC DONTE 11/22/2015 17.50 Pathology Chlamyd €a / GCAmplifica November -15 DOC MATTHEW 1/5/2015 250.55 Hospitalization Epilepsy November -15 DOC NATHANIEL 11/23/2015 2.50 Pathology Hemoglobin A1c November -15 DOC JOSHUA 111412015 6.70 Pathology Pane1083824 November -15 DOC JOSHUA 11/412015 6.00 Pathology HCVAntibody November -15 DOC JOSHUA 1114/2015 17.50 Pathology Chiamydia / GCAmpiifca Novernbei -1S DOC DAVID 10/16/2015 2.50 Pathology Hemoglobin Alc November -15 DOC PAUL 11/1/2015 4.50 Pathology ValproicAcid (Depakot November -15 DOC DANIEL 11/2/2015 6.94 Pathology Rapid Piasma Reagin, Q November -15 DOC DANIEL 11/2/2015 6.70 Pathology Pane1083824 November -15 DOC DANIEL 11/2/2015 6.00 Pathology HCVAntibody November -15 DOC DANIEL 11/2/2015 17.50 Pathology Chlamyd €a /GCAmplifica November -15 DOC IRENE 10/31/2015 28.34 Pathology Prenatal Profile I November -15 DOC ADAM 9/3012015 6.70 Pathology Pane1083824 November -15 DOC ADAM 9/30/2015 6.00 Pathology HCVAntibody November -15 DOC ADAM 9130/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 DOC JAROD 11/26/2015 4.00 Pathology Lithium (Eskalith(R)), November -15 DOC -TEQUILA 10/29/2015 2.50 Pathology Hemoglobin Alc November -15 DOC TEQUILA 10/29/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 DOC AMANDA 11/21/2015 6.70 Pathology Panel083824 November -15 DOC AMANDA 11/21/2015 6.00 Pathology HCVAntibody November -15 DOC AMANDA 11121/2015 17.50 Pathology Chia mydia /GCAmplifica November -15 DOC MONICA 10/7/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 DOC JASON 9130/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 DOC JORDAN 11/16/2015 17.50 Pathology Chlamyd €a /GC Ampli ica November -15 DOC ROBERT 9/3012015 2.75 Paltbalogy Prothrombin Time (PT) November -15 DOC PATRICK 11/17/2015 6.70 Pathology Pane1083824 November -15 Page 35 nun CORRECTIONA1 NHL nrarrnCARFCo` p' "'M Cap Report - IBNR & Accrual Detail SCORE, WA For Contract Period From September 2015 to September 2016 Billable First Name DOS Agency Estimate Account Description Diagnosis Billing Period Jurisdiction Totals PATRICK 11/17/2015 6.00 Pathology HCV Antibody November -15 DONALD 10/25/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 SACIID 11119/2015 6.00 Pathology HCVAntibody November -15 SACIID 11/19/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 YURI 12/11/2014 219.23 Hospitalization (ER) Heart Disease November -15 AMBER 10/10/2015 1730 Pathology Chlamydia /GCAmplifica November -15 JOSE 11126/2015 6.70 Pathology Panel083824 November -15 JOSE 11/26/2015 6.00 Pathology HCVAntibody November -15 JOSE 11/26/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 JESSIE 10123/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 SHAQUILLE 10/31/2015 17.50 Pathology Chlamydia / GCAmplifca November -15 CRYSTAL 11/112015 17.50 Pathology Chlamydia /GCAmplifica November -15 DASHONE 11/12/2015 6.70 Pathology Pane1083824 November -15 DASHONE 11/12/2015 6.00 Pathology HCVAntibody November -15 DUSTIN 1012312015 17.50 Pathology Chlamydia /GCAmplifica November -15 Dustin 10/14120I5 10.00 Radiology Shoulder November -15 KRISTINA 10/9/2015 9.00 Pathology hCG,Beta Subunit, Qnt, November -15 KRISTINA 10/9/2015 2.89 Pathology Comp. Metabolic Panel November -15 SCOTT 11/9/2015 6.70 Pathology Pane1083624 November-15 SCOTT 11/9/2015 6.D0 Pathology HCVAntlbody November -15 LORENZO 11/23/2015 6.70 Pathology Panel083824 November -15 LORENZO 11/23/2015 6.00 Pathology HCVAntibody November -15 LORENZO 11/23/2015 2.89 Pathology Comp. Metabolic Panel November -15 NAVEY 11/21/2015 17.50 Pathology Chia mydia /GCAmplifica November -15 DORION 11/19/2015 3.25 Pathology Urinalysis, Complete November -15 DORION 11/19/2015 S.SO Pathology Urine Culture, Routine November -15 DORION 11/19/2015 6.70 Pathology Pane] 083824 November -15 ERIKA 9/30/2015 2.25 Pathology CBC With Differential/ November -15 ERIKA 9/30/2015 10.76 Pathology Rh Factor November -15 ERIKA 9/30/2015 6.70 Pathology Pane1083824 November -15 ERIKA 9/30/201S 6.00 Pathology HCVAntibody November -15 ERIKA 9/30/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 ERIKA 9/30/2015 2,89 Pathology Comp, Metabolic Panel November -15 JOHNATHON 11/4/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 MICHAEL 11/6/2015 17.50 Pathology Chlamydia / GCAmpiif]ca November -15 JOHN 11/2/2015 4.00 Pathology Amylase,Serum November -15 JOHN 11/2/2015 3.00 Pathology Lipase, Serum November -15 JOHN 11/2/)015 2.25 Pathology (BC With Differentiai/ November-I5 JOHN 11/2/2015 2.89 Pathology Comp, Metabolic Panel November -15 JOHN 11118/2015 2.25 Pathology CBC With Differential/ November -15 JOHN 11/18/2015 2.89 Pathology Camp. Metabolic Panel November -15 TRAVIS 10125/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 PAUL 10/15/2015 2,00 Pathology TSH November -15 PAUL 10/15/2015 2.25 Pathology CBC With Differential/ November -1S PAUL 10/15/2015 2.89 Pathology Comp. Metabolic Panel November -15 KEVIN 10/27/2015 1730 Pathology Chlamydia /GCAmpliflca November -15 MERON 11/S/2015 6.70 Pathology Pane1083824 November -15 MERON 111512015 6.00 Pathology HCVAntibody November -IS MERON 111512015 17.50 Pathology Chlamydia /GCAmplifica November -15 HANNAH 11/19/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Anh 10131/20I5 10.00 Radiology Chest November -15 SARAH 11/4/2015 3.25 Pathology Urinalysis, Complete November -IS SARAH 111412015 17.50 Pathology Chlamydia /GCAmplifica November -15 SARAH 11/912015 6.94 Pathology Rapid Plasma Reagin, Q November -15 SARAH 11/912015 6.70 Pathology PanelD83824 November -1S SARAH 11/912015 6.00 Pathology HCVAntibody November -I5 SARAH 11/9/2015 40.81 Pathology Oxcarbazepine (Trilept November -15 SARAH 11114/2015 17.50 11ftlogy Chlamydia /GCAmplifica November -15 SARAH 11/19/2015 835 Pathology Aerobic Bacterial Cult November -15 Page 36 CORRECTIONAL `LT�II 1H HEAITHCAREMATA.NTrs Cap Report -18NR & Accrual Detail SCORE, WA For Contract Period From September 2015 to September 2016 13111able First Name DOS Agency Estimate Account Description Diagnosis Billing Period Jurisdiction Totals DOC ARMIN 11/812015 17.50 Pathology Chlamydia /GCAmpliflca November -15 DOC ANDREW 10/3012014 70.55 Hospitalization Paralysis November -15 DOC ISAAC 10/13/2015 4.50 Pathology ValproicAcid (Depakot November -15 DOC THEODORE 11/12/2015 6.70 Pathology Pane1083824 November -15 DOC THEODORE 11/12/2015 6.00 Pathology HCV Antibody November -15 DOC CORY 11126/2015 6.70 Pathology Pane1083824 November -15 DOC CORY 11/26/2015 6.00 Pathology HCV Antibody November -15 DOC CORY 11/26/2015 17.50 Pathology Chiamydia /GC Ampliflca November -15 DOC JOHNTRAY 10/25/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 DOC RYAN 11/18/2015 2.50 Pathology Hemoglobin Aic November -15 DOC RYAN 11/18/2015 10.80 Pathology Glucose, Two -Hour Post November -15 DOC RYAN 11/25/2015 17.50 Pathology Chlamydia /GC Ampliflca November -15 DOC MELVIN 10/21/2015 6.70 Pathology Pane1083824 November -15 DOC MELVIN 10/21/2015 6.00 Pathology HCVAntibody November -15 DOC MELVIN 10/25/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 DOC JACK 11/24/2015 6.70 Pathology Pane1083824 November -15 DOC JACK 11/24/2015 21.50 Pathology Hepatitis Panel (4) November -IS DOC KRISTINE 10/25/2015 17.50 Pathology Chiamydia /GC Ampliflca November -15 Duvall JAMIE 7/28/2014 10.00 Radiology X -Ray March -1S Duvall Anne 101612015 10.00 Radiology Tib /Fib Novernber -15 Fife ELENA 9/2912014 3.34 Pathology Pathology October-14 Fife ELENA 9/29/2014 2.50 Pathology Pathology October -14 Fife ELENA 9/29/2014 6.70 Pathology Pathology October -14 Fife RONDINA 10/6/2014 5.50 Pathology Pathology October -14 Fife RONDINA 10/6/2014 7.00 Pathology Pathology October -14 Fife RONDINA 10/6/2014 17.50 Pathology Pathology October -14 Fife RONDINA 10/16/2014 2,89 Pathology Pathology October -14 Fife RONDINA 10/16/2014 5.50 Pathology Pathology October -14 Fife RONDINA 10/16/2014 82.00 Pathology Pathology October -14 Fife KRISTA 10/2/2014 17.50 Pathology Pathology October -14 Fife ANNE 10/19/2014 (2.25) Pathology Pathology October -14 Fife ANNE 10/19/2014 17.50 Pathology Pathology October -14 Fife HILARY 10/15/2014 17.50 Pathology Pathology October -14 Fife LATONIA 10/13/2014 (82.00) Pathology Pathology October -14 Fife LATONIA 10113/2014 20.00 Pathology Pathology October -14 Fife SHANNON 10124/2014 98.00 Pathology Pathology October -14 Fife CHARLES 9/2812014 27.D0 Pathology Pathology October -14 Fife TAMARA 9/30/2014 27.00 Paiilulvgy Pathology October -14 Fife JASMINE 10/23/2014 17.50 Pathology Pathology October -14 Fife CHEY 9/28/2014 27.00 Pathology Pathology October -14 Fife DELTA 10/19/2014 2.25 Pathology Pathology October -14 Fife TAUFIQUA 10/9/2014 17.50 Pathology Pathology October -14 Fife TAMARA 9/25/2014 27.00 Pathology Pathology October -14 Fife DEJON 10/15/2014 5.50 Pathology Pathology October -14 Fife DEJON 10/16/2014 17.50 Pathology Pathology October -14 Fife DEJON 10120/2014 17.50 Pathology Pathology October -14 Fife CHERISE 9/27/2014 27.00 Pathology Pathology October -14 Fife CHERISE 9/2712014 5.50 Pathology Pathology October -14 Fife CLAUDIA 11/7/2014 17.50 Pathology Pathology November -14 Fife ELENA 11/5/2014 17.50 Pathology Pathology November -14 Fife CORY 11/3/2014 17.50 Pathology Pathology November -14 Fife STEVEN 11/3/2014 4.50 Pathology Pathology November -14 Fife RONDINA 1J/21/2014 2.89 Pathology Pathology November -14 Fife RONDINA 11/21/2014 98.00 Pathology Pathology November -14 Fife RICHARD 11/4/2014 4.00 Pathology Pathology November -14 Fife DAJUAN 11/21/2014 17.50 Pathology Pathology November -14 Fife KEITH 11/21/2014 17.50 Pathology Pathology November -14 Fife BRITTANY 11/11/2014 17.50 1)16glogy Pathology November -14 Fife ROBIN 11/5/2014 5.50 Pathology Pathology November -14 Page 37 >�nu nIC0RRECT1OXA1: V11L BFALTUCARECO31PANMS Cap Report - IBNR & Accrual Detail SCORE, WA For Contract Period From September 2015 to September 2016 Billable First Name DOS Agency Estimate Account Description Diagnosis Billing Period Jurisdiction Totals ife ROBIN 11/5/2014 17.50 Pathology Pathology November -14 Ile LETHESCIA 11/24/2014 6.70 Pathology Pathology November -14 Ile LINDA 11/7/2014 17.50 Pathology Pathology November -14 ife EMILY 11/10/2014 4.00 Pathology Pathology November -14 ife JAMES 11/10/2014 2.25 Pathology Pathology November -14 ife JAMES 11/10/2014 2.89 Pathology Pathology November -14 Ife JAMES 11/10/2014 3.00 Pathology Pathology November -14 ife JAMES 11/1212014 11.00 Pathology Pathology November -14 ife JAMES 11/19/2014 4.50 Pathology Pathology November -14 ife TAMMIE 11/112014 6.70 Pathology Pathology November -14 Ife MELISSA 11/14/2014 17.50 Pathology Pathology November -14 Ife DANIEL 11/10/2014 4.00 Pathology Pathology November -14 ife EVANDER 11/3/2014 2.00 Pathology Pathology November -14 Ife EVANDER 11/3/2014 2.25 Pathology Pathology November -14 ife EVANDER 11/3/2014 2.58 Pathology Pathology November -14 ife EVANDER 11/3/2014 4.50 Pathology Pathology November -14 ife EVANDER 11/19/2014 4.50 Pathology Pathology November -14 Ife VOLODYMY 11/4/2014 2.25 Pathology Pathology November -14 ife VOLODYMY 11/4/2014 2.89 Pathology Pathology November -14 Ife ERIC 12/4/2014 2.75 Pathology Pathology December -14 ife ELENA 12/4/2014 21,60 Pathology Pathology December -14 €fe ANGELA 12119/2014 17.50 Pathology Pathology December-14 ife DAVID 12/14/2014 4.50 Pathology Pathology December -14 Ife DOMONiC 1212212014 17.50 Pathology Pathology December -14 ife TAUREAN 12/20/2014 2.50 Pathology Pathology December -14 Ife NORMAN 12122/2014 2.89 Pathology Pathology December -14 Ife NORMAN 12/22/2014 6.50 Pathology Pathology December -14 ife VICTORIA 12/11/2014 17.50 Pathology Pathology December -14 Ife BRITTANY 1112812014 2.75 Pathology Pathology December -14 Ife AKEEM 12/212014 17.50 Pathology Pathology December -14 ife LEONARD 12/22/2014 2.25 Pathology Pathology December -14 Ife LEONARD 12/22/2014 2.89 Pathology Pathology December -14 ife LEONARD 12/22/2014 11.00 Pathology Pathology December -14 ife IATOYA 11/27/2014 17.50 Pathology Pathology December -14 ife KARENA 12/20/2014 5.50 Pathology Pathology December -14 €fe KARENA 12/20/2014 7.00 Pathology Pathology December -14 ife KARENA 12/20/2014 17.50 Pathology Pathology December -14 ife S'LEPHEN 12%5/2014 17.50 Pathology Pathology December -14 if" ERNIE 12/15/2014 17.50 Pathology Pathology December -14 ife MICHAEL 12/4/2014 2.50 Pathology Pathology December -14 €fe VOLODYMY 12/4/2014 2.25 Pathology Pathology December -14 ife VOLODYMY 12/4/2014 2.89 Pathology Pathology December -14 ife VOLODYMY 12/412014 4.00 Pathology Pathology December -14 tfe RONDiNA 1/21/2015 2,250.47 HHB HHB January-15 Ife RONDiNA 1/21/2015 647.54 HHB HHB January-15 ife RONDINA 1/29/2015 133.40 HHB HHB January-15 ife RONDINA 1/29/2015 655.67 HHB HHB January-15 ife RONDINA 1/1912015 98.00 Pathology Pathology January-15 Ife RONDINA 1/19/2015 20.00 Pathology Pathology January-15 ife PHILLIP 1/16/2015 6.70 Pathology Pathology January-15 ife DORY 1/2/2015 2,092.26 HHB HHB January-15 ife DORY 1/2/2015 264.30 HHB HHB January-1S Ife JORY 1/2/2015 1,292.58 HHB HHB January-15 ife ARTURO 1/4/2015 4.50 Pathology Pathology January-15 ife DEVONDRAYIA 1/14/2015 6.70 Pathology Pathology January-15 ife EDWIN 12/31/2014 4.50 Pathology Pathology January-15 ife EDWIN 1/22/2015 4.50 Pathology Pathology January-15 Ife EDWIN 1/27/2015 17.50 Ppplyology Pathology January-15 ife JEREMY 1/8/2015 6.70 Pathology Pathology January-15 Page. 38 �"lluLTn co RRECT1oTAi f11UL11L ]EALTrCAREcWiPJMS Cap Report -18NR & Accrual Detail SCORE, WA For Contract Period From September 2015 to September 2016 Billable First Name DOS Agency Estimate Account Description Diagnosis Billing Period Jurisdiction Totals ife JEREMY 1/8/2015 17.50 Pathology Pathology January-15 ife ERIC 1/1312015 184.97 HHB HHB January-15 fe JOSEPH 1/5/2015 6.70 Pathology Pathology January-15 fe JOSEPH 1/5/2015 17.50 Pathology Pathology January-I5 fe JACOB 12/30/2014 17.50 Pathology Pathology January-15 fe TROY 1/612015 5150 Pathology Pathology January-IS fe TROY 1/6/2015 17.50 Pathology Pathology January-15 fie AMANDA 1/27/2015 17.50 Pathology Pathology January-15 fe DEMOND 12/29/2014 10.00 Radiology X -Ray February-15 fe ANGELA 12118/2014 10.00 Radiology X -Ray February-15 fe HERBERT 1/7/2015 10.00 Radiology X -Ray February-15 fe HERBERT 1/7/2015 10.00 Radiology X -Ray February-15 fe JACOB 12/2412014 10.00 Radiology X -Ray February-iS fe DEVONDRAYIA 1/22/2015 I0.00 Radiology X -Ray February-15 fe DAWN 1/1/2015 10.00 Radiology X -Ray February-15 fe DAWN 11112015 (10.00) Radiology X -Ray February-15 fe LEONARD 12/18/2014 10.00 Radiology X -Ray February-15 fe KARENA 12/19/2014 10.00 Radiology X -Ray February-15 fe ROBERT 1112/2015 10.00 Radiology X -Ray February-I5 fe RONDINA 2/18/2015 1,204.04 HHB HHB February -15 fe RONDINA 2/18/2015 264.30 HHB HHB February-15 fe RONDINA 2/5/2015 1,292.58 HHB HHB February-15 fe RONDINA 2/18/2015 1,308.85 HHB HHB February-15 fe GEORGE 713012014 10.00 Radiology X -Ray March -15 fe HENRY 2/25/20I5 4.50 Pathology Valproic Acid (Depakot March -15 fe THERESA 213/2015 17.50 Pathology Chlamydla /GCAmpllflca March -15 fe MARIA 2/3/2015 17.50 Pathology Chia mydia /GC Ampliflca March -15 fe JENNIFER 8/4/2014 10.00 Radiology X -Ray March -15 fe JOSEPHINE 3/3/2015 17.50 Pathology Chlamydia /GCAmplifica March -15 fe JESSICA 2/16/2015 6.70 Pathology Pane1083824 March -15 fe JESSICA 2/16/2015 17.50 Pathology Chlamydia /GCAmplifica March -15 Fe JUSTIN 213/2015 17.50 Pathology Chlamydia /GC Ampliflca March -15 Fe MICHAEL 3/2612015 4.50 Pathology Phenytoin (Difantin), March -15 fe WEStEY 2/27/2015 4.50 Pathology ValproicAcld (Depakot March -15 Fe BRYONNA 2/1712015 17.50 Pathology Chlamydia /GCAmplifica March -15 re MOSESS 8/8/2014 10.00 Radiology X -Ray March -15 e LASHANDA 312/2015 17.50 Pathology Chlamydia /GC Ampliflca March -15 TAUREAN 3!17, 2015 2.50 Pathole,;, Hemoglobin Alc Mar6-15 'e TERRY 3/25/2015 17.50 Pathology Chlamydia /GCAmplifica March -15 'e JOSHUA 2/11/2015 17.50 Pathology Chlamydia /GCAmpllflca March -15 `e ROBERT 2119/2015 17.50 Pathology Chlamyd €a /GC Ampliflca March -15 `e ROBERT 2/20/2015 6.00 Pathology HCV Antibody March -15 e ROBERT 2/20/2015 6.70 Pathology Pane1083824 March -15 `e ATHENA 1/30/2015 17.50 Pathology Chlamydia /GCAmpiiflca March -15 e TIFFANY 2/11/2015 17.50 Pathology Chlamyd €a /GCAmplifica March -15 'e KENNETH 3/4/2015 17.50 Pathology Chlamydia /GCAmplifica March -15 e JESSE 3/212015 4.00 Pathology Lithium (Eskakth(R)), March -15 'Q SAVOY 3/3/2015 4.50 Pathology Phenytoin (Dilantin), March -15 ,e RAY 3/5/2015 4.00 Pathology Lithium (Eskalith(R)), March -15 'e RAY 3/5/2015 17.50 Pathology Chlamydla /GC Ampliflca March -15 e RAY 3/12/2015 6.00 Pathology HCVAntibody March -1S 'e RAY 3/12/2015 6.70 Pathology Pane1033824 March -15 e KENNETH 3/4/2015 4.50 Pathology ValproicAcid (Depakot March -15 e KENNETH 3/4/2015 (4.50) Pathology Valproic Acid (Depakot March -15 e JUSTINE 1/29/2015 17.50 Pathology Chlamydia /GC Ampliflca March -15 e PATRICK 1130/2015 17.50 Pathology Chlamydia /GCAmplifica March -15 e KELLY 3/7/2015 106.17 Pathology Chlamydia /GCAmplifica March -15 e AMANDA 1130/2015 6.70 Pathology Pane1083824 March-15 e GREGORY 2/17/2015 2.50 Pathology Hemoglobin Alc March -15 Page 39 tip u EG n C0RRT10nAC �lll'xeALTECARECaaeANTES Cap Report IBNR &Accrual Detail SCORE, WA For Contract Period From September 2015 to September 2016 Billable First Name DOS Agency Estimate Account Description Diagnosis Billing Period Jurisdiction Totals MARK 7/30/2014 10.00 Radiology X -Ray March -15 RONDINA 3/5/2015 2,405.57 HHB HHB March -15 LaQuinta 7/4/2014 145.82 Ambulance Chest pain NOS March -15 TYRONE 1/26/2015 2,070.00 Hospitalization (ER) Other Cardiac Dysrhythmlas March -15 TYRONE 1/2612015 411.14 Hospitalization (ER) Other Cardiac Dysrhythmias March -15 TYRONE 112612015 667.40 Hospitalization {ER) Other CardiacDysrhythm €as March -15 TYRONE 1/2612015 11.18 Hospitalization (ER) Other CardiacDysrhythm€as March -15 HENRY 3/30/2015 4.50 Pathology Valproic Acid (Depakot April -15 SARAH 4/9/2015 2.25 Pathology CBC With Differentia)/ April -15 SARAH 4/9/2015 2.89 Pathology Comp. Metabolic Panel April -15 ANGELINA 4/1/2015 6.70 Pathology Pane1083824 April -15 ANGELINA 4/1/2015 6.00 Pathology HCVAntibody April -15 CODIA 4/4/2015 8.17 HHB HHB April -IS CODIA 4/30/2015 136.77 HHB HHB April -15 CODIA 3/31/2015 6.70 Pathology Panel083824 April -1S CODIA 3/31/2015 17.50 Pathology Chlamydia /GCAmplifica April -15 GEORGE 4/3/2015 2.25 Pathology CBC With Differential/ April -15 TERRY 3/23/2015 10.00 Radiology X -Ray April -15 MEGAN 4/2/2015 6.70 Pathology Panel 083824 April -15 MEGAN 4/112015 17.50 Pathology Chlamydia /GCAmplifica April -15 Y €LENA 415/2015 17.50 Pathology Chlamydia /GCAmplifica April -15 TYRONE 1/2612015 898.00 Hospitalization (ER) CardiacDysrhythm €as April -15 NATHAN 4/27/2015 2.25 Pathology CBC With Differential/ April -15 NATHAN 4/27/2015 6.00 Pathology HCV Antibody April -15 NATHAN 4/27/2015 2.89 Pathology Comp. Metabolic Panel April -15 NATHAN 4/27/2015 0.37 Pathology Hepatic Function Panel April -15 DONALD 5/25/2015 2.25 Pathology CBC With Differential/ May -15 DONALD 5/25/2015 2.89 Pathology Comp. Metabolic Panel May -15 Leon 4/21/2015 10.00 Radiology X -Ray May -15 JUSTIN 5/22/2015 3.25 Pathology Urinalysis, Complete May -15 JUSTIN 5122/2015 5.50 Pathology Urine Culture, Routine May -15 JUSTIN 5/22/2015 17.50 Pathology Chlamydia /GCAmplifica May -15 RODNEY 5/20/2015 6,70 Pathology Panef083824 May -15 Leonard 416/2015 10.00 Radiology X -Ray May -15 CODY 5/16/2015 17.50 Pathology Chlamydia /GCAmplifica May -15 David 4/27/2015 10.00 Radiology X -Ray May -IS Lafayette 4/28/2015 10.00 Radiology X -Ray May -15 TAJUANA 518/2015 17.50 Paihoiugy Chlamydia /GCAmpinta May -15 JESSIE S/15/2015 4.00 Pathology Lithium (Eskalith(R)), May -15 DONALD 5/22/2015 2.12 Pathology RPR May -15 DONALD 5/22/2015 6.70 Pathology Pane€ 083824 May -15 DONALD 5/22/2015 6.00 Pathology HCV Antibody May -15 DONALD 5/22/2015 17.50 Pathology Chlamydia /GCAmplifica May -15 DANIE 4/29/2015 4.00 Pathology Lithium (Eskalith(R)), May -15 WILEY 5/9/2015 17.50 Pathology Chlamydia /GCAmplifica May -15 WILEY 5/15/2015 6.70 Pathology Pane1083824 May -15 CALVIN 5/4/2015 17.50 Pathology Chlamydia /GCAmplifica May -15 LAURA 5125/2015 8.32 HHB HHB May -15 ALICE 5/19/2015 6.70 Pathology Pane1083824 May -15 ALICE 5/19/2015 17.50 Pathology Chlamydia /GCAmplifica May -15 NATHAN 5/1/2015 6.00 Pathology HCV Antibody May -15 NATHAN 5/112015 2.89 Pathology Camp. Metabolic Panel May -15 JANALY 6/9/2015 2.25 Pathology CBC With Differential/ June -15 JANALY 619/2015 3.00 Pathology Sedimentation Rate -Wes June -15 JANALY 6/9/2015 6.70 Pathology PaneI083824 June -IS JANALY 6/9/2015 2.89 Pathology Comp. Metabolic Panel June -15 JOSEPH 5/2912015 4.00 Pathology Lithium (Eskalith(R)), June -15 SHANNA 5/23/2015 10.00 Rpdirlogy X -Ray June -15 SHANNA 5123/2015 10.00 Radiology X -Ray June -15 Page 40 �n CO RRF CT ONA iM HESLTHGA€ CAt1pL \TF3 Cap Report - IBNR & Accrual Detail SCORE, WA For Contract Period From September 2015 to September 2016 Billable First Name DOS Agency Estimate Account Description Diagnosis Billing Period Jurisdiction Totals Fife ASHLEY 6/17/2015 17.50 Pathology Chlamydia /GCAmplifica June -15 Fife DONALD 5/20/2015 10.00 Radiology X -Ray June -15 Fife CHERYL 6/12/2015 4.50 Pathology ValproicAcid (Depakot June -15 Fife KEITH 3/22/2015 9.66 Hospitalization (ER) Heart Disease June 2015 Fife KEITH 3/22/2015 230.05 Hospitalization (ER) Heart Disease June 2015 Fife NANCEE 6/5/2015 17,50 Pathology Chlamydia /GCAmplifica June -15 Fife NANCEE 6/25/2015 6.70 Pathology Pane1083824 June -15 Fife NANCEE 6/25/2015 6.00 Pathology HCV Antibody June -15 Fife NANCEE 6/25/2015 17.50 Pathology Chlamydia /GCAmplifica June -15 Fife RODNEY 5/15/2015 10.00 Radiology X -Ray June -15 Fife RODNEY 5/18/2015 10.00 Radiology X -Ray June -15 Fife JUSTIN 5/29/2015 2.00 Pathology TSH June -15 Fife JUSTIN 5/29/2015 2.25 Pathology CBC With Differential/ June -15 Fife JUSTIN 5/29/2015 2.89 Pathology Comp. Metabolic Panel June -15 Fife PAMO 6/29/2015 860.99 HHB SUSTIVA600mg June -15 Fife PAPLO 6/29/2015 1,204.04 HHB FPZICOM 600 -300 MG June -15 Fife MARY 6/19/2015 17.50 Pathology Chlamydia /GCAmplifica June -15 We RANDALL 6/25/2015 17.50 Pathology Chlamydia /GCAmplifica June -15 Fife BRANDON 6/24/2015 17.50 Pathology Ch lamydia/GC Amplifica June -I5 Fife BRITTANY 5/28/2015 10.00 Radiology X -Ray June -15 Fife AVERY 6/9/2015 4.50 Pathology Valproic Acid (Depakot June -15 Fife JAMES 3/16/2015 437.29 Ambulance Head Injury July 2015 Fife AVERY 3/28/2015 45.07 Hospitalization (ER) Epilepsy Iuly2015 Fife JANALY 6110/2015 10.00 Radiology X- Ray - Chest July -15 Fife SAMUAL 6/12/2015 10.00 Radiology X- Ray - Hand July -15 Fife JACOB 6130/2015 4.50 Pathology ValproicAcid (Depakot July -15 Fife JACOB 7/14/2015 4.50 Pathology ValproicAcid (Depakot July -15 We ALYSSA 6/7/2015 10.00 Radiology X- Ray - Chest July -15 Fife IESHA 6/26/2015 10.00 Radiology X- Ray - Face July -15 Fife JOE 6/16/2015 10.00 Radiology X- Ray - Foot July -15 Fife JOE 6/17/20I5 10.00 Radiology X- Ray -Tib /Fib July -15 Fife AVERY 3/28/2015 311.60 Hospitalization (ER) Epilepsy August -15 Fife IESHA 8/4/2015 6.70 Pathology Pane1083824 September -15 Fife IESHA 8/4/2015 6.D0 Pathology HCVAntibody September -15 Fife IESHA 8/4/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 Fife SOVANN 5/24/2015 366.00 Ambulance Hypert enslon Peripheral VascularDisease November -15 Fife AVERY 3/28/2015 1,987.75 Hospitalization (ER) Epilepsy November -15 We AVERY 3/29/2015 407.35 Pathology Epilepsy Noverber 15 Fife AVERY 3/28/2015 438.69 Pathology Epilepsy November -15 Fife AVERY 3/2812015 17.69 Pathology Epilepsy November -15 Fife AVERY 3/28/2015 958.74 Radiology Epilepsy November -15 Fife AVERY 3/28/2015 1,243.78 Specialty Services Epilepsy November -15 Issaquah LAURA 3/10/2015 4.50 Pathology Valproic Acid (Depakot March -15 Issaquah DEVIN 2/14/2015 17.50 Pathology Chlamydia /GCAmplifica March -15 Issaquah CHRISTINE 11/2/2015 2.00 Pathology TSH November -15 Issaquah CHRISTINE 11/2/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Issaquah CHRISTINE 111212015 2.89 Pathology Comp. Metabolic Panel November -15 Kenmore JAMES 11/10/2014 3.11 Pathology Pathology November -14 Kenmore JAMES 11/10/2014 6.00 Pathology Pathology November -14 Kenmore JAMES 11/10/2014 6.70 Pathology Pathology November -14 Kenmore JAMES 11/10/2014 17.50 Pathology Pathology November -14 Kenmore CHANTELLE 11/26/2014 5.50 Pathology Pathology November -14 Kenmore CHANTELLE 11/26/2014 7.00 Pathology Pathology November -14 Kenmore ELIZABETH 12/23/2014 5.00 Pathology Pathology December -14 Kenmore ELIZABETH 12/23/2014 5.74 Pathology Pathology December -14 Kenmore ELIZABETH 12/23/2014 6.70 Pathology Pathology December -14 Kenmore ELIZABETH 12/23/2014 9.00 Pathology Pathology December -14 Kenmore CHANTELLE 12/9/2014 17.50 Pa,Nogy Pathology December -14 Kenmore STEPHANIE 12/4/2014 17.50 Pathology Pathology December -14 Page 41 ID�!\u/1CORRECTIOTAi 1 C Ereu_nacARecoaretirasS Cap Report - iBNR &Accrual Detail SCORE, WA For Contract Period From September 2015 to September 2016 Billable First Name DOS Agency Estimate Account Description Diagnosis Billing Period Jurisdiction Totals Kenmore DOUGLAS 11312015 2.25 Pathology Pathology January-15 Kenmore DOUGLAS 1/312015 15.00 Pathology Pathology January-15 Kenmore DOUGLAS 1/312015 2.89 Pathology Pathology January-15 Kenmore DOUGLAS 1/1512015 2.25 Pathology Pathology January-I5 Kenmore DOUGLAS 1/15/2015 2.89 Pathology Pathology January-15 Kenmore STEVEN 112812015 11.00 Pathology Pathology January-IS Kenmore JAMES 1/14/2015 10.00 Radiology X -Ray February-15 Kenmore BRENTON 2/13/2015 663.21 HHB HHB February-15 Kenmore BRENTON 2/13/2015 445.91 HHB HHB February -15 Kenmore GEORGE 31912015 2.25 Pathology CBC With Differential/ March -15 Kenmore GEORGE 3/9/2015 2.89 Pathology Comp. Metabolic Panel March -15 Kenmore GEORGE 3/9/2015 32.97 Pathology B -Type Natriuretic Pep March -15 Kenmore NIKITA 2/1112015 17.50 Pathology Chlamydia /GCAmplifica March -15 Kenmore STEVEN 2/1212015 2.25 Pathology CSC With Differential/ March -15 Kenmore STEVEN 2/12/2015 2.89 Pathology Comp. Metabolic Panel March -15 Kenmore CONNOR 41112015 6.70 Pathology PanelO83824 April -15 Kenmore CHASE 4/2412015 6.70 Pathology Pane1083824 April -15 Kenmore CHASE 4/24/2015 17.50 Pathology Chlamydia /GCAmplifica April -15 Kenmore STEVEN 3/1112015 10.00 Radiology X -Ray April -15 Kenmore ANDREW 3/16/2015 10.00 Radiology X -Ray April -15 Kenmore GREGORY 5/512015 6.70 Pathology Panel M3824 May -15 Kenmore GREGORY 5/512015 6.00 Pathology HCVAntibody May-15 Kenmore JOSHUA 5/25/2015 17.50 Pathology Chlamydia /GCAmplifica May -15 Kenmore DONALD 6/4/2015 17.50 Pathology Chlamydia /GCAmplifica June -15 Kenmore CHASE 6/23/2015 6.00 Pathology HCV Antibody June -15 Kenmore CHASE 6/23/2015 2.89 Pathology Corap. Metabolic Panel June -15 Kenmore STEVEN 6/812015 2.25 Pathology CBC With Differential/ June -15 Kenmore STEVEN 6/812015 2.89 Pathology Comp. Metabolic Panel June -I5 Kenmore ADAM 5/1 /2015 10.00 Radiology X -Ray June -15 Kenmore LAURIE 6/2512015 IOAO Radiology X- Ray - Hand July -IS Kenmore MITCHELL 6/25/2015 10.00 Radiology X- Ray - Chest July -15 Kenmore ANDREW 7/25/2015 17.50 Pathology Chia mydia /GCAmplifica luiy -15 Kenmore CHRISTOPHER 5/9/2015 241.71 Hospitalization (ER) Fall -Head Injury August -1S Kenmore Laurie 7/17/2015 10.00 Radiology Hand August -15 Kenmore Steven 7/14/2015 10.00 Radiology Hand August -15 Kenmore WAYNE 8/4/2015 4.50 Pathology ValproicAcid (Depakot September -15 Kenmore WAYNE 8/1212015 4.50 Pathology Valproic Acid {Depakot September -15 Kenmore WAYNE 8 /18/2015 4.50 Pathology ValproicAcid {Depakot Septembc. -15 Kenmore PATRICK 8/19/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 Kenmore JEREMY 8/11/2015 17.50 Pathology Chlamydia /GCAmplifica September -IS Kenmore ANDREW 9/1112015 17.50 Pathology Chlamydia /GCAmplifica September -15 Kenmore SARA 8/3/2015 6.70 Pathology PaneIO83824 September -I5 Kenmore SARA 8/3/2015 6.00 Pathology HCVAntibody September -15 Kenmore SARA 8/3/2015 17.50 Pathology Chlamydia /GCAmplifica September -IS Kenmore RICHARD 8/27/2015 10.00 Radiology KNEE September -I5 Kenmore MERVIS 9/20/2015 2.00 Pathology Lipid Panel With LDL /H September -15 Kenmore MERVIS 9/20/2015 2.89 Pathology Comp. Metabolic Panel September -15 Kenmore CHRISTOPHER 5/9/2015 1,283.13 Hospitalization (ER) Head Injury October -15 Kenmore CHRISTOPHER 5/9/2015 251.14 Pathology Head Injury October -15 Kenmore CHRISTOPHER 5/9/2015 1,734.29 Radiology Head Injury October -15 Kenmore NKENNETH 9/10/2015 10.DD RADIOLOGY HAND October -15 Kenmore JAMES 9/1/2015 SO.OD RADIOLOGY KNEE October -15 Kenmore DONALD 1012112015 6.70 Pathology Pane1083824 November -15 Kenmore DONALD 10/21/2015 6.00 Pathology HCVAntibody November -15 Kenmore JIMMIE 11/8/2015 6.70 Pathology PanelO83824 November -15 Kenmore JIMMIE 11/8/2015 6.00 Pathology HCVAntibody November -15 Kenmore CHANTELLE 11/612015 6.70 Pathology Pane1083824 November -15 Kenmore CHANTELLE 11/612015 6.00 Pialhology HCV Antibody November -15 Kenmore CHANTELLE 11/612015 17.50 Pathology Chlamydia /GCAmplifica November -15 Page 42 ON'AL �LIOICORRECTI � J 1111 rcMnrcARE couPLMFS Cap Report - IBNR & Accrual Detail SCORE, WA For Contract Period from September 2015 to September 2016 Billable First Name DOS Agency Estimate Account Description Diagnosis Billing Period Jurisdiction Totals Kenmore ANDREW 11/8/2015 17.50 Pathology Chlamydia / GCAmpliflca November -15 KENT CHARLES 3/18/2015 2.25 Pathology CBC With Differential/ March -15 KENT CHARLES 3118/2015 2189 Pathology Comp. Metabolic Panel March -15 KENT CHARLES 3/23/2015 2.25 Pathology CBC With Differential/ March -IS KENT CHARLES 3/23/2015 2.89 Pathology Camp. Metabolic Panel March -15 Kirkland JOSE 10/18/2014 17.50 Pathology Pathology October -14 Kirkland ANTHONY 11/412014 2.89 Pathology Pathology November -14 Kirkland ANTHONY 11/4/2014 6.70 Pathology Pathology November -14 Kirkland MICHELLE 111712014 2.25 Pathology Pathology November -14 Kirkland MICHELLE 11/7/2014 2.89 Pathology Pathology November -14 Kirkland MICHELLE 11/7/2014 77.68 Pathology Pathology November -14 Kirkland JOHN 12/29/2014 2.25 Pathology Pathology December -14 Kirkland MICHELLE 12/712014 2.89 Pathology Pathology December -14 Kirkland MICHELLE 12/7/2014 77.68 Pathology Pathology 13ecember -14 Kirkland MICHELLE 12/26/2014 1.63 Pathology Pathology December -14 Kirkland KARA 1/13/2015 17.50 Pathology Pathology January-15 Kirkland RICHARD 1114/2015 17.50 Pathology Pathology January-15 Kirkland RICHARD 1/16/2015 6.70 Pathology Pathology January-15 Kirkland RICHARD 1/1612015 9.00 Pathology Pathology January-15 Kirkland DOUGLAS 1/23/2015 2.25 Pathology Pathology January-15 Kirkland DOUGLAS 1123/2015 2.89 Pathology Pathology January-15 Kirkland MICHELLE 12/30/2014 2.89 Pathology Pathology January-15 Kirkland SHELBY 12/8/2014 10.00 Radiology X -flay February-15 Kirkland SHELBY 12/812014 10.00 Radiology X -Ray February-15 Kirkland MICHAEL 11/2 &/2014 10.00 Radiology X -Ray February -15 Kirkland MICHELLE 12/26/2014 10.00 Radiology X -Ray February-15 Kirkland NICHOLAS 1130/2015 17.50 Pathology Chlamydia /GCAmpliflca March -15 Kirkland BENJAMIN 5/15/2015 4.50 Pathology Phenytoin (Diiantin), May -15 Kirkland Benjamin 4/23/2015 10.00 Radiology X -Ray May -15 Kirkland Benjamin 4/2312015 10.00 Radiology X -Ray May -15 Kirkland MALYNDA 5/22/2015 4.00 Pathology Lithium (Eskalith(R )}, May -15 Kirkland JOSHUA 5/2812015 10.00 Radiology X -Ray June -15 KJrkland DAVID 7/22/2015 6.70 Pathology Pdne1083824 July -15 Kirkland DAVID 7/22/2015 6.00 Pathology HCV Antibody July -15 Kirkland DAVID 7/22/2015 17.50 Pathology Chlamydia /GC Amplifica July -15 Kirkland BENJAMIN 7/6/2015 4.50 Pathology Phenytoin (Dilantin), July -15 Kirkland SEAN 7/7/2015 6.70 Pathology Pane1083824 July -15 Kirkland SEAN 7/7/'2015 2.89 P41010gy Culltp. ivletabUIIL PdOel ""Iy -IS Kirkland MALYNDA 7121/2015 4.00 Pathology Lithium (Eskalith(R)j, July -15 Kirkland MICHELLE 7120/2015 10.00 Radiology Fib/Tib August -15 Kirkland BRONOVAN 8/29/2015 17.50 Pathology Chlamydia /GC Amplifica September -15 Kirkland URIEL 9/2312015 4.50 Pathology Phenytoln (Dilantin ), September-15 Kirkland MEMOREE 9/2512015 17.50 Pathology Chlamydia / GCAmplifica September -15 Kirkland MICHELLE 8/7/2015 2.25 Pathology CBC With Differential/ September -15 Kirkland MICHELLE 8/712015 15.00 Pathology Vitamin D, 25- Hydroxy September -15 Kirkland MICHELLE 81712015 189 Pathology Comp. Metabolic Panel September -15 Kirkland TARA 11/11/2015 2.75 Pathology Proth(ombin Time {PT] November -15 Kirkland TARA 11/11/2015 13.07 Pathology Urine Culture, Routine November -15 Kirkland TARA 11/11/2015 3.78 Pathology UA/M %Y/fix Culture, R November -15 Kirkland EUGENE 11/1/2015 6.70 Pathology Pane1083824 November -15 Kirkland EUGENE 11/1/2015 6.00 Pathology HCVAntibody November -15 Kirkland EUGENE 11/1/2015 17.50 Pathology Chlamyd €a /GC Amplifica November -15 Kirkland ROBIN 11/6/2015 17.50 Pathology Chlamydia /GCAmpliflca November -15 Kirkland JEREMY 11/11/2015 4.50 Pathology ValprolcAcid{Depakot November -15 Kirkland MICHELLE 8/7/2015 10.00 Radiology TIB /FIB September -15 Lynnwood MARCO 10/11/2014 82.00 Pathology Pathology October -14 Lynnwood RONALD 1212512014 1.69 Pathology Pathology December -14 Lynnwood RONALD 12/25/2014 2.25 pg"logy Pathology December -14 Lynnwood RONALD 12/25/2014 2.89 Pathology Pathology December -14 Page 43 -"/lull CORRECTIONAL i VilV "E+cTHC RECD MPAMES Cap Report - IBNR. & Accrual Detail SCORE, WA For Contract Period From September 2015 to September 2016 Billable First Name DOS Agency Estimate Account Description Diagnosis Billing Period Jurisdiction Totals Lynnwood KAIL 12/13/2014 4.50 Pathology Pathology December -14 Lynnwood SCOTT 1/14/2015 17.50 Pathology Pathology January-15 Lynnwood J05EPH 1/16/2015 4.50 Pathology Pathology January-15 Lynnwood THEODORE 1/26/2015 17.50 Pathology Pathology January-15 Lynnwood JASON 2/25/2015 2.25 Pathology CBC With Differential/ March -15 Lynnwood JASON 2/25/2015 2.89 Pathology Comp. Metabolic Panel March -15 Lynnwood ASHLEY 3/5/2015 17.50 Pathology Chlamydia /GCAmplifica March -15 Lynnwood MICHAEL 2/11/2015 17.50 Pathology Chlamydia /GCAmplifica March -15 Lynnwood JORDAN 2/7/2015 17.50 Pathology Chia mydia /GC Amp lifica March -15 Lynnwood MELODY 2/4/2015 4.50 Pathology ValprolcAcid(Depakot March -15 Lynnwood MELODY 2/13/2015 4.50 Pathology ValproicAcid {Depakot March -15 Lynnwood SOPHIA 4/6/2015 17.50 Pathology Chlamydia /GCAmplifica April -15 Lynnwood WILLIAM 4/27/2015 2.00 Pathology Lipid Panel With LDL /H April -15 Lynnwood WILLIAM 4/27/2015 2.89 Pathology Comp. Metabolic Panel April -15 Lynnwood LAUREN 4/7/2015 6.70 Pathology Pane1083824 April -15 Lynnwood LAUREN 4/7/2015 17.50 Pathology Chlamydia /GCAmplifica Apri € -15 Lynnwood JENELL 5/7/2015 175.00 Radiology ULTRASOUND May -I5 Lynnwood JENELL 5/6/2015 6.70 Pathology Pane1083824 May -15 Lynnwood JENELL 5/6/2015 6.00 Pathology HCV Antibody May -15 Lynnwood JENELL 5/6/2015 2.89 Pathology Comp. Metabolic Panel May -15 Lynnwood JENELL 5/7/2015 17.50 Pathology Chlamydia /GCAmplifica May-15 Lynnwood JENELL 5/13/2015 2.25 Pathology CSC With Differential/ May -15 Lynnwood JENELL 5/14/2015 2.25 Pathology C8C With Differential/ May -15 Lynnwood JENELL_ 5/1412015 2.89 Pathology Comp. Metabolic Panel May -15 Lynnwood JAMES 5/10/2015 17.50 Pathology Chlamydia /GCAmplifica May -15 Lynnwood JAMES 5/11120I5 4.50 Pathology ValproicAcid (Depakot May -15 Lynnwood JAMES 5/27/2015 4.50 Pathology ValproicAc €d (Depakot May -15 Lynnwood RORY 7/18/2015 17.50 Pathology Chlamydia / GCAmplif€ca July -15 Lynnwood GLORIA 613/2015 10.00 Radiology X- Ray -Femur July -15 Lynnwood EDWARD 6/24/2015 10.00 Radiology X- Ray - Foot July -15 Lynnwood Brett 7/19/2015 10,00 Radiology Chest August -15 Lynnwood TASI 7/30/2015 6.70 Pathology Pane1083824 September -15 Lynnwood TASI 7/30/2015 7.00 Pathology Cryptococcus Antigen, September -15 Lynnwood TASI 7/30/2015 17.50 Pathology Chlamydia/GCAmplifica September -15 Lynnwood ISABELLE 9/9/2015 2.50 Pathology Hemoglobin Aic September -15 Lynnwood JESSE 9/4/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 Lynnwood CHRISTINA 9/2/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 Lynnwood JERRY 9/7/'2015 2.25 Pathology CBC With Differentiail Septeoiber -1S Lynnwood JERRY 9/7/2015 6.70 Pathology Pane1083824 September -15 Lynnwood JERRY 9/7/2015 6.00 Pathology HCV Antibody September -15 Lynnwood JERRY 9/7/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 Lynnwood JERRY 9/7/2015 2.89 Pathology Comp. Metabolic Panel September -15 Lynnwood NICOLE 9/15/2015 10.00 RADIOLOGY FACIAL October -15 Lynnvrood SARA 10/16/2015 4,50 Pathology Phenytoin (Dilantin), November -15 Lynnwood RAMSON 10/25/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Lynnwood ASHLEY 9/30/2015 6.70 Pathology Pane1083824 November -15 Lynnwood ASHLEY 9130/2015 6.00 Pathology HCVAntibody November -15 Lynnwood JERRY 10123/2015 17.50 Pathology Chlamydia /GCAmpI €fica November -15 Lynnwood YVONNE 9/30/2015 2.50 Pathology Hemoglobin Alc November -15 Lynnwood RICHARD 10124/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Marysville MEGAN 10/8/2014 17.50 Pathology Pathology October -14 Marysville AMY 12/25/2014 17,50 Pathology Pathology December -14 Marysville AMANDA 12/10/2014 2.00 Pathology Pathology December -14 Marysville AMANDA 12/10/2014 2.25 Pathology Pathology December -14 Marysville NATHAN 121112014 2.00 Pathology Pathology December -14 Marysville NATHAN 12/1/2014 2.25 Pathology Pathology December -14 Marysville NATHAN 12/1/2014 2.89 Pathology Pathology December-14 Marysville NATHAN 12/1/2014 4.50 PtAvlogy Pathology December -14 Marysville MICHAEL 1/5/2015 2.25 Pathology Pathology January -15 Page 44 CL7`ICORRECTIONAG 1111 HF+LT"CkREUMPIMES Cap Report- IBNR & Accrual Detail SORE, WA For Contract Period From September 2015 to September 2016 Billable First Name DOS Agency Estimate Account Description Diagnosis Billing Period Jurisdiction Totals Marysville MICHAEL 1/5/2015 2.89 Pathology Pathology January-15 Marysville NICOLE 1/9/2015 6,70 Pathology Pathology January-15 Marysville NICOLE 1/9/2015 9.00 Pathology Pathology January-15 Marysviile AMANDA 12110/2014 10.00 Radiology X -Ray February-15 Marysville AMANDA 12/10/2014 10.00 Radiology X -Ray February-15 Marysville BRYAN 11512015 10.00 Radiology X -Ray February -15 Marysville CURTIS 211112015 10.00 Radiology X -Ray March -15 Marysville CURTIS 2/18/2015 6.70 Pathology Pane1083824 March -15 Marysville CURTIS 2/18/2015 17.50 Pathology Chlamydia /GCAmplifica March -15 Marysville ANDERSON 2/24/2015 175.00 Diagnostic Lab Ultrasound March -15 Marysville JACOB 4/26/2015 17.50 Pathology Chlamydia /GCAmplifica April -15 Marysville PAMELA 4/16/2015 2.25 Pathology CBC With Differential/ April -I5 Marysville PAMELA 4/16/2015 2.89 Pathology Comp. Metabolic Panel Aprll -15 Marysville LINDSEY 3/3/2015 10.00 Radiology X -Ray April -1S Marysville ROBIN 5/16/2015 17.50 Pathology Chlamydia /GCAmplifica May -15 Marysville DALE 5/6/2015 2.25 Pathology CBC With Differential/ May -15 Marysville PAUL 5/15/2015 17.50 Pathology Chlamydia / GCAmpliflca May -15 Marysville BRADLEY 5/26/2015 6.70 Pathology Pane1083824 May -15 Marysville BRADLEY 5/26/2015 6.00 Pathology HCVAnt]body May -15 Marysville BRADLEY 5/26/2015 17.50 Pathology Chlamydia /GC Amp] ifica May -15 Marysville BRADLEY 5/2612015 10.00 Radiology X -Ray June -15 Marysville KEVLAR 7/7/2015 4.00 Pathology Lithium (Eskalith(R)), July -15 Marysville BRADLEY 9122/2015 6.70 Pathology Paae1083824 September -15 Marysville BRADLEY 9/22/2015 17.50 Pathology Chlamydia / GCAmplifca September -15 Marysville BRADLEY 9/22/2015 2.89 Pathology Comp. Metabolic Panel September -15 Marysville CHRISTIAN 8/6/2015 2.25 Pathology CBC With Differential/ September -15 Marysville CHRISTIAN 8/6/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 Marysville CHRISTIAN 8/6/2015 2.89 Pathology Comp, Metabolic Panel September -15 Marysville SARAH 10/8/2015 175.00 Diagnostic Lab Uitra Sound October -15 Marysville BRADLEY 1111/2015 2.25 Pathology CBC With Differential/ November -15 Marysville BRADLEY 1111/2015 2.89 Pathology Co mp. Metabolic Panel November -15 Marysville BRADLEY 11/1/2015 0.37 Pathology Hepatic Function Panel November -15 Marysville JEREMY 10110120I5 4.50 Pathology Valproic Acid (Depakot November -15 Marysville JEREMY 10/20/2015 2.50 Pathology Hemoglobin A1c November -15 Marysville SARAH 101912015 3.25 Pathology Urinalysis, Complete November -15 Marysville SARAH 10/9/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Marysville SARAH 10/9/201S 9.00 Pathology hCG,Beta Subunit, Qnt, November -15 I'Aarywille SARAH iv /9 /2^-5 2,25 fat iology '0C ith Diifereiitlal/ November-15 Marysville SARAH 10/9/2015 17.74 Pathology ABO Grouping and Rho(L) November -IS Marysville SARAH 10/9/2015 6.70 Pathology Pana1083824 November -15 Marysville SARAH 10/9/2015 79.75 Pathology DONOR Syphilis(T pall] November -15 Marysville SARAH 10/9/2015 6.00 Pathology HCVAntibody November -15 Marysville SARAH 10/9/2015 2.46 Pathology Hepatic Function Panel November -15 Marysville SARAH 1019/2015 2.58 Pathology Basic Metabolic Panel November -15 Marysville SARAH 1019/2015 225.00 Pathology HBV Quant rfxto Geno November -15 MEDINA OMAR 41612015 4.00 Pathology Lithium (Fskallth(R)), April -15 MEDINA OMAR 4/17/2015 17.50 Pathology Chlamydia /GCAmplifica April -15 Milton MICKY 9/23/2015 19.03 Pathology C difficile Toxigenic September -15 Milton MICKY 9/26/2015 2.25 Pathology CBC With Differential/ September -15 Milton MICKY 9/26/2015 6.70 Pathology Pane1083824 September -15 Milton MICKY 9/26/2015 6.00 Pathology HCV Antibody September -IS Milton MICKY 9/26/2015 2.89 Pathology Comp. Metabolic Panel September -15 Milton MICKY 9/26/2015 10.00 RADIOLOGY ABDOMEN October -15 Milton NEIL 11/19/2015 3.25 Pathology Urinalysis, Complete November -15 Muckleshoot JOHN 10/20/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Muckleshoot BERNYCE 11/14/2015 6.70 Pathology Panel 083824 November -15 Muckleshoot BERNYCE 11/14 /2015 6.00 Pathology HCVAntibody November -15 Muckleshoot BERNYCE 11/14/2015 17.50 PiiWogy Chlamydia /GCAmplifica November -15 Muckleshoot CHRISTINA 10125/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Page 45 "!l lICORRECTIOYAti �JH,I., RrAL111CARECO?IRL'aFS Cap Report - IBNR & Accrual Detail SCORE, WA For Contract Period From September 2015 to September 2016 Billable First Name DOS Agency Estimate Account Description Diagnosis Billing Period Jurisdiction Totals Normandy Park Bedri 4/3/2015 10.00 Radiology X -Ray May -15 Normandy Park MARTY 8/4/2015 441.46 HHB KALETRA 200 -50 MG Augu5t -15 Normandy Park MARTY 8/4/2015 328.35 HHB TRUVADA200 -300 MG August -I5 Normandy Park FORREST 9/21/2015 6.00 Pathology HCV Antibody September -15 Normandy Park FORREST 9/21/2015 17.50 Pathology Chia mydia /GCAmplifica September 15 Normandy Park JOHN 11125/2015 6.70 Pathology Pane1083824 November -15 Normandy Park JOHN 1112512015 6.00 Pathology HCV Antibody November -15 Normandy Park JOHN 11/25/20I5 17.50 Pathology Chlamydia /GCAmplifica November -15 Orting TERRY 12/12/2014 17.50 Pathology Pathology December -14 Orting JESSICA 6/2512015 1730 Pathology Chlamydia /GCAmpliflca June -15 Orting DAVID 8/1012015 10.00 Radiology FACIAL September -15 Orting DAVID 8 /10/2015 10.00 Radiology CHEST September -15 Orting DAVID 8/10/2015 10.00 Radiology CHEST September -15 Orting DAVID 8/13/2015 10.00 Radiology CHEST September -15 Orting JACOB 10/15/2015 17,50 Pathology Chlamydia /GCAmplifica November -15 Pacific RONALD 1/31/2015 10.D0 Radiology X -Ray February-15 Pacific ANGELINA 4116/2015 17.50 Pathology Chlamydia/GC Am plifica April -15 Pacific ANGELINA 4/21/2015 6.70 Pathology Pane1083824 April -15 Pacific ANGELINA 4/21/2015 6.00 Pathology HCV Antibody April -15 Pac €flc JOANN 7/1/2015 2.25 Pathology CBC With Differential/ July -15 Pacific JOANN 7/1/2015 2.68 Pathology Comp. Metabolic Panel July -15 Pacific Redmond 7/27/2015 10.00 Radiology Crest August -15 Pacific MATTHEW 11/1212015 6.70 Pathology Pane1083824 November -15 Pacific MATTHEW 11/12/2015 6.00 Pathology HCVAntibody November -15 Pacific MATTHEW 11/12/2015 17.50 Pathology Chlamyd €a /GCAmpli €ica November -15 Pacific JACOB 10/20/2015 17.50 Pathology Chlamydia /GCAmplifica November -1S Redmond HERMAN 10/20/2014 2.89 Pathology Pathology October -14 Redmond HERMAN 10/21/2014 4.50 Pathology Pathology October -14 Redmond HERMAN 10/22/2014 238 Pathology Pathology October -14 Redmond NICOLE 11/11/2014 17.50 Pathology Pathology November -14 Redmond HERMAN 12/3/2014 4.50 Pathology Pathology December -14 Redmond HERMAN 12/5/2014 2.00 Pathology Pathology December -14 Redmond HERMAN 12/5/2014 2.25 Pathology Pathology December -14 Redmond HERMAN 12/5/2014 2.89 Pathology Pathology December -14 Redmond HERMAN 12/512014 3.44 Pathology Pathology December -14 Redmond HERMAN 12/10/2014 5.00 Pathology Pathology December -14 Redmond HERMAN 12/10/2014 5.74 Pathology Pathology December -14 Redmond HERMAN 12/10/2014 6.00 Pathology Pathology Deceaibei -14 Redmond ANDREA 12/10/2014 (2.25) Pathology Pathology December -14 Redmond ANDREA 12/10/2014 7.25 Pathology Pathology December -14 Redmond KRISTA 10/2/2014 (17.50) Pathology Pathology December -14 Redmond KRISTA 10/2/2014 17.50 Pathology Pathology December -14 Redmond PHILLIP 12/28/2014 1.90 Pathology Pathology December -14 Redmond PHILLIP 12/28/2014 5.50 Pathology Pathology December -14 Redmond PHILLIP 12/28/2014 17.50 Pathology Pathology December -14 Redmond ANDREA 1/1012075 17.50 Pathology Pathology January-15 Redmond NICOLE 1/12/2015 6.70 Pathology Pathology January-15 Redmond NICOLE 1/12/2015 17.50 Pathology Pathology January-15 Redmond NICOLE 1/22/2015 4.50 Pathology Pathology January-15 Redmond COLE 2/19/2015 1730 Pathology Chlamydia /GC Amplifica March -15 Redmond LANESHA 3/30/2015 17.50 Pathology Chlamydia /GCAmplifica April -15 Redmond ARDEN S16/2015 124.67 HHB HHB May -15 Redmond ARDEN 5/6/2015 604.54 HHB HHB May -15 Redmond MEGAN 5/11/2015 17.50 Pathology Chlamydia /GCAmplif€ca May -15 Redmond MICHAEL 5/7/2015 670 Pathology Pane1083824 May -15 Redmond MICHAEL 5/7/2015 17.50 Pathology Chlamydia /GCAmpliflca May -15 Redmond KRISTIAN 5/27/2015 2.50 Pathology HemoglobinAic May -15 Redmond TAYLOR 6/5/2015 17.50 P4twogy Chlamydia /GCAmplifica June -I5 Redmond ARTURO 7113/2015 17.50 Pathology Chlamyd €a /GCAmplifica July -15 Page 46 lam/\ /�I CORRECTIONAL L,H` HFSLTHCAREMNIPANIES Cap Report - IBNR & Accrual Detail SCORE, WA For Contract Period From September 2015 to September 2016 Billable First Name DOS Agency Estimate Account Description Diagnosis Billing Period Jurisdiction Totals Redmond NICHOLAS 7/18/2015 6.00 Pathology HCVAntibody July -15 Redmond Keenan 7/8/2015 10.00 Radiology Hand August -15 Redmond Arturo 7/21/2015 10.00 Radiology Chest August -15 Redmond NICHOLAS 9/16/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 Redmond TIMOTHY 9/20/2015 2.25 Pathology CBC With Differential/ September -15 Redmond TIMOTHY 9/20/2015 2.89 Pathology Comp. Metabolic Panel September -15 Redmond JOE 8/2/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 Redmond ALEJANDRO 10/23/2015 17.50 Pathology Chlamyd €a /GCAmplifica November -15 Redmond LUKE 11/23/2015 3.25 Pathology Urinalysis, Complete November -15 Redmond LUKE 11/23/2015 2.25 Pathology CBC With Differential/ November -15 Redmond LUKE 11 /2312015 2.89 Pathology Comp. Metabolic Panel November -15 Shoreline JAMIE 9/30/2014 27.00 Pathology Pathology October -14 Shoreline DAVID 10/1712014 17.50 Pathology Pathology October -14 Shoreline JONATHAN 11/1012014 17.50 Pathology Pathology November -14 Shoreline LORI 11/15/2014 5.50 Pathology Pathology November -14 Shoreline LORI 11/15/2014 7.00 Pathology Pathology November -14 Shoreline LORI 11/1512014 17.50 Pathology Pathology November -14 Shoreline KEVIN 11/16/2014 2.75 Pathology Pathology November -14 Shoreline KLV €N 11/16/2014 J5100 Pathology Pathology November -14 Shoreline KEVIN 11/26/2014 2.7S Pathology Pathology November -14 Shoreline TATIANA 10/30/2014 17.50 Pathology Pathology November -14 Shoreline RICHARD 12/1/2014 2.25 Pathology Pathology December -14 Shoreline RICHARD 12/1/2014 2.75 Pathology Pathology December -14 Shoreline RICHARD 12/1/2014 2.89 Pathology Pathology December -14 Shoreline DANIELLE 12/19/2014 17.50 Pathology Pathology December -14 Shoreline MARLON 12/9/2014 17.50 Pathology Pathology December -14 Shoreline MARLON 12/9/2014 (17.50) Pathology Pathology December -14 Shoreline CHRISTOPHER 11/27/2014 17.50 Pathology Pathology December -14 Shoreline RICO 1213/2014 17.50 Pathology Pathology Decembe(-14 Shoreline TYLER 11/2812014 6.70 Pathology Pathology December -14 Shoreline TYLER 11/2812014 9.00 Pathology Pathology December -14 Shoreline JOSEPH 12/12/2014 1750 Pathology Pathology December -14 Shoreline KEVIN 12/7/2014 2.75 Pathology Pathology December -14 Shoreline KEVIN 12/7/2014 15.00 Pathology Pathology December -14 Shoreline KEVIN 12/21/2014 2.75 Pathology Pathology December -14 Shoreline KEVIN 12/21/2014 15.00 Pathology Pathology December -14 Shoreline KEVIN 12128/2014 2.75 Pathology Pathology December -14 Shoreiine KEViN 12/28 12014 15.00 Pathology Pathoiogy DeCern6uf -14 Shoreline PAUL 12/8/2014 4.00 Pathology Pathology December -14 Shoreline IRLANDA 12/27/2014 5.74 Pathology Pathology December -14 Shoreline IRLANDA 12/27/2014 6.00 Pathology Pathology December -14 Shoreline IRLANDA 12/27/2014 6.70 Pathology Pathology December -14 Shoreline KEVIN 1/9/2015 2.75 Pathology Pathology January-15 Shoreline KEVIN 1/23/2015 2.75 Pathology Pathology January-15 Shoreline JASON J/18/2015 82.00 Pathology Pathology January-15 Shoreline PAUL 1/27/2015 17.50 Pathology Pathology January -15 Shoreline MARCUS 1/1/2015 6.70 Pathology Pathology January-15 Shoreline MARCUS 1/1 /2015 17.50 Pathology Pathology January-15 Shoreline DFSHAWN 1/27/2015 17.50 Pathology Pathology January-15 Shoreline Brent 9/10/2014 231.39 Hospitalization (ER) OTCHRONIC ISCHEMIC HEARTDISEASE February -15 Shoreline DANIELLE 12/9/2014 10.00 Radiology X -Ray February-15 Shoreline RICHARD 12/11/2014 10.00 Radiology X -Ray February-15 Shoreline MICHAEL 1/20/2015 10.00 Radiology X -Ray February-15 Shoreline EMILIO 1/3012015 17.50 Pathology Chlamyd€a/GCAmp)IRca March -15 Shoreline EMILIO 2/4/2015 10.00 Radiology X -Ray March -15 Shoreline ALEXANDR 3/17/2015 17.50 Pathology Chlamydia/GCAmplifica March -15 Shoreline SHELLY 3/11/2015 17.50 Pathology Chlamydia /GC Amplifica March -15 Shoreline CARLOS 2/11/2015 2.25 PaftJogy CBC With Differential/ March -15 Shoreline CARLOS 2/11/2015 2.89 Pathology Comp. Metabolic Panel March -15 Page 47 e.�n�LTTl1 CORRECTEOxni LHy" nenrnarexccoMP.titilcs Cap Report - IBNR & Accrual Detail SCORE, WA For Contract Period From September 2015 to September 2016 Billable First Name DOS Agency Estimate Account Description Diagnosis Billing Period Jurisdiction Totals Shoreline CARLOS 2/1612015 10.00 Radiology X -Ray March -15 Shoreline JOSEPH 2/8/2015 6.70 Pathology Pane1083824 March -15 Shoreline JOSEPH 2/1712015 2.12 Pathology RPR March -I5 Shoreline JOSEPH 2/18/2015 2.25 Pathology CBC With Differential/ March -15 Shoreline JOSEPH 2/18/2015 2.58 Pathology Basic Metabolic Panel March -15 Shoreline CHRISTIAN 2/12/2015 17.50 Pathology Chlamydia /GCAmplifica March -15 Shoreiine CHRISTIAN 2/2/2015 10.00 Radiology X -Ray March -15 Shoreline NOELLE 2/4/2015 17.50 Pathology Chlamydia /GCAmplifica March -15 Shoreline NICHOLAS 2/1712015 17.50 Pathology Chlamydia /GCAmplifica March -15 Shoreline SPENCER 2/5/2015 6.70 Pathology Pane1083824 March -15 Shoreline SPENCER 2/5/2015 17.50 Pathology Chlamydia /GCAmplifica March -15 Shoreline Brent 9/10/2014 120.42 Ambulance Heart failure NOS March -15 Shoreline Brent 9/10/2014 289.28 Hospitalization OT CHRONIC ISCHEMIC HEART DISEASE March -15 Shoreline HOLLINS 2/18/2015 175.00 Diagnostic Lab Ultrasound March -15 Shoreline CASEY 4/15/2015 17.50 Pathology Chlamydia /GCAmplifica April -15 Shoreline CASEY 3/30/2015 10.00 Radiology X -Ray April -15 Shoreline WENDELL 4/1712015 17.50 Pathology Chlamydia /GCAmplifica April -15 Shoreline HOLLY 4/712015 17.50 Pathology Chlamydia /GCAmplifica Apri € -15 Shoreline SHELLY 3/30/2015 17.50 Pathology Chlamydia /GCAmplifica April -15 Shoreline SHELLY 4/13/2015 5.50 Pathology Urine Culture, Routine April -15 Shoreline SHELLY 4/13/2015 17.50 Pathology Chlamydia /GCAmplifica April -15 Shoreline CHARLES 4122/2015 17.50 Pathology Chlamydia /GCAmplifica April -I5 Shoreline NYSHEA 3/30/2015 17.50 Pathology Chlamydia /GCAmplifica April -15 Shoreline STEVEN 4117/2015 17.50 Pathology Chlamydia /GCAmplifica April -15 Shoreline LORA 5/24/2015 3.25 Pathology Urinalysis, Complete May -1S Shoreline LORA 5/24/2015 17.50 Pathology Chia myd€a/GC Amplifica May -15 Shoreline CHARLES 5/15/2015 4.50 Pathology Valproic Acid (Depakot May -15 Shoreline TORY 516/2015 17.50 Pathology Chlamyd €a /GCAmplifica May -15 Shoreline KEVIN 4/30/2015 2.25 Pathology CBC With Differential/ May -15 Shoreline KEVIN 4/30/2015 2.75 Pathology Prothrombin Time (PT) May -15 Shoreline KEVIN 4/30/2015 2.89 Pathology Camp. Metabolic Panel May -15 Shoreline Kevin 4/30/2015 10.00 Radiology X -Ray May -15 Shoreline ROXANNE 5/13/2015 17.50 Pathology Chlamydia /GCAmpl ill ca May -1S Shoreline EYOEL 51812015 4.00 Pathology Lithium (Eskalith(R)), May -15 Shoreline Jan 4/10/2015 10.00 Radiology X -Ray May -15 Shoreline CASEY 51712015 10.00 Radiology X -Ray June -15 Shoreline WILLIAM 6/8/2015 2.50 Pathology Hemoglobin Alc June -15 Shoreline WILLIAM 5/12/1015 10.00 Radiology X -Ray June -1S Shoreline HEATHER 6/3/2015 6.00 Pathology HCVAntibody June -15 Shoreline DHEAVEN 6/1512015 7.00 Pathology Sensitivity Organism d June -15 Shoreline DHEAVEN 6/15/2015 8.75 Pathology Aerobic Bacterial Cult June -15 Shoreline DHEAVEN 6/1512015 13.98 Pathology Anaerobic Culture June -15 Shoreline KEVIN 6/1/2015 2.75 Pathology Prothrombin Time (PT) June -15 Shoreline KEVIN 611612015 2.75 Pathology Prothrombin Time (PT) June -15 Shoreline KEVIN 6/24/2015 2.75 Pathology Prothrombin Time (PT) June -15 Shoreline RICHELLE 6/26/2015 2.75 Pathology Prothrombin Time (PT) June -15 Shoreline ALEXIS 5/2912015 7.00 Pathology SensitivityOrganismf# June -I5 Shoreline ALEXIS 5/2912015 5.50 Pathology Urine Culture, Routine June -I5 Shoreline ALEXIS 5/29/2015 17.50 Pathology Chlamydia /GCAmplifica June -15 Shoreline STEVEN 619/2015 17.50 Pathology Chiamyd €a /GCAmplifica June -15 Shoreline SHAYAN 6/17/2015 133.40 HHB NORVIR 100 MG June -15 Shoreline SHAYAN 6/17/2015 647.54 HHB REYATAZ300MG June -15 Shoreline SHAYAN 611712015 700.74 HHB TRUVADA 200 -300 MG June -15 Shoreline ANTONIO 6/14/2015 17.50 Pathology Chlamydia /GCAmplifica June -15 Shoreline LAURA 6/1812015 4.63 HHB AZATHIOPRINE 50 MG June -15 Shoreline LAURA 6/18/2015 15.80 HHB TACROLIMUS 1 MG June -15 Shoreline LAURA 6/23/2015 535.38 HHB MYFORTIC 180 MG June -15 Shoreline LAURA 6/23/2015 (535.38) 1 twB MYFORTIC 180 MG June -15 Shoreline KEVIN 5/19/2015 25.50 Specialty Services Malignant Neoplasm of Liver July 2015 Page 48 M%H!1CORR£CTIONAi C. �'rrHCA RE C4'MMNTES Cap Report - IBNR & Accrual Detail SCORE, WA For Contract Period From September 2015 to September 2016 Billable First Name DOS Agency Estimate Account Description Diagnosis Billing Period Jurisdiction Totals Shoreline KEVIN 5/19/2015 915.03 Specialty Services Malignant Neoplasm of Liver July 2015 Shoreline MATTHEW 7/14/2015 17.50 Pathology Chlamydia /GCAmplifica July -15 Shoreline KAYLHA 7/23/2015 6.70 Pathology Pane1083824 July -15 Shoreline KAYLHA 7/23/2015 17.50 Pathology Chlamydia /GCAmplifica July -15 Shoreline KAYLHA 7/23/2015 2.89 Pathology Comp. Metabolic Panel July -15 Shoreline AARON 7/2/2015 6.70 Pathology Pane1083824 July -15 Shoreline AARON 71212015 17.50 Pathology Chlamydia /GCAmplifica July -15 Shoreline AARON 7/2/2015 2.89 Pathology Comp. Metabolic Panel July -15 Shoreline REEVE 7/16/2015 17.50 Pathology Chlamydia /GCAmplifica July -15 Shoreline KASEY 7/16/2015 6.70 Pathology Pane1083824 July -15 Shoreline KASEY 7/16/2015 6.00 Pathology HCVAntibody July -15 Shoreline KASEY 7/16/2015 17.50 Pathology Ch la mydia/GC Amplifica July -15 Shoreline WILLIAM 6/26/2015 6.00 Pathology HCV Antibody July -15 Shoreline WILLIAM 6126/2015 2.89 Pathology Comp. Metabolic Panel July -15 Shoreline SALLY 6/26/2015 17.50 Pathology Chlamydia /GCAmplifica July -15 Shoreline SALLY 7113/2015 2.00 Pathology TSH July -15 Shoreline SALLY 7113/2015 2.25 Pathology CBC With Differentia 1/ July -15 Shoreline SALLY 7/13/2015 17.50 Pathology Chlamydia /GCAmplifica July -15 Shoreline JONATHAN 7/14/2015 17,50 Pathology Chlamydia /GCAmplifica July -15 Shoreline CIDRIC 7/23/2015 2.00 Pathology Lipid Panel With LDL /H July -15 Shoreline CIDRIC 7/23/2015 2.89 Pathology Comp. Metabolic Panel July -15 Shoreline ERIKA 7/24/2015 17.50 Pathology Chlamydia /GCAmplifica July -15 Shoreline KEVIN 7/9/2015 3.23 Pathology Phosphorus, Serum July -15 Shoreline KEVIN 7/9/2015 4.00 Pathology Amylase, Serum July -15 Shoreline KEVIN 7/9/2015 3.00 Pathology Llpase, Serum July -15 Shoreline KEVIN 7/9/2015 2.80 Pathology Magnesium, Serum July -IS Shoreline KEVIN 7/9/2015 2.25 Pathology CBC With Differential / July -15 Shoreline KEVIN 7/9/2015 2.89 Pathology Comp. Metabolic Panel July -15 Shoreline KEVIN 7/13/2015 2.75 Pathology Prothro mbin Time (PT) July -15 Shoreline KEVIN 7/21/2015 3.23 Pathology Phosphorus, Serum July -15 Shoreline KEVIN 7/21/2015 4.00 Pathology Amylase, Serum July -15 Shoreline KEVIN 7/21/2015 3.00 Pathology Lipase, Serum July -15 Shoreline KEVIN 7/21/2015 2.80 Pathology Magnesium, Serum July -15 Shoreline KEVIN 7/21/2015 2.25 Pathology CBC With Differential/ July -15 Shoreline KEVIN 7/21/2015 2.89 Pathology Comp. Metabolic Pane I July -15 Shoreline KEVIN 712812015 3.23 Pathology Phosphorus, Serum July -15 Shoreline KEVIN 7/2812015 4.00 Pathology Amylase, Serum July -15 Shoreknc KE IN 7,'28;2015 3.w "at: o'o� Lipase, 5e Ju ?y 15 Shoreline KEVIN 7/2812015 2.80 Pathology Magnesium,Serum July -15 Shoreline KEVIN 7/28/2015 2.25 Pathology CBC With Differential/ July -15 Shoreline KEVIN 7/28/2015 2.75 Pathology Prothrombin -lime (PT) July -15 Shoreline KEVIN 7/28/2015 2.89 Pathology Comp. Metabolic Panel July -15 Shoreline RICHELE 7/1/2015 6.70 Pathology Pane1083824 July -15 Shoreline RICHELE 7/1/2015 9.00 Pathology HCVAbw /RflxtoVerif July-15 Shoreline TIFFANY 6110/2015 10.00 Radiology X- Ray - Wrist July -15 Shoreline JUAN 7/8/2015 628.67 HHB REYATAZ 300 MG July -15 Shoreline JUAN 7/8/2015 654.19 HHB SUSTIVA600mg July -15 Shoreline JUAN 7/22/2015 628.67 HHB TIVICAY50MG July-15 Shoreline JUAN 7/22/2015 654.19 HHB TIVICAY50MG July -15 Shoreline MICHAEL 7/21/2015 17.50 Pathology Chlamydia /GCAmplifica July -15 Shoreline SHAYAN 7/6/2015 2.89 Pathology Comp. Metabolic Panel July -15 Shoreline SHAYAN 7/6/2015 38.00 Pathology CD4 /CD8 Ratio Profile July -15 Shoreline SHAYAN 7/6/2015 98.00 Pathology RNA, Real Time PCR (No July -IS Shoreline SHAYAN 7/4/2015 264.30 HHB TRUVADA200 -300 MG July -15 Shoreline SHAYAN 7/4/2015 1,292.58 HHB TRUVADA 200 -300 MG July-15 Shoreline SHAYAN 7/4/2015 1,398.98 HHB MYCO PHENOLATE MOFETIL 250 MG July -15 Shoreline MATTHEW 7/21/2015 2.25 Pathology CBC With Differential/ July-15 Shoreline MATTHEW 7/21/2015 32.97 Pa)jj ogy B -Type Natriuretic Pep July-1S Shoreline MATTHEW 7/21/2015 2.89 Pathology Comp. Metabolic Panel July-15 Page 49 f-1TTf-AIC0 RRECTI ONA17 Cap Report - IBNR & Accrual Detail SCORE, WA For Contract Period From September 2015 to September 2016 Billable First Name DOS Agency Estimate Account Description Diagnosis Billing Period Jurisdiction Totals Shoreline Kasey 716/2015 10.00 Radiology Wrist August -15 Shoreline Michael 7128/2015 10.00 Radiology Lumbarsacral August -15 Shoreline David 7/3012015 10.00 Radiology Hand August -15 Shoreline Seth 7/23120I5 10.00 Radiology Knee August -15 Shoreline JUAN 8/4/2015 673.40 HHB TIVICAY50MG August -15 Shoreline JUAN 8/4/2015 700.74 HHB TRUVADA 200 -300 MG August -15 Shoreline Paul 711012015 10.00 Radiology Foot August -15 Shoreline Paul 7/10/2015 10.00 Radiology Foot August -15 Shoreline SHAYAN 8/3/2015 264.30 HHB NORVIR 100 MG August -15 Shoreline SHAYAN 8/3/2015 1,292.58 HH8 REYATAZ300MG August -15 Shoreline SHAYAN 8/3/2015 1,398.98 HHB TRUVADA 200 -3DOMG August -15 Shoreline SHAYAN 8/31/2015 264.30 HHB NORVIR 100 MG August -15 Shoreline SHAYAN 8/31/2015 1,28131 HHB PREZi5TA800 MG August -15 Shoreline SHAYAN 8/31/2015 1,398.98 HHB TRUVADA 200 -300 MG August -15 Shoreline David 7126/2015 10.00 Radiology Chest August -15 Shoreline Matthew 7122/2015 10.00 Radiology Foot August -IS Shoreline RYAN 8/21/2015 104.92 HHB KALETRA200 -50 MG August -IS Shoreline RYAN 8121/2015 328.35 HHB TRUVADA 200 -300 MG August -15 Shoreline MATTHEW 8110/2015 4.50 Pathology Phenytoin (Dilantin), September -15 Shoreline MATTHEW 811012015 2.89 Pathology Comp. Metabolic Panel September -15 Shoreline DANIEL 811112015 6.70 Pathology Pane1083824 September -IS Shoreline DANIEL 8/11/2015 6.00 Pathology HCVAntibody September -15 Shoreline DANIEL 8/11/2015 17.50 Pathology Chlamydia /GCAmpliflca September -15 Shoreline DANIEL 8/17/2015 2.89 Pathology Comp. Metabolic Panel September -15 Shoreline DAVID 8/3/2015 6.70 Pathology Pane]083824 September -15 Shoreline DAVID 8/3/2015 6.00 Pathology HCV Antibody September -15 Shoreline DAVID 8/3/2015 17.50 Pathology Chlamydia /GC Amplifica September -15 Shoreline FRANK 7/28/2015 17.50 Pathology Chlamydia /GC Amplifica September -15 Shoreline PATRICIA 9/10/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 Shoreline JAMES 8/4/2015 10.00 Radiology SHOULDER September -15 Shoreline MICHAEL 9/10/2015 2.50 Pathology Hemoglobin AIc September -15 Shoreline KEVIN 8/24/2015 10.00 Radiology LUBMARSACHRAL September -15 Shoreline KEVIN 9/17/2015 3.23 Pathology Phosphorus, Serum September -15 Shoreline KEVIN 9/17/2015 4.00 Pathology Amylase, Serum September -15 Shoreline KEVIN 9/17/2015 3.00 Pathology Lipase, Serum September -I5 Shoreline KEVIN 9/17/2015 2.80 Pathology Magneslum, Serum September -15 Shoreline KEVIN 9/17/2015 2.25 Pathology CBC With Differential/ September -15 Shoreline KEVIN 9/17/2015 2.89 Pathology Comp, Metabolic Panel September -IS Shoreline KEVIN 8/13/2015 3.23 Pathology Phosphorus, Serum September -15 Shoreline KEVIN 8/13/2015 3.00 Pathology Lipase, Serum September -15 Shoreline KEVIN 8/13/2015 2.80 Pathology Magnesium, Serum September -15 Shoreline KEVIN 8/13/2015 2.25 Pathology CBCWithDifferential / September -15 Shoreline KEVIN 8/13/2015 2.75 Pathology Prothrombin Time (PT) September -15 Shoreline KEVIN 8/13/2015 30.78 Pathology Amylase Isoenzymes September -15 Shoreline KEVIN 8113 /2015 2,89 Pathology Comp. Metabolic Panel September -15 Shoreline KEVIN 8/23/2015 2.25 Pathology CBC With Differential/ September -15 Shoreline KEVIN 8/23/2015 2.58 Pathology Basic Metabolic Panel September -15 Shoreline KEVIN 8/23/2015 2.75 Pathology Prothrombin Time (PT) September -15 Shoreline KEVIN 8/25/2015 2.89 Pathology Camp. Metabolic Panel September -15 Shoreline KEVIN 8/6/2015 26.16 Specialty Services Neoplasm of Laver September -15 Shoreline KEVIN 8/6/2015 157.35 Specialty Services Neoplasm of Liver September -15 Shoreline CHERISH 8/28/2015 10.00 Radiology CHEST September -15 Shoreline MARK 8/1/2015 17,50 Pathology Chlamydia /GCAmplifica September -15 Shoreline SHAYAN 8/3/2015 10.00 Radiology CHEST September -15 Shoreline SHAYAN 8/19/2015 91.63 Pathology RNA, Real Time PCR[Gr September -15 Shoreline DAWN 9/26/2015 9.00 Pathology hCG,Beta Subunit, Ctnt, September -15 Shoreline DAWN 9/26/2015 2.25 Pathology CBC With Differential/ September -15 Shoreline DAWN 9 /26/2015 6.70 P4tj@iogy Pane1083824 September -15 Shoreline DAWN 9/26/2015 6.00 Pathology HCV Antibody September -15 Page 50 Mew(� n Co RRECTIONA1 HEALTHCARE CO %PNIJE5 Cap Report - I BN R & Accrua I Data! I SCORE, WA For Contract Period From September 2015 to September 2016 Billable First Name DOS Agency Estimate Account Description Diagnosis Billing Period Jurisdiction Totals Shoreline DAWN 9/26/2015 17.50 Pathology Chlamydia /GCAmpltflea September -15 Shoreline DAWN 9/2612015 2.89 Pathology Comp. Metabolic Panel September -15 Shoreline ALAN 8/12/2015 17.50 Pathology Chlamydla /GCAmplifica September -15 Shoreline DARRELL 9115/2015 11.00 Pathology Ammonia, Plasma September -15 Shoreline DARRELL 9/24/2015 2.89 Pathology Comp. Metabolic Panel September -15 Shoreline NICHOLE 9/17/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 Shoreline JENNIFER 8/2612015 17.50 Pathology Chlamydia /GCAmplifica September -15 Shoreline JACOB 9/1412015 10.00 RADIOLOGY FACIAL October -15 Shoreline DAVID 9/22/2015 10.00 RADIOLOGY CHEST October -15 Shoreline SHAYAN 10/1/2015 264.30 HHR NORVIR 100 MG October -15 Shoreline SHAYAN 10/27/2015 264.30 HHB NORVIR 1W MG October -15 Shoreline SHAYAN 10/1/2015 1,283.31 HHB PREZISTA 800 MG October -15 Shoreline SHAYAN 10/27/2015 1,283.31 HHB PREZISTA 800 MG October -I5 Shoreline SHAYAN 10/1/2015 1,398.98 HHB TRUVADA200 -300 MG October -15 Shoreline SHAYAN 10/27/2015 1,398.98 HH8 TRUVADA200 -300 MG October -15 Shoreline ERNEST 10/13/2015 17.50 Pathology Chia mydia /GCAmplifica November -15 Shoreline ERIQ 11/612015 17.50 Pathology Chlamydia /GCAmplifica November -15 Shoreline ERICH 10129/2015 17.50 Pathology Chia mydia /GCAmplifica November -15 Shoreline TODD 10/23/2015 17.50 Pathology Chlamydia/GC Am plifica November -15 Shoreline KEITH 11/19/2015 6.70 Pathology Pane1083824 November -15 Shoreline KEITH 11/19/2015 6.00 Pathology HCVAntibody November -15 Shoreline CESAR 11/13/2015 6.70 Pathology Pane1083824 November -15 Shoreline CESAR 11113/2015 6.00 Pathology HCVAntibody November -15 Shoreline CESAR 11/13/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Shoreline ROBBEL 10/8/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Shoreline KEVIN 11/4/2015 2.75 Pathology Prothrombin Time (PT) November -15 Shoreline KEVIN 11/23/2015 2.25 Pathology CRC With Differential/ November -15 Shoreline KEVIN 09 /0812015 1,414.76 Radiology Malignant neoplasm of liver November -15 Shoreline KEVIN 09 /22/2015 208.94 Radiology Malignant neoplasm of liver November -15 Shoreline CHERISH 10/25/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Shoreline CHERISH 11/12/2015 2.50 Pathology Hemoglobin A1c November -15 Shoreline CHERISH 11/12/2015 2.00 Pathology Lipid Panel With LDL/H November -15 Shoreline PAYTON 10120/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Shoreline SHAYAN 1012/2015 98.00 Pathology RNA, Real Time PCR (No November -15 Shoreline JASBIR 10/20/2015 2.50 Pathology HemoglobinAic November -15 Shoreline JASBIR 10/20/2015 2.25 Pathology CBC With Differential/ November -15 Shoreline JASBIR 10/20/2015 2.89 Pathology Comp. Metabolic Panel November -15 Shar0ne KENNETH '0/1/ 015 6:0 Patho!Ggy anc!083 °24 November -15 Shoreline KENNETH 101112015 6.00 Pathology HCVAntibody November -15 Shoreline Robert 10/31/2015 10.00 Radiology Chest November -15 Shoreline ROBERT 10/2712015 17.50 Pathology Chlamydia /GCAmplifica November -15 Tacoma CAROLINE 7/1/2015 17.50 Pathology Chlamydia /GCAmplifica July -15 Tacoma JEREMY 7110/2015 17.50 Pathology Chlamydia /GCAmplifica July -15 Tacoma JEREMY 7/13/2015 6.00 Pathology HCVAntibody July -15 Tacoma JEREMY 7/13/2015 17.50 Pathology Chlamydia /GCAmplifica July -15 Tacoma CHRISTOPHER 711012015 17.50 Pathology Chlamydia /GCAmpliRca July -15 Tacoma CHRISTOPHER 7/13/2015 2.25 Pathology CRC With Differential/ July -15 Tacoma CHRISTOPHER 7/13/2015 2.89 Pathology Comp. Metabolic Panel July -15 Tacoma ANTHONY 7/10/2015 17.50 Pathology Chlamydia /GCAmplifica July -15 Tacoma MARCUS 7/17/2015 4.50 Pathology Valproic Acid (Depakot July -15 Tacoma THEODORE 7/8/2015 17.50 Pathology Chlamydia /GCAmplifica July -15 Tacoma TALLON 7/29/2015 4.50 Pathology Valproic Acid (Depakot July -15 Tacoma AVERY 7/13/2015 4.50 Pathology ValproicAdd (Depakot July -15 Tacoma JEREMY 9/25/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 Tacoma RACHELLE 9/14/2015 17.50 Pathology Chlamydia /GCAmplifica September -15 Tacoma JAMES 9/15/2015 4.50 Pathology Valproic Acid (Depakot September -15 Tacoma MARCUS 8/3/2015 4.50 Pathology ValproicAdd (Depakot September15 Tacoma DONALD 9/10/2015 2.50 Pathology Hemoglobin A1c September -1S Tacoma JOHN 8/112015 17.50 Pathology Chlamydia /GCAmplifica September -15 Page 61 MCf uu!l CORRFMONA ,ff HEALTnCARECOMPANTES Cap Report - IBNR & Accrual Detall SCORE, WA For Contract Period From September 2015 to September 2016 Billable First Name DOS Agency Estimate Account Description Diagnosis Billing Period Jurisdiction Totals Tacoma JEREMY 9/18/2015 10.00 RADIOLOGY CHEST October -15 Tacoma ELENA 11/7/2015 4.50 Pathology Valproic Acid (Depakot November -15 Tacoma ALFRED 11/4/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Tacoma JEFFREY 11/25/2015 6.70 Pathology Pane1083824 November -15 Tacoma JEFFREY 11/25/2015 6.D0 Pathology HCV Antibody November -15 Tacoma JEFFREY 11/25/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Tacoma PAUL 10/27/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Tacoma NATHAN 11/26/2015 6.70 Pathology Pane1083824 November -15 Tacoma NATHAN 11/26/2015 6.00 Pathology HCVAntibody November -15 Tacoma NATHAN 11 /26/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Tacoma JUSTIN 11/25/2015 6.70 Pathology Pane1083824 November -15 Tacoma JUSTIN 11/25/2015 6.00 Pathology HCV Antibody November -15 Tacoma METH 11/412015 17.50 Pathology Chlamydia /GCAmplifica November -15 Tacoma MICHAEL 10/29/2015 6.70 Pathology Pane1083824 November -15 Tacoma MICHAEL 10/29/2015 6.00 Pathology HCVAntibody November -15 Tacoma MICHAEL 10/31/2015 2.46 Pathology Hepatic function Panel November -15 Tacoma MICHAEL 10/31/2015 142.67 Pathology HCV RNA by PCR, (In Rfx November -15 Tacoma MICHAEL 10/31/2015 335.42 Pathology Hepatitis CGenotype November -15 Tacoma MICHAEL 10/31/2015 322.12 Pathology HCV Rea IT€meAbbott November -15 Tacoma REGINALD 10/25/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Tacoma ALEXANDRAIS 10/27/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Tacoma DOMINIQUE 10/24/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Tacoma JEFFREY 10/25/2015 17.50 Pathology Chlamydia /GCAmplifica November -15 Tacoma JESSIKA 10/27/2015 17.50 Pathology Chia mydia /GCAmplifica November -15 Tacoma PATRICK 10/29/2015 7.00 Pathology Sensitivity Organism rt November -15 Tacoma PATRICK 10/29/2015 7.40 Pathology Sensitivity Organism November -15 Tacoma PATRICK 10/29/2015 22.12 Pathology Anaerobic and Aerobic November -15 Tacoma AVERY 10/512015 4.50 Pathology ValproicAcid (Depakot November -15 Tacoma TRENTON 10/15/2015 17.50 Pathology Chlamyd €a /GCAmplifica November -15 Tacoma AVERY 10/29/2015 4.50 Pathology Valproic Acid {Depakot November -15 Tacoma AVERY 11/12/2015 2.50 Pathology Hemoglobin Ale November -15 Tacoma AVERY 11/12/2015 2.00 Pathology Lipid Panel With LDL /H November -15 Tacoma ANDREW 10/1312015 4.50 Pathology ValproicAcid (Depakot November -15 Tacoma ANDREW 11114/2015 4.50 Pathology Valpro €c Acid (Depakot November -15 Total Contract Agency Billed $111,018.33 $210,756.49 `i Page 52 ($111,018,33) ($210,756.49) ($99,738.16) Deposits Booking (Intake) Swanson /GPS /Court Money Withdrawls Bail Smartcard Maintenance & Equipment Swanson Commissary Cashier Fees PayTel Telemate Enotes Fees WA State Support Registry Medical Reimb. /Restitution Inmates (Release) - SMARTCARD Inmates (Release) - Check Change Per Month Inmate Trust Account South Correctional Entity Inmate Trust Account Quarterly Report October 2015 - December 2015 10/31/2015 11/30/2015 12/31/2015 Year to Date 47,894.93 70,124.87 77,636.19 793,863.83 42,243.30 42,662.86 39,571.14 483,029.58 $ 90,138.23 $ 112,787.73 $ 117,207.33 $ 1,276,893.41 $ (1,500.00) $ (5,100.00) $ (2,200.00) $ (29,942.40) (31,856.19) (25,987.71) (22,790.72) (62.00) (67.75) (66.75) (10,563.24) (11,124.95) - (1,122.05) (1,906.70) (2,028.24) (276.00) (210.00) (321.00) (3,966.78) (6,122.01) (5,685.84) (2,763.30) (3,167.11) (2,976.44) (25,280.07) (24,558.41) (30,157.32) (15,379.61) (35,298.93) (25,709.53) $ (92,769.24) $ (113,543.57) $ (91,935.84) (2,631.01) (755.84) 25,271.49 (355,517.66) (862.00) (115,907.33) (6,603.75) (2,838.00) (52,863.19) (36,644.90) (349,476.14) (311,212.24) $ (1,261,867.61) 15,025.80 $ 34,260.88 $ 33,505.04 $ 58,776.53 $ 58,776.53 122 400 350 300 250 200 N W 150 100 50 0 DECEMBER 2015 JAIL STATISTICS SCORE Member City Billable Average Daily Population S C 9 R E 331 338 337 © Auburn O Renton © Federal Way I3Tukwila O Burien a Seaiac ® Des Moines Total ADP by Month and Year�� 725 SC0Rf- i 700 701 ' 672 Page Z 675 653 657 650 659 65Q 630 625 636 600 624 615 595 L 575 i Dec. 2015 564 550 Member 269 525 Contract 2$4 - - 500 Unbillable 11 Total 564 475 450 425 400 375 350 325 300 303 - Low 275 250 J F M A M J Ju A 5 0 N D --G--2012 --0-2013 —y,-2014 --)K--2015 Auburn Billable Average Daily Population ), -k� —tm A" , 2013 -2015 SCORE Page 3 130 2013 Budget ADP: 122 — — — — — — — — — — — — — 120 110 100 2014 Budget ADP: 97 90 2015 Budget ADP: 79 70 ........ ........ ... ....... ................. ...,.....63 60 Median: 67 57 - so 40 1 F M A I M I J Ju I A I S 1 0 1 N I D J F I M A I M J Ju I A S O 1 N I D J F I M I A I M J Ju I A I S 1 (} 1 N I D 2013 2014 2015 Burien Billable Average Daily Population I-W-11 4-4 2.013 -2015 SCORE Rage 4 14 - 17 - 2015 Budget ADP: 15 15 - .................. 14 ....... 13 N . .. Median: 12 ..: ... ... _...., �. _ ,ar •...► • a.: • as • .... ,.r.• '"....► . j .. ............. 2014 Budget ADP: 12 11 2013 Budget ADP: 11 11 9 7 5 J F M I A I M J Ju A I S l 0 1 N D J F I M A I M I J Ju I A S 1 0 N I D J I F I M I A I M I J Ju A I S 0 N I D 2013 2014 2015 Des Moines Billable Average Daily Population 2013 -2015 SCORE Page 5 12 11 2015 Budget ADP: 10 10 9 _ Median: 8 v$ 2014 Budget ADP: 8 8 2013 Budget ADP: 7 ............ ................ 7 6 5 4 J F I M A M J Ju A I S 0 1 fV FT F M A M J Ju A I S 1 0 1 N I D J I F M A M J Ju A I S 0 N I D 2013 2014 2015 Federal Way Billable Average Daily Population 2013 -2015 SCORE 125 Page 6 115 105 2015 Budget 2014 Budget ADP: 95 ADP: 93 95 N co 2013 Budget ADP: 90 — — — ....... ..... ..... ............ ........... ....... ....... 89 85 A ........... ................... / 75 72 65 55 J F M A I M J jJu I A I S 1 a 1 N I D 1 1 F M I A I M J Ju I A I S 1 Q 1 N I D J F I M I A M I J Ju o A I S 0 1 N I D 2013 2014 2015 Renton Billable Average Daily Population 2013 -2015 sc0RE Page 7 95 2014 Budget ADP: 93 2013 Budget ADP: 91 -------- - - - - -- 2015 Budget ADP: 90 90 85 Median: 82 83 80 N IV/ 75 70 65 - � 60 J F I M A I M J Ju I A I S 1 0 N I D J I F M I A M I J Ju I A I S 1 0 1 N D J F M A I M J Ju I A I S 1 O 1 N D 2013 2014 2015 SeaTac Billable Average Daily Population 2013 -2015 SCORE Page S 3o 25 2014 Budget ADP: 22 2015 Budget — ------ -____. ADP: 21 za 19 w 0 ........ .... ........ .. ................ \ ..� .. . . . / V�.w . .. ......V . .. .. / 15 v V ..... ..... ... ............ .... .. ....... Median: 14 2013 Budget ADP: 15 10 s J F M A M J Ju A S 0 N D J F M A M J Ju A S O N D J F I M I A I M I J I Ju A 1 S 1 O I N D 2013 2014 2015 Tukwila Billable Average Daily Population Alt 2013 -2015 s c 0 R E Page 9 34 32 1 30 i 28 2015 Budget 2014 Budget ADP: 26 ADP: 26 26 w 24 20.3 Budget ADP: 23 z2 — ......... ..... ...... Median: 22 14 z1zo - 18 16 J F I M I A I M I J Ju I A I S 1 O 1 N I D J I F I M I A I M J Ju A I S 1 O 1 N I D J I F I M I A I M I J Ju I A I S 1 0 N I D 2013 1 2014 2015 w N SCORE Page 10 2oDD -�•, 1800 1600 1400 1200 1000 800 600 400 200 0 Total Bookings for Member and Contract Agencies Dec 2014 - Dec 2015 ® Member © Contract —+ -Total 1901 D J F M 70 60 60 60 57 50 45 40 34 30 Average Average Average J 2012 2013 2014 A M J Ju Daily Average Bookings 61 60 60 60 A S 0 55 56 57 F M A M I J I Ju I A I S 2015 I 54 49 [+ ll1 !J 53 FBI Member Bookings by Agency Jan, 2015 to December 2015 s c a K E Page 11 350 300 I 250 — — — 268 227 200 — 178 150 122 100 A 91 50 VA/A� 62 •" 48 0 JF A J ASONb JF A J ASOND JF AiJ ASONID JF A J ASOND JF A J A5OND JF A JuASflND JF A J ASOND Auburn Federal Way Renton Tukwila Burien SeaTae Des Moines 900 800 700 600 w 500 400 300 200 100 0 h Member Agency Bookings by Type SCOR E - December 2015 Page 12 98 100% WARRANTS NEW ARREST 100% 90% 80% 70 60 50% 40% 30% 20 10% 7 0% CUSTODY TRANSFER FELONY RUSH TO COUNTY FELONY INVESTIGATION w 60 50 40 30 20 10 0 SCORE Page 13 41% AUBURN 120 100 80 60 40 27% 20 0 FEDERAL WAY Member Agency Felony Rush Bookings to County December 2015 98% 91% 83% 70% • 5 5 FEDERAL WAY BURIEN DES MOINES RENTON Member Agency Custody Transfer Bookings 94% 86% 63% 50% 75% 16 15 14 AUBURN TUKWILA RENTON BURIEN SEATAC 1 SEATAC 100% 90% 60% 40% 20% 0% 100% 100% i 80% 60% 40% 20% R 0% DES MOINES w rn 140 120 , 100 ai SCORE Page 14 SCORE Unbillable Bookings December 2014 to December 2015 124 119 123 114 115 115 112 112-- - - - - -- -- ®_ ®.n ®_ ------- - - - - -- ---------- --------- ----- 104 110 95 104 107 90 $0 - 65 65 65 - -�- -- - -- _ -- _ - - - -- °— 60 57 58 51 40 � 43 I 20 Custody Transfer and Felony Rush 11.6% of Total Bookings for Dec. 2015 82 66 69 64 73 62 66 0 1 1 1 7 Dec Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec �- Custody Transfer .r Felony Rush to County _ Median w 4 500 150 95 99 94 98 96 97 102 106 108 106 105 105 107 112 111 80 50 0 J 1 F I M I A M I J I Ju I A I S 1 O 1 N I D J I F M I A I M I J Ju A I S 1 0 N D 2014 2015 0 Actual - -- Budgeted •••••• Median Staffing —4— Overtime Actual vs Budgeted ADP with Staffing Levels and Overtime Hours► 2014 to present S S 0 R E Page 15 750 1 3,000 2015 Budget ADP: 650 650 --• ... ...`:.:* —.. — 621 - - -- - - -•- — ............. - - .,, ......643 2,500 ...... .................. ....... ...... ... r 564 0 550 ------------ - - ---- C -- ` ? v 2014 Amended i 2,000 e T f 50 �► ` e � � Budget g ADP: 5 ♦ ♦ ! r 0 t 450 t ��, � � � t a P �� 4t i +i y j m O 1,500 2014 Original _ e 1420.75 350 Budget ADP: 450 �� H Q 0 p 1,000 u 250 r S 500 150 95 99 94 98 96 97 102 106 108 106 105 105 107 112 111 80 50 0 J 1 F I M I A M I J I Ju I A I S 1 O 1 N I D J I F M I A I M I J Ju A I S 1 0 N D 2014 2015 0 Actual - -- Budgeted •••••• Median Staffing —4— Overtime w 00 Overtime Hours Breakdown S C 0 R E Page 15 Year -to -Date Overtime MANDATED CO ADMIN RETRO OT RAY AI= }MIIV41 �T� TION��.1% �I z.0 Q 0.1%r LOUR C. no H OLIDAY 5.896 IFT EXTENSION 8.0 TRAINING 4.9% CO ADMIN ADMINISTRATION �2% TRAINING 3% 4% - SHIFT EXTENSION 41 6% 1 ,y HOLIDAY 36% YTD Breakdown Hours SHIFTCOVERAGE 11,070.25 TRAINING 2,712.25 SHIFT EXTENSION 1,461.75 HOLIDAY 1,064.50 ADMINISTRATION 798.00 MANDATED 744.50 CO ADMIN 362.50 RETRO OT PAY 20.25 COURT 5.5f) Total 18,239.50 Monthly Breakdown Tyke lHours SHIFTCOVERAGE 702.00 HOLIDAY 508.00 SHIFT EXTENSION 85,00 TRAINING 51.50 ADMINISTRATION 48.75 CO ADMIN 25.50 RETRO OT PAY 0.00 MANDATED 0.00 COURT 0.00 TotaIOTHours 1,420.75 280 240 200 W 160 a CD a 120 80 40 0 flit SCARE Page 17 Contract Inmates ADP - December 2015 100% DOC Shoreline Bellevue Kenmore Kirkland Redmond Marysville Lynnwood Pacific 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Tacoma Other (16) 400 350 300 250 200 150 0 100 i 50 �� SCORE Contract Billable Average Daily Population S C O R E 2014 -2015 D � rr a 152 December January February March April May June July August September October November December ■ Algona a Bellevue Black Diamond ■ Bonney Lake ■ DOC :: Duvall ! Enumclaw = Fife * Kent Z: Kirkland ■ Lynnwood Li Marysville - MIT E2 Normandy Park ■ Orting Pacific c; Ruston Shoreline Snoqualmie Sumner E Buckley ® Clyde Hill ® Covington sa Hunts Point -- Issaquah ■ Kenmore Medina ■ Mercer Island z Milton ■ Port of Seattle Private m Redmond Tacoma US Military 800 At Daily Billable Population - Since 1/1/2015 -__ s C 0 R E ---------------------------------------------------------------------------------------------------------- Page 19 Daily billable over 700 in 2016 YTD: 0 750 +---------------------------------------------------------------------------------------------------------------------- - - - - -- 700 650 600 550 500 450 2016 Budget ADP: 700 Low 488 2016 Median 617 400 1 1/1/2015 2/1/2015 3/1/2015 4/1/2015 5/1/2015 6/1/2015 7/1/2015 8/1/2015 9/1/201.5 10/1/2015 11/1/2015 12/1/2015 1/1/2016 N Male vs Female Bookings - 2015�� 100% SCORE Page 20 90% 80% 78% 79% 75% 74% 74% 75% 74% 701'0 70% 68% 60% 50% I i 40% 32% 30% 3f]% 25% 26% 26% 25 0 26% 22% 21% 20% 10% Auburn Eurien Des Moines Federal Way Renton SeaTac Tukwila Contract Cities Overall L:3 % Male 0 % Female December 2015 Member Agency Arrests by Inmate's City of Residence SCORE Page 21 Other 4790 eml City 8. Auburn 45% Other 41% Membe City 12% Renton 4710 Des Moines Other 283/o 46% Member City 2690 Other 39% Federal Way 45% Member City 16% 143 Other 51% Tukwila 30% MPrnher City 19% , Combined for all Member Agencies 5eaTac Burien Live 3330 23% Outside Other Other 46% Member 56% Member City City 4 ©;0 11% 31% Des Moines Other 283/o 46% Member City 2690 Other 39% Federal Way 45% Member City 16% 143 Other 51% Tukwila 30% MPrnher City 19% , Combined for all Member Agencies Live in Live Member Outside City of Member Arrest City 4 ©;0 44% Live C Member \ City SCORE 2016 Member City ADP Calculation April 1, 2015 to March 31, 2016 Auburn Month # of Days ADP for 2016 % Inmate Days (Periods) SCORE Total Periods ADP April 30 1,705.00 1,705.00 57.00 May 31 2,305.00 2,305.00 74.00 June 30 2,499.00 2,499.00 83.00 July 31 2,503.00 2,503.00 81.00 August 31 2,320.00 2,320.00 75.00 September 30 1,879.00 1,879.00 63.00 October 31 1,737.00 1,737.00 56.00 November 30 1,701.00 1,701.00 57.00 December 31 1,763.00 1,763.00 57.00 January 31 - - February 28 - - March 31 - - 365 18,412.00 18,412.00 67.00 Burien Month # of Days ADP for 2016 % Inmate Days (Periods) SCORE Total Periods ADP April 30 403.00 403.00 13.00 May 31 436.00 436.00 14.00 June 30 524.00 524.00 17.00 July 31 541.00 541.00 17.00 August 31 548.00 548.00 18.00 September 30 499.00 499.00 17.00 October 31 432.00 432.00 14.00 November 30 320.00 320.00 11.00 December 31 329.00 329.00 11.00 January 31 - - February 28 - - March 31 - - 365 4,032.00 4,032.00 15.0fl 2007 2012 2013 2014 2015 2016 ADP Yo ADP % ADP % ADP Yo ADP % ADP % I/D 29.00% 33.98% 27.36% 23.81% 23.03% 22.10% -0.93% 4.00% 3.06% 3.26% 4.24% 4.12% 4.84% 0.72% `[1! Page 22 SCORE 2016 Member City ADP Calculation April 1, 2015 to March 31, 2016 Des Moines Month # of Days ADP for 2016 % Inmate Days (Periods) SCORE Total Periods ADP April 30 162.00 162.00 5.00 May 31 165.00 165.00 5.00 June 30 253.00 253.00 8.00 July 31 244.00 244.00 8.00 August 31 226.00 226.00 7.00 September 30 1.58.00 158.00 5.00 October 31 211.00 211.00 7.00 November 30 255.00 255.00 9.00 December 31 245.00 245.00 8.00 January 31 - - February 28 - - March 31 - - 365 1,919.00 1,919.00 7.00 Federal Way Month # of Days ADP for 2016 % Inmate Days (Periods) SCORE Total Periods ADP April 30 3,367.00 3,367.00 112.00 May 31 3,219.00 3,219.00 104.00 June 30 3,099.00 3,099.00 103.00 July 31 2,987.00 2,987.00 96.00 August 31 2,633.00 2,633.00 85.00 September 30 2,465.00 2,465-00 82.00 October 31 2,765.00 2,765.00 89.00 November 30 2,471.00 2,471.00 82.00 December 31 2,236.00 2,236.00 72.00 January 31 - - February 28 - - March 31 - - 365 25,242.00 25,242.00 92.00 2007 2012 2013 ADP % ADP % ADP % 2014 2015 2016 I/D ADP % ADP % ADP % 5.00% 1.95% 2.28% 2.98% 2.72% 2.30% - 0.42% 17.00% 25.07% 27.04% 27.83% 30.70% 30.30% -0.40% 145 Page 23 SCORE 2016 Member City ADP Calculation April 1, 2015 to March 31, 2016 Renton Month # of Days ADP for 2016 % Inmate Days (Periods) SCORE Total Periods ADP April 30 2,219.00 2,219.00 74.00 May 31 2,319.00 2,319.00 75.00 June 30 2,520.00 2,520.00 84.00 July 31 2,523.00 2,523.00 81.00 August 31 2,543.00 2,543.00 82.00 September 30 2,484.00 2,484.00 83.00 October 31 2,435.00 2,435.00 79.00 November 30 2,463.00 2,463.00 82.00 December 31 2,561.00 2,561.00 83.00 January 31 - - February 28 - - March 31 - - 365 22,067.00 22,067.00 80.00 SeaTac Month # of Days ADP for 2016 % Inmate Days (Periods) SCORE Total Periods ADP April 30 562.00 562.00 19.00 May 31 465.00 465.00 15.00 June 30 566.00 566,00 19.00 July 31 637.00 637.00 21.00 August 31 536.00 536.00 17.00 September 30 643.00 643,00 21.00 October 31 465.00 465.00 15.00 November 30 428.00 428.00 14.00 December 31 576.00 576.00 19.00 January 31 - - February 28 - - March 31 - 365 4,878.00 4,878.00 2007 2012 2013 2014 2015 ADP % ADP % ADP % ADP % ADP % 2016 I/D ADP % 34.00% 25.35% 26.38% 26.93% 26.95% 26.49% -0.46% 3.00% 4.18% 6.19% 6.19% 4.97% 5.85% 0.88% 146 Page 24 SCORE 2016 Member City ADP Calculation April 1, 2015 to March 31, 2016 Tukwila Month # of Days ADP for 2016 % Inmate Days (Periods) SCORE Total Periods ADP April 30 703.00 703.00 23.00 May 31 687.00 687.00 22.00 June 30 687.00 687.00 23.00 July 31 981.00 981.00 32.00 August 31 844.00 844.00 27.00 September 30 731.00 731.00 24.00 October 31 841.00 841.00 27.00 November 30 650.00 650.00 22.00 December 31 638.00 638.00 21.00 January 31 - - February 28 - - March 31 - - 365 6,762.00 6,762.00 25.00 2007 2012 2013 2014 2015 2016 ADP % ADP % ADP % ADP % ADP % ADP % I/D 8.00% 6.41% 7.49% 8.02% 7.51% 8.12% 0.61% 83,312.00 83,312.00 303.00 100.00% 100.00% 100-00% 100.00% 100.00% 100.00% 0.00% IEW Page 25 co w SCORE CONTRACT & ALL OTHER AGENCIES LOG Page 26 Contract and other Agancy LoS_Oec 2015 Expiration of Guaran- YTD Billable ADP YTD Revenue Budgeted Revenue Admin Board / Agency Amount Effective Date Terms teed Beds (Dec 2015) (Dec 2015)* 2015 other Approval Algona City of $145 /bed 1/1/2015 12131/2017 0.89 47,475 12/19/2014 Bellevue City of 6 guaranteed beds @ $97 /bed 7/1/2015 12/31/2018 6 14.02 500,153 194,873 7/1/2015 Black Diamond City of $145 /bed 4/27/2011 12/31/2016 0.65 35,555 4/27/2011 Bonney Lake City of $145 /bed 6/1/2015 When Terminated 0.41 22,695 5/22/2015 Buckley City of $145 /bed 3/27/2013 2/28/2014 0.83 44,080 3/27/2013 Clyde Hill City of $145 /bed 11/1/2011 10/31/2016 0.18 9,715 12/14/2011 Covington City of 4 guaranteed beds @ $97 /bed 4/1/2012 12/31/2021 4 4.86 172,078 141,620 10/24/2012 Duvall City of $145 /bed 5/5/2014 12/31/2016 0.11 5,800 5/1/2014 Enumclaw City of $145 /bed 10/1/2013 10/1/2015 0.13 7,155 12/11/2013 Fife City of $145 /bed 7/1/2015 12/31/2016 33.84 1,325,194 614,495 7/17/2015 Hunts Point Town of $145 /bed 10/1/2012 12/31/2015 0.22 11,745 9/26/2012 Issaquah City of $145 /bed 1/1/2012 12/31/2016 1.24 68,235 9/28/2011 Kenmore City of 5 guaranteed beds @ $97 /bed 5/1/2014 12/31/2015 5 16.36 585,140 177,025 4/24/2014 Kent City of $145 /bed 3/13/2015 7/31/2015 0.04 2,135 3/13/2015 Kirkland City of 5 guaranteed beds @ $97 /bed 11/1/2013 12/31/2021 5 6.00 234,740 177,025 11/1/2013 Lynnwood City of 4 guaranteed beds @ $97 /bed 8/1/2015 12/31/2021 4 7.98 361,335 2/11/2014 Marysville City of 5 guaranteed beds @ $97 /bed 7/1/2015 12/31/2017 5 6.98 315,742 89,240 6/24/2015 Medina City of $145 /bed 4/1/2014 12/31/2015 0.22 11,745 3/14/2014 Mercer Island City of $145 /bed 5/25/2011 12/31/2022 0.22 12,145 5/25/2011 Milton City of $145 /bed 4/20/2015 3/31/2017 0.90 49,305 4/22/2015 Muckieshoot Indian Tribe $145 /bed 1/1/2014 12/31/2015 0.73 38,425 10/7/2014 Normandy Park City of 1 guaranteed bed @ $97 /bed 3/1/2014 12/31/2015 1 1.78 64,699 35,405 4/16/2014 North Bend City of $145 /bed 10/1/2015 12/31/2018 0.07 3,625 10/23/2015 Orting City of $145 /bed 9/26/2014 12/31/2016 0.96 50,705 9/30/2014 Pacific City of 2 guaranteed beds @ $97 /bed 10/1/2012 12/31/2021 2 3.44 121,638 70,810 12/12/2012 Private Parties $145 /bed 0.07 3,575 Redmond City of 7 guaranteed beds @ $97 /bed 2/1/2014 12/31/2016 7 8.13 289,449 247,835 4/9/2014 Ruston City of $145 /bed 3/5/2014 12/31/2015 0.04 2,175 4/3/2014 Shoreline City of 35 guaranteed beds @ $97 /bed 9/1/2014 12/31/2.015 35 44.65 1,592,710 1,239,175 8/28/2014 Snoqualmie City of $145 /bed 2/22/2012 12/31/2017 0.13 7,220 2/22/2012 Sumner City of $145 /bed 3/1/2015 12/31/2017 0.63 33,500 3/9/2015 Tacoma City of $145 /bed 12/3/2015 12/31/2015 15.34 781,750 892,400 7/1/2015 US Marshals $80 /bed 4/26/2013 When Terminated 0.04 1,120 4/24/2013 US Military Valley Narcotics Enforcement Team VNET $145 /bed $145 /bed 6/27/2012 12/31/2015 0.10 - 5,510 6/27/2012 WA Department of Corrections $84.87/bed 5/30/2013 5/31/2016 148.00 4,197,863 7/22/2015 Guaranteed Bed Subtotal. 74 $ 3,879,903 TOTAL $ 11,016,131 $ 12,000,000 "The YTD revenue listed on this log does not tie to the financial statements for the same period Contract Inmates $ 4,024,607 due to a timing issue with billing contract agencies. SCORE will always be one month in Incremental Cost to House arrears on the financial statements except at year end when SCORE will accrue the contract $ 6,991,524 agency revenue. Page 26 Contract and other Agancy LoS_Oec 2015 Federal Way 2 th ersary This page was left intentionally blank. 149 COUNCIL MEETING DATE: February 02, 2016 ITEM #: CITY OF FEDERAL WAY CITY COUNCIL AGENDA BILL SUBJECT: NOVEMBER 2015 MONTHLY FINANCIAL REPORT POLICY QUESTION: Should the Council approve the November 2015 Monthly Financial Report? COMMITTEE: Finance, Economic Development and Regional Affairs Committee CATEGORY: ® Consent ❑ Ordinance ❑ City Council Business ❑ Resolution MEETING DATE:.lanuary 26, 2016 ❑ Public Hearing ❑ Other STAFF REPORT BY: Ade Ariwoola, Finance Director DEPT: Finance Attachments: • November 2015 Monthly Financial Report Options Considered: 1. Approve the November 2015 Monthly Financial Report as presented 2. Deny approval of the November 2015 Monthly Financial Report and provide direction to staff. MAYOR'S RECOMMENDATION: Mayor recommends approval of Option 1. MAYOR APPROVAL: q ap DIRECTOR APPROVAL: S C 3nille 'pla Ci 'G � CHIEF OF STAFF:. colr I Cow i 11111 1.11 COMMITTEE RECOMMENDATION :1I move to fbri -var N el approval of the November 2015 Monthly Financial Report to the February 02, 2016 consent agenda for approval. Committee Chair Committee Member Committee Member PROPOSED COUNCIL MOTION: "I move approval of the November 2015 Monthly Financial Report." (BELOW TO BE COMPLETED BY CITY CLERKS OFFICE) COUNCIL ACTION: ❑ APPROVED COUNCIL BILL # ❑ DENIED 1ST reading ❑ TABLED /DEFERRED /NO ACTION Enactment reading ❑ MOVED TO SECOND READING (ordinances only) ORDINANCE # REVISED — 08/12/2010 RESOLUTION # 150 Cl" ff Federal way November 2015 Monthly Financial Report -Highlights The following are highlights of the November 2015 Monthly Financial Report. Detailed financial information can be found in the November 2015 Monthly Financial Report detail. Notable Areas 1. Public Works permits and fees is above 2015 year -to -date budget by $135K or 48.3% primarily due to prior inspections hours being charged against the deposit made by the developer. 2. Hotel /Motel lodging tax is $30K or 15.2% above 2014 year -to -date collections. With the economy getting better more visitors are staying in hotels. 3. Dumas Bay Center is $123K or 19.8% above 2014 year -to -date collections. There has been an increase in retreat rentals at the facility, and there was a 10% pricing increase for rental fees over 2014. General & Street Fund Summa Revenues are above the year -to -date budget by $1.8M or 5.6% with all revenues on target or above year -to -date budget except for property tax, court revenue, and interest earnings. Total General & Street Fund expenditures are above year -to -date budget by $92K or 0.3 %. The following Departments are above their projected year -to -date budget: City Council, Mayor's Office, Law, Municipal Court, Jail, Police, and Parks and Recreation. City Council is over year -to -date budget by $9K primarily due to payment for 2014 and 2015 association dues in 2015, Mayor's Office is over year -to -date budget by $46K primarily due to an increase in temporary help, a payout of vacation for a position leaving the City, increased advertising, increased travel, and membership and investment in the Chamber of Commerce. Law is over year -to -date budget by $96K primarily due to more outside legal services for litigation and legal consultation. Municipal Court is over year -to- date budget by $4K primarily due to vacation payout for a position leaving the City. Police is over year -to -date budget by $437K primarily due to an increase in billable overtime and Valley Communication dispatch services cost increase outside the budget amount. Jail is over year -to -date budget by $162K due to outside jail services for psychiatric care provided through King County and Providence Community which are outside the budget. Parks & Recreation is over year -to -date budget by $87K primarily due to a union negotiation increase in pay for seasonal help, overtime pay, and an increase in supplies due to warmer weather. The city adopted the mid - biennial budget adjustment in December and the adjustments will be reflected in the December monthly financial report. Property tax is above 2014 year -to -date actual by $90K or 0.8% and below 2015 year -to -date budget by $18K or 0.2 %, primarily due to timing differences. Sales tax exceeds 2014 year -to -date actual by $927K or 9.1% and also exceeds 2015 year -to -date budget by $LIM or 11.0 %. Retail sales (increase of $352K or 6.7 %), services (increase of $185K or 7.8 %), construction (increase of $357K or 34.0%), and wholesaling (increase of $11K or 2.6 %) account for the majority of the increase compared to year -to -date 2014. Additionally, criminal justice sales tax collected county-wide also exceeds 2014 year -to -date actual by $155K or 8.7% and 2015 year -to -date budget by $168K or 9.5% which further indicates growth. Community Development permits and fees are below the 2014 year -to -date actual by $403K or 13.9% and above 2015 year -to -date budget by $104K or 4.3 %. Significant permit revenues received year -to -date include Federal Way High School, Kitts Corner Apartments, Crestview West Apartments, Highpoint Apartments, and Christian Faith School. Permits that contributed to the increase in 2014 over 2015 were Wynstone East, Park 16 Apartments, Celebration Senior Living, Dicks Sporting Goods, and Progressive Claims Office. Court revenue is above 2014 year -to -date actual by $68K or 5.4% and below 2015 year -to -date budget by $99K or 7.0 %. The enhanced signage, lighting, and continued enforcement activity is the primary reason for the reduction. Park & General Recreation Fees is above 2014 year -to -date actual by $15K or 1.6% and above 2015 year -to -date budget by $68K or 7.7 %. Senior trips and tours revenue increased through the efforts of staff to market and promote the programs. These changes are all in line with our financial projection and budget appropriation. Desiknated Operatinz Funds Expenditures are below 2015 year -to -date budget by $157K or 1.2% and are primarily due to timing of payments and operational decreases in Traffic Safety and Surface Water Management. Surface Water Management (SWM) is 151 under year -to -date budget by $152K or 4.6% primarily due to vacancies of positions. The city adopted the mid - biennial budget adjustment and the budget ordinance will be reflected in the December monthly financial report. Utility tax revenues received year -to -date as reported on the monthly financial report totals $9.OM and is $346K or 3.7% below 2014 year -to -date actual and $850K or 8.6% below 2015 year -to -date budget. The following is the comparison of utility taxes of 2015 year -to -date actual to 2014 year -to -date actual by category: Electricity — current YTD decrease by $126K or 3.6 %. Gas — current YTD decrease by $118K or 9.8% Cable — current YTD increase by $61K or 4.6% Cellular — current YTD decrease by $191 K or 11.3% SWM — current YTD increase by $28K or 10.5% Real estate excise tax 2015 year -to -date revenues of $2.7M is above 2014 year -to -date actual by $909K or 50.8% and is above the 2015 year -to -date budget by $1.1M or 72.8 %. There were 102 taxable residential sales (total sales $28.5M / $141K tax), and two commercial sales (total sales $9.6M / $48K tax). Federal Way Community Center continues to increase revenues while controlling expenditures. 2015 year -to -date operating revenues total $1.7M, which is above the 2015 year -to -date budget by $39K or 2.3% and above the 2014 year -to -date actual by $7K or 0.4 %. Major revenue increases are in daily drop - ins, aquatic programs, fitness classes, and rentals. Rentals were at capacity for the months of June, July and August. 2015 year -to -date operating expenditures total $1.9M, which is above the 2015 year -to -date budget by $4K or 0.2% and below 2014 year -to -date actual by $10K or 0.5 %. Increases in personnel cost is due to increased service levels to meet higher demands. The increase in supplies is due to repairs and system replacements now that the facility is 8+ years old, a major repair to roof top HVAC unit, pool pump, heat exchanger units, pool drain covers, and additional supplies for Splash Cafe. The decrease in utility costs is due to energy efficiency efforts, timing of payments, and generally warm weather this year. The 2015 year -to -date revenues over / (under) expenditures of ($212K) is performing better than the 2015 by $35K and better than 2014 by $17K. To date, $297K of operating subsidy has been used to keep the reserve fund balance at $1.5M. The City used $232K in operating subsidy this time last year. Of the $297K, $159K is for major maintenance on the facility. The projected ending fund balance for the end of this year is $1.5M, and the current year -to -date ending fund balance is 1.5M. The fund balance is set aside for equipment replacement, major building upgrades, and roof replacement of the Community Center Building. Dumas Bay Center is showing higher revenues year -to -date of $123K or 19.8% compared to 2014, and expenditures are over 2015 year -to -date budget by $69K or 10.6 %. 2015 year -to -date operating revenues total $746K, which is $132K or 21.5% above the 2015 year -to -date budget, and above 2014 year -to -date actual by $123K or 19.8 %. The increase from year -to -date 2014 is due to an increase in rental activities as a result of the marketing plan that was commissioned in 2011, the Google AdWords campaign put into action from the marketing plan as well as securing the return of rental groups. 2015 year -to -date operating expenses total $716K, which is $69K or 10.6% above the 2015 year -to -date budget and $43K above 2014 year -to -date actual. The increase in expenses over 2014 year -to -date is due to an increase in goods and services for the operation as well as the increase in rental activity for the first eleven months. 2015 year -to -date revenues over /(under) expenditures of $30K is above 2014 by $80K. The year -to -date fund balance of $303K includes the major maintenance cost of $155K remaining of $300K to replace meeting room chairs and tables, mattresses, bedding and furniture for overnight rooms, interior painting, exterior painting of front entrance, courtyard repair and furniture, fire alarm panel upgrade, and carpeting. In accordance with City's reserve policy, the City plans to bring the fund balance to the required $500K. 152 CITY OF Federal Way November 2015 Monthly Financial Report - Detail GENERAL & STREET FUND SUMMARY 2014 2015 YfD Budget Ns. Actual Favorable /(Unfawrable) Annual Annual Budget Actual Y 1'D Actual Annual Budget YCD Budget Y I'D Actual $ % Beginning Fund Balance $16,240,295 $16,240,295 $16,240,295 $13,264,105 $ 13,264,105 $13,264,105 n/a n/a Revenues: Property Taxes 10,077,000 10,233,416 10,151,7001 10,342,770 10,260,182 10,241,925 (18,257) -0.2% Sales Tax 11,614,000 12,173,288 10,177,436 11,962,420 10,001,141 11,104,583 1,103,443 11.00/0 Criminal Justice Sales Tax 1,913,000 2,138,405 1,782,157 2,123,430 1,769,677 1,937,316 167,639 9.5% Gambling Taxes 145,000 176,068 138,460 155,000 121,238 135,913 14,674 12.1% State Shared Revenue 2,171,000 2,355,979 1,848,295 2,483,000 1,947,945 1,978,350 30,405 1.60% Leasehold Tax 6,000 6,693 4,919 6,000 4,409 5,023 613 13.9% Court Revenue 1,431,000 1,370,107 1,260,754 1,551,550 1,427,755 1,328,273 (99,483) -7.0% CED Permits &Fees 2,100,577 3,059,772 2,906,950 2,572,000 2,399,756 2,503,925 104,170 4.3% PW Permits & Fees 317,000 368,797 324,545 317,000 279,428 414,308 134,880 48.3% Business License Fees 252,000 267,293 189,143 259,000 183,275 191,700 8,426 4.6% Franchise Fees 1,041,000 1,070,983 1,070,983 1,050,000 1,050,000 1,113,436 63,436 6.0% Passport Agency Fees 55,000 64,750 61,000 65,000 61,236 68,825 7,589 12.4% Park & General Recreation Fees 937,000 992,680 937,433 937,000 884,853 952,875 68,022 7.7% Police Services 765,000 1,058,716 764,403 984,000 710,458 805,251 94,793 13.3% Admin /Cash Management Fees 520,314 520,314 476,955 375,896 344,571 344,571 0 0.00/0 Interest Earnings 31,000 17,534 17,633 31,000 31,175 22,933 (8,242) -26.4% Miscellaneous /Other 219,000 332,703 303,880 278,600 254,464 365,352 110,888 43.6% Total Revenues 33,594,891 36,207,497 329416,648 35,493,666 31,7319561 33,514,558 1,782,997 5.6% Expenditures: City Council 389,913 355,579 339,614 367,442 335,144 344,151 (9,007) -2.7% Mayor's Office 1,287,346 1,336,396 1,173,883 1,440,769 1,339,997 1,386,077 (46,080) -3.4% Community Development 2,863,861 2,697,364 2,429,167 2,296,033 2,106,151 2,023,195 82,956 3.9% Economic Development 364,864 131,364 93,180 308,289 186,052 183,126 2,926 1.6% Human Services 778,640 811,456 677,085 781,378 685,112 592,439 92,673 13.5% Finance 999,938 962,916 895,197 908,534 831,854 817,747 14,107 1.7% Human Resources 1,066,541 969,381 790,199 874,337 637,377 629,083 8,294 1.3% Law 1,624,308 1,471,143 1,351,044 1,158,387 1,061,855 1,158,276 (96,421) -9.1% Municipal Court 1,687,470 1,670,089 1,477,237 1,304,387 1,195,688 1,199,640 (3,952) -0.3% Jail 4,159,831 4,004,632 3,663,437 4,276,614 3,920,230 4,082,083 (161,854) -4.1% Police 22,987,085 23,898,496 22,065,287 18,198,547 16,824,557 17,261,685 (437,128) -2.6% Parks & Recreation 4213,996 3,960,905 3,576,432 3,468,663 3,237,868 3,324,967 (87,100) -2.7% Public Works 5,292,730 4,630,788 3,868,449 4,069,657 3,471,417 2,922,931 548,486 15.8% Total Expenditures 47,716,523 46,900,509 42,400,211 39,453,037 35,833,301 35,925,401 (92,100) -0.3% Revenues owr/(under) Expenditures (14,121,632) (10,693,012) (99983,563) (3,959,371) (4,101,741) (2,410,843) 1,690,898 41.2% Other Sources: Ongoing Transfers In: Red Light /School Zone for Comp Phi & Traffic 1,096,000 1,093,212 1,096,000 155,000 155,000 155,000 - 0.01/. Utility Taxfor Designated Programs 1,343,000 1,140,135 975,000 498,000 30,000 30,000 0.00/0 Utility Taxfor Operations 3,893,000 3,893,000 3,893,000 7,245,493 4,779,572 4,779,572 0.01/6 Utility Taxfor Prop 1 Voter Package 2,980,187 2,931,304 2,782,788 - - - n/a One -Time Transfers In /Grants /Other 331,450 520,168 393,555 421,899 375,137 375,137 0.00/0 Total Other Financing Sources 9,643,637 9,577,819 9,140,343 8,320,392 5,339,709 5,339,709 - 0.0% Other Uses: Contingency Reserve Funds 27,000 - - - - - n/a 1 -Time Transfers Out /Other /Unalloc IS 3,218,464 1,861,000 2,074,613 5,602,968 5,005,833 5,005,833 0.0% Total Other Financing Uses 3,245,464 1,861,000 2,0749613 5,602,968 5,005,833 5,005,833 0.0% Total Fading Fund Balance $ 8,516,836 $13,264,102 $13,322,462 $12,022,158 $ 99496,240 $11,187,137 n/a n/a 153 DESIGNATED OPERATING FUNDS SUMMARY 2014 2015 VTD Budget vs. Actual Favorable /(Unfavorable) Annual Budget I Annual Actual YTD Actual Annual Budget YID Budget YID Actual $ % Beginning Fund Balance $18,232,684 $18,232,684 $18,232,684 $ 21,407,791 $ 21,407,792 $ 21,407,792 n/a n/a Revenues: Utility Tax 9,711,581 9,308,402 7,250,749 9,808,966 7,639,108 6,983,819 (655,289) -8.6°/ Utility Tax - Prop 1 Voter Package 2,840,419 2,720,475 2,120,325 2,868,824 2,235,948 2,041,587 (194,361) -8.7% Hotel/Motel Lodging Tax 195,000 231,828 200,303 200,000 172,803 230,741 57,938 33.5% Real Estate Excise Tax 1,800,000 2,062,722 1,788,554 1,900,000 1,560,773 2,697,720 1,136,947 72.8% Property Tax - King Co Expansion Levy - 181,880 168,084 155,000 143,243 170,352 27,110 18.9% State Shared Revenue 495,000 496,470 413,587 509,000 424,025 422,861 (1,165) -0.3% Traffic Safety (Red Light /School Zone) 1,455,000 2,460,187 2,202,051 2,123,643 1,900,819 2,728,111 827,292 43.5% Federal Way Cmmiwnity Center 1,643,500 1,851,260 1,725,381 1,818,500 1,693,648 1,732,393 38,744 2.3% Dumas Bay Centre Fund 635,251 644,049 622,840 635,251 614,173 746,259 132,086 21.5% Surface Water Management Fees 3,456,000 3,462,003 3,464,606 3,820,000 3,822,872 3,847,468 24,596 0.6% Refuse Collection Fees 287,517 305,742 281,233 302,517 278,267 275,949 (2,317) -0.8% Interest Earnings 15,300 106,674 93,115 11,800 23,655 23,655 0.01/o Miscellaneous /Other 27,768 27,881 26,323 27,768 35,324 35,324 0.0% Total Revenues 22,562,336 23,859,573 20,357,151 24,181,269 20,544,658 21,936,239 1,391,581 6.8% Expenditures: Arterial Streets Overlay Program 1,696,031 1,415,175 1,402,629 1,724,205 1,329,153 1,329,153 - 0.01/o Utility TaxAdmin /Cash Mgmt Fees 48,000 48,000 1 44,000 - - - n/a Solid Waste & Recycling 499,412 461,717 408,240 500,101 438,738 438,738 0.0% Hotel/Motel Lodging Tax 227,034 58,786 58,516 355,296 137,353 137,353 0.0% Traffic Safety (Red Light /School Zone) 625,000 627,786 575,537 2,123,644 1,946,898 1,870,245 76,653 3.9% Utility TaxProposition 1 - - - 2,841,965 2,541,809 2,541,809 - 0.0% Debt Service (Debt & Admin Fee) 1,995,392 1,985,446 1,355,022 1,039,573 372,168 372,168 - 0.0% Federal Way Community Center 2,205,049 2,174,104 1,953,971 2,150,024 1,940,127 1,943,952 (3,825) -0.2% Performing Arts & Conf Ctr Operations - - - 10,000 6,759 6,759 - 0.0% Dumas Bay Centre Fund 695,146 728,379 672,825 708,071 647,480 716,031 (68,551) - 10.6% Surface Water Management 3,940,196 3,132,984 2,832,440 3,777,547 3,305,354 3,153,009 152,345 4.6% Total Expenditures 11,931,259 10,632,377 9,303,180 15,230,426 12,665,838 12,509,217 156,621 1.2% Revenues over /(under) Expenditures 10,631,077 13,227,196 11,053,971 8,950,843 7,878,820 9,427,022 1,548,202 19.7% Other Sources: Ongoing Transfers In: Utility Tax forDBCOper /Reserves 112,000 112,000 112,000 233,659 233,659 233,659 - 0.0% Utility TaxforFWCCOper /Reserves 554,275 301,944 231,733 396,754 297,280 1 297,280 0.00/0 Utility Tax for FWCC & SCORE Debt - 25,169 25,169 1,838,813 1,171,408 1,171,408 0.0% Utility Taxfor Arterial Streets Overlay - - - 1,013,000 760,885 760,885 0.0% 1 -Time Transfers /Grants /Other 13,964,796 14,128,588 13,572,422 203,308 164,366 164,366 0.0' %, Total Other Sources 14,631,071 14,567,701 13,941,324 3,685,534 2,627,598 2,627,598 0.0% Other Uses: Ongoing Transfer Out: Traffic Safety (Red Light /School Zone) 1,141,725 1,138,937 1,141,725 - - - n/a Utility Taxto FWCC Oper/Reserves 554,275 301,944 231,733 396,754 297,280 297,280 0.00/0 Utility Tax to FWCC & SCORE Debt - - 1,028,040 993,522 993,522 0.0% Utility Taxto DBC Oper /Reserves 112,000 112,000 112,000 233,659 233,659 233,659 0.0% Utility Tax to Arterial Streets Overlay - - - 1,013,000 760,885 760,885 0.0% Utility Taxto Transportation Capital - - - - - - n/a Utillity Taxto General/Street Oper 5,236,000 5,033,135 4,868,000 7,763,493 4,809,572 4,809,572 0.01/0 Utility Taxto Prop 1 Voter Package 2,980,187 2,931,304 2,782,788 - - - n/a 1 -Time Trans fers /Other/UnaIlOCIS 15,366,404 1 15,102,476 15,102,475 5,542,155 4,770,243 4,770,243 0.0% Total Other Uses 25,390,591 24,619,796 24,238,721 15,977,101 11,865,161 11,865,161 - 0.0 Ending Fund Balance Arterial Streets Overlay 1 308,702 236,156 100,000 - 206,924 n/a n/a Utility Tax(non -Prop 1) 2,615,082 2,710,592 892,453 2,090,614 2,541,902 n/a n/a Utility Tax -Prop 1 Voter Package 905,665 834,603 382,970 861,462 334,763 n/a n/a Solid Waste & Recycling 183,884 204,137 151,271 178,751 142,080 n/a n/a Hotel/Motel Lodging Tax 195,300 400,296 369,043 245,300 509,193 n/a n/a Federal Way Community Center 1,586,740 1,573,471 1,597,514 1,499,999 1,500,001 n/a n/a Traffic Safety Fund 2,492,758 3,500,514 3,291,934 2,915,180 3,777,510 n/a n/a Real Estate Excise TaxFund 3,286,857 3,550,864 3,276,634 2,727,091 4,162,314 n/a n/a Performing Arts & Conf Ctr Operations - - - - 3,247 n/a n/a Paths & Trails 14,440 196,665 181,324 360,664 375,227 n/a n/a Strategic Reserve Fund 3,000,000 3,382,044 3,000,969 3,154,696 3,221,675 n/a n/a Debt Service Fund 39,444 73,485 704,203 872,726 873,478 n/a n/a Surface Water Management 3,628,141 4,491,213 4,689,241 3,018,545 3,645,824 n/a n/a Dumas Bay Centre Fund 155,929 181,200 215,545 42,039 303,112 n/a n/a Total Ending Fund Balance $18,104,238 $ 21,407,787 $18,989,258 $18,067,067 Is $ 21,597,250 n/a n/a 154 Sales Tax Compared to year -to -date November 2014 actual, sales tax revenues are up by $55K or 5.1 %. Compared to 2015 year -to- date budget, year -to -date sales tax revenues went up by $1.1M or 11.0 %. There is usually a two month lag in sales tax revenue. The sales tax reported for September 2015 is paid in November 2015. LOCAL RETAIL SALES TAX REVENUES YTD Nowmber Month 2014 Actual 2015 Favorable /(Unfavorable) Change from 2014 2015 Actual Budget Budget Actual $ % $ % Jan $ - - - - - - - Feb 1,193,962 1,173,279 1,353,180 159,218 13.3% 179,900 15.3% Mar 885,403 870,066 912,804 27,401 3.1% 42,738 4.9% Apr 878,261 863,047 952,455 74,194 8.4% 89,408 10.4% May 995,299 978,058 1,088,938 93,639 9.4% 110,880 11.3% Jun 928,710 912,623 1,044,900 116,190 12.5% 132,277 14.5% Jul 980,780 963,791 1,092,791 112,011 11.4% 129,001 13.4% Aug 1,127,275 1,107,748 1,254,134 126,859 11.3% 146,386 13.2% Sep 1,062,818 1,044,407 1,144,483 81,665 7.7% 100,076 9.6% Oct 1,042,609 1,024,548 1,123,740 81,131 7.8% 99,192 9.7% Nov 1,082,321 1,063,573 1,137,158 54,838 5.1% 73,586 6.9% - Dec 1,995,852 1,961,279 - - - - YTD Total $ 10,177,436 $ 10,001,141 $11,104,583 $ 927,147 9.1 % $1,103,443 11.0% Annual Totall $ 12,173,288 1 $ 11,962,420 1 n/a I n/a n/a n/a n/a COMPARISON OF SALES TAX COLLECTIONS BY SIC GROUP Favorable /(Unfavurabl e) Component 2014 2015 Change from 2014 $ % Group YID Nov YTD Nov Explanation Retail Trade $ 5,279,738 $ 5,631,324 $ 351,586 6.7% Up $373K - Motor Vehicle & Parts Dealer, Building Material & Carden, Clothing and Accessories, Sporting Goods, Health & Personal Care, Hobby, Books, Food & Beverage Stores, Gasoline Stations, Nonstore retailers Down $21K - Miscellaneous & Nonstore Retailers, Electronics & Appliances Services 2;378,224 2,563,715 185,492 7.8% Up $198K- Administrative & Support Services, Nursing and Residential Care, Amusement, Gambling, Food Services & Drinking Places, Repair & Maintenance, Personal & Laundry Services, Religious, Grantmaking, Civic, Accomodation, Ambulatory Services, Hospital, Performing Arts Down $13K- Professional/Scientific /Tech, Company Management, Educational Services, Social Assistance Constmct 1,049,033 1,406,220 357,187 34.0% Up $371K- Construction of Buildings, Specialty Trade Down $14K - Heavy & Civil Construction Wholesaling 430,121 441,111 10,990 2.6% Up $11K- Wholesale Trade, Durable & Nondurable goods Tmnsp /Utility 3,653 4,552 899 24.6% Information 514,344 540,913 26,568 5.2% Up $27K - Intemet Service Providers, Publishing Industries, Telecommunications, Other Information Services Manufacturing 100,239 97,963 (2,276) -2.3% Up $16K Food Manufacturing, Nonmetallic Mineral Products, Fabricated Metal Products, Computer & Electronic Products, & Miscellaneous Manufacturing Down $14K- Wood Product Manufacturing, Furniture & Related products, Electric Equipment, Printing & Related Support Goverment 150,851 131,646 (19,205) -12.7% Up $7K- Executive Legislative Down $26K- Nonclassifiable establishments, Economic Programs Admin, Justice, Public Order, Safety Fin /Insurance 257,721 246,243 (11,478) 4.5% Up $13K- Credit Intermediation, Securities, Commodities, Rental & Leasing Services /Real Estate Down $24K - Insurance Carriers and Related, Real Estate Other 13,513 40,897 27,384 202.6% $ 10,177,436 $ 11,104,583 $ 927,147 9.1 155 SALES TAX COMPARISON by AREA YTD November 2014 Actual 2015 Favorable /(Unfavorable) Favorable /(Unfawrabl e) 2015 Actual vs Budget Budget Actual $ Var Chg from 2014 $ Var $ % Location 2014 2015 Explanation YTD Total Sales Tax $ 10,177,436 $ 11,104,583 $ 927,147 9.1% 932,669 S 348th Retail Block 943,165 1,400,324 457,159 48.5% Up $479K Retail Automative/Gas, Retail Building 1,452,712 1,531,929 1,316,552 (136,160) -9.4% Materials, Retail General Merchandise -14.1% Apr 465,766 491,164 499,858 Down $22K Retail Eating and Drinking, Electronics & 7.3% 8,694 1.8% May 1,153,008 Appliances The Commons 756,710 924,507 167,797 22.2% Up $177K Misc Retail Trade, Retail Eating & Drinking, 1,503,495 1,585,481 1,390,369 (113,125) -7.5% Retail Apparel -12.3% Jul 424,413 447,557 411,807 Down $9K Communications, Retail General Merchandise S 312th to S 316th 612,620 646,830 34,210 5.6% Up $34K Retail General Merchandise, Automative Gras, 896,076 (14,739) -1.6% (64,407) -6.7% Automative Repair Pavilion Center 363,045 366,140 3,095 0.9% General Increase Hotels & Motels 175,886 227,025 51,139 29.1% General Increase FW Crossings 361,734 339,920 (21,815) -6.0% Up $5K Retail Eating & Drinking, Fumitures & Fixtures 557,086 (9,136) -1.6% (40,012) -6.7% Down $27K Retail Miscellaneous Stores, Electronics & 2,657,803 2,802,734 - - A fiances Gateway Center 180,454 143,689 (36,765) -20.4% Up $3K Health & Personal Care Store, Food & Beverage -3.7 % $ (8609742) -8.7% Rebate (18,938) Stores (15,908) 3,030 0.0% 11,092 - 41.1% Down $40K Telecommunications Utility Tax (Total 7.75 %) The utility taxes year -to -date is $349K or 3.7% below 2014 year -to -date actual and $861K or 8.7% below 2015 budget. There is usually a two month lag in utility tax revenue. The utility tax reported for September 2015 is paid in November 2015. U H ITY TAXES Year -to -date thru November Month 2014 Actual 2015 Favorable /(Unfavorable) Change from 2014 2015 Actual vs Budget Budget Actual $ Var % Var $ Var % Var Jan $ 811 $ 855 $ 777 $ (34) -4.1% $ (78) -9.1% Feb 884,440 932,669 787,079 (97,361) -11.0% (145,590) - 15.6% Mar 1,452,712 1,531,929 1,316,552 (136,160) -9.4% (215,377) -14.1% Apr 465,766 491,164 499,858 34,092 7.3% 8,694 1.8% May 1,153,008 1,215,883 1,038,174 (114,834) - 10.0% (177,709) - 14.6% Jun 1,503,495 1,585,481 1,390,369 (113,125) -7.5% (195,112) -12.3% Jul 424,413 447,557 411,807 (12,606) -3.0% (35,749) -8.0% Aug 910,816 960,483 896,076 (14,739) -1.6% (64,407) -6.7% Sept 833,039 878,465 872,972 39,933 4.8% (5;493) -0.6% Oct 1,195,292 1,260,472 1,270,562 75,270 6.3% 10,090 0.8% Nov 566,222 597,098 557,086 (9,136) -1.6% (40,012) -6.7% Dec 2,657,803 2,802,734 - - - YTD Subtotal $ 9,390,013 $ 9,902,056 $ 9,0419314 $ (348,699) -3.7 % $ (8609742) -8.7% Rebate (18,938) (27,000) (15,908) 3,030 0.0% 11,092 - 41.1% VM Total $ 9,371,075 $ 9,875,056 $ 9,025,406 $ (345,669) -3.7% $ (849,650) -8.6 % Annual Total $ 129028,877 $ 12,677,790 n/a n/a n/a n/a n/a The City of Federal Way provides a utility tax rebate for qualifying individuals that have paid for Utility bills within the City of Federal Way, who are 65 years or older, disabled/unable to work, and qualify as low income during the affected calendar year. This is an annual program that opens January 1st and closes April 30th of each year. The City has processed 132 rebates at a total cost of $16K year -to -date November 2015. The City processed 156 rebates at a total cost of $18,938 year -to -date November 2014. 156 This year winter was warmer than normal and required less use of electricity or gas for heating, reducing the total utility charge and taxes on it. unurY TAXES - by Type Year - to-date thru November Utility Type 2014 Actual 2015 Actual Favorable /(Unfavorable) Change from 2014 $ % Electric $ 3,476,213 $ 3,349,715 $ (126,498) -3.6% Gas 1,199,409 1,081,770 (117,639) -9.8% Solid Waste 737,622 760,463 22,841 3.1% Cable 1,312,398 1,372,909 60,511 4.6% Phone 693,886 668,918 (24,968) -3.6% Cellular 1,698,764 1,507,485 (191,280) -11.3% Pager 611 497 (114) -18.7% SWM 271,109 299,557 28,448 10.5% TaxRebate (18,938) (15,908) 3,030 0.0% YTD Total $ 9,371,075 $ 9,025,406 $ (345,669) -3.7% Proposition I Voter- Approved Utility Tax 2015 Year -to -date Prop 1 expenditures total $2.5M or 89.4% of the $2.8M annual budget. Current life -to -date Prop 1 Utility tax collections total $24.9M and expenditures total $24.6M. PROP 2014 2015 Life To Date Budget Actual Budget Actual Beginning Balance: 1,045,433 1,045,433 1,002,600 834,603 n/a OPERATING REVENUES January 191 183 193 175 1,604,024 February 208,518 199,712 210,603 177,728 2,091,460 March 371,467 328,032 345,919 297,286 2,632,952 April 248,693 105,173 110,908 112,871 2,172,231 May 255,523 260,357 274,554 234,426 2,246,125 June 219,573 339,499 358,012 314,071 2,311,397 July 198,005 95,835 101,061 93,050 1,759,997 August 111,064 205,668 216,883 202,390 1 1,831,316 September 308,291 188,106 198,363 197,173 1,667,067 October 140,770 269,905 284,623 286,955 2,168,937 November 189,027 127,857 134,829 125,844 1,704,254 December 589,297 600,149 632,875 - 2,727,767 Total Prop 1 Revenues: 2,840,419 2,720,474 2,868,824 29041,970 24,917,525 OPERATING EXPENDITURES Public Safety Improvement Positions & Costs: 2,293,555 Police Services (includes 1 Records Specialist, 8 Patrol Officers, 4 Detectives, 1 Lieutenant, & 4 Traffic Officers) 2,322,522 2,214,883 2,007,240 18,367,338 Court Services (includes .50 Judge, I Court Clerk, and Pro Tern Pay, Public Defender contract, 1.5 Prosecutors) 392,683 384,718 371,090 336,398 3,101,576 Total Public Safety bWrowment Costs 2,715,205 2,678,273 2,585,973 2,343,639 21,468,914 Community Safety Program Costs: 1 Code Enforcement Officer - - 101,268 70,455 389,312 1 Code Enforcement Assistant City Attorney 69,341 57,124 58,052 46,581 521,570 1 Parks Maintenance Worker I & Security 113,555 115,482 96,672 81,134 876,275 Total Community Safety Improvement Costs 182,896 172,607 255,992 198,171 1,787,157 Indirect Support - HR Analyst 44,586 42,924 - - 291,695 SafeCity M &O 37,500 37,501 245,929 Subtotal Ongoing Expenditures 82,086 80,425 - 537,624 SafeCity Startup - - 189,066 Other Transfer - Prop 1 OT for Police 600,000 Subtotal Other Expenditures - - - - 789,066 Total Prop 1 Expenditures: 2,980,187 2,931,305 2,841,965 2,541,809 24,582,761 Total Ending Fund Balance: $ 905,665 $ 834,603 $ 1,029,459 1 $ 334,764 $ 334,764 157 Real Estate Excise Tax Compared to 2014 year -to -date actuals, collections are up $909K or 50.8 %. November's receipt of $190K is above November 2014's actual by $51K or 37.1% and above November 2015's projections by $17K or 10.2 %. November 2015 activities include 173 real estate transactions, of which 69 were tax exempt. There were 102 taxable residential sales (total sales $28.5M / $141K tax), and two commercial sales (total sales $9.6M / $48K tax). Hotel /Motel Lodging Tax Hotel/Motel lodging tax received year -to -date in 2015 is $231K and is above 2014's year -to -date collections by $30K or 15.2 %. 2015 year -to -date receipts are above year -to -date projections by $58K or 33.5 %. The lodging tax reported for September 2015 is paid in November 2015. Perm it A ctivity Building, planning, and zoning permit activities are below 2014's year -to -date activity by $403K or 13.9 %. Compared to year -to- date budget, permit activity is up $104K or 4.3 %. The permits for this year's construction were primarily paid for last year. REAL ESTATE EXCISETAX REVENUES Year - to-date thru November Month 2014 Actual 2015 Favorable/(Unfavorable) Change from 2014 2015 Actual vs Budget Budget Actual S % $ % Jan $ 80,758 $ 76,309 $ 155,922 $ 75,165 93.1% $ 79,613 104.3% Feb 73,759 63,201 150,860 77,101 104.5% 87,659 138.7% Mar 115,740 137,352 331,315 215,575 186.3% 193,963 141.2% Apr 111,351 103,142 148,984 37,633 33.8% 45,843 44.4% May 443,295 233,794 302,118 141,17 -31.8% 68,323 29.2% Jun 123,166 181,069 345,929 222,764 180.9% 164,861 91.00/. Jul 238,862 188,959 302,572 63,710 26.7% 113,613 60.1% Aug 183,011 140,148 324,637 141,626 77.4% 184,489 131.6% Sep 115,931 116,474 199,688 83,757 72.2% 83,214 71.4% Oct 164,375 148,152 246,044 81,669 49.7% 97,892 66.1 % Nov 138,305 172,173 189,651 51,346 1 37.1% 17,477 10.2% Dec 274,168 339,227 - - - - YTD Total 1,788,553 1,560,773 2,697,720 909,167 50.8% 1,136,947 72.8'% Annual Total $ 2,062,721 $ 1,900,000 n/a n/a n/a n/a n/a HOTBUMOTET. LODGING TAX RE'VIIVUES Year - to-date thru November Month 2014 Actual 2015 Favorable/ (Unfavorable) Change from 2014 2015 Actual vs Budget Budget Actual $ % $ % Jan $ - $ - $ - $ - - $ - -43.1% Feb 12,812 11,053 15,336 2,524 19.7% 4,283 38.8% Mar 13,343 11,511 13,489 146 1.1% 1,978 17.2% Apr 16,006 13,897 16,825 819 5.1% 2,927 21.1% May 18,548 16,001 19,890 1,342 7.2%1 3,888 243% Jun 15,361 13,163 17,024 1,663 10.8% 3,861 29.3% Jul 17,341 14,961 21,320 3,979 22.9% 6,360 42.5% Aug 24,493 21,131 34,569 10,076 41.1% 13,439 63.6% Sept 29,629 25,561 34,823 5,194 17.5% 9,262 36.2% Oct 31,115 26,843 33,195 2,079 1 6.7% 6,351 23.71/. Nov 21,655 18,682 24,271 2,615 12.1% 5,588 29.9% Dec 31,525 27,197 - - - - YTD Total $ 200,303 $ 172,803 $ 230,741 $ 30,438 15.2%1 $ 57,938 33.5% Annual Total $ 231,828 $ 200,000 n/a n/a n/a I n/a n/a BUILDING& LAND USEPERMrrS AND FEES (CD) Year - to-date thru November 2015 Month 2014 Actual 2015 Change from 2014 Favorable/(Unfavorable) 2015 Actual vs Budget Budget Actual $ % $ % Jan 124,209 177,173 100,841 (23,368) -18.8% (76,332) -43.1% Feb 97,873 148,781 512,848 414,974 424.0% 364,066 244.7% Mar 316,207 266,903 167,455 (148,752) -47.0% (99,448) - 37.3% Apr 285,407 221,867 322,691 37,284 13.1% 100,823 45.4% May 492,934 275,919 193,125 (299,809) -60.8% (82,794) - 30.0% Jun 393,869 330,940 126,129 (267,741) -68.0% (204,811) -61.9% Jul 279,842 190,173 307,392 27,550 9.8% 117,220 61.6% Aug 334,299 271,066 151,296 (183,003) -54.7% (119,770) - 44.2% Sept 254,523 196,954 233,908 (20,615) -8.1% 36,954 18.8% Oct 185,981 169,946 300,673 114,692 61.7% 130,728 76.9% Nov 141,806 150,035 87,568 (54,238) -38.2% (62,467) -41.6% Dec 152,822 172,244 - Yl'D Total $ 2,906,950 $ 2,399,756 $ 2,503,925 $ (403,024) -13.9%1 $ 104,170 4.3% Annual Totall $ 3,059,772 1 $ 2,572,000 n/a n/a n/a I n/a n/a 158 Police Department The total overtime budget of $821K consists of $767K for City overtime and $54K for billable time. Compared to 2015 year -to -date budget, City's portion of overtime is $76K or 10.9% above annual projections. Compared to year -to -date 2014 actuals, City's portion of overtime is below by 21K or 2.7 %. Including the increase in billable overtime, total overtime decreased by $28K or 2.7% over the same time last year. The November combined overtime decrease of $11K below 2014 year -to -date actual is due to a decrease in training, court appearances, and shift call -in expenditures. PD Overtime by Type Year - to-date thru November Type 2014 Actual 2015 Actual (Favorable)/Unfavorable Change from 2014 $ % Training $ 23,304 $ 14,076 $ (9,229) -39.6% Court 36,328 28,783 (7,545) - 20.8% Field Oper 653,963 656,311 2,348 0.4% Other 82,740 75,938 (6,803) -8.2% City Portion 796,336 775,108 (21,229) -2.7 % Contract/Grant 231,133 220,879 (10,254) -4.4% Traffic School 18,729 22,203 3,475 1 18.60/. Billable 249,861 243,082 (6,779) -2.7% YTD Total $ 1,046,198 $1,018,190 $ (28,008) -2.7% Jail Services PD Overtime by Month Year - to-date thru November Month 2014 Actual 2015 Favorable /Unfavorable Change from 2014 2015 Actual vs Budget Budget Actual $ % $ % Jan $ 69,247 $ 63,491 $ 92,125 $ 22,878 33.0% $ 28,634 45.1% Feb 63,022 62,595 61,090 (1,931) -3.1% (1,504) -2.4% Mar 1 63,508 59,691 61,169 (2,339) -3.7% 1,478 2.5% Apr 70,836 61,840 55,955 (14,881) -21.0% (5,885) -9.5% May 123,628 65,892 84,365 (39,263) -31.8%1 18,472 28.0% Jun 54,966 53,453 81,812 26,846 48.8% 28,359 53.1% Jul 117,348 79,157 90,427 (26,921) -22.9% 11,270 14.2% Aug 44,461 58,901 73,713 29;252 65.8% 14,812 25.1% Sep 60,145 62,559 55,110 (5,036) -8.4% (7,449) -11.9% Oct 54,038 77,178 54,986 949 1.8% (22,191) -28.8% Nov 75,138 54,228 64,356 (10,781) -14.3% 10,128 18.7% Dec 58,708 68,171 - City Portion 796,336 698,984 775,108 (21,229) -2.7% 76,123 10.9% Billable 249,861 49,981 243,082 (6,779) -2.7% 193,101 386.3% YTD Total 1 $1,046,198 $ 748,965 $1,018,190 $ (28,008) -2.7% $269,224 35.9% Billable $ - $ 3,645 $ - $ - - $ - - Annual Total n/a $ 820,781 n/a n/a n/a n/a n/a The total jail budget is $4.28M and it is for SCORE Jail maintenance & operation assessments and alternative programs. Debt service is being paid for out of SCORE reserves in 2015. At the original 2007 projections, the Average Daily Population (ADP) was projected at 60 in- mates, which was the 3rd highest, out of the seven member cities. In 2015 based on 2014 activity, ADP is projected at 93 in- mates. In 2012, the budgeted ADP for Federal Way was 60, but actual ADP was never below 65, and at one point ADP was above 105. In 2013, the budgeted ADP for Federal Way was 90 ADP, but actual ADP was never below 75, and at its height ADP was about 90. In 2014, the budgeted ADP was 95, and year -to -date the ADP at its highest point was 95, and at its lowest was just above 75 ADP. When ADP increases, the jail costs increase. Renton which was once the highest in 2007, is now second behind Federal Way. In 2015, the budgeted ADP is 93. Other jail & alternative programs are provided by King County and Providence Community for psychiatric care. To date the City has spent $162K on these services that are not currently being provided by SCORE. Budget for alternative programs will be added in December monthly financial report as part of the mid - biennium adopted budget. Jail and Alternatives to Confinement 2014 Annual Actual 2015 Annual Budget YTD Budget YTD Actual SCORE $ 3,852,676 $ 4,276,614 $ 3,920,230 $ 3,920,230 Other Jail & Alternative Programs 151,957 - - 161,853 Subtotal NMO 4,004,633 4,276,614 3,920,230 4,082,083 Subtotal Debt Service 941,823 - - - Total $ 4,946,456 $ 4,276,614 1 $ 3,920,230 1 $ 4,082,083 159 Traffic Safety -Red Light /School Zone Traffic Safety Red light & school zone enforcement revenues are accounted for in the Traffic Safety Fund to be used for, but not limited to, prevention, education, and enforcement efforts related to traffic safety and compliance with traffic control devices within the City, including maintenance and operations costs. Currently there are a total of 14 cameras at 11 locations (8 of these cameras are red light and 6 are in the school zones). The original 4 red light cameras were activated in October 2008 and an additional 4 cameras were activated February 2010. The original 4 school zone cameras were activated February 2010 and an additional 2 cameras were activated December 2010. Red Light Photo /School Zone Enforcement Month 2014 2015 Variance Favorable /(Unfavorable) Month Gross Revenue Payments to ATS Net Revenue Gross Revenue Payments to ATS Salaries & Wages Net & Crt Security Revenue $ Variance % Variance Jan $ 237,957 $ (53,038) $ 184,920 $ 214,295 $ (52,250) $ (116,987) $ 45,058 $ (139,861) -75.6% Feb 165,840 (52,999) 112,841 276,824 (52,250) (118,560) 106,014 (6,827) -6.1% Mar 142,210 (51,500) 90,710 182,243 (23,750) (129,774) 28,719 (61,991) -68.3% Apr 217,687 (52,250) 165,437 301,461 (52,250) (124,961) 124,251 (41,187) -24.9% May 236,325 (52,250) 184,075 194,639 (52,250) (117,371) 25,018 (159,057) -86.4% Jun 188,911 (52,250) 136,661 297,654 (52,250) (126,832) 118,572 (18,090) -13.2% Jul 216,469 (52,250) 164,219 304,709 (38,000) (119,867) 146,841 (17,378) -10.6% Aug 150,826 (52,250) 98,576 184,396 (38,000) (124,907) 21,490 (77,086) -78.2% Sep 158,498 (52,250) 106,248 222,403 (52,250) (120,472) 49,681 (56,567) -53.2% Oct 293,834 (52,250) 241,584 258,671 (52,250) (120,482) 85,939 (155,645) -64.4% Nov 193,494 (52,250) 141,244 290,816 (52,250) (132,281) 106,284 (34,959) -24.8% Dec 258,137 (52,250) 205,887 - - - $ 1,328,273 $ 67,520 YID Total $2,202,051 $(575,537) $ 1,626,515 1 $2,728,111 1 $(517,750) $ (1,352,495) $ 857,866 $ (768,649) -47.3% Annual Total $ 2,460,189 $(627,787) $ 1,832,402 n/a n/a n/a n/a n/a n/a Annual Budget n/a n/a 830,000 n/a n/a n/a - n/a n/a Court Court revenues are $68K or 5.4% above 2014 year -to -date actuals and $99K or 7.0% below 2015 year -to -date budget. COURT REVENUE Year - to-date thru November Month 2014 Actual 2015 Actual Favora n avora e Changefrom 2014 $ % Civil Penalties $ 16,344 $ 16,685 $ 341 2.1 Traffic & Non -Parkin 688,033 715,455 27,422 4.0% Parking Infractions 20,826 27,098 6,271 30.1% DUI & Other M isd 96,107 92,085 (4,022) -4.2% Criminal Traffic Misd 341 157 (185) -54.1% Criminal Costs 97,126 107,226 10,101 10.4% Interest /Other/ M is( 115,812 143,697 27,884 24.1% Criminal Conv Fees 54,988 50,637 (4,351) -7.9% Shared Court Costs 45,008 43,742 (1,266) -2.8% Services & Charges 62,289 67,239 4,950 7.9% Subtotal $ 1,196,875 $ 1,264,022 $ 67,147 5.6% Probation Services 63,878 1 64,251 1 373 0.6% YTD Total $ 1,260,753 1 $ 1,328,273 1 $ 67,520 5.4 COURT REVENUE Year -to -date thru November Month 2014 Actual 2015 Favorable /(Unfavorable) Changefrom 2014 2015 Actual vs Budget Budget Actual $ % $ % January $ 109,519 $ 123,805 $ 96,176 $ 13,344 -12.2% $ 27,629 -22.3% February 116,497 131,692 122,939 6,442 5.5% 8,753 -6.6% March 1 129,654 146,566 115,886 13,769 -10.6% 30,680 -20.9% April 147,229 166,432 155,815 8,587 5.8% 10,61 -6.4% May 93,923 106,174 86,042 (7,881) -8.4% (20,132) -19.0% June 96,695 109,308 96,600 (95) -0.1% (12,707) -11.6% July 115,118 130,133 120,208 5,090 4.4% 9225 -7.6% August 97,223 109,904 100,761 3,538 3.6% 9,143 -8.3% Se tembe 95,064 107,464 137,137 42,073 44.3% 29,673 27.61/o October 1 115,331 130,374 118,682 3,351 1 2.9% 11,692 -9.0% November 80,622 91,138 113,776 33,154 41.1% 22,638 1 24.81/o December 104,880 118,560 Probation 63,878 74,766 64,251 373 0.6% (10,515) -14.1% $ 1,260,753 $ 1,427,755 $ 1,328,273 $ 67,520 5.4% $ (99,483) -7.0% Probation 4,472 5,234 n/a n/a n/a n/a n/a Annual $ 1,370,105 $ 19551,550 n/a n/a n/a n/a n/a 160 Federal Way Community Center The Federal Way Community Center Fund was established as a special revenue fund supported by user fees and utility tax transfer. Federal Way Community Center 2014 2015 YTD Budget vs Actual Fawrable /(Unfawrable) Budget Annual Actual YTD Actual Budget YTD Budget YTD Actual $ % Be innin Fund Balance $ 1,597,512 $ 1,597,512 $ 195979512 $ 19573,469 $ 1,5739469 $ 1,573,469 n/a n/a Operating Revenues• Daily Drop-ins $ 310,000 $ 322,506 $ 299,951 $ 310,000 $ 288,319 $ 309,825 $ 21,506 7.5 % Passes 770,000 806,926 743,188 850,000 782,860 712,688 (70,172) -9.00/0 City to ee Membership Program 31,000 31,272 30,440 31,000 30,175 26,897 (3,278 ) -10.9% Youth Athletic Programs 45,000 52,129 52,158 45,000 45,025 50,454 5,429 12.1% Aquatics Programs-Lessons/Classes 126,000 146,722 145,783 136,000 135,130 144,797 9,667 7.2% Childcare Fees 9,000 6,296 5,952 9,000 8,508 3,059 (5,449 - 64.00/o Fitness Classes /Fitness Training 105,000 142,504 131,311 130,000 119,789 146,759 26,970 22.5 % ToweVe ui ment Rentals 4,000 1 3,076 2;875 4,000 3,739 2,874 (865 ) -23.1% Pool Rentals /Conp etitive-Lap Lanes 16,000 19,999 17,951 16,000 14,362 20,096 5,734 39.9% Rentals 195,000 221,578 204,516 195,000 179,984 225,497 45,513 25.3% Merchandise Sales 7,500 9,486 8,959 7,500 7,084 9,671 2,588 36.5% Concessions/Vending - 62,069 57,680 60,000 55,757 56,859 1,101 2.0% Interest Eamin s /Other Mise - 1,698 1,704 - - 0 0 n/a GeneralPark/Rec - Facility use charge 25,000 25,000 22,914 25,000 22,917 22,917 - 0.00/0 Total Operating Revenues 1,643,500 1,8519260 1,725,381 1,818,500 196939648 1,732,393 389744 2.3% Operating nditures: Personnel Costs 1,368,880 1,402,491 1,283,892 1,404,524 1,287,480 1,300,216 (12,736 ) -1.0% Su lies 142,500 220,507 190,845 167,500 153,542 210,232 (56,690 ) - 36.9% Other Services & Char es 172,500 150,869 124,756 197,500 181,042 175,490 5,552 3.1% Utility Cost 385,000 263,664 226,030 360,000 300,000 253,999 46,001 15.3% Intergovernmental 20,500 25,444 22,419 20,500 18,063 4,016 14,047 77.8% Internal Service Charges 115,669 111,129 106,030 - - - - n/a Total Operating Expenditures 2,205,049 2,174,104 1,953,972 29150,024 1,940,127 19943,952 (3,825) -0.2% Revenues Over / (Under) Expenditures (561,549) (322,844) (228,590) (331,524) (246,478) (2119559) (34,919) 14.2% Recovery Ratio 74.5% 85.2% 88.3% 84.6% 87.3% 89.1% n/a Other Sources Utility Tax- Reserves - - - - - - n/a Utility Tax- Operations 554,275 301,944 231,733 396,754 297,280 297,280 n/a Grant /Other Contribution - - - - - - n/a Total Other Sources 554,275 301,944 231,733 396,754 297,280 297,280 - n/a Other Uses: n/a Capital/Use of Reserves /Grants 3,500 3,140 3,143 138,700 138,700 159,190 (20,490) n/a Total Other Uses 3,500 3,140 3,143 138,700 138,700 159,190 (20,490) n/a Net Income (10,774) (24,041) (0) (73,470) (87,898) (739470) 14,429 1 -16.4% Fnding Fund Balance $ 1,586,738 $ 1,573,471 $ 19597,512 $ 1,499,999 $ 1,485,571 $ 1,500,000 1 $ 14,429 1 1.0% The operating revenue budget includes $1.79M in user fees /program revenues, $397K contribution from utility tax for operations, and $25K use charge from General Fund Recreation for use of the facility. Year -to -date operating revenues total $1.7M which is $39K or 2.3% above the 2015 year -to -date budget. In comparison to 2015's year -to -date budget: • Daily Drop -in revenues are $22K or 7.5% above the projected revenue. This increase is due to above average attendance during weekends, local school breaks and holidays. Also, many local and regional schools are choosing to do their year- end field trips and celebrations at the Community Center, driving up drop -in group sales for the year. Warmer weather in June, July, and August has helped drive daily admissions revenues. Despite having the leisure pool closed for the entire month of September for repairs, daily drop -in sales stayed strong. ■ Pass revenues are $70K or 9.0% ($68K or 9.5% last month) below the projected revenue. The decrease is due to no longer selling the 3 -month and 6 -month passes and lower than normal membership sales in the fall quarter. Refunds totaling nearly $5K were also issued as a result of the discontinued multi -visit pass. Most of these passes were considered "inactive" but were giving an inaccurate account of "active" passes. With more people on monthly auto deduction or auto pay we foresee more gradual but regular payments for passes. Also more senior citizens are converting from regular membership to Silver Sneakers program, and therefore fitness class revenues are increasing. 161 • Youth Athletic Programs are $5K or 12.1% above the projected revenue. The increase is due to strong enrollment in Kidz Love Soccer, Basketball Skills, and Passholder P.E. • Aquatic Programs are $10K or 7.2% above the projected revenue. Swim lesson enrollment is very good with nearly all classes full and classes being added to accommodate more participants on the waiting list. • Child Care Revenues are $5K below expected levels. Customers are not using child care as much as they used to. • Fitness Classes are $27K or 22.5% above the projected revenue. The increase is due to high enrollment in Personal Training Programs and Silver Sneakers. • Pool Rentals /Competitive Lap Lanes are up $6K or 39.9% above the projected revenue. The increase is mainly due to local swim clubs and swim teams now using the center more. Competitive teams are also requesting additional lap swim time at the Community Center due to event conflicts at the King County Aquatic Center. • Rental Revenues are up $46K or 25.3% above the projected revenue. Rental revenues for 2015 are higher due to a fast start at the beginning of the year. The biggest impact has been in meeting rentals, where daily and on -going rental business increased and stayed strong all year long. Also, booking in all other areas; special events; birthday parties and gym rentals are all higher than 2014. June, July, and August rentals were at 100% capacity for special events. ■ Concessions/Vending is up $1K compared to 2014 revenue. The increase is due to the Splash Cafe opening in February 2014 of last year. Year -to -date operating expenditures total $1.9M which is $4K or 0.2% ($16K or 0.8% below last year) above the year -to -date budget. Federal Way Community Center has recovered 89.1% (88.3% last year) of operating expenditures compared to the year - to -date budgeted recovery ratio of 87.3% (77.5% last year). In comparison to 2015's year -to -date budget: ■ Personnel Costs increased by $13K or 1.0% ($27K or 2.1% last year). The increase is due to increased service levels to meet higher demands from membership and daily visitor usage. We are also contributing more payroll dollars to the personnel budget with the addition of FWCC Manager, and promotion of FWCC Supervisor. ■ Supplies are $57K or 36.9% ($65K or 52.0% last year) higher than projected. Budgeted repairs and system replacements have been a bit higher than normal. The Community Center is now 8+ years old, so some of this is anticipated. Major repairs and/or replacements of pool grates, roof top HVAC unit, pool pump, and heat exchanger units increased supply spending. Pool drain cover replacement occurred due to a new 2015 Health Code Requirement. Increased supply needs for Splash Caf6 operations are also driving up supply expenditures. Most major repairs and part replacements are done in- house, leading to savings in services and charges. ■ Other Services & Charges are $6K or 3.1% ($21K or 14.1% last year) below the projected spending due to staffing efforts to handle most major repairs in -house versus using contracted services. ■ Utility Costs are $46K or 15.3% ($92K or 28.8% last year) below the projected spending due to Facility staffing efforts to improve energy efficiencies in the building, timing of payments, and warmer weather also contributed. Since 2011 the annual support from Utility tax has been declining from $377K in 2011 to $297K in 2015. Of the $297K, $159K is for major maintenance on the facility. The chart below provides a history of year -to -date revenues, expenditures and utility tax operating subsidy. 162 FWCC Finance Performance YTD November 2015 $2,500 $2,000 -o $1,500 s Operating Subsidy $354 $377 $299 $241 r w $1,000 $297 $500 $O YTD 2010 YTD 2011 YTD 2012 _ YTD 2013 YTD 2014 YTD 2015 M Rev $1,498 $1,513 $1,609 $1,669 $1,725 $1,732 ■ Exp $1,852 $1,891 $1,908 $1,910 $1,957 $1,944 M Ending Fund Bal $322 $778 $913 $1,130 $1,598 $1,500 w 162 Operating Subsidy $354 $377 $299 $241 $232 $297 162 Dumas Bay Centre Dumas Bay Centre Fund year -to -date revenue of $746K is $132K or 21.5% above 2015 year -to -date budget and $123K or 19.8% above year -to -date 2014. Year -to -date operating expenses total $716K, which is $69K or 10.6% above 2015 year -to -date budget of $647K. Ending fund balance for Dumas Bay Centre Fund is a positive $303K, of which a balance of $155K is earmarked for repairs and maintenance, leaving a balance of $148K with a policy requirement of $500K. Dumas Bay Centre Fund Year - to-date tivu November 2014 2015 YID Budget Ns Actual Budget Annual Actual YID Actual Budget YID Budget YTD Actual Fawrable /(Unfawrable) $ % Beginning Fund Balance $ 212,979 $ 212,979 $ 212,979 $ 181,200 $ 181,200 $ 181,201 n/a n/a Operating Revenues: In -House Food Services 275,000 269,423 257,852 275,000 263,189 315,794 52,605 20.0% Dumas Bay Retreat Center 360,251 374,625 364,988 360,251 350,983 426,860 75,876 21.6% Knutzen Family Theatre - - - - - 3,605 3,605 n/a Total Operating Revenues 635,251 644,049 622,840 635,251 614,173 746,259 132,086 21.5% Operating nses• In -House Food Services 244,822 256,842 237,340 234,646 217,329 260,859 43,530 - 20.0% Dumas Bay Retreat Center 365,243 394,574 366,718 390,024 357,535 382,556 25,021 -7.0% Knutzen Fanifly Theatre 85,080 1 76,963 68,768 83,400 72,616 72,616 0.0% Total Operating nses 695,146 728,379 672,825 708,071 647,480 716 031 68,551 -10.6% Revenues Over/ (Under) nses 59 895 84,331 (49,985) (72,820) (33,307) 30 227 63,535 - 190.8% Recovery Ratio 91.38% 88.42% 92.57% 89.72% 94.86%1 104.22% n/a n/a Transfer In Gen Fund - Pump Station - - - - n/a Transfer In Gen Fund - Pump Station M &O 4,000 4,000 4,000 4,000 4,000 4,000 0.0% Transfer In Utility Tax 112,000 112,000 1 112,000 233,659 233,659 233,659 0.0% Total Other Sources 116,000 116,000 1 116,000 237,659 237,659 237,659 n/a Marketing Study & LWlementation - - - - - - n/a Punip Station M &O 4,000 - - 4,000 1,2071 1,207 n/a Repairs & Maintenance 109,153 63,448 63,448 300,000 144,769 144,769 0.0% Total Other Uses 113,153 63,448 63,448 304,000 145,976 145,976 - - Net Income 57,048 31,778 2,567 (139,161) 58376 121,910 63,535 108.8% Ending Fund Balance $ 155,931 $ 181,201 $ 215,546 $ 42,039 $ 239,576 $ 303,111 $ 63,536 26.5% 163 Self - Insured Health Insurance Fund Self- Insured Health year -to -date contributed revenue is $4.1M. Currently the revenue is generated from the employee paid contribution (range from $32 to $128 per employee per month) and the employer paid contribution (range from $640 to $1,798 per employee), varying depending on number of dependents. Self - Insured Health Insurance Fund year -to -date expenditures are $3.4M for prescription services, medical services, stop loss, professional services, and wellness program. The ending fund balance for the program is $1.8M. Self Insured Health Insurance Fund - 2015 Description 2014 Annual Actual 2015 Ad ptd Bdgt Jan -June Jul Aug Sept Oct Nov YTD Total Health Insurance Premium- Employer Contribution Revenue 3,958,828 4,196,691 1,998,187 339,355 346,204 338,613 336,704 338,290 3,697,353 Health Insurance Premium- Employee Contribution Revenue 214,481 - 106,825 17,947 18,392 17,975 17,884 17,975 196,997 Health insurance Premium- COBRA 4,812 8,529 - 1,919 1,279 640 640 - 4,478 Stop Loss Recovery Revenue - - 139,431 - - 54,428 33,545 - 227,404 Interest Earnings 431 - 818 151 146 192 203 198 1,707 Total Revenue and Transfer In 4,178,552 4,205,220 2,245,261 359,371 366,021 411,848 388,976 356,463 4,127,939 Prescription Services 498,763 429,342 295,502 49,228 42,597 41,955 42,281 41,505 513,067 Medical Services 1,982,077 2,033,346 1,173,464 269,188 133,125 232,563 241,741 167,439 2,217,519 Health Insurance -Stop Loss 366,348 428,945 205,627 - 65,223 - 32,319 31,836 335,005 Professional Services & Other 299,610 308,366 190,683 5,214 53,526 15,725 28,610 32,797 326,555 Total Expenditures for Self Insured Health 73,146,799 3,199,999 1,865,276 323,630 294,470 290,242 344,950 273,576 3,392,145 Excess of Revenues over Expenditures 7 ,031,753 1,005,221 r 379,985 35,741 71,551 121,606 44,025 82,886 735,794 The City will maintain a reserve in the amount not less than 16 weeks of budgeted expenses ($0.985 million) as recommended by our consultant. We have spent $3.4M year -to -date in 2015, with an ending fund balance in the fund of $1.8M. Performing Arts & Event Center (PAEC) Performing Arts & Event Center (PAEC) year -to -date revenue, beginning balance, and transfer in is $9.5M. This does not include all revenue sources expected for the project. Since adoption of the project, PAEC expenditures total $3.6M. 308 Performing Arts & Event Center I Annual 2014 (PAEC) 2015 Adjusted Budget YTD Nov 2015 Beginning Balance[ 8,383,571 8,383,571 Transfer In - LIFT & Utility tax from 4,209,763 Completed projects 310,256 310,256 Transfer In - Real Estate Excise Tax 525,000 - Total Beginning Balance & Transfer In Transfer In - Utility Tax 5,210,000 - Downtown Square Park Expenditures Private Contribution 1,585,000 1,000,000 753,534 Interest 3,115 - 10,348 Total Beg Bal, Revenue & Transfer In 9,947,878 9,693,827 9,457,709 Expenditures 9,693,827 Other Temporary Help 3,776 - Land Redevelopment Analysis and Land Use Application 76,675 Lloyd Enterprises Demolition 120,689 JZ Works Naming Rights 32,000 16,260 Lorax Partners Design Development 1,331,167 202,883 LMNArchitects Project Design 1,501,016 Parametrix Surveying Services 459 HDR Engineering 44,440 Recording of document 170 Steinway & Sons Plano 104,408 Supplies & Meeting Expenditures 517 Water billings 4,183 Permits 25,942 On -Call Plan Review 1,314 Legal Notices & Bond Set 1,325 PAEC Director Search 22,204 PAEC Director Salaries & Wages 108,082 Total Expenditures 1,564,307 9,693,8271 2,033,203 Total PAEC Balance 8,383,571 - 1 7,424,506 Downtown Square Park Downtown square park remaining budget is $988K. Total year -to -date expenditures for the project total $597K. Since adoption of the project, Downtown square park expenditures total $943K. 303 Downtown Square Park Annual 2014 2015 Adjusted Budget YTD Nov 2015 Beginning Balance 140,000 1,585,000 1,585,000 Transfer in - Real Estate Excise Tax 2,698,751 - - Total Beginning Balance & Transfer In 2,838,751 1,585,000 1,585,000 Downtown Square Park Expenditures 346,324 1,585,000 596,868 Total Expenditures 346,324 1,585,000 596,868 Total Downtown Square Park Balance 2,492,427 - 988,132 164 FUND ACTIVITY SUMMARY Fund # /FundName Begin Balance 1/1/2015 YTD Revenue YTD YTD Net Expenditure income /(loss) Ending Balance 11/30/2015* RequiredFlmd Balance 001 /101 General /Street Fund $ 13,264,105 $ 40,326,571 $ 42,403,538 $ (2,076,967) $ 11,1879137 $ 9,500,000 Special Revenue Funds: 102 Arterial Street 308,705 1,227,373 1,329,154 (101,782) 206,923 100,000 103 Utility Tax( *) 2,710,594 6,987,689 7,156,380 (168,691) 2,541,902 1,500,000 106 Solid Waste & Recycling 204,135 376,683 438,738 (62,056) 142,079 - 107 Special Contracts /Studies Fund 435,062 85,929 50;754 35,175 470,237 - 109 Hotel/MotelLodging Tax 400,296 246,250 137,353 108,897 509,193 200,000 110 2% for the Arts 293 - - - 293 - 111 Federal Way Community Center 1,573,469 2,029,673 2,103,142 (73,470) 1,500,000 1,500,000 112 Traffic Safety Fund 3,500,515 2,732,575 2,455,579 276,995 3,777,510 1,500,000 113 Real Estate Excise Tax Fund 3,550,864 2,702,336 2,090,886 611,450 4,162,314 2,000,000 114 Prop I Utility Tax 834,603 2,041,969 2,541,809 (499,840) 334,763 $1,000,000 ** 115 Performing Arts & Conferenc Or Operations - 10,006 6,759 3,247 3,247 119 CDBG 48,926 523,825 570,310 (46,485) 2,441 120 Path & Trails 196,664 178,562 - 178,562 375,227 - 188 Strategic Reserve Fund 3,382,044 4,027 164,396 (160,368) 3,221,675 3,000,000 189 Parks Reserve Fund - - - - - $750,000 * ** Subtotal Special R even ueFunds 17,146,170 19,146,896 19,045,261 101,635 17,247,804 11,550,000 201 Debt Service Fund 73,486 1,172,160 372,168 799,992 873,478 $2,500,000 Capital Project Funds: 301 Downtown Redevelopment 333,060 1,005,528 534,552 470,975 804,036 302 Municipal Facilities 199,943 99,858 99,618 239 200,182 303 Parks 4,713,424 473,761 1,314,880 (841,119) 3,872,305 304 Surface Water Management 2,511,316 1,582,803 270,433 1,312,370 3,823,686 306 Transportation 8,211,839 4,277,936 5,793,609 (1,515,673) 6,696,166 307 Capital Project Reserve Fund 480,167 589 - 589 480,756 480,000 308 PAEC Capital Fund 8,383,571 1,074,138 2,033,203 (959,065) 7,424,506 - Subtotal Capital Project Funds 24,833,320 8,514,613 10,046,297 (1,531,684) 23,301,636 480,000 Enterprise Funds: 401 Surface Water Management 4,491,216 3,870,617 4,716,006 (845,389) 3,645,828 690,000 402 Dumas Bay Centre Fund 181,201 983,918 862,007 121,910 303,111 $500,000 * * ** Subtotal Enterprise Funds 4,672,417 4,854,535 5,578,013 (723,478) 3,948,939 1,190,000 Internal Service Funds 501 Risk Management 1,346,299 891,530 1,280,003 (388,474) 957,825 $1,200,000 * * * ** 502 Information Systems 3,939,001 1,809,541 1,643,243 166,298 4,105,299 3,939,001 503 Mail & Duplication 218,850 118,012 151,706 (33,693) 185,156 218,850 504 Fleet & Equipment 6,463,398 2,062,538 2,512,399 (449,861) 6,013,537 6,463,398 505 Buildings & Furnishings 1,825,372 483,010 358,960 124,049 1,949,421 2,000,000 506 Health Self Insurance Fund 1,031,753 4,127,939 3,392,146 735,793 1,767,547 $985,000 * * * * ** 507 Unemployment Insurance Fund 1,912,291 238,652 31,132 207,520 2,119,811 250,000 Subtotal Internal Service Funds 16,736,963 9,731,222 9,369,589 361,633 17,098,596 15,056,249 Total All Funds $ 76,726,461 $ 83,745,995 $ 86,814,866 $ (3,068,871) $ 73,657,591 $ 40,276,249 *The Fund balance prior to any adjustments or depreciation. "The Prop I Utility Tax Fund will maintain a cash flow reserve in an amount equal to $1.OM. The current fund balance is $0.34M due to less utility tax received from electricity and gas due to a warmer winter than normal. * * *The Parks Reserve Fund will maintain a reserve of not less than $0.75Mfor equipment replacement, turf replacement, and other major upgrades to the City's Park System. The current fund balance is $OK, and a $0.25M transfer will occur in December, and a $0.50M transfer is budgeted in 2016 ****The Dumas Bay Centre Fund will maintain a minimum of $0.50M in a reserve for future capital needs of the building. The current fund balance is $0.30M, and a $0.21M reserve transfer is budgeted for this fund in 2016 * * * * *The Risk Management Fund will maintain a reserve in an amount of not less than one year's expenditure from the prior year or $1.2M. The current fund balance is $958K and is due to some larger claims during the year. * * * * * *The Health Self Insurance Fund will maintain a reserve in an amount not less than 16 weeks of budgeted expenses as recommended by our consultant. 165 COUNCIL MEETING DATE: February 02, 2016. ITEM #: CITY OF FEDERAL WAY CITY COUNCIL AGENDA BILL SUBJECT: VOUCHERS POLICY QUESTION: Should the City Council approve the vouchers in the total amount of $4,832,596.44? COMMITTEE: Finance, Economic Development, and Regional Affairs Committee MEETING DATE: January 26, 2016 CATEGORY: ® Consent ❑ Ordinance [] Public Hearing ❑ City Council Business ❑ Resolution ❑ Other STAFF REPORT BY: Ade Ariwoola, Finance Director DEPT: Finance I, the undersigned, do hereby certify under penalty of perjury that the materials have been furnished, the services rendered, or the labor performed as described herein and that the claims are just and due obligations against the 't f Federal W = d that I am authorized to authenticate and certify said liens. Finance Director Attachments: Voucher List Options Considered: MAYOR'S RECOMMENDATION: MAYOR APPROVAL: I CHIEF OF STAFF: rL �� Co DI RECTOR APPROVAL: 4 aIU COMMITTEE RECOMMENDATION: I move to forward the vouchers to the February 02, 2016 consent agenda for approval. Dini Duclos Martin Moore Committee Chair Committee Member Committee Member PROPOSED COUNCIL MOTION: "I move approval of the vouchers pursuant to RCW 42.24. " (BELOW TO BE COMPLETED BY CITY CLERKS OFFICE) _ COUNCIL ACTION: ❑ APPROVED COUNCIL BILL # ❑ DENIED 1ST reading ❑ TABLED /DEFERRED/NO ACTION Enactment reading ❑ MOVED TO SECOND READING (ordinances only) ORDINANCE tt REVISED — 08/12/2010 RESOLUTION # 166 City of Federal Way - Accounts Payable Check List Key Bank Page 1 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total ACCOUNTS PAYABLE - RECREAT $5,497.45 249400 12/15/2015 GIRVIN, BRANDON 11/24/2015 1784781 $26.12 PARKS - REFUND BAL ON ACCT 249345 12/15/2015 BARBER PARIS, CINDI 11/24/2015 1784783 $15.20 PARKS - REFUND BAL ON ACCT 249453 12/15/2015 MORGAN, HEATHER 11/24/2015 1784784 $13.00 PARKS - REFUND BAL ON ACCT 249346 12/15/2015 BEATTY, GABRIELE 11/24/2015 1784785 $13.54 PARKS - REFUND BAL ON ACCT 249376 12/15/2015 CURRIE, LEAH 11/24/2015 1784786 $38.00 PARKS - REFUND BAL ON ACCT 249446 12/15/2015 MARTIN, RITA 11/24/2015 1784787 $28.00 PARKS - REFUND BAL ON ACCT 249465 12/15/2015 NOTZON, BRIAN 11/24/2015 1784788 $36.00 PARKS - REFUND 249427 12/15/2015 KIM, ROBERT 11/24/2015 1784789 $22.18 PARKS - REFUND BAL ON ACCT 249409 12/15/2015 HEO, SOO 11/24/2015 1784791 $43.17 PARKS - REFUND BAL ON ACCT 249363 12/15/2015 CHURCHWELL, LARRY 11/24/2015 1784792 $36.00 PARKS - REFUND BAL ON ACCT 249511 12/15/2015 SPANGLER, NICK 11/24/2015 1784797 $7.00 PARKS - REFUND BAL ON ACCT 249532 12/15/2015 THERKELSEN, BARB 11/24/2015 1784799 $7.50 PARKS - REFUND 249505 12/15/2015 SINGH, GURPREET 11/24/2015 1784800 $10.00 PARKS - REFUND BAL ON ACCT 249447 12/15/2015 MCBETH, KATHY 11/24/2015 1784812 $9.00 PARKS - REFUND BAL ON ACCT 249332 12/15/2015 ALPAUGH, FAY 11/24/2015 1784815 $29.00 PARKS - REFUND BAL ON ACCT 249349 12/15/2015 BELL, SHAWANA 11/24/2015 1784816 $50.00 PARKS - REFUND BAL ON ACCT 249520 12/15/2015 SUTTON- RAINEY, KIM 11/24/2015 1784817 $35.00 PARKS - REFUND BAL ON ACCT 249480 12/15/2015 POGUE, JULIE 11/24/2015 1784818 $77.50 PARKS - REFUND CHECK 249480 12/15/2015 POGUE, JULIE 11/24/2015 1784819 $86.00 PARKS - REFUND 249359 12/15/2015 CASTRO, LESLIE 11/25/2015 1786205 $463.00 PARKS - CANCELLED RENTAL 249426 12/15/2015 KIM, JAMES 12/8/2015 1762011 $160.00 PARKS -47570 HELEN KIM WITHDRAW 249562 12/15/2015 ZAMORA, GRACE 12/8/2015 1791656 $90.00 PARKS - WITHDREW MEMBERSHIP 249076 11/17/2015 PAYNE, MARISOL 10/27/2015 1770835 $8.00 PARKS - REFUND CREDIT BAL ON ACC 249039 11/17/2015 JONAS, PAMELA 10/27/2015 1770836 $8.00 PARKS - REFUND CREDIT BAL ON ACC 167 Key Bank Page 2 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 249080 11/17/2015 PIERCE, MELISSA 10/27/2015 1770837 $8.00 PARKS - REFUND CREDIT BAL ON ACC 249047 11/17/2015 LAO, NHAN 10/27/2015 1770838 $8.00 PARKS- REFUND CREDIT BAL ON ACC 249003 11/17/2015 DAVID, SHANNON RENE 10/27/2015 1770839 $8.00 PARKS - REFUND CREDIT BAL ON ACC 249071 11/17/2015 NUNN, COLLEEN 10/27/2015 1770840 $8.00 PARKS - REFUND CREDIT BAL ON ACC 249018 11/17/2015 FRY, SARAH 10/27/2015 1770841 $8.00 PARKS - REFUND CREDIT BAL ON ACC 249109 11/17/2015 WITHERSPOON, JESSICA 10/27/2015 1770842 $5.50 PARKS - REFUND CREDIT BAL ON ACC 249102 11/17/2015 VU, HATHU 10/27/2015 1770843 $9.00 PARKS - REFUND CREDIT BAL ON ACC 249098 11/17/2015 TONG, CHUAN 10/27/2015 1770844 $7.00 PARKS - REFUND CREDIT BAL ON ACC 249099 11/17/2015 TONG, KATHRYN 10/27/2015 1770845 $5.50 PARKS - REFUND CREDIT BAL ON ACC 248996 11/17/2015 CHENG, ANITA 10/27/2015 1770846 $5.00 PARKS - REFUND CREDIT BAL ON ACC 249093 11/17/2015 STEDMAN, PATTY 10/27/2015 1770847 $7.00 PARKS - REFUND CREDIT BAL ON ACC 249094 11/17/2015 STERLEY RODNEY 10/27/2015 1770848 $7.00 PARKS - REFUND CREDIT BAL ON ACC 249024 11/17/2015 GRIGGS, NANCY 10/27/2015 1770849 $7.00 PARKS- REFUND CREDIT BAL ON ACC 249064 11/17/2015 MODRIJAN, STEPHANIE 10/27/2015 1770850 $72.00 PARKS- REFUND CREDIT BAL ON ACC 249061 11/17/2015 MCQUOWN, CARA 10/27/2015 1770851 $9.00 PARKS - REFUND CREDIT BAL ON ACC 249061 11/17/2015 MCQUOWN, CARA 10/27/2015 1770852 $10.00 PARKS - REFUND CREDIT BAL ON ACC 249059 11/17/2015 MATTERS, REBECCA 10/27/2015 1770853 $9.00 PARKS - REFUND CREDIT BAL ON ACC 249028 11/17/2015 HARRIS, PAULETTE 10/27/2015 1770854 $9.00 PARKS - REFUND CREDIT BAL ON ACC 249075 11/17/2015 PARK, SANGMI 10/27/2015 1770855 $55.00 PARKS - REFUND CREDIT BAL ON ACC 249066 11/17/2015 MORLA, RJ 10/27/2015 1770856 $56.50 PARKS - REFUND CREDIT BAL ON ACC 249055 11/17/2015 MANGLE, STEVE 10/27/2015 1770857 $59.10 PARKS - REFUND CREDIT BAL ON ACC 249065 11/17/2015 MORAN, MARIA 10/27/2015 1770858 $11.00 PARKS - REFUND CREDIT BAL ON ACC 249012 11/17/2015 DUCKWORTH, LUCILE 10/27/2015 1770859 $55.00 PARKS - REFUND CREDIT BAL ON ACC 248984 11/17/2015 BOVA, JOSEPH 10/27/2015 1770860 $7.00 PARKS - REFUND CREDIT BAL ON ACC 249084 11/17/2015 RAMOS, JUDE 10/27/2015 1770861 $8.75 PARKS - REFUND CREDIT BAL ON ACC 249073 11/17/2015 OLSON, FLANNERY 10/27/2015 1770862 $5.50 PARKS- REFUND CREDIT BAL ON ACC 168 Key Bank Page 3 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 249104 11/17/2015 WEDEBERG, NANCY 10/27/2015 1770863 $7.00 PARKS - REFUND CREDIT BAL ON ACC 249100 11/17/2015 TRAN, THUY 10/27/2015 1770864 $9.00 PARKS- REFUND CREDIT BAL ON ACC 248980 11/17/2015 BANKER, PATSY 10/27/2015 1770865 $7.25 PARKS - REFUND CREDIT BAL ON ACC 249060 11/17/2015 MCGAUGH, JENNIFER 10/27/2015 1770866 $7.00 PARKS - REFUND CREDIT BAL ON ACC 248985 11/17/2015 BOWIE, LAURIE 10/27/2015 1770867 $7.00 PARKS - REFUND CREDIT BAL ON ACC 248999 11/17/2015 COLVIN, WANDA L 10/27/2015 1770868 $5.00 PARKS - REFUND CREDIT BAL ON ACC 249006 11/17/2015 DEGTYAREVA, ANNA 10/27/2015 1770869 $7.50 PARKS - REFUND CREDIT BAL ON ACC 249105 11/17/2015 WHINNERY, SARAH 10/27/2015 1770870 $8.00 PARKS - REFUND CREDIT BAL ON ACC 249101 11/17/2015 VANORSOW, ROBERT 10/27/2015 1770871 $6.00 PARKS - REFUND CREDIT BAL ON ACC 249001 11/17/2015 CURRY, CAMILLE 10/27/2015 1770872 $8.00 PARKS - REFUND CREDIT BAL ON ACC 249026 11/17/2015 HAGBERG, EMILY 10/27/2015 1770873 $8.00 PARKS - REFUND CREDIT BAL ON ACC 249092 11/17/2015 ST.CLAIR, LINDA 10/27/2015 1770874 $7.00 PARKS - REFUND CREDIT BAL ON ACC 249009 11/17/2015 DIAL, NORA 10/27/2015 1770876 $7.00 PARKS- REFUND CREDIT BAL ON ACC 249110 11/17/2015 WOHLWEND, JANE 10/27/2015 1770877 $7.50 PARKS- REFUND CREDIT BAL ON ACC 249058 11/17/2015 MATKOVSKIY, YULIYA 10/27/2015 1770878 $5.50 PARKS - REFUND CREDIT BAL ON ACC 249056 11/17/2015 MARQUEZ, GABRIELA 10/27/2015 1770879 $5.50 PARKS - REFUND CREDIT BAL ON ACC 249031 11/17/2015 HOWARD, KELSEY 10/27/2015 1770880 $7.00 PARKS - REFUND CREDIT BAL ON ACC 249090 11/17/2015 SINCLAIR, JENNIFER 10/27/2015 1770881 $9.00 PARKS - REFUND CREDIT BAL ON ACC 249046 11/17/2015 KUBIK, HELEN 10/27/2015 1770882 $7.00 PARKS - REFUND CREDIT BAL ON ACC 249053 11/17/2015 MAGEL, BEV 10/27/2015 1770883 $7.00 PARKS - REFUND CREDIT BAL ON ACC 249095 11/17/2015 STEVENS, STELLA 10/27/2015 1770884 $10.00 PARKS - REFUND CREDIT BAL ON ACC 249072 11/17/2015 OLANREWAJU, CHERYL 10/27/2015 1770885 $10.00 PARKS - REFUND CREDIT BAL ON ACC 249050 11/17/2015 LEONARD, SHAWNA 10/27/2015 1770886 $10.00 PARKS - REFUND CREDIT BAL ON ACC 249062 11/17/2015 MEHLBERG, BETHANY 10/27/2015 1770887 $9.00 PARKS - REFUND CREDIT BAL ON ACC 249108 11/17/2015 WILSON, CELINDA 10/27/2015 1770888 $10.00 PARKS - REFUND CREDIT BAL ON ACC 249002 11/17/2015 DALBEY, CARA 10/27/2015 1770889 $9.00 PARKS- REFUND CREDIT BAL ON ACC 169 Key Bank Page 4 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 249069 11/17/2015 NAMSARI, SAINA 10/27/2015 1770892 $10.00 PARKS - REFUND CREDIT BAL ON ACC 249044 11/17/2015 KIM, JIN 10/27/2015 1770893 $9.00 PARKS - REFUND CREDIT BAL ON ACC 248990 11/17/2015 CALIN, VERONICA 10/27/2015 1770894 $9.00 PARKS - REFUND CREDIT BAL ON ACC 249049 11/17/2015 LEE, YOONHEE 10/27/2015 1770895 $9.00 PARKS - REFUND CREDIT BAL ON ACC 249048 11/17/2015 LARGE, DENNIS 10/27/2015 1770896 $9.00 PARKS - REFUND CREDIT BAL ON ACC 249081 11/17/2015 POTAFIY, NANCY 10/27/2015 1770897 $9.00 PARKS - REFUND CREDIT BAL ON ACC 249057 11/17/2015 MARTIN, JAMES 10/27/2015 1770898 $9.00 PARKS - REFUND CREDIT BAL ON ACC 249014 11/17/2015 ECKER, HOLLY 10/27/2015 1770899 $10.00 PARKS - REFUND CREDIT BAL ON ACC 249054 11/17/2015 MAGNUSSON, TIA 10/27/2015 1770900 $10.00 PARKS - REFUND CREDIT BAL ON ACC 249022 11/17/2015 GREEN, COREY 10/27/2015 1770901 $55.00 PARKS - REFUND CREDIT BAL ON ACC 249008 11/17/2015 DENNARD, SHAWNA 10/27/2015 1770902 $55.00 PARKS - REFUND CREDIT BAL ON ACC 249043 11/17/2015 KIKILLUS, PAM 10/27/2015 1770904 $55.00 PARKS - REFUND CREDIT BAL ON ACC 249027 11/17/2015 HAILEGNAW, TSIGIE 10/27/2015 1770905 $55.50 PARKS - REFUND CREDIT BAL ON ACC 248988 11/17/2015 BUSH, BRENDA 10/27/2015 1771648 $49.00 PARKS - REFUND CREDIT BAL ON ACC 249078 11/17/2015 PHAM, MINHDAN 10/27/2015 1771649 $49.50 PARKS - REFUND CREDIT BAL ON ACC 249107 11/17/2015 WILDER, ALLISON 10/27/2015 1771650 $49.50 PARKS - REFUND CREDIT BAL ON ACC 248989 11/17/2015 CABRERA, KRISTINA 10/27/2015 1771651 $48.00 PARKS - REFUND CREDIT BAL ON ACC 249004 11/17/2015 DECOTEAU, JULLIAN 10/27/2015 1771652 $46.00 PARKS - REFUND CREDIT BAL ON ACC 249097 11/17/2015 THOMPSON, CAROL 10/29/2015 1771616 $46.00 PARKS - REFUND CREDIT BAL ON ACC 249017 11/17/2015 FLESHER, MARIE 10/29/2015 1771617 $49.94 PARKS - REFUND CREDIT BAL ON ACC 249063 11/17/2015 MIKEL, BETHANY 10/29/2015 1771618 $45.00 PARKS - REFUND CREDIT BAL ON ACC 249091 11/17/2015 SORUM, MICHELLE 10/29/2015 1771619 $45.00 PARKS - REFUND CREDIT BAL ON ACC 249010 11/17/2015 DOBBS, EILEEN 10/29/2015 1771620 $45.00 PARKS - REFUND CREDIT BAL ON ACC 249067 11/17/2015 MOSER, SUSAN 10/29/2015 1771621 $10.00 PARKS - REFUND CREDIT BAL ON ACC 248994 11/17/2015 CATLOW, DAWN 10/29/2015 1771622 $50.00 PARKS - REFUND CREDIT BAL ON ACC 249114 11/17/2015 YOUNGER, ALEXANDER 10/29/2015 1771623 $55.00 PARKS - REFUND CREDIT BAL ON ACC 170 Key Bank Page 5 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 249103 11/17/2015 WARD, MAUREEN 10/29/2015 1771624 $44.00 PARKS - REFUND CREDIT BAL ON ACC 248992 11/17/2015 CARDENAS, RON 10/29/2015 1771625 $50.00 PARKS - REFUND CREDIT BAL ON ACC 249112 11/17/2015 WYATT, JULIE 10/29/2015 1771626 $40.50 PARKS - REFUND CREDIT BAL ON ACC 249007 11/17/2015 DEMOCRATS, 30 LD, 10/29/2015 1771627 $45.00 PARKS - REFUND CREDIT BAL ON ACC 249111 11/17/2015 WOOLMAN, ANN 10/29/2015 1771628 $44.00 PARKS - REFUND CREDIT BAL ON ACC 248991 11/17/2015 CAMPBELL, JULIE 10/29/2015 1771629 $49.00 PARKS - REFUND CREDIT BAL ON ACC 249030 11/17/2015 HOGAN, CHRISTOPHER 10/29/2015 1771630 $50.00 PARKS - REFUND CREDIT BAL ON ACC 249074 11/17/2015 PALMER,ABBY 10/29/2015 1771631 $32.00 PARKS - REFUND CREDIT BAL ON ACC 249025 11/17/2015 GUSHIKEN, JANE 10/29/2015 1771632 $38.00 PARKS - REFUND CREDIT BAL ON ACC 249088 11/17/2015 SELVAR, SHANNA 10/29/2015 1771633 $44.00 PARKS - REFUND CREDIT BAL ON ACC 249033 11/17/2015 HOYT, KAROL 10/29/2015 1771639 $46.00 PARKS - REFUND CREDIT BAL ON ACC 248981 11/17/2015 BARRON, JOSEPH 10/29/2015 1771640 $30.59 PARKS - REFUND CREDIT BAL ON ACC 249029 11/17/2015 HERNANDEZ,ALBERTO 10/29/2015 1771641 $50.00 PARKS - REFUND CREDIT BAL ON ACC 249040 11/17/2015 JONES, ANNIE 10/29/2015 1771642 $50.00 PARKS - REFUND CREDIT BAL ON ACC 249020 11/17/2015 GOMEZ, MARGARITA 10/29/2015 1771643 $9.00 PARKS - REFUND CREDIT BAL ON ACC 249089 11/17/2015 SEMPIO, CECILE 10/29/2015 1771644 $49.00 PARKS - REFUND CREDIT BAL ON ACC 249020 11/17/2015 GOMEZ, MARGARITA 10/29/2015 1771645 $45.00 PARKS - REFUND CREDIT BAL ON ACC 249011 11/17/2015 DOIRON, JACKIE 10/29/2015 1771646 $48.00 PARKS - REFUND CREDIT BAL ON ACC 249083 11/17/2015 RAGHUBEER, JENNIFER 10/29/2015 1771647 $50.00 PARKS - REFUND CREDIT BAL ON ACC 248981 11/17/2015 BARRON, JOSEPH 11/5/2015 1771615 $14.41 PARKS - REFUND CREDIT BAL ON ACC 249052 11/17/2015 LUONG, HOA 11/5/2015 1775592 $45.00 PARKS - REFUND CREDIT BAL ON ACC 249340 12/15/2015 ASSOCIATION OF WAGENER 12 /10/2015 1792497 $1,385.00 PARKS - CANCELLED RENTAL 249443 12/15/2015 MACIAS, MARGARET 8/31/2015 1733627R $174.95 PARKS - REFUND MEMBERSHIP 249082 11/17/2015 RABE, MIKA 10/27/2015 1770816 $8.75 PARKS - REFUND CREDIT BAL ON ACC 249042 11/17/2015 KAUTZMAN, RACHELLE 10/27/2015 1770817 $7.00 PARKS - REFUND CREDIT BAL ON ACC 249079 11/17/2015 PHILLIPS, NIYAH 10/27/2015 1770818 $5.00 PARKS - REFUND CREDIT BAL ON ACC `VAI Key Bank Page 6 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 249037 11/17/2015 JACKSON, JENNIFER 10/27/2015 1770819 $5.50 PARKS - REFUND CREDIT BAL ON ACC 248982 11/17/2015 BATSON, TRACIE 10/27/2015 1770820 $7.50 PARKS- REFUND CREDIT BAL ON ACC 249005 11/17/2015 DEGTYAREVA,ALENA 10/27/2015 1770821 $7.50 PARKS - REFUND CREDIT BAL ON ACC 249085 11/17/2015 REICHLIN, FRANZI 10/27/2015 1770822 $5.00 PARKS - REFUND CREDIT BAL ON ACC 249021 11/17/2015 GONZALEZ, GABRIELA 10/27/2015 1770823 $7.00 PARKS - REFUND CREDIT BAL ON ACC 248997 11/17/2015 CHRISTENSON, MARY 10/27/2015 1770824 $3.00 PARKS - REFUND CREDIT BAL ON ACC 249086 11/17/2015 RODRIQUEZ, JULISSA 10/27/2015 1770825 $10.00 PARKS - REFUND CREDIT BAL ON ACC 249113 11/17/2015 YI, JAMES 10/27/2015 1770826 $55.00 PARKS - REFUND CREDIT BAL ON ACC 248983 11/17/2015 BERMUDEZ -VEGA, MACQUIV410 /27/2015 1770827 $36.00 PARKS - REFUND CREDIT BAL ON ACC 249051 11/17/2015 LEWIS, ALFRED 10/27/2015 1770828 $5.00 PARKS - REFUND CREDIT BAL ON ACC 249087 11/17/2015 RUNDLE, COLLEEN 10/27/2015 1770830 $8.00 PARKS - REFUND CREDIT BAL ON ACC 248993 11/17/2015 CARLSON, JOYCE 10/27/2015 1770831 $8.00 PARKS - REFUND CREDIT BAL ON ACC 249015 11/17/2015 EVANS, ILENE 10/27/2015 1770832 $7.00 PARKS- REFUND CREDIT BAL ON ACC 248976 11/17/2015 ALLEN, KARON 10/27/2015 1770833 $5.00 PARKS- REFUND CREDIT BAL ON ACC 249034 11/17/2015 HUDGEL, THERESA 10/27/2015 1770834 $10.00 PARKS- REFUND CREDIT BAL ON ACC ADAPT -A- FAMILY DONATION 249325 12/8/2015 GRACE CHURCH, 12/8/2015 2015 ADOPTA FAMILY $6,201.25 PD- 2015 ADOPTA FAMILY PROGRAM ADVERTISING 519424 12/8/2015 US BANK, 12/8/2015 NOVEMBER 2015 $432.46 PKDBC - GOOGLE ADWORDS ADVERTISE 586048 12/7/2015 US BANK, 12/7/2015 NOVEMBER 2015 $87.60 PARKS - MONTHLY MARKETING 586048 12/7/2015 US BANK, 12/7/2015 NOVEMBER 2015 $199.00 PARKS -APP MONTHLY FEE 519424 12/8/2015 US BANK, 12/8/2015 NOVEMBER 2015 $151.50 MO- ADVERT. DIRECT TRAFFIC TOW 249077 11/17/2015 PETTY CASH - FWCC, 11/17/2015 PD -PETTY CASH $25.10 PARKS- FACEBOOKAD FOR FALL INT AGRICULTURAL SUPPLIES 249442 12/15/2015 LOWE'S HIW INC, 12/11/2015 NOVEMBER 2015 $20.77 PWST -MOSS TREATMENT /CLEANER 249385 12/15/2015 EWING IRRIGATION PRODUC-11/14/2015 657775 $111.69 PKM- CHAINLOCK TREE TIE 249170 11/30/2015 EWING IRRIGATION PRODUC'10/21/2015 547458 $336.20 SWM- IRRIGATION SUPPLIES 172 $6,201.25 $895.66 $4,045.26 Key Bank Page 7 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 249170 11/30/2015 EWING IRRIGATION PRODUC'10/22/2015 553771 $93.26 SWM- NATIVE PLANTINGS 249472 12/15/2015 PACIFIC PLANTS INC, 11/19/2015 76673 $2,724.36 PKM- WHOLESALE NURSERY 249286 11/30/2015 STAR LAKE GREENHOUSE IN111/16/2015 1216 $758.98 PKM- PLANTS FOR PARK GROUNDS AIRFARE 339658 12/8/2015 US BANK, 12/4/2015 NOVEMBER 2015 $25.00 PD- AMERICAN AIRLINES BAGGAGE 339658 12/8/2015 US BANK, 12/4/2015 NOVEMBER 2015 $50.00 PD- BAGGAGE FEES CLARY 586048 12/7/2015 US BANK, 12/7/2015 NOVEMBER 2015 $471.96 MO- AIRFARE BUS RECRUIT JOHNSON ALARM REGISTRATION FEES 249208 11/30/2015 KIM, JANE 11/16/2015 KIM 2015 $25.00 PD- REFUND HOME IS NOT IN CITY ANIMAL LICENSE 249378 12/15/2015 DICKINSON, NAOMI 11/24/2015 003- 00084973 $25.00 PD- REFUND FOR SNOOPY ANIMAL SVCS LICENSE HOBBY KENN 249268 11/30/2015 RICE, NANCY 11/9/2015 003 - 00084768 $50.00 PD- REFUND PAID FOR SVC TWICE ASPHALT & ROAD OIL 249229 11/30/2015 MILES RESOURCES LLC, 11/9/2015 252233 $6,212.35 PWST- ASPHALT FOR STEEL LAKE 249229 11/30/2015 MILES RESOURCES LLC, 10/19/2015 251540 $510.19 SWM- CAMPUS ERGO CB REBUILDS 249122 11/30/2015 ALPINE PRODUCTS INC, 11/10/2015 TM- 154187 $299.22 PWST- SUPPLIES FOR ASPHALT WORK 249442 12/15/2015 LOWE'S HIW INC, 12/11/2015 NOVEMBER 2015 $297.01 PWST- PROPANE FOR PAVERS ASSOCIATION DUES 249540 12/15/2015 TUCKER, CURTIS 11/23/2015 TUCKER 2015 $40.00 PD -ALERT MEMBERSHIP RENEWAL 249540 12/15/2015 TUCKER, CURTIS 11/23/2015 TUCKER 2015 $50.00 PD -IAFSM MEM RENEWAL 519424 12/8/2015 US BANK, 12/8/2015 NOVEMBER 2015 $299.28 PW- MEMBERSHIP RENEWAL FOR RICK 519424 12/8/2015 US BANK, 12/8/2015 NOVEMBER 2015 $800.00 PKM -NRPA MEMBERSHIP DUES 519424 12/8/2015 US BANK, 12/8/2015 NOVEMBER 2015 $350.00 SWR- RECYCLING CONTAINERS 339658 12/8/2015 US BANK, 12/4/2015 NOVEMBER 2015 $30.00 PD -NRA FIREARM RECERTIFICATION 249560 12/15/2015 WILSON, CHUCK 12/2/2015 WILSON 2015 $100.00 CD -ICE CERT RENEWAL 249555 12/15/2015 WASPC - WAASSOC SHERIFFE11 /24/2015 DUES 2015 -00891 $75.00 PD -WASPC ASSOCIATE DUES MCCALL 249510 12/15/2015 SOUTH KC CULTURAL COAL1111/20/2015 2016 DUES $30.00 PARKS -2016 ARTS COMMISSION DUE 249322 11/30/2015 WSBA -WA STATE BAR ASSOC 11/19/2015 LARSON2015 $50.00 MC -WA STATE BAR DUES LARSON 173 $546.96 $25.00 $25.00 $50.00 $7,318.77 $1,824.28 Key Bank Page 8 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 174 $365.06 $20.00 $1,489.99 $4,723.12 ATHLETIC SUPPLIES 249482 12/15/2015 PRAXAIR DISTRIBUTION INC, 11/20/2015 54278404 $27.79 PKM -CO2 586048 12/7/2015 US BANK, 12/7/2015 NOVEMBER 2015 $123.99 PARKS -BOOM BOX FOR H2O AEROBIC 586048 12/7/2015 US BANK, 12/7/2015 NOVEMBER 2015 $199.00 PARKS - QUARTERLY RELEASES 249077 11/17/2015 PETTY CASH - FWCC, 11/17/2015 PD -PETTY CASH $14.28 PARKS -HOME DEPOT - FOUR SPRING AUTOMATION FEE 249273 11/30/2015 SAME DAY ELECTRIC INC, 11/19/2015 15- 105402 $20.00 CD- PERMIT CANCELLED BOOKS, MAPS, & PERIODICALS 586048 12/7/2015 US BANK, 12/7/2015 NOVEMBER 2015 $9.80 PARKS -HBR ARTICLE 586048 12/7/2015 US BANK, 12/7/2015 NOVEMBER 2015 $19.95 PAEC- PERIODICAL SUBSCRIPTION Y 249556 12/15/2015 WEST PUBLISHING CORPORF11 /4/2015 832916905 $293.46 MC- RESOURCE PUBLICATIONS 248974 11/16/2015 WEST PAYMENT CENTER, 10/4/2015 832731897 $212.72 LAW -WA STATE CT RULES 2016 (X3 248974 11/16/2015 WEST PAYMENT CENTER, 10/4/2015 832731897 $212.71 LAW -WA STATE CT RULES 2016 (X3 248974 11/16/2015 WEST PAYMENT CENTER, 10/4/2015 832731897 $130.86 LAW -WA LOCAL CT RULES 2016 (X1 248974 11/16/2015 WEST PAYMENT CENTER, 10/4/2015 832731897 $149.48 LAW -WA COMPLET SET OF CT RULES 249507 12/15/2015 SOFTWAREONE INC, 11/18/2015 US- PSI - 434278 $27.03 Sales Tax 248974 11/16/2015 WEST PAYMENT CENTER, 10/4/2015 832731897 $149.47 LAW -WA COMPLET SET OF CT RULES 249507 12/15/2015 SOFTWAREONE INC, 11/18/2015 US- PSI - 434278 $284.51 IT -ADOBE ACROBAT PROFESSIONAL BUILDING MATERIALS 249252 11/30/2015 PLATT ELECTRIC SUPPLY, 10/21/2015 H939414 $228.70 PARKS - ELECTRICAL SUPPLIES 249301 11/30/2015 ULINE, 11/9/2015 72102241 $40.77 PKM - QUARTER DOME SAFETY MIRROR 249442 12/15/2015 LOWE'S HIW INC, 12/11/2015 NOVEMBER 2015 $530.78 CHB -MAINT SUPPLIES 249448 12/15/2015 MCMASTER -CARR, 11/5/2015 42970555 $75.13 PARKS -MAINT SUPPLIES 249403 12/15/2015 GRAINGER INC, 11/3/2015 9883948730 $61.03 PARKS -MAINT SUPPLIES 249371 12/15/2015 COMPLETE OFFICE, 11/3/2015 1264892 -0 $27.38 PKM- CYLINDER FOR CHAIR 249403 12/15/2015 GRAINGER INC, 11/9/2015 9889218146 $14.84 PARKS -MAINT SUPPLIES 249448 12/15/2015 MCMASTER -CARR, 11/11/2015 43422340 $47.31 PARKS -MAINT SUPPLIES 249489 12/15/2015 PUGET SOUND HARDWARE, 111/12/2015 2293 $720.07 PARKS -YALE AUGUSTA LEVER 174 $365.06 $20.00 $1,489.99 $4,723.12 Key Bank Page 9 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 249403 12/15/2015 GRAINGER INC, 11/24/2015 9901816604 $980.67 PARKS -MAINT SUPPLIES 249386 12/15/2015 EXTRACTOR CORPORATION, 11/25/2015 15 -2303 $784.00 PARKS -SUIT WATER EXTRACTOR 519424 12/8/2015 US BANK, 12/8/2015 NOVEMBER 2015 $640.85 PKM - RECLIMIX FOR PIP WALL 249269 11/30/2015 ROBBLEE'S TOTAL SECURITY11/16/2015 89538 $571.59 CHB -POWER CONTROLER BUILDING PERMITS 249234 11/30/2015 MOSKOVA, BODIJAR S 11/19/2015 15- 104028 $186.00 CD- CANCEL REQUEST BY HOMEOWNER 249160 11/30/2015 DTL BUILDERS INC, 11/19/2015 15- 104531 $54.00 CD- CANCELLATION REQUEST BY OWN CASH - RETAIN PAYABLE -ESCRW 249368 12/15/2015 COLUMBIA STATE BANK, 12/10/2015 AG15 -153 RETAINAGE $22,702.70 PARKS -TOWN SQUARE PARK IMPROVE CELLULAR PHONE AIR TIME 249537 12/15/2015 T- MOBILE USA INC, 12/9/2015 830401935 $48.14 IT -11/15 CELLULAR SVC 249548 12/15/2015 VERIZON WIRELESS, 11/13/2015 9755595293 $3,908.04 IT -11/15 CELLULAR SVC 249548 12/15/2015 VERIZON WIRELESS, 11/13/2015 9755595294 $3,709.00 IT /PD -11/15 DATA SVC 249548 12/15/2015 VERIZON WIRELESS, 11/13/2015 9755595294 $2,200.06 IT /PD -11/15 DATA SVC 249341 12/15/2015 AT &T MOBILITY, 11/16/2015 287262871273X1124201 $628.14 IT -11/15 DATA CARDS CLOTHING AND FOOTWEAR 249350 12/15/2015 BLUMENTHAL UNIFORM CO IP11/11/2015 004376526 $164.24 PD- UNIFORM LISLE BOOT ALLOW 249351 12/15/2015 BRATWEAR, SOUND UNIFOR�11/25/2015 17311 $1,126.76 PD- UNIFORM JOHNSON 249367 12/15/2015 COLLINS, CLINTON "TONY" 12/2/2015 COLLINS 2015 $229.73 PKM -BOOT ALLOWANCE 339658 12/8/2015 US BANK, 12/4/2015 NOVEMBER 2015 $35.50 PD -MAG POUCH NEAL 339658 12/8/2015 US BANK, 12/4/2015 NOVEMBER 2015 $306.00 PD- EYEWEAR FOR SWAT 339658 12/8/2015 US BANK, 12/4/2015 NOVEMBER 2015 $54.58 PD -FIRE INVEST. HELMET HOWELL 339658 12/8/2015 US BANK, 12/4/2015 NOVEMBER 2015 $174.11 PD -BOOT ALLOWANCE HINCKLE 249452 12/15/2015 MOORMAN, JASON 12/8/2015 MOORMAN 2015 $139.60 PKM -BOOT ALLOWANCE 249374 12/15/2015 CORROON, KYLE 12/8/2015 CORROON 2015 $135.82 PKM -BOOK ALLOWANCE 586048 12/7/2015 US BANK, 12/7/2015 NOVEMBER 2015 $185.95 PARKS -WORK PANTS 249350 12/15/2015 BLUMENTHAL UNIFORM CO IP11/23/2015 004447271 $1,226.94 PD- UNIFORM COLLAR INSIGNIA 249350 12/15/2015 BLUMENTHAL UNIFORM CO IP11/24/2015 004448203 $33.16 PD- UNIFORM DURELL 175 $240.00 $22,702.70 $10,493.38 $6,078.94 Key Bank Page 10 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 249350 12/15/2015 BLUMENTHAL UNIFORM CO 11`7/9/2015 148091 $202.47 PD- UNIFORM & ACCESSORIES CAP 249351 12115/2015 BRATWEAR, SOUND UNIFOR11/17/2015 17230 $561.74 PD- UNIFORM FADLER 249350 12/15/2015 BLUMENTHAL UNIFORM CO 1111/23/2015 004447272 $205.97 PD- COLLAR INSIGNIA CLARY 249130 11/30/2015 BRATWEAR, SOUND UNIFOR11 /9/2015 17152 $31.62 PD- UNIFORM WEDEL 249130 11/30/2015 BRATWEAR, SOUND UNIFOR11 /6/2015 17123 $173.01 PD- UNIFORM JIMENEZ 249130 11/30/2015 BRATWEAR, SOUND UNIFOR11 /5/2015 17117 $63.24 PD- UNIFORM JOHNSON 249283 11/30/2015 SOUND SAFETY PRODUCTS 111/3/2015 8689/3 $324.89 PWST- SAFETY CLOTHING 249130 11/30/2015 BRATWEAR, SOUND UNIFOW10 /29/2015 17041 $24.09 PD- UNIFORM NEAL 249129 11/30/2015 BLUMENTHAL UNIFORM CO 11`10/30/2015 004314603 $459.29 PD- UNIFORM & ACCESSORIES DUREL 249351 12/15/2015 BRATWEAR, SOUND UNIFOR11/19/2015 17241 $60.23 PD- UNIFORM JIMENEZ 249266 11/30/2015 RED WING SHOE STORE, 11/7/2015 8870000003601 $160.00 CD -SHOES FOR NORTON COMMUNICATIONS $231.74 249361 12/15/2015 CENTURYLINK, 11/19/2015 1358495326 $139.81 IT -11/15 PHONE /DATA SVC 249305 11/30/2015 USA MOBILITY WIRELESS, 11/2/2015 Y6163838K $6.20 IT -11/15 PAGER LEASE 249305 11/3012015 USA MOBILITY WIRELESS, 11/2/2015 Y6163838K $5.73 IT -11/15 PAGER LEASE 249319 11/30/2015 WIMACTEL, INC., 11/1/2015 000143436 $80.00 IT -11/15 PAYPHONE SVCS COMPUTER HARDWARE /EQUIPMENT $12,852.18 249196 11/30/2015 HP INC., 11/2/2015 56563263 $2,318.00 IT -RR HP LASERJET ENTERPRISE M 249196 11/30/2015 HP INC., 11/2/2015 56563263 $849.00 IT -RR HP LASERJET ENTERPRISE P 249196 11/30/2015 HP INC., 11/2/2015 56563263 $300.87 Sales Tax 249196 11/30/2015 HP INC., 10/28/2015 56547648 $2,318.00 IT -RR HP LASERJET ENTERPRISE M 249196 11/30/2015 HP INC., 10/28/2015 56547648 $849.00 IT -RR HP LASERJET ENTERPRISE P 249196 11/30/2015 HP INC., 10/28/2015 56547648 $300.87 Sales Tax 519424 12/8/2015 US BANK, 12/8/2015 NOVEMBER 2015 $317.54 IT -32GB DDR4 -2133 UDIMM 249414 12/15/2015 HP INC., 11/12/2015 56598552/56567548 $2,116.65 IT- SAFECITY HP ELITEDESK 800 G 249414 12/15/2015 HP INC., 11/12/2015 56598552/56567548 $537.00 IT- SAFECITY HP ELITEDISPLAY E 249414 12/15/2015 HP INC., 11/12/2015 56598552/56567548 $252.12 Sales Tax 176 Key Bank Page 11 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 249404 12/15/2015 GUARDIAN SECURITY, 11/13/2015 618289 $490.24 IT -SAFE CITY -PAEC AVIGILON 249404 12/15/2015 GUARDIAN SECURITY, 11/13/2015 618289 $128.58 IT -SAFE CITY - PAEC AVIGILON 249404 12/15/2015 GUARDIAN SECURITY, 11/13/2015 618289 $129.54 IT -SAFE CITY - PAEC AVIGILON 249404 12/15/2015 GUARDIAN SECURITY, 11/13/2015 618289 $1,711.12 IT -SAFE CITY - PAEC AVIGILON 249404 12/15/2015 GUARDIAN SECURITY, 11/13/2015 618289 $233.65 Sales Tax COMPUTER SOFTWARE -MAJOR 249183 11/30/2015 GEOLINE INC, 10/26/2015 334245 $765.00 IT -GIS GPS PATHFINDER OFFICE S 249183 11/30/2015 GEOLINE INC, 10/26/2015 334245 $13,046.00 IT -GIS GEO 7XW /RANGEFINDER CM 249183 11/30/2015 GEOLINE INC, 10/26/2015 334245 $450.00 IT -GIS TRADE IN CREDIT TOWARDS 249183 11/30/2015 GEOLINE INC, 10/26/2015 334245 $769.00 IT -GIS PART NUMBER 47289 -72 4 249183 11/30/2015 GEOLINE INC, 10/26/2015 334245 $18.00 IT -GIS PART NUMBER 88039 -02 AN 249183 11/30/2015 GEOLINE INC, 10/26/2015 334245 $175.00 IT -GIS PART NUMBER 52714 -04 BI 249183 11/30/2015 GEOLINE INC, 10/26/2015 334245 $58.06 IT -GIS POLE ROVER 249183 11/30/2015 GEOLINE INC, 10/26/2015 334245 $1,366.20 Sales Tax CONCEAL PISTOL LIC- NEW -CITY 249280 11/30/2015 SMITH, DANIEL CRAIG 11/20/2015 003 - 00084818 $18.00 PD- NEEDED REPLACEMENT CPL NOT CONCEAL PISTOL LIC- RENEW -CITY 249186 11/30/2015 GRAHAM, THERESIA MARIA 10/26/2015 003 - 00084640 $14.00 PD -CPL SHOULD OF CHARGED LATE CONCEALED PISTOL LIC - FBI 249265 11/30/2015 RAYL 11, EDWARD JAMES 6/6/2015 03 -83563 $14.75 PD -PAID FOR CPL NEEDED LATE RE 249314 11/30/2015 WA STATE PATROL, 10/5/2015 116002289 $560.50 PD -09/15 BACKGROUND CHECKS 249314 11/30/2015 WA STATE PATROL, 8/3/2015 116000677 $472.00 PD -08/15 BACKGROUND CHECKS 249314 11/30/2015 WA STATE PATROL, 11/2/2015 116003081 $324.50 PD- BACKGROUND CHECKS CONCEALED PISTOL LIC - STATE 249265 11/30/2015 RAYL 11, EDWARD JAMES 6/6/2015 03 -83563 $18.00 PD -PAID FOR CPL NEEDED LATE RE 249186 11/30/2015 GRAHAM, THERESIA MARIA 10/26/2015 003 - 00084640 $18.00 PD -CPL SHOULD OF CHARGED LATE 249280 11/30/2015 SMITH, DANIEL CRAIG 11/20/2015 003 - 00084818 $18.00 PD- NEEDED REPLACEMENT CPL NOT 249313 11/30/2015 WA STATE DEPT OF LICENSIN11/23/2015 11/17/15 $426.00 PD -11/15 CPL FEES 177 $15,747.26 $18.00 $14.00 $1,371.75 $3,297.00 Key Bank Page 12 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 249312 11/30/2015 WA STATE DEPT OF LICENSIN11 /17/2015 NOVEMBER 2015 $1,974.00 PD -REMIT CPL FEES COLLECTED 249551 12/15/2015 WA STATE DEPT OF LICENSIN12 /8/2015 DECEMBER O8, 2015 $843.00 PD -12/15 CPL FEES CONFERENCE /SEMINAR REGISTRATII 586048 12/7/2015 US BANK, 12/7/2015 NOVEMBER 2015 $2,370.00 PARKS -PNW RESOURCE MANAGE SCHO 586048 12/7/2015 US BANK, 12/7/2015 NOVEMBER 2015 $1,135.00 PARKS -PNW RESOURCE MANAGE SCHO 586048 12/7/2015 US BANK, 12/7/2015 NOVEMBER 2015 $30.00 MO- LUNCHEON & PRES. FERRELL 586048 12/7/2015 US BANK, 12/7/2015 NOVEMBER 2015 $45.00 MO- SCAANNUAL MTG 339658 12/8/2015 US BANK, 12/4/2015 NOVEMBER 2015 $100.00 PD- UNDERSTANDING GANGS CLASS W 519424 12/8/2015 US BANK, 12/8/2015 NOVEMBER 2015 $50.00 CD-GMA ANNIVERSARY EVENT DARRO 519424 12/8/2015 US BANK, 12/8/2015 NOVEMBER 2015 $90.00 CD-GMA ANNIVERSARY EVENT WILLO 519424 12/8/2015 US BANK, 12/8/2015 NOVEMBER 2015 $239.88 CD- TRAINING 519424 12/8/2015 US BANK, 12/8/2015 NOVEMBER 2015 $171.90 CD- ECONOMIC FORECAST CONF. MOR 519424 12/8/2015 US BANK, 12/8/2015 NOVEMBER 2015 $200.00 PKM - ARBORIST CERT IKERD 519424 12/8/2015 US BANK, 12/8/2015 NOVEMBER 2015 $180.00 PKM - ARBORIST CERT MOORMAN 339658 12/8/2015 US BANK, 12/4/2015 NOVEMBER 2015 $139.00 PD- CALIBREPRESS FEMALE ENFORCE 249549 12/15/2015 WA CITIES INSURANCEAUTHi12 /4/2015 1000004710 $285.00 PD- CRIMINAL JUSTICE TRAINING B 249549 12/15/2015 WA CITIES INSURANCE AUTH,12 /4/2015 1000004710 $190.00 LAW- CRIMINAL JUSTICE TRAINING 249399 12/15/2015 GFOA -GOV'T FINANCE OFFICI12/3/2015 2805243 $540.00 FI- CONFERENCE REGISTRATIONS AD 249477 12/15/2015 PETTY CASH - Fl, 12/14/2015 DECEMBER 2015 $63.57 LA/CIVIL CLE CREDITS 249189 11/30/2015 GREATER FEDERAL WAY CHP11/11/2015 11311 $150.00 CC- LUNCHEON ST3 249310 11/30/2015 WA STATE CRIMINAL JUSTICE11 /6/2015 20116051 $100.00 PD- TRAINING NORMAN 249311 11/30/2015 WA STATE DEPT OF ENTERPF11 /5/2015 71110101 $385.00 FI- SUPERVISION TRAINING DONNEL 249550 12/15/2015 WA STATE CRIMINAL JUSTICE11 /17/2015 20116143 $600.00 PD- TRAININGS WARRICK MEHLINE 249555 12/15/2015 WASPC - WAASSOC SHERIFFE9 /11/2015 INV026668 $300.00 PD -WASPC FALL 2015 CONF CONSTRUCTION PROJECTS 249368 12/15/2015 COLUMBIA STATE BANK, 12/10/2015 AG15 -153 RETAINAGE $22,702.70 PARKS -TOWN SQUARE PARK IMPROVE 249299 11/30/2015 TUCCI & SONS INC, 11/2/2015 2 $312,794.83 PWST -S. 324TH ST. PRES. PROJEC 178 $7,364.35 $857,381.38 Key Bank Page 13 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 249299 11/30/2015 TUCCI & SONS INC, 11/2/2015 2 $180,084.80 PWST -S. 288TH ST. PRES. PROJEC 249229 11/30/2015 MILES RESOURCES LLC, 11/2/2015 3 $240,964.28 PWST -1 STAVE S. AT S. 328TH ST 249188 11/30/2015 GRAY LUMBER COMPANY, 6/12/2015 3071 $521.94 PKM- LUMBER 249539 12/15/2015 TUCCI & SONS INC, 12/4/2015 3 $23,269.04 PWST -S. 288TH ST. PRES. PROJEC 249539 12/15/2015 TUCCI & SONS INC, 12/4/2015 3 $74,799.04 PWST -S. 324TH ST. PRES. PROJEC 249492 12/15/2015 RELIANT GROUP INC, 11/20/2015 IN -21604 $2,050.00 PK /CHB - RECEPTION DESK IN COU 249492 12/15/2015 RELIANT GROUP INC, 11/20/2015 IN -21604 $194.75 Sales Tax CONSULTING CONTRACTS 249352 12/15/2015 BRIGHT ENGINEERING INC, 11/20/2015 5951 $8,708.75 PWST -20TH AVE S & S 316TH ST. 249339 12/15/2015 ARTIFACTS CONSULTING INC12/1/2015 1528 -2 $2,500.00 CD- PRESERVATION SVC 249382 12/15/2015 EFELLE MEDIA, 11/24/2015 22155 $135.00 CDED- TOURISM WEBSITE SVC AG13- 249336 12/15/2015 AQUATECHNEX, INC., 11/24/2015 6319 $821.25 SWM- AQUATIC PLANT MGMT STLKAG 249336 12/15/2015 AQUATECHNEX, INC., 11/24/2015 6320 $821.25 SWM- AQUATIC PLANT MGMT N. LAKE 249444 12/15/2015 MACKAY & SPOSITO INC, 11/30/2015 026746 $1,258.80 PW -21 STAVE S PEDESTRIAN IMPRO 249433 12/15/2015 KPG INC, 11/12/2015 104115 $39,694.35 PW -S 352ND ST EXTENSION PROJEC 249433 12/15/2015 KPG INC, 11/11/2015 103015 $2,808.34 PWTR- ENGINEERING SVC AG1 3-146— 249432 12/15/2015 KPG INC, 11/11/2015 104315 $114,196.13 PWST -PAC. HWY HOV DESIGN SVC A 249213 11/30/2015 KPG INC, 10/22/2015 916415 $103,574.15 PWST -PAC. HWY HOV DESIGN SVC A 249223 11/30/2015 MACKAY & SPOSITO INC, 11/2/2015 026495 $708.50 PWST -S 288TH ST PRESERVATION P 249154 11/30/2015 COMMERCIAL SPACE ONLINE1 1 /1 /2015 85046 $100.00 CD- PROPERTY DATA SVC 249192 11/30/2015 HDR ENGINEERING INC, 11/6/2015 00463509 -H $8,178.23 SWM -S. 373RD ST. STREAM RE -ROU 249245 11/30/2015 PERTEET INC, 11/11/2015 20130090.002 -4 $402.50 CD -05 -07311 STLK PRELIM. PLAT 249474 12/15/2015 PARAMETRIX INC, 11/19/2015 01 -76169 $12,974.33 PW -ON -CALL SURVEYING SERVICES 249382 12/15/2015 EFELLE MEDIA, 9/24/2015 21501 $135.00 CDED- TOURISM WEBSITE SVC AG13- 249382 12/15/2015 EFELLE MEDIA, 10/24/2015 21760 $135.00 CDED- TOURISM WEBSITE SVC AG13- COPIER & PRINTER SUPPLIES 249338 12/15/2015 ARC IMAGING RESOURCES, 11/17/2015 A18600 $46.70 IT -OCE PLOTTER SYSTEM MAINTAG 179 $297,151.58 $1,125.97 Key Bank Page 14 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 249371 12/15/2015 COMPLETE OFFICE, 11/16/2015 1291870 -0 $83.18 HR- OFFICE PAPER 249371 12/15/2015 COMPLETE OFFICE, 11/16/2015 1291872 -0 $41.59 HR- OFFICE PAPER 249371 12/15/2015 COMPLETE OFFICE, 11/16/2015 1291874 -0 $83.18 HR- OFFICE PAPER 249371 12/15/2015 COMPLETE OFFICE, 11/16/2015 1291875 -0 $124.76 HR- OFFICE PAPER 249371 12/15/2015 COMPLETE OFFICE, 11/16/2015 1291876 -0 $83.18 HR- OFFICE PAPER 249371 12/15/2015 COMPLETE OFFICE, 11/16/2015 1291878 -0 $41.59 HR- OFFICE PAPER 249371 12/15/2015 COMPLETE OFFICE, 11/16/2015 1291879 -0 $41.59 HR- OFFICE PAPER 249371 12/15/2015 COMPLETE OFFICE, 11/16/2015 1291880 -0 $83.18 HR- OFFICE PAPER 249371 12/15/2015 COMPLETE OFFICE, 11/16/2015 1291881 -0 $41.59 HR- OFFICE PAPER 249371 12/15/2015 COMPLETE OFFICE, 11/16/2015 1291882 -0 $41.59 HR- OFFICE PAPER 249371 12/15/2015 COMPLETE OFFICE, 11/16/2015 1291884 -0 $124.76 HR- OFFICE PAPER 249527 12/15/2015 TECNICOLFS CONSULTING, 12/4/2015 15 -1539 $289.08 IT -GIS HP 91 LIGHT CYAN C9470A CORPORATIONS - GENERAL $225.00 249546 12/15/2015 VAHORA, SOYAM 12/9/2015 01- 102283 $150.00 FI- REFUND OVER PAID BL 249214 11/30/2015 KWOUN, YOUNG 11/12/2015 KWOUN 2015 $75.00 Fl-UNABLE TO ISSUE BL DUE TO P COURT - AUTO THEFT PREVENTION $8,667.52 249553 12/15/2015 WA STATE -STATE REVENUES,12 /11/2015 NOVEMBER 2015 $8,667.52 FI -11/15 AUTO THEFT PREVENTION COURT - CRIME VICTIMS $1,652.33 249486 12/15/2015 PROSECUTING ATTORNEYS (12/11/2015 NOVEMBER 2015 $1,652.33 FI -11/15 REMIT CRIME VICTIM FE COURT - DEATH INV ACCT $98.13 249553 12/15/2015 WA STATE -STATE REVENUES,12 /11/2015 NOVEMBER 2015 $98.13 FI -11/15 DEATH INVESTIGATIONS COURT - HWY SAFETY ACT $155.73 249553 12/15/2015 WA STATE -STATE REVENUES,12 /11/2015 NOVEMBER 2015 $155.73 FI -11/15 HIGHWAY SAFETY COURT - PSEA JIS $24,906.10 249553 12/15/2015 WA STATE -STATE REVENUES,12 /11/2015 NOVEMBER 2015 $24,906.10 FI -11/15 PSEAJIS FEES COURT - SCHOOL SAFETY ZONE $996.16 249553 12/15/2015 WA STATE -STATE REVENUES,12 /11/2015 NOVEMBER 2015 $996.16 FI -11/15 SCHOOL ZONE SAFETY COURT - STATE ACCESS COMM ACCT $268.84 249553 12/15/2015 WA STATE -STATE REVENUES,12 /11/2015 NOVEMBER 2015 $268.84 FI- 11 /15- ACCESSCOMM ACT COURT - STATE MULTI TRANS ACCT $268.90 180 Key Bank Page 15 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 249553 12/15/2015 WA STATE -STATE REVENUES,12 /11/2015 NOVEMBER 2015 $268.90 FI -11/15 MULTI TRANS.ACCT COURT - STATE PORTION $51,149.76 249553 12/15/2015 WA STATE -STATE REVENUES,12 /11/2015 NOVEMBER 2015 $51,149.76 FI -11/15 STATE PORTION REMIT F COURT - STATE PSEA 2 $25,665.63 249553 12/15/2015 WA STATE -STATE REVENUES,12 /11/2015 NOVEMBER 2015 $25,665.63 FI -11/15 PSEA COURT FEES #2 COURT - STATE PSEA3 $550.45 249553 12/15/2015 WA STATE -STATE REVENUES,12 /11/2015 NOVEMBER 2015 $550.45 FI -11/15 PSEA COURT FEES #3 COURT - TRAUMA BRAIN INJURY $1,664.54 249553 12/15/2015 WA STATE- STATE REVENUES,12 /11/2015 NOVEMBER 2015 $1,664.54 FI -11/15 BRAIN TRAUMA INJ. COURT- WSP HIWAY ACCT $556.64 249553 12/15/2015 WA STATE -STATE REVENUES,12 /11/2015 NOVEMBER 2015 $556.64 FI -11/15 WSP HIGHWAY COURT - TRAUMA VICTIMS $4,426.65 249553 12/15/2015 WA STATE -STATE REVENUES,12 /11/2015 NOVEMBER 2015 $4,426.65 FI -11/15 TRAUMA VICTIMS CUSTODIAL & CLEANING $13,311.32 249337 12/15/2015 ARAMARK UNIFORM SERVICE12 /7/2015 1988347062 $24.08 PARKS -LINEN SVC 249337 12/15/2015 ARAMARK UNIFORM SERVICE12 /7/2015 1988347063 $49.38 PARKS -LINEN SVC 249337 12/15/2015 ARAMARK UNIFORM SERVICE12 /1/2015 1988339589 $15.42 PKDBC -LINEN SVC 249337 12/15/2015 ARAMARK UNIFORM SERVICE12 /1/2015 1988339590 $45.42 PKDBC -LINEN SVC 249521 12/15/2015 SYNERGY BUILDING SERVICE12 /1/2015 8010 $3,827.39 PKM -11/15 JANITORIAL SVC AG14- 249521 12/15/2015 SYNERGY BUILDING SERVICE12 /1/2015 8010 $572.61 PKM -11/15 JANITORIAL SVC AG14- 249337 12/15/2015 ARAMARK UNIFORM SERVICE11/26/2015 1988325119 $49.38 PARKS -LINEN SVC 249337 12/15/2015 ARAMARK UNIFORM SERVICE11/24/2015 1988328674 $35.95 PKDBC -LINEN SVC 249337 12/15/2015 ARAMARK UNIFORM SERVICE11 /24/2015 1988328675 $45.42 PKDBC -LINEN SVC 249337 12/15/2015 ARAMARK UNIFORM SERVICE11 /9/2015 1988303142 $25.08 PARKS -LINEN SVC 249337 12/15/2015 ARAMARK UNIFORM SERVICE11 /9/2015 1988303143 $49.38 PARKS -LINEN SVC 249126 11/30/2015 ARAMARK UNIFORM SERVICE11 /10/2015 1988306707 $15.42 PKDBC -LINEN SVC 249126 11/30/2015 ARAMARK UNIFORM SERVICE11 /10/2015 1988306708 $112.64 PKDBC -LINEN SVC 249318 11/30/2015 WHITMAN GLOBAL CARPET C1 1 /6/2015 64800 $2,178.00 CHB- CARPET CLEANING SVC AG13 -0 249267 11/30/2015 REGENCY CLEANERS, 10/31/2015 3340 $1,054.98 PD -DRY CLEANING SVC AG14 -024— 181 Key Bank Page 16 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 249138 11/30/2015 CEDAR BUILDING SERVICE 11\10/31/2015 44376 $4,003.25 11/30/2015 GUARDIAN SECURITY, 11/19/2015 15- 105222 DBC- JANITORIAL SVC AG13 -168- 249138 11/30/2015 CEDAR BUILDING SERVICE If\10/31/2015 44417 $255.00 11/30/2015 ADT SECURITY SERVICES IN(11/19/2015 15- 103806 CHB- JANITORIAL SVC AG13 -168- 249267 11/30/2015 REGENCY CLEANERS, 9/30/2015 3253 $866.60 11/30/2015 SAME DAY ELECTRIC INC, 11/19/2015 15- 105402 PD -DRY CLEANING SVC AG14 -024- 249337 12/15/2015 ARAMARK UNIFORM SERVICE11/23/2015 1988325118 $25.08 11/30/2015 PRIME ELECTRIC INC, 11/19/2015 15- 105454 PARKS -LINEN SVC 249337 12/15/2015 ARAMARK UNIFORM SERVICE11/17/2015 1988317697 $15.42 11/30/2015 ADT SECURITY SERVICES IN(11/19/2015 15- 105632 PKDBC -LINEN SVC 249337 12/15/2015 ARAMARK UNIFORM SERVICE11/17/2015 1988317698 $45.42 ELECTRICITY PKDBC -LINEN SVC 249488 12/15/2015 PUGET SOUND ENERGY INC, 11/23/2015 DEPOSIT /BONDS PAYABLE -PW $16,757.30 249300 11/30/2015 TUFFS, KEVIN 11/20/2015 15- 102235 $1,247.50 12/15/2015 PUGET SOUND ENERGY INC, 11/23/2015 300000001978 PW -15- 102235 DRIVEWAY WIDENING 249165 11/30/2015 ELKER, ROBERT 11/20/2015 15- 104471 $1,400.00 12/15/2015 PUGET SOUND ENERGY INC, 11/23/2015 300000001978 PW -15- 104471 REPAIR DRIVEWAY 249237 11/30/2015 NICOLE, NGONEVOLALATH 11/20/2015 15- 105190 $700.00 12/15/2015 PUGET SOUND ENERGY INC, 11/23/2015 300000001978 PW -15- 105190 CB CONNECT DP COMPONENTS PKM -11/15 34915 4TH AVE MARKX 249488 519424 12/8/2015 US BANK, 12/8/2015 NOVEMBER 2015 $- 165.29 IT- RETURN ITEM 519424 12/8/2015 US BANK, 12/8/2015 NOVEMBER 2015 $107.31 $2,991.33 IT -HDMI CABLE FOR BRIEFING ROO PKM -11/15 SAC PARK RR FIELD LI 182 $3,347.50 $ -57.98 $944.60 $86,599.38 ELECTRICAL PERMITS 249190 11/30/2015 GUARDIAN SECURITY, 11/19/2015 15- 105222 $28.80 CD- REFUND REQUEST BY APPLICANT 249116 11/30/2015 ADT SECURITY SERVICES IN(11/19/2015 15- 103806 $28.80 CD- PERMIT CANCELLED 249273 11/30/2015 SAME DAY ELECTRIC INC, 11/19/2015 15- 105402 $161.50 CD- PERMIT CANCELLED 249254 11/30/2015 PRIME ELECTRIC INC, 11/19/2015 15- 105454 $615.00 CD- OVERPAID FEES 249116 11/30/2015 ADT SECURITY SERVICES IN(11/19/2015 15- 105632 $110.50 CD- REFUND FOR FEES OVERPAID ELECTRICITY 249488 12/15/2015 PUGET SOUND ENERGY INC, 11/23/2015 300000001978 $16,757.30 FWCC -11/15 876 S 333RD Z003478 249488 12/15/2015 PUGET SOUND ENERGY INC, 11/23/2015 300000001978 $11,827.95 CHB -11/15 33325 8TH AVE Z00453 249488 12/15/2015 PUGET SOUND ENERGY INC, 11/23/2015 300000001978 $6,377.90 PKM -11/15 33914 19TH AVE SAG F 249488 12/15/2015 PUGET SOUND ENERGY INC, 11/23/2015 300000001978 $14.17 PKM -11/15 34915 4TH AVE MARKX 249488 12/15/2015 PUGET SOUND ENERGY INC, 11/23/2015 300000001978 $658.64 PKM -11/15 600 S 333RD EVID. BL 249488 12/15/2015 PUGET SOUND ENERGY INC, 11/23/2015 300000001978 $2,991.33 PKM -11/15 SAC PARK RR FIELD LI 249488 12/15/2015 PUGET SOUND ENERGY INC, 11/23/2015 300000001978 $21.55 PKM -11/15 1ST AVE & CAMPUS DR. 249488 12/15/2015 PUGET SOUND ENERGY INC, 11/23/2015 300000001978 $180.29 PKM -11/15 2410 S 312TH BEACH R 182 $3,347.50 $ -57.98 $944.60 $86,599.38 Key Bank Page 17 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 249488 249488 249488 249488 249488 249488 249488 249488 249488 249488 249488 249488 249488 249488 249488 249293 249260 249260 249488 12/15/2015 PUGET SOUND ENERGY INC, 11/23/2015 12/15/2015 PUGET SOUND ENERGY INC, 11/23/2015 12/15/2015 PUGET SOUND ENERGY INC, 11/23/2015 12/15/2015 PUGET SOUND ENERGY INC, 11/23/2015 12/15/2015 PUGET SOUND ENERGY INC, 11/23/2015 12/15/2015 PUGET SOUND ENERGY INC, 11/23/2015 12/15/2015 PUGET SOUND ENERGY INC, 11/23/2015 12/15/2015 PUGET SOUND ENERGY INC, 11/23/2015 12/15/2015 PUGET SOUND ENERGY INC, 11/23/2015 12/15/2015 PUGET SOUND ENERGY INC, 11/23/2015 12/15/2015 PUGET SOUND ENERGY INC, 11/23/2015 12/15/2015 PUGET SOUND ENERGY INC, 11/23/2015 12/15/2015 PUGET SOUND ENERGY INC, 11/23/2015 12/15/2015 PUGET SOUND ENERGY INC, 11/23/2015 12/15/2015 PUGET SOUND ENERGY INC, 11/23/2015 11/30/2015 TACOMA PUBLIC UTILITIES, 11/13/2015 11/30/2015 PUGET SOUND ENERGY INC, 11/2/2015 11/30/2015 PUGET SOUND ENERGY INC, 11/3/2015 12/15/2015 PUGET SOUND ENERGY INC, 11/23/2015 300000001978 PKM -11/15 2410 S 312TH STORAGE 300000001978 PKM -11/15 2410 S 312TH WOODSHO 300000001978 PKM -11/15 2645 S 312TH ANX -RR/ 300000001978 PKM -11/15 2645 S 312TH SEWER L 300000001978 PKM -11/15 28156 1/2 24TH HERIT 300000001978 PKM -11/15 31104 28TH AVE S HAU 300000001978 PKM -11/15 31104 28TH AVE S STL 300000001978 DBC -11/15 3200 SW DASH PT ROAD 300000001978 DBC -11/15 3200 SW DASH PT ROAD 300000001978 FWCC -11/15 876 S 333RD LIGHTS 300000001978 PKM -11/15 S 324TH BLDG A- 300000001978 PKM -11/15 S 324TH BLDG 6- 300000001978 PKM -11/15 7TH AVE HISTORICAL S 300000001978 PKM -11/15 2410 S 312TH STLK ST 300000001978 PKM -11/15 726 S. 356TH BROOKLA 100826512 PWTR -11/15 20TH AVE SW LIGHTS 300000007322 PWTR -11/15 ELECTRICITY 300000009526 PWTR -11/15 NON - METERED 300000001978 PKM- 11/15 726 S. 356TH BROOKLA 183 $16.37 $143.04 $2,403.89 $12.06 $10.98 $39.44 $332.66 $1,289.86 $635.30 $160.23 $2,895.26 $3,142.89 $43.86 $26.73 $139.68 $25.02 $19,221.82 $17,079.22 $151.94 $1,431.00 $1,431.00 $14.75 $14.75 $5,043.26 $3,657.60 $1,385.66 $425.00 $425.00 EVIDENCE FUNDS 249353 12/15/2015 BROWN, COSETTE 12/2/2015 001 - 00096793 PD- EVIDENCE RELEASE CASE 13 -95 FILING & RECORDING FEES - INTGOV 249477 12/15/2015 PETTY CASH - Fl, 12/14/2015 DECEMBER 2015 Fl-FEE FOR VEHICLE FIRST CLASS POSTAGE 249251 11/30/2015 PITNEY BOWES PRESORT SV10/31/2015 4439610 FI- POSTAGE 249445 12/15/2015 MAILMEDIA DBA IMMEDIA, 11/19/2015 66431 PARKS - BROCHURES FISCAL AGENT FEES 249545 12/15/2015 US BANK, 7/29/2015 4042675 FI -ADMIN FEE 183 $16.37 $143.04 $2,403.89 $12.06 $10.98 $39.44 $332.66 $1,289.86 $635.30 $160.23 $2,895.26 $3,142.89 $43.86 $26.73 $139.68 $25.02 $19,221.82 $17,079.22 $151.94 $1,431.00 $1,431.00 $14.75 $14.75 $5,043.26 $3,657.60 $1,385.66 $425.00 $425.00 Key Bank Page 18 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 184 $13,328.34 FOOD & BEVERAGE 249475 12/15/2015 PARKER, TAM[ 4/1/2015 PARKER 2015 $107.47 PD -REIMB REFRESMENTS WSP NICS 249543 12/15/2015 UNITED GROCERS CASH & C)11/18/2015 115862 $99.99 PKDBC- CATERING SUPPLIES 249395 12/15/2015 FOOD SERVICES OFAMERIC/11/18/2015 6735359 $515.21 PKDBC- CATERING SUPPLIES 249543 12/15/2015 UNITED GROCERS CASH & Ci11/19/2015 138474 $128.37 PKDBC- CATERING SUPPLIES 249302 11/30/2015 UNITED GROCERS CASH & Ci11/13/2015 113962 $389.86 PKDBC- CATERING SUPPLIES 249302 11/30/2015 UNITED GROCERS CASH & Ci11/14/2015 114523 $214.05 PKDBC- CATERING SUPPLIES 249302 11/30/2015 UNITED GROCERS CASH & Ci11/10/2015 112841 $72.58 PKDBC- CATERING SUPPLIES 249189 11/30/2015 GREATER FEDERAL WAY CHP11/11/2015 11310 $30.00 PAEC- LUNCHEON ST3 249302 11/30/2015 UNITED GROCERS CASH & Ci11/12/2015 113554 $190.28 PKDBC- CATERING SUPPLIES 249133 11/30/2015 CAFFE D'ARTE LLC, 11/16/2015 317478 $46.78 HR- COFFEE 249371 12/15/2015 COMPLETE OFFICE, 11/20/2015 1294494 -0 $6.27 MO -HOT COCO 249302 11/30/2015 UNITED GROCERS CASH & C)11/15/2015 114612 $320.64 PKDBC- CATERING SUPPLIES 249263 11/30/2015 QFC CUSTOMER CHARGES- K10/31/2015 354874 $60.71 PKDBC- CATERING SUPPLIES 249263 11/30/2015 QFC CUSTOMER CHARGES- K10/31/2015 292159 $35.63 PKDBC- CATERING SUPPLIES 249264 11/30/2015 QUALITY WATER SERVICES, 10/31/2015 86963 $65.59 PARKS - COOLER RENTAL 249174 11/30/2015 FEDERAL WAY NUTRITION SE11/2/2015 4788 $64.00 PD -10/15 OFFICER LUNCHES 249178 11/30/2015 FOOD SERVICES OFAMERIC /11 /6/2015 6712290 $895.97 PKDBC- CATERING SUPPLIES 249272 11/30/2015 SAFEWAY STORE #1555, 11/6/2015 807070 - 110615 -1555 $11.59 PARKS - PROGRAM SUPPLIES 249302 11/30/2015 UNITED GROCERS CASH & Ci11/7/2015 111579 $205.32 PKDBC- CATERING SUPPLIES 249302 11/30/2015 UNITED GROCERS CASH & Ci11/6/2015 111384 $284.85 PKDBC- CATERING SUPPLIES 249255 11/30/2015 PRINT SOLUTIONS, INC, 11/6/2015 62282 $255.34 SWM - LAKEVIEW NEWSLETTER 249255 11/30/2015 PRINT SOLUTIONS, INC, 11/6/2015 62283 $170.23 SWM- NEWSLETTER 249263 11/30/2015 QFC CUSTOMER CHARGES- K10/21/2015 196308 $4.95 PKDBC- CATERING SUPPLIES 249189 11/30/2015 GREATER FEDERAL WAY CHP10 /29/2015 11154 $30.00 PAEC /PD- CANDIDATES FORUM 249189 11/30/2015 GREATER FEDERAL WAY CHP10/29/2015 11154 $70.00 PAEC /PD- CANDIDATES FORUM 184 $13,328.34 Key Bank Page 19 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 249302 249302 249272 249077 249077 249248 249543 249543 249477 249477 249477 249477 249477 249477 249477 249490 249436 339658 339658 339658 249395 249541 249133 249247 249247 249247 11/30/2015 UNITED GROCERS CASH & C/10/30/2015 11/30/2015 UNITED GROCERS CASH & Ci10/30/2015 11/30/2015 SAFEWAY STORE #1555, 10/30/2015 11/17/2015 PETTY CASH - FWCC, 11/17/2015 11/17/2015 PETTY CASH - FWCC, 11/17/2015 11/30/2015 PETTY CASH - FWCC, 11/23/2015 12/15/2015 UNITED GROCERS CASH & G11/21/2015 12/15/2015 UNITED GROCERS CASH & Ci11/21/2015 12/15/2015 PETTY CASH - Fl, 12/14/2015 12/15/2015 PETTY CASH - Fl, 12/14/2015 12/15/2015 PETTY CASH - Fl, 12/14/2015 12/15/2015 PETTY CASH - Fl, 12/14/2015 12/15/2015 PETTY CASH - Fl, 12/14/2015 12/15/2015 PETTY CASH - Fl, 12/14/2015 12/15/2015 PETTY CASH - Fl, 12/14/2015 12/15/2015 PWF PROCESSING, 12/1/2015 12/15/2015 LARSON, DAVID 11/30/2015 12/8/2015 US BANK, 12/4/2015 12/8/2015 US BANK, 12/4/2015 12/8/2015 US BANK, 12/4/2015 12/15/2015 FOOD SERVICES OFAMERIC /11/25/2015 12/15/2015 TURNER, ELIZABETH 11/9/2015 11/30/2015 CAFFE D'ARTE LLC, 11/19/2015 11/30/2015 PETTY CASH - DBC, 11/19/2015 11/30/2015 PETTY CASH - DBC, 11/19/2015 11/30/2015 PETTY CASH - DBC, 11/19/2015 108739 PARKS - HALLOWEEN DANCE SUPPLIES 108866 PARKS -DANCE SUPPLIES 803721 - 103015 -1555 PARKS - PROGRAM SUPPLIES PD -PETTY CASH PARKS - QFC - CANDY FOR CULTUR PD -PETTY CASH PARKS -QFC - CANDY FOR CULTURES 11/23/15 PARKS- WALMART - CRACKERS 116886 PKDBC- CATERING SUPPLIES 116901 PKDBC- CATERING SUPPLIES DECEMBER 2015 PW -LMD DECEMBER 2015 MO- HALLOWFEST ITEMS DECEMBER 2015 MO -MT DINNER B/4 CONN MTG DECEMBER 2015 CED -DEE DEE GOOD BYE CAKE DECEMBER 2015 PW /SWR DECEMBER 2015 CD -LUNCH AT TRAINING DECEMBER 2015 CD -LUNCH AT TRAINING 103608 PD -WATER PURIFICATION SYSTEM LARSON 2015 MC -REIM. LUNCH JUSTWARE IMPLEM NOVEMBER 2015 PD -LUNCH FOR INTERVIEW PANNEL NOVEMBER 2015 PD -FOOD FOR VOLUNTEER BREAKFAS NOVEMBER 2015 PD -FOOD FOR VOLUNTEER RECOGN 6750512 PKDBC- CATERING SUPPLIES TURNER 2015 PARKS - COOKING CLASS REIMB 317888 HR- COFFEE SLEEVES 11/19/15 PKDBC - CATERING GROCERIES 11/19/15 PKDBC - CATERING GROCERIES 11/19/15 PKDBC - CATERING GROCERIES 185 $152.08 $14.94 $38.27 $1.49 $3.00 $5.48 $1,051.70 $53.10 $5.46 $38.16 $8.07 $18.99 $34.94 $9.85 $23.74 $1,064.34 $45.35 $57.50 $24.95 $63.91 $518.84 $259.34 $6.78 $27.25 $50.33 $24.61 Key Bank Page 20 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 519424 519424 249478 586048 586048 586048 586048 519424 249375 249375 249375 249375 249375 586048 586048 586048 586048 586048 586048 586048 586048 249375 249375 249375 339658 12/8/2015 US BANK, 12/8/2015 12/8/2015 US BANK, 12/8/2015 12/15/2015 PETTY CASH - POLICE DEPT, 12/10/2015 12/7/2015 US BANK, 12/7/2015 12/7/2015 US BANK, 12/7/2015 12/7/2015 US BANK, 12/7/2015 12/7/2015 US BANK, 12/7/2015 12/8/2015 US BANK, 12/8/2015 12/15/2015 COSTCO /HSBC BUSINESS SC12/7/2015 12/15/2015 COSTCO /HSBC BUSINESS SC12/7/2015 12/15/2015 COSTCO /HSBC BUSINESS SC12/7/2015 12/15/2015 COSTCO /HSBC BUSINESS SC12/7/2015 12/15/2015 COSTCO /HSBC BUSINESS SC12/7/2015 12/7/2015 US BANK, 12/7/2015 12/7/2015 US BANK, 12/7/2015 12/7/2015 US BANK, 12/7/2015 12/7/2015 US BANK, 12/7/2015 12/7/2015 US BANK, 12/7/2015 12/7/2015 US BANK, 12/7/2015 12/7/2015 US BANK, 12/7/2015 12/7/2015 US BANK, 12/7/2015 12/15/2015 COSTCO /HSBC BUSINESS SC12/7/2015 12/15/2015 COSTCO /HSBC BUSINESS SC12/7/2015 12/15/2015 COSTCO /HSBC BUSINESS SC12/7/2015 GASOLINE 12/8/2015 US BANK, 12/4/2015 NOVEMBER 2015 PKDBC- CATERING SUPPLIES NOVEMBER 2015 PKM -LUNCH FOR VOLUNTEER PROJEC DECEMBER 2015 PD- REFRESHMENTS FOR — NOVEMBER 2015 PARKS - COFFEE SR SVC NOVEMBER 2015 PARKS -SR TRIP LUNCH NOVEMBER 2015 PARKS -SR. TRIP DINNER NOVEMBER 2015 PARKS - COFFEE SR. SVC NOVEMBER 2015 PKDBC- CATERING SUPPLIES NOVEMBER 2015 PKDBC- CATERING SUPPLIES NOVEMBER 2015 PKDBC- CATERING SUPPLIES NOVEMBER 2015 PKDBC- CATERING SUPPLIES NOVEMBER 2015 PKDBC- CATERING SUPPLIES NOVEMBER 2015 PKDBC- CATERING SUPPLIES NOVEMBER 2015 PARKS -FDUB KARAOKE SUPPLIES NOVEMBER 2015 PARKS -BINGO SUPPLIES NOVEMBER 2015 MO -LUNCH MTG FERRELL, MCNEY, R NOVEMBER 2015 MO -LUNCH MTG FERRELL, CAMPBELL NOVEMBER 2015 MO -LUNCH MTG FERRELL DUCHICH NOVEMBER 2015 MO -LUNCH MTG FERRELL KOPPANG NOVEMBER 2015 MO -LUNCH MTG FERRELL HILLER NOVEMBER 2015 CD -DEE DEE DEPARTURE RECOG. FO NOVEMBER 2015 PD- VOLUNTEER BREAKFAST SUPPLEI NOVEMBER 2015 MO- HALLOW FEST SUPPLIES NOVEMBER 2015 MO- REFRESH AIRPORT NOISE MTG NOVEMBER 2015 PD -FUEL FOR VEHICLE TO GET TO 186 $2,278.38 $367.85 $9.98 $239.86 $210.62 $17.01 $147.00 $50.43 $230.97 $451.60 $572.77 $139.77 $159.78 $68.92 $20.76 $78.54 $23.70 $24.89 $42.01 $32.96 $20.95 $136.05 $86.72 $38.67 $26.86 $22,322.26 Key Bank Page 21 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 519424 12/8/2015 US BANK, 12/8/2015 NOVEMBER 2015 $32.21 PKM -FUEL 249384 12/15/2015 ERNIE'S FUEL STOPS (DBA), 11/30/2015 72248CT $70.47 FLT - VEHICLE FUEL 249175 11/30/2015 FEDERAL WAY PUBLIC SCHO(10/31/2015 AR10770 $15,630.57 PD -10/15 VEHICLE FUEL 249175 11/30/2015 FEDERAL WAY PUBLIC SCHO(10/31/2015 AR10771 $6,528.01 FLT -10/15 VEHICLE FUEL 249168 11/30/2015 ERNIE'S FUEL STOPS (DBA), 11/15/2015 69855CT $24.14 FLT -11/15 VEHICLE FUEL 249478 12/15/2015 PETTY CASH - POLICE DEPT, 12/10/2015 DECEMBER 2015 $10.00 PD -FUEL PURCHASED FOR- GO BOND PRINCIPAL 288625 12/1/2015 US BANK NATIONAL ASSOCIA10 /19/2015 243704 $455,000.00 FI -DEBT SVC PAYMENT HEALTH INSURANCE PREMIUM 249358 12/15/2015 CASTRO, GABRIEL 12/10/2015 CASTRO 2015 $100.00 PD- MEDICAL REIMB 249131 11/30/2015 BROWN, TOM 11/20/2015 BROWN 2015 $300.00 FI- MEDICAL REIMB 249150 11/30/2015 CLEMONS, DAVID 11/20/2015 CLEMONS 2015 $100.00 PARKS - MEDICAL REIMB 249225 11/30/2015 MARSHALL, JENNIFER 11/20/2015 MARSHALL 2015 $100.00 HRCK- MEDICAL REIMB 249262 11/30/2015 PURCELLA, ADRIENNE 11/20/2015 PURCELLA2015 $100.00 PD- MEDICAL REIMB 249279 11/30/2015 SKIDMORE, M. GRACE 11/20/2015 SKIDMORE 2015 $100.00 CD- MEDICAL REIMB 249290 11/30/2015 SUND, GRETCHEN 11/20/2015 SUND 2015 $100.00 PD- MEDICAL REIMB 249276 11/30/2015 SHINES, DIANE 11/9/2015 SHINES 2015 $93.67 PD- MEDICAL REIMB 249499 12/15/2015 SCHMIDT, DAVID 12/1/2015 SCHMIDT2015 $100.00 PARKS - MEDICAL REIMB 249410 12/15/2015 HINCKLE, CHARLIE 12/1/2015 HINCKLE 2015 $100.00 PD- MEDICAL DEDUCT. 249424 12/15/2015 JONES, WARREN CASEY 12/4/2015 JONES 2015 $100.00 PD- MEDICAL REIMB 249462 12/15/2015 NEAL, STEPHAN C 11/25/2015 NEAL 2015 $100.00 PD- MEDICAL REIMB 249347 12/15/2015 BECKER, MATT 12/1/2015 BECKER 2015 $100.00 CD- MEDICAL REIMB 249355 12/15/2015 BUCK, ROBYN 12/1/2015 BUCK 2015 $100.00 FI- MEDICAL REIMB 249452 12/15/2015 MOORMAN, JASON 12/10/2015 MOORMAN 2015 $200.00 PKM- MEDICAL REIMB 249497 12/15/2015 SALISBURY, SHERRI 12/8/2015 SALISBURY 2015 $100.00 LAW- MEDICAL REIMB 249502 12/15/2015 SHAW, GINA 12/8/2015 SHAW 2015 $100.00 PARKS - MEDICAL REIMB 249136 11/30/2015 CASTRO, HEATHER 11/18/2015 CASTRO 2015 $100.00 PD- MEDICAL REIMB 187 $455,000.00 $3,531.41 Key Bank Page 22 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 249179 11/30/2015 FREEBURG, SUSAN 11/16/2015 FREEBURG 2015 $100.00 PARKS - MEDICAL REIMB 249356 12/15/2015 BUSTER, JOHN 12/8/2015 BUSTER 2015 $300.00 PD- MEDICAL REIMB 249396 12/15/2015 FRANCO, RAMON 12/8/2015 FRANCO 2015 $37.74 PD- DEDUCTIBLE REIMB 249454 12/15/2015 MULLIGAN, TRACY 12/8/2015 MULLIGAN 2015 $100.00 PD- MEDICAL REIMB 249457 12/15/2015 MURPHY, CARY 12/8/2015 MURPHY 2015 $300.00 PD- MEDICAL REIMB 249514 12/15/2015 SPROUL, SCOTT 12/11/2015 SPROUL2015 $300.00 CD- MEDICAL REIMB 249405 12/15/2015 GUILLERMO, ROBERT 12/11/2015 GUILLERMO2015 $200.00 PD- MEDICAL REIMB 249143 11/30/2015 CIMMER, KARI 11/24/2015 CIMMER 2015 $100.00 CD- MEDICAL REIMB HOUSEHOLD SUPPLIES 249077 11/17/2015 PETTY CASH - FWCC, 11/17/2015 PD -PETTY CASH $17.50 PARKS- O'REILLY AUTO PARTS - WA 249375 12/15/2015 COSTCO /HSBC BUSINESS SC12/7/2015 NOVEMBER 2015 $68.40 PKDBC- HOUSEHOLD SUPPLIES 519424 12/8/2015 US BANK, 12/8/2015 NOVEMBER 2015 $68.70 SWR- GARBAGE CONTAINER TROLLEY 249365 12/15/2015 COASTWIDE SUPPLY DBA, 11/5/2015 NW2824608 $655.01 PARKS - JANITORIAL SUPPLIES 249365 12/15/2015 COASTWIDE SUPPLY DBA, 11/6/2015 GW2825228 $247.25 PARKS - JANITORIAL SUPPLIES 249365 12/15/2015 COASTWIDE SUPPLY DBA, 11/6/2015 NT2825271 $117.60 PARKS - JANITORIAL SUPPLIES 249365 12/15/2015 COASTWIDE SUPPLY DBA, 11/5/2015 GW2824608 $285.59 PARKS - JANITORIAL SUPPLIES 249151 11/30/2015 COASTWIDE SUPPLY DBA, 11/9/2015 NT2823662- $118.67 CHB- JANITORIAL SUPPLIES 249151 11/30/2015 COASTWIDE SUPPLY DBA, 11/10/2015 GT2825911 $438.55 PKM- JANITORIAL SUPPLIES 249151 11/30/2015 COASTWIDE SUPPLY DBA, 11/10/2015 nt2825911 $84.62 PKM- JANITORIAL SUPPLIES 249151 11/30/2015 COASTWIDE SUPPLY DBA, 11/3/2015 GT2823662 $599.19 CHB- JANITORIAL SUPPLIES 249151 11/30/2015 COASTWIDE SUPPLY DBA, 11/3/2015 GT2823797 $147.81 PKDBC - JANITORIAL SUPPLIES 249151 11/30/2015 COASTWIDE SUPPLY DBA, 11/3/2015 NT2823662 $567.43 CHB- JANITORIAL SUPPLIES 249151 11/30/2015 COASTWIDE SUPPLY DBA, 11/3/2015 NT2823797 $31.20 PKDBC- JANITORIAL SUPPLIES 249151 11/30/2015 COASTWIDE SUPPLY DBA, 10/28/2015 NW2821941 $427.03 PARKS - JANITORIAL SUPPLIES 249151 11/30/2015 COASTWIDE SUPPLY DBA, 10/28/2015 GW2821941 $214.18 PARKS - JANITORIAL SUPPLIES 249151 11/30/2015 COASTWIDE SUPPLY DBA, 10/21/2015 GW2819939 $662.61 PARKS - JANITORIAL SUPPLIES 188 $7,470.81 Key Bank Page 23 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 249151 11/30/2015 COASTWIDE SUPPLY DBA, 10/21/2015 NW2819939 $240.42 PARKS - JANITORIAL SUPPLIES 249395 12/15/2015 FOOD SERVICES OFAMERIC /11 /17/2015 5733737 $13.49 PKDBC- CATERING SUPPLIES 249365 12/15/2015 COASTWIDE SUPPLY DBA, 11/17/2015 NT2828159 $796.34 CHB- JANITORIAL SUPPLIES 249365 12/15/2015 COASTWIDE SUPPLY DBA, 11/18/2015 GW2828312 $759.33 PARKS - JANITORIAL SUPPLIES 249365 12/15/2015 COASTWIDE SUPPLY DBA, 11/18/2015 NW2828312 $909.89 PARKS - JANITORIAL SUPPLIES HUMAN SERVICES - CATHOLIC COMM! 249137 11/30/2015 CATHOLIC COMMUNITY SER\�10/19/2015 3RD QTR 2015 $15,082.89 CD /CS- EMERGENCY ASSISTANCE PRO 249137 11/30/2015 CATHOLIC COMMUNITY SER\�10/15/2015 3RD QTR 2015 $4,287.50 CD /CS- VOLUNTEER CHORE SVC AG15 INSTRUCTORS 249398 12/15/2015 G FORCE FITNESS LLC, 12/7/2015 NOVEMBER 2015 $66.00 FWCC- PERSONAL TRAINER SVC AG13 INSURANCE -STOP LOSS 841780 12/1/2015 GROUP HEALTH, 11/13/2015 DECEMBER 2015 $28,156.34 FI -GHO ADM FEE 571597 12/1/2015 GROUP HEALTH, 11/13/2015 DECEMBER 2015 $3,402.97 FI- GHCADMIN FEE INTEREST -GO BONDS 288625 12/1/2015 US BANK NATIONAL ASSOCIA10 /19/2015 243704 $177,886.25 FI -DEBT SVC PAYMENT INTEREST - WARRANTS & NOTES 198520 12/1/2015 KEYBANK NATIONALASSOCI /11 /25/2015 479681159550 $61,985.20 FI -2015 ACCT. INTEREST INVESTMENT INCOME 249390 12/15/2015 FEDERAL WAY SCHOOL DIST112/11/2015 SIF -NOV 2015 $2.26 FI- SCHOOL IMPACT FEES REMITTAN JOB ANNOUNCEMENTS 519424 12/8/2015 US BANK, 12/8/2015 NOVEMBER 2015 $290.00 HR -JOB POSTINGS 519424 12/8/2015 US BANK, 12/8/2015 NOVEMBER 2015 $395.00 HR -JOB POSTING 519424 12/8/2015 US BANK, 12/8/2015 NOVEMBER 2015 $250.00 HR -JOB POSTING KC HEALTH DEPT - INTERGOVT 249430 12/15/2015 KING COUNTY MENTAL HEALl11/3/2015 2062732 $6,011.17 CDHS 3RD QTR LIQUOR EXCISE TAX LAND 249493 12/15/2015 RODGERS DEUTSCH & TURN112/7/2015 292104 - 9003- 06/ #37 $750.00 PWST -PAC HWY S HOV LANES PHASE 249402 12/15/2015 GRAHEN LLC, 12/7/2015 292104 - 9125- 09/ #38 $750.00 PW -PAC HWY HOV LANE PHASE V 249282 11/30/2015 SOUND PUBLISHING INC, 8/28/2015 1396254 $261.78 PWST- NEWSPAPER ADVERTISING 249281 11/30/2015 SMITH, GAIL NORRIS 11/9/2015 202104 - 9048- 02/ #09 $750.00 PW -PAC HWY S. HOV LANES LEGAL NOTICES 189 $19,370.39 $66.00 $31,559.31 $177,886.25 $61,985.20 $2.26 $935.00 $6,011.17 $2,511.78 $55,653.48 Key Bank Page 24 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 249282 11/30/2015 SOUND PUBLISHING INC, 9/8/2015 1419089 $64.89 CD- NEWSPAPER ADVERTISING 249282 11/30/2015 SOUND PUBLISHING INC, 10/16/2015 1442326 $164.39 CD- NEWSPAPER ADVERTISING 249282 11/30/2015 SOUND PUBLISHING INC, 10/9/2015 1440429 $112.48 CDPL- NEWSPAPER ADVERTISING 249282 11/30/2015 SOUND PUBLISHING INC, 8/7/2015 1392752 $90.85 CDPL- NEWSPAPER ADVERTISING 249282 11/30/2015 SOUND PUBLISHING INC, 8/14/2015 1393853 $60.88 CD- NEWSPAPER ADVERTISING 249282 11/30/2015 SOUND PUBLISHING INC, 8/14/2015 1394400 $88.28 CDPL- NEWSPAPER ADVERTISING 249282 11/30/2015 SOUND PUBLISHING INC, 8/21/2015 1394250 $461.44 PAEC- NEWSPAPER ADVERTISING 249282 11/30/2015 SOUND PUBLISHING INC, 8/21/2015 1395661 $115.67 CD- NEWSPAPER ADVERTISING 249282 11/30/2015 SOUND PUBLISHING INC, 8/21/2015 1396754 $85.23 CDPL- NEWSPAPER ADVERTISING 249282 11/30/2015 SOUND PUBLISHING INC, 10/23/2015 561830 $175.00 HRCK- NEWSPAPER ADVERTISING 249282 11/30/2015 SOUND PUBLISHING INC, 10/30/2015 1447211 $108.15 CDPL- NEWSPAPER ADVERTISING 249158 11/30/2015 DAILY JOURNAL OF COMMER11/14/2015 3306830 $764.40 PWST- NEWSPAPER LEGAL NOTICES 249509 12/15/2015 SOUND PUBLISHING INC, 10/9/2015 1440414 $40.38 HRCK- NEWSPAPER ADVERTISING 249509 12/15/2015 SOUND PUBLISHING INC, 9/18/2015 1418570 $85.23 HRCK- NEWSPAPER ADVERTISING 249509 12/15/2015 SOUND PUBLISHING INC, 10/23/2015 1445716 $49.03 HRCK- NEWSPAPER ADVERTISING 249429 12/15/2015 KING COUNTY FINANCE DIVIE10/31/2015 68519 -68530 $53,187.18 PWTR -10/15 DISC INVOICE TRFFC- LEGAL SETTLEMENT FEES 249204 11/30/2015 JOHNSON, JEFFERY K & DAW11/16/2015 JOHNSON 2015 $3,000.00 SWM -COMP FOR DRIVEWAY DAMAGE LODGING 339658 12/8/2015 US BANK, 12/4/2015 NOVEMBER 2015 $127.88 PD- LODGING WASPC CONE HWANG 586048 12/7/2015 US BANK, 12/7/2015 NOVEMBER 2015 $211.81 CDED -HOTEL FOR JOHNSON TRIP 249364 12/15/2015 CITY OF FEDERAL WAY, 11/3/2015 CK# 1192 $790.15 PD -ADV TRVL IAFSM ED CONF TUCK 249364 12/15/2015 CITY OF FEDERAL WAY, 10/22/2015 CK# 1191 $977.45 PD -ADV TRVL FORCE SCIENCE CERT 249364 12/15/2015 CITY OF FEDERAL WAY, 10/6/2015 CK# 1190 $1,101.75 PD -ADV TRVL IPTM TRAFFIC CRASH MACHINERY & EQUIPMENT 249202 11/30/2015 JGM TECHNICAL SERVICES IM1/12/2015 1797 $4,553.82 PWST- ELECTRICAL WORK ON BRINE 249525 12/15/2015 TACOMA SCREW PRODUCTS 11/20/2015 13003638 $- 106.30 PWST- RETURNED ITEM 190 $3,000.00 $3,209.04 $10,957.69 Key Bank Page 25 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 249525 12/15/2015 TACOMA SCREW PRODUCTS 11/20/2015 13003642 $135.46 PWST- ANCHORS FOR SALT LEVER 249170 11/30/2015 EWING IRRIGATION PRODUC'11/7/2015 627355 $20.70 PWST- PLUMBING SUPPLIES FOR BRI 586048 12/7/2015 US BANK, 12/7/2015 NOVEMBER 2015 $4,989.99 PWST -SALT BRINE STORAGE 249294 11/30/2015 TACOMA SCREW PRODUCTS 11/17/2015 13003392 $350.83 PWST- ANCHORS AND SUPPLIES SALT 519424 12/8/2015 US BANK, 12/8/2015 NOVEMBER 2015 $385.42 PW -AIR COMPRESSOR /FILTER 249294 11/30/2015 TACOMA SCREW PRODUCTS 11/18/2015 13003463 $44.22 PWST- RETURN ROTO HAMMER BIT 249294 11/30/2015 TACOMA SCREW PRODUCTS 11/18/2015 13003465 $123.75 PWST- ANCHORS FOR SALT COVER 249413 12/15/2015 HOME DEPOT -DEPT 32- 2500712/8/2015 NOVEMBER 2015 $14.37 PWST- PLUMBING SUPPLIES BRINE B 249442 12/15/2015 LOWE'S HIW INC, 12/11/2015 NOVEMBER 2015 $132.77 PWST- HEATER SUPPLIES FOR BRINE 249442 12/15/2015 LOWE'S HIW INC, 12/11/2015 NOVEMBER 2015 $12.45 PWST- PLUMBING PARTS FOR BRINE 249442 12/15/2015 LOWE'S HIW INC, 12/11/2015 NOVEMBER 2015 $77.72 PWST- HOLIDAY LIGHTS /SAND SALT 249442 12/15/2015 LOWE'S HIW INC, 12/11/2015 NOVEMBER 2015 $12.07 PWST- PLUMBING SUPPLIES FOR BRI 249442 12/15/2015 LOWE'S HIW INC, 12/11/2015 NOVEMBER 2015 $3.74 PWST- PLUMBING SUPPLIES FOR BRI 249442 12/15/2015 LOWE'S HIW INC, 12/11/2015 NOVEMBER 2015 $243.35 PWST- LIGHTS FOR BRINE 249442 12/15/2015 LOWE'S HIW INC, 12/11/2015 NOVEMBER 2015 $51.77 PWST - PLUMBING SUPPLIES FOR BRI MAYOR'S RECOGNITION /AWARD PRO 249377 12/15/2015 D J TROPHY, 11/23/2015 242216 $156.59 CC- WAVEFRONT GLASS AWARD MEDICAL SERVICES - CLAIMS 26943 11/20/2015 GROUP HEALTH, 11/20/2015 SF00026943 $9,616.43 FI -GH COOPERATIVE 26944 11/20/2015 GROUP HEALTH, 11/19/2015 SF00026944 $67,918.19 FI -GH OPTIONS 27002 11/28/2015 GROUP HEALTH, 12/7/2015 SF00027002 $26,265.50 FI -GH OPTIONS 27001 11/28/2015 GROUP HEALTH, 11/27/2015 SF00027001 $8,482.74 FI -GH COOPERATIVE 219453 12/10/2015 GROUP HEALTH, 12/10/2015 SF00027118 $1,782.63 FI -GHC 815785 12/10/2015 GROUP HEALTH, 12/10/2015 SF00027119 $40,803.77 FI -GHO 27052 12/4/2015 GROUP HEALTH, 12/3/2015 SF00027052 $107,715.30 FI -GH OPTIONS 27051 12/4/2015 GROUP HEALTH, 12/3/2015 SF00027051 $2,416.01 FI -GH COOPERATIVE MILEAGE REIMBURSEMENT 191 $156.59 $265,000.57 $197.23 Key Bank Page 26 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 249179 11/30/2015 FREEBURG, SUSAN 11/18/2015 FREEBURG 2015 $176.00 PARKS - MILEAGE REIMB 249077 11/17/2015 PETTY CASH - FWCC, 11/17/2015 PD -PETTY CASH $21.23 PARKS - MILEAGE REIMBURSEMENT MINOR EQUIP -MISC 249477 12/15/2015 PETTY CASH - Fl, 12/14/2015 DECEMBER 2015 $25.80 PW -SWM TRACKBALL MOUSE 249413 12/15/2015 HOME DEPOT -DEPT 32- 2500712/8/2015 NOVEMBER 2015 $366.18 PWST -MAINT TOOLS 249413 12/15/2015 HOME DEPOT -DEPT 32- 2500712/8/2015 NOVEMBER 2015 $103.83 SWM -TOOLS FOR TRUCK 339658 12/8/2015 US BANK, 12/4/2015 NOVEMBER 2015 $105.03 PD -STEP LADDER FOR MAINTENANCE 339658 12/8/2015 US BANK, 12/4/2015 NOVEMBER 2015 $12.95 PD -CABLE FOR NIKON 339658 12/8/2015 US BANK, 12/4/2015 NOVEMBER 2015 $244.03 PD- UNDERCOVER WIRING KIT 586048 12/7/2015 US BANK, 12/7/2015 NOVEMBER 2015 $32.81 SWM- BATTERIES 586048 12/7/2015 US BANK, 12/7/2015 NOVEMBER 2015 $133.73 SWM -WATER MONITORING 249360 12/15/2015 CENTRAL LAKE ARMOR EXPR12/2/2015 0082261 -IN $3,191.38 PD -VESTS DEMAREST TUCKER PETER 249494 12/15/2015 RWC INTERNATIONAL LTD, 12/3/2015 34248M $111.30 FLT - VEHICLE EQUIP ADD ON 249360 12/15/2015 CENTRAL LAKE ARMOR EXPR1 1 /25/2015 0082259 -IN $3,126.23 PD -BVP GREEN HAGLAN NORMAN STIR 249525 12/15/2015 TACOMA SCREW PRODUCTS 11/24/2015 13003876 $56.59 PWST- HARDWARE FOR SNOW PLOW BI 249440 12/15/2015 LOCATION TECHNOLOGIES IN11/10/2015 14475 $140.50 FLT - VEHICLE ADD ON 249141 11/30/2015 CESSCO -THE CUT &CORE ST(11/12/2015 4556 $286.91 SWM -CHAIN LOOPS 249238 11/30/2015 NORTHWEST WIRE ROPE AN111/2/2015 50070762 $57.49 SWM- LIFTING GEAR 249241 11/30/2015 ORIENTAL GARDEN CENTER, 7 /24/2015 11380 $19.70 PWST- REPLACE LINE FOR TRIMMERS 249241 11/30/2015 ORIENTAL GARDEN CENTER, 9/25/2015 11380 $8.98 PWST- REPAIR PARTS FOR CHAIN SA 249354 12/15/2015 BROWNELLS INC, 11/23/2015 11871421.00 $469.47 PD -SLING BLACK 249343 12/15/2015 B &H PHOTO & VIDEO INC., 11/18/2015 103112153 $960.99 IT -PD JAG GRANT SYNOLOGY IDS 181 249343 12/15/2015 B &H PHOTO & VIDEO INC., 11/18/2015 103112153 $1,039.96 IT -PD JAG GRANT WESTERN DIGITA MISC PROFESSIONAL SVS- INTERGOV 249314 11/30/2015 WA STATE PATROL, 11/2/2015 116002768 $204.00 HR- BACKGROUND CHECKS 249309 11/30/2015 VALLEY COMMUNICATIONS C10/30/2015 0016229 $323,572.83 PD- 10/15AG00 -090 EMER DISPATC 249429 12/15/2015 KING COUNTY FINANCE DIVIE11/15/2015 11003947 $99.40 IT -11/15 NET SVCS AG14 -105— 192 $10,493.86 $334,558.89 Key Bank Page 27 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 249429 12/15/2015 KING COUNTY FINANCE DIVIE11/15/2015 11003947 $248.50 IT -11/15 NET SVCS AG14 -105- 249429 12/15/2015 KING COUNTY FINANCE DIVIE11/15/2015 11003947 $248.50 IT -11/15 NET SVCS AG14 -105- 249035 11/17/2015 HUTTON, JOHN R 11/16/2015 3RD QTR FWCC VISIT $15.00 PARKS -31RD QTR VISITS 249096 11/17/2015 TANG, FEI 11/16/2015 3RD QTR FWCC VISIT $15.00 PARKS -31RD QTR VISITS 249036 11/17/2015 HWANG, ANDY 11/16/2015 3RD QTR FWCC VISIT $15.00 PARKS -31RD QTR VISITS 249038 11/17/2015 JAENICKE, MARY 11/16/2015 3RD QTR FWCC VISIT $15.00 PARKS -31RD QTR VISITS 249041 11/17/2015 JONES, WARREN CASEY 11/16/2015 3RD QTR FWCC VISIT $15.00 PARKS -3RD QTR VISITS 248977 11/17/2015 ALLEN, LYNETTE 11/16/2015 3RD QTR FWCC VISIT $15.00 PARKS -3RD QTR VISITS 249000 11/17/2015 CONLEN, ISAAC 11/16/2015 3RD QTR FWCC VISIT $15.00 PARKS -3RD QTR VISITS 249032 11/17/2015 HOWELL, ADAM 11/16/2015 3RD QTR FWCC VISIT $15.00 PARKS -3RD QTR VISITS 248979 11/17/2015 BAKER, SIERRA D 11/16/2015 3RD QTR FWCC VISIT $15.00 PARKS -3RD QTR VISITS 249016 11/17/2015 FIX, TAMARA 11/16/2015 3RD QTR FWCC VISIT $15.00 PARKS -31RD QTR VISITS 249070 11/17/2015 NELSON, DOUG 11/16/2015 3RD QTR FWCC VISIT $15.00 PARKS -31RD QTR VISITS 249023 11/17/2015 GREGORY, KRISTEN 11/16/2015 3RD QTR FWCC VISIT $15.00 PARKS -31RD QTR VISITS 249106 11/17/2015 WHITE, SUSANNE 11/16/2015 3RD QTR FWCC VISIT $15.00 PARKS -31RD QTR VISITS 248986 11/17/2015 BROWN, TOM 11/16/2015 3RD QTR FWCC VISIT $15.00 PARKS -31RD QTR VISITS 248978 11/17/2015 ARIWOOLA, AIDE 11/16/2015 3RD QTR FWCC VISIT $15.00 PARKS -31RD QTR VISITS 248995 11/17/2015 CHAPIN, BECKY 11/16/2015 3RD QTR FWCC VISIT $15.00 PARKS -3RD QTR VISITS 249013 11/17/2015 DUNNACHIE, HEATHER 11/16/2015 3RD QTR FWCC VISIT $15.00 PARKS -3RD QTR VISITS 249019 11/17/2015 GIAZZI, TIZIANA 11/16/2015 3RD QTR FWCC VISIT $15.00 PARKS -3RD QTR VISITS 249068 11/17/2015 MULLER, MYUNG -HEE 11/16/2015 3RD QTR FWCC VISIT $15.00 PARKS -3RD QTR VISITS 248987 11/17/2015 BUCK, ROBYN 11/16/2015 3RD QTR FWCC VISIT $15.00 PARKS -3RD QTR VISITS 249431 12/15/2015 KING COUNTY RADIO, 11/21/2015 10452 $9,885.66 IT -PD RADIO MAINT /REPAIR MISC SERVICES & CHARGES 249212 11/30/2015 KING COUNTY RECORDS, ELE11 /24/2015 PRO -TEM OATH $72.00 MC- PRO -TEM OATH FWMC 249487 12/15/2015 PRO -TOW MAPLE VALLEY, 11/21/2015 129185 $194.39 PD- VEHICLE TOW SVC 193 $38,253.62 Key Bank Page 28 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 249487 249464 249548 249333 249388 249538 249375 249377 586048 586048 586048 586048 586048 586048 249217 249304 249201 249314 249297 249173 249246 249314 249314 249147 249123 249507 12/15/2015 PRO -TOW MAPLE VALLEY, 11/21/2015 12/15/2015 NORTHWEST TOWING INC, 11/21/2015 12/15/2015 VERIZON WIRELESS, 11/13/2015 12/15/2015 AL'S TOWING, 11/24/2015 12/15/2015 FEDERAL WAY INDOOR RANC-11/17/2015 12/15/2015 TRANSUNION RISK &ALTERN12 /1/2015 12/15/2015 COSTCO /HSBC BUSINESS SC12/7/2015 PD -RANGE USE 12/15/2015 D J TROPHY, 12/7/2015 12/7/2015 US BANK, 12/7/2015 12/7/2015 US BANK, 12/7/2015 12/7/2015 US BANK, 12/7/2015 12/7/2015 US BANK, 12/7/2015 12/7/2015 US BANK, 12/7/2015 12/7/2015 US BANK, 12/7/2015 11/30/2015 LEXISNEXIS RISK, 10/31/2015 11/30/2015 UNIVERSAL PROTECTION SE110/31/2015 11/30/2015 IRON MOUNTAIN INFORMATIC10 /31/2015 11/30/2015 WA STATE PATROL, 11/2/2015 11/30/2015 TRANSUNION RISK &ALTERN11 /1/2015 11/30/2015 FEDERAL WAY INDOOR RANC11/3/2015 11/30/2015 PETCOANIMAL SUPPLIES INC11/5/2015 11/30/2015 WA STATE PATROL, 8/3/2015 11/30/2015 WA STATE PATROL, 10/5/2015 11/30/2015 CITY OF TUKWILA, 10/30/2015 11/30/2015 AL'S TOWING, 11/12/2015 12/15/2015 SOFTWAREONE INC, 11/18/2015 129238 PD- VEHICLE TOW SVC 407701 PD- VEHICLE TOW SVC 15 -16462 9755595294 IT /PD -11/15 DATA SVC 80186 PD- VEHICLE TOW SVC CASE #15 -156 123 PD -RANGE USE 837597 PD- BACKGROUND CHECKS NOVEMBER 2015 FI- MEMBERSHIP RENEW 242290 PD -YEAR END AWARDS NOVEMBER 2015 PARKS -SR TRIP LUXARY TRANSPORT NOVEMBER 2015 PARKS -SR TRIP LODGING NOVEMBER 2015 PARKS -SR TRIP TOLL NOVEMBER 2015 PARKS -SR. TRIP LODGING NOVEMBER 2015 PARKS -SR. TRIP LODGING NOVEMBER 2015 PARKS -STAFF CERTS 1470204 - 20151031 PD -10/15 LEXIS NEXIS SVC 1663567 MC- PROTECTION SVC LYS2868 PD- STORAGE FEES 116003081 PD- BACKGROUND CHECKS 837597 PD- BACKGROUND CHECKS 122 PD -RANGE USE OA061118 PD -FOOD 116000677 PD -08/15 BACKGROUND CHECKS 116002289 PD -09/15 BACKGROUND CHECKS MB -02009 PD- POLICE TRAINING SVCS 80092 PD- VEHICLE TOW SVC US- PSI - 434278 Sales Tax 194 $437.39 $196.00 $1,182.00 $198.20 $492.75 $110.00 $165.00 $422.45 $414.00 $2,446.37 $5.50 $4,874.50 $2,446.38 $70.00 $249.66 $5,084.49 $1,036.77 $34.75 $110.00 $229.95 $174.90 $34.75 $347.50 $16,331.42 $198.20 $27.03 Key Bank Page 29 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 249317 11/30/2015 WASHINGTON POLYGRAPH, 11/10/2015 15 -020 $150.00 249488 12/15/2015 PUGET SOUND ENERGY INC, 11/23/2015 300000001978 PD- PREEMPLOYMENT POLYGRAPH $61.45 249258 11/30/2015 PRO -TOW MAPLE VALLEY, 11/15/2015 129016 PKM -11/15 31104 28TH AVE S HAU $194.39 249488 12/15/2015 PUGET SOUND ENERGY INC, 11/23/2015 300000001978 PD- VEHICLE TOW SVC $298.04 249383 12/15/2015 EQUIFAX CREDIT INFORMATI(11/17/2015 9434178 PKM- 11/15 726 S 356TH BROOKLAK $38.37 249488 12/15/2015 PUGET SOUND ENERGY INC, 11/23/2015 300000001978 PD -11/15 CREDIT REPORTS $1,200.89 249507 12/15/2015 SOFTWAREONE INC, 11/18/2015 US- PSI - 434278 DBC -11/15 3200 SW DASH PT ROAD $284.51 249488 12/15/2015 PUGET SOUND ENERGY INC, 11/23/2015 300000001978 IT -ADOBE ACROBAT PROFESSIONAL $591.49 195 $10,353.42 $18.00 $1,899.12 $4,002.67 NATURAL GAS 249488 12/15/2015 PUGET SOUND ENERGY INC, 11/23/2015 300000001978 $61.45 PKM -11/15 31104 28TH AVE S HAU 249488 12/15/2015 PUGET SOUND ENERGY INC, 11/23/2015 300000001978 $298.04 PKM- 11/15 726 S 356TH BROOKLAK 249488 12/15/2015 PUGET SOUND ENERGY INC, 11/23/2015 300000001978 $1,200.89 DBC -11/15 3200 SW DASH PT ROAD 249488 12/15/2015 PUGET SOUND ENERGY INC, 11/23/2015 300000001978 $591.49 DBC -11/15 3200 SW DASH PT ROAD 249488 12/15/2015 PUGET SOUND ENERGY INC, 11/23/2015 300000001978 $288.51 PKM -11/15 31104 28TH AVE S STL 249488 12/15/2015 PUGET SOUND ENERGY INC, 11/23/2015 300000001978 $7,682.13 FWCC -11/15 876 S 333RD 0008456 249488 12/15/2015 PUGET SOUND ENERGY INC, 11/23/2015 300000001978 $230.91 PKM -11/15 600 S 333RD EVID BLD NON BUSINESS LICENSES 249265 11/30/2015 RAYL II, EDWARD JAMES 6/6/2015 03 -83563 $18.00 PD -PAID FOR CPL NEEDED LATE RE NON GOVT DP SERVICES 249153 11/30/2015 COLE INFORMATION SERVICE10 /28/2015 0677190 -IN $730.00 IT -PD METROSEARCH WAS -CDMWO WA 249153 11/30/2015 COLE INFORMATION SERVICE10 /28/2015 0677190 -IN $182.50 IT -PD METROSEACH CDMSO- NETWORK 249153 11/30/2015 COLE INFORMATION SERVICE10 /28/2015 0677190 -IN $14.95 IT -PD METROSEARCH CONCURRENT M 249379 12/15/2015 DMX MUSIC, 12/1/2015 52069357 $72.43 IT -12/15 ALL DIGITAL MUSIC 249437 12/15/2015 LEXISNEXIS, 11/30/2015 3090378662 $341.64 IT /LAW -11/15 WEST LAW SVC- 249466 12/15/2015 NOWYR INC., 12/1/2015 10530 $160.00 IT -12/15 REDUNDANCY INTERNET S 249429 12/15/2015 KING COUNTY FINANCE DIVIr11/15/2015 11003947 $397.60 IT -11/15 NET SVCS AG14 -105- OFFICE SUPPLIES 249371 12/15/2015 COMPLETE OFFICE, 11/16/2015 1292291 -0 $1,331.03 MC- OFFICE SUPPLIES 249371 12/15/2015 COMPLETE OFFICE, 11/16/2015 1292299 -0 $51.23 IT- OFFICE SUPPLIES 249371 12/15/2015 COMPLETE OFFICE, 11/16/2015 1292303 -0 $46.25 MC- OFFICE SUPPLIES 249468 12/15/2015 OFFICE DEPOT, 11/13/2015 806229322001 $88.39 PD- OFFICE SUPPLIES 249371 12/15/2015 COMPLETE OFFICE, 11/13/2015 1291643 -0 $63.81 MO- OFFICE SUPPLIES 195 $10,353.42 $18.00 $1,899.12 $4,002.67 Key Bank Page 30 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 249371 12/15/2015 COMPLETE OFFICE, 11/9/2015 1288791 -0 $2.94 PW- OFFICE SUPPLIES 249371 12/15/2015 COMPLETE OFFICE, 11/12/2015 1290643 -0 $37.31 CC- OFFICE SUPPLIES 249371 12/15/2015 COMPLETE OFFICE, 11/12/2015 1290699 -0 $29.87 CC- OFFICE SUPPLIES 249371 12/15/2015 COMPLETE OFFICE, 11/12/2015 1290799 -0 $11.61 HRCK- OFFICE SUPPLIES 249371 12/15/2015 COMPLETE OFFICE, 11/9/2015 1288791 -0 $2.96 PW- OFFICE SUPPLIES 249371 12/15/2015 COMPLETE OFFICE, 11/9/2015 1288791 -0 $3.94 PW- OFFICE SUPPLIES 249371 12/15/2015 COMPLETE OFFICE, 11/6/2015 1288309 -0 $36.74 FI- OFFICE SUPPLIES 249371 12/15/2015 COMPLETE OFFICE, 11/6/2015 1288434 -0 $20.19 PW- OFFICE SUPPLIES 249371 12/15/2015 COMPLETE OFFICE, 11/6/2015 1288434 -0 $26.92 PW- OFFICE SUPPLIES 249371 12/15/2015 COMPLETE OFFICE, 11/6/2015 1288434 -0 $6.73 PW- OFFICE SUPPLIES 249371 12/15/2015 COMPLETE OFFICE, 11/6/2015 1288434 -0 $101.31 PW- OFFICE SUPPLIES 249371 12/15/2015 COMPLETE OFFICE, 11/9/2015 1288791 -0 $0.99 PW- OFFICE SUPPLIES 249371 12/15/2015 COMPLETE OFFICE, 11/9/2015 1288791 -0 $3.94 PW- OFFICE SUPPLIES 249371 12/15/2015 COMPLETE OFFICE, 11/6/2015 1288434 -0 $20.20 PW- OFFICE SUPPLIES 249371 12/15/2015 COMPLETE OFFICE, 11/6/2015 1288444 -0 $28.03 PW- OFFICE SUPPLIES 249371 12/15/2015 COMPLETE OFFICE, 11/2/2015 1285738 -0 $21.04 HRCK- OFFICE SUPPLIES 249371 12/15/2015 COMPLETE OFFICE, 11/4/2015 1287295 -0 $185.91 CD- OFFICE SUPPLIES 249371 12/15/2015 COMPLETE OFFICE, 11/4/2015 C1283361 -0 $ -14.40 CD- RETURNED OFFICE SUPPLIES 249515 12/15/2015 STAPLES BUSINESSADVANT /11 /30/2015 8037036645 $97.64 MO- OFFICE SUPPLIES 249515 12/15/2015 STAPLES BUSINESSADVANT /11 /30/2015 8037036645 $44.91 PD- OFFICE SUPPLIES 249515 12/15/2015 STAPLES BUSINESS ADVANTA 1 /30/2015 8037036645 $4.37 PD- OFFICE SUPPLIES 249371 12/15/2015 COMPLETE OFFICE, 11/30/2015 1294080 -1 $6.57 MC- OFFICE SUPPLIES 249371 12/15/2015 COMPLETE OFFICE, 11/30/2015 1296779 -0 $51.43 CC- OFFICE SUPPLIES 249371 12/15/2015 COMPLETE OFFICE, 11/24/2015 1295808 -0 $18.47 HR- OFFICE SUPPLIES 249371 12/15/2015 COMPLETE OFFICE, 12/7/2015 C1288434 -0 $ -2.94 PW- OFFICE SUPPLIES 249371 12/15/2015 COMPLETE OFFICE, 12/7/2015 C1288434 -0 $ -2.96 PW- OFFICE SUPPLIES 196 Key Bank Page 31 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 249371 12/15/2015 COMPLETE OFFICE, 12/7/2015 C1288434 -0 $ -3.94 PW- OFFICE SUPPLIES 249371 12/15/2015 COMPLETE OFFICE, 12/7/2015 C1288434 -0 $ -0.99 PW- OFFICE SUPPLIES 249371 12/15/2015 COMPLETE OFFICE, 12/7/2015 C1288434 -0 $ -3.94 PW- OFFICE SUPPLIES 519424 12/8/2015 US BANK, 12/8/2015 NOVEMBER 2015 $11.49 PKDBC- LABELS 519424 12/8/2015 US BANK, 12/8/2015 NOVEMBER 2015 $14.97 PKDBC- LABELS 519424 12/8/2015 US BANK, 12/8/2015 NOVEMBER 2015 $32.84 PKDBC- LABELS 586048 12/7/2015 US BANK, 12/7/2015 NOVEMBER 2015 $131.39 SWM- OFFICE CHAIR 519424 12/8/2015 US BANK, 12/8/2015 NOVEMBER 2015 $31.22 IT- ISOPROPYL ALCOHOL WIPES 519424 12/8/2015 US BANK, 12/8/2015 NOVEMBER 2015 $400.00 PW -DESK FOR SARADY 249477 12/15/2015 PETTY CASH - Fl, 12/14/2015 DECEMBER 2015 $9.30 PARKS -8 TAB DIVIDER 249477 12/15/2015 PETTY CASH - Fl, 12/14/2015 DECEMBER 2015 $6.51 FI- TJMAXX DESK STORAGE 249477 12/15/2015 PETTY CASH - Fl, 12/14/2015 DECEMBER 2015 $9.84 PAEC -DAY PLANNER 249239 11/30/2015 OFFICE DEPOT, 10/29/2015 802708766001 $78.79 PD- OFFICE SUPPLIES 249239 11/30/2015 OFFICE DEPOT, 10/29/2015 802708766001 $57.65 PD- OFFICE SUPPLIES 249239 11/30/2015 OFFICE DEPOT, 10/29/2015 802709001001 $5.46 PD- OFFICE SUPPLIES 249239 11/30/2015 OFFICE DEPOT, 10/19/2015 802709002001 $5.46 PD- OFFICE SUPPLIES 249239 11/30/2015 OFFICE DEPOT, 11/3/2015 798783263003 $7.11 PD- OFFICE SUPPLIES 249291 11/30/2015 SYNERGY DATA SYSTEMSIN(11 /4/2015 47458 $513.10 CD -TONER 249371 12/15/2015 COMPLETE OFFICE, 11/20/2015 1294435 -0 $19.22 MO /PAEC- OFFICE SUPPLIES 249371 12/15/2015 COMPLETE OFFICE, 11/20/2015 1294435 -0 $20.00 MO /PAEC- OFFICE SUPPLIES 249371 12/15/2015 COMPLETE OFFICE, 11/19/2015 1294080 -0 $332.76 MC- OFFICE SUPPLIES OPERATING RENTALS /LEASES 249201 11/30/2015 IRON MOUNTAIN INFORMATIC10 /31/2015 LYX3745 $2,465.84 H RCK- STORAG E 249530 12/15/2015 THE HUMANE SOCIETY FOR, 10/31/2015 IVC0001549 $6,087.93 PD -DROP OFF FEES 249530 12/15/2015 THE HUMANE SOCIETY FOR, 10/31/2015 IVC0001550 $80.00 PD- BOARDING EXCEEDING 15 DAYS 249344 12/15/2015 BALLI ROAD LLC, 12/1/2015 1927 $3,400.00 PD -12/15 SUBSTATION RENTAG14- 197 $14,229.03 Key Bank Page 32 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 249421 12/15/2015 IRON MOUNTAIN INFORMATIC11 /30/2015 MAU0266 $2,195.26 HRCK- STORAGE FEES OTHER MISC REVENUE 214106 12/11/2015 WA STATE REVENUE DEPART12/11/2015 601 - 223 -5385 $0.01 FI -11/15 REMIT EXC TAX (ROUNDI 214106 12/11/2015 WA STATE REVENUE DEPART12/11/2015 601 - 223 -5385 $1,061.47 FI -11/15 REMIT SALES TAX 214106 12/11/2015 WA STATE REVENUE DEPART12/11/2015 601 - 223 -5385 $- 669.26 FI -11/15 REMIT SALES TAX 214106 12/11/2015 WA STATE REVENUE DEPART12/11/2015 601- 223 -5385 $1,098.85 FI -11/15 REMIT SALES TAX FWCC OTHER MISCELLANEOUS REVENUE 214106 12/11/2015 WA STATE REVENUE DEPART12/11/2015 601 - 223 -5385 $- 2,156.55 FI -11/15 REMIT SALES TAX DBC OTHER OPERATING SUPPLIES 249442 12/15/2015 LOWE'S HIW INC, 12/11/2015 NOVEMBER 2015 $24.93 SWM -SNOW AND ICE EQUIP 249442 12/15/2015 LOWE'S HIW INC, 12/11/2015 NOVEMBER 2015 $99.73 SWR -BAGS AND PICKERS FOR VADIS 249442 12/15/2015 LOWE'S HIW INC, 12/11/2015 NOVEMBER 2015 $39.46 PWST- SAFETY GLOVES FOR CREW 249477 12/15/2015 PETTY CASH - Fl, 12/14/2015 DECEMBER 2015 $3.71 CD -CITY STAFF EVENT 249248 11/30/2015 PETTY CASH - FWCC, 11/23/2015 11/23/15 $10.86 PARKS - DOLLAR TREE - ITEMS FOR 249077 11/17/2015 PETTY CASH - FWCC, 11/17/2015 PD -PETTY CASH $68.80 PARKS -FRED MEYER FOR AKTION CL 249077 11/17/2015 PETTY CASH - FWCC, 11/17/2015 PD -PETTY CASH $6.56 PARKS - GOODWILL - UNDERSLIP FOR F 249077 11/17/2015 PETTY CASH - FWCC, 11/17/2015 PD -PETTY CASH $6.55 PARKS -PARTY CITY - TABLECLOTHS 249077 11/17/2015 PETTY CASH - FWCC, 11/17/2015 PD -PETTY CASH $76.66 PARKS -JO ANN CRAFTS - ITEMS FO 249077 11/17/2015 PETTY CASH - FWCC, 11/17/2015 PD -PETTY CASH $6.33 PARKS - WALGREENS - PRINCESS PAR 249077 11/17/2015 PETTY CASH - FWCC, 11/17/2015 PD -PETTY CASH $12.67 PARKS - WALGREENS - PRINCESS PAR 249077 11/17/2015 PETTY CASH - FWCC, 11/17/2015 PD -PETTY CASH $8.73 PARKS -PARTY CITY - PRINCESS PA 249077 11/17/2015 PETTY CASH - FWCC, 11/17/2015 PD -PETTY CASH $24.09 PARKS - DOLLAR STORE - FREAKY 5K 249477 12/15/2015 PETTY CASH - Fl, 12/14/2015 DECEMBER 2015 $57.97 CD- RETREAT SUPPLIES 339658 12/8/2015 US BANK, 12/4/2015 NOVEMBER 2015 $435.60 PD -BOOKS FOR MCCALL & COM STAF 339658 12/8/2015 US BANK, 12/4/2015 NOVEMBER 2015 $368.74 PD- LANYARD FOR VOLUN RECOGN 339658 12/8/2015 US BANK, 12/4/2015 NOVEMBER 2015 $32.38 PD- COFFEE SUPPLIES VOL RECOGN 339658 12/8/2015 US BANK, 12/4/2015 NOVEMBER 2015 $224.08 PD -BOU TRAINING EQUIPMENT 198 $1,491.07 $- 2,156.55 $9,848.25 Key Bank Page 33 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 339658 339658 339658 339658 249543 249371 249371 249406 249371 249371 249371 249418 249371 249371 249543 249371 249498 519424 249247 519424 519424 519424 519424 249478 249478 586048 12/8/2015 US BANK, 12/4/2015 12/8/2015 US BANK, 12/4/2015 12/8/2015 US BANK, 12/4/2015 12/8/2015 US BANK, 12/4/2015 12/15/2015 UNITED GROCERS CASH & Ci11/30/2015 12/15/2015 COMPLETE OFFICE, 11/5/2015 12/15/2015 COMPLETE OFFICE, 11/5/2015 12/15/2015 H B JAEGER CO LLC, 11/4/2015 12/15/2015 COMPLETE OFFICE, 11/6/2015 12/15/2015 COMPLETE OFFICE, 11/6/2015 12/15/2015 COMPLETE OFFICE, 11/9/2015 12/15/2015 INLAND TECHNOLOGY INC, 11/11/2015 12/15/2015 COMPLETE OFFICE, 11/9/2015 12/15/2015 COMPLETE OFFICE, 11/9/2015 12/15/2015 UNITED GROCERS CASH & C)11/12/2015 12/15/2015 COMPLETE OFFICE, 11/12/2015 12/15/2015 SAN DIEGO POLICE EQUIPME11/16/2015 12/8/2015 US BANK, 12/8/2015 11/30/2015 PETTY CASH - DBC, 11/19/2015 12/8/2015 US BANK, 12/8/2015 12/8/2015 US BANK, 12/8/2015 12/8/2015 US BANK, 12/8/2015 12/8/2015 US BANK, 12/8/2015 12/15/2015 PETTY CASH - POLICE DEPT, 12/10/2015 12/15/2015 PETTY CASH - POLICE DEPT, 12/10/2015 12/7/2015 US BANK, 12/7/2015 NOVEMBER 2015 PD -WOOD SUPPLIES FOR TRAINING NOVEMBER 2015 PD- EYEWASH NOVEMBER 2015 PD- ANTIBACTERIAL WIPES NOVEMBER 2015 PD- FLASHLIGHT SUPPLIES 120429 PARKS -JBB /CAFE RESALE 1287748 -0 PARKS - OFFICE SUPPLIES 1287748 -0 PARKS - OFFICE SUPPLIES 14257/3 SWM -PIPE PLUG 1288509 -0 PARKS - OFFICE SUPPLIES 1288434 -0 PW- OFFICE SUPPLIES 1288791 -0 PW- OFFICE SUPPLIES 87216 PD -GUN CLEANING SYSTEM 1289126 -0 PARKS - OFFICE SUPPLIES 1289126 -0 PARKS - OFFICE SUPPLIES 113605 PARKS -JBB SUPPLIES 1289936 -0 PARKS -WALL CLOCK 620396 PD- AMMUNITION SUPPLIES NOVEMBER 2015 IT- RASPBERRY PI AND ACCESSORIE 11/19/15 PKDBC - WREATH SUPPLIES NOVEMBER 2015 CD- LAPTOP ADAPTOR NOVEMBER 2015 CD- CAMERA NOVEMBER 2015 CD- GRAFFITI SUPPLIES NOVEMBER 2015 MO -FLAG LAPEL PINS FOR OFFICE DECEMBER 2015 PD- PHOTOGRAPHS FOR VOLUNTEER R DECEMBER 2015 PD- WASHERS PURCHASED FOR— NOVEMBER 2015 SWM -WATER QUALITY MONITORING 199 $118.71 $31.67 $68.52 $222.00 $8.29 $93.84 $27.91 $149.01 $34.54 $56.82 $4.93 $1,263.90 $15.37 $38.18 $124.69 $130.38 $385.00 $1,022.01 $30.82 $98.12 $97.46 $59.46 $10.95 $63.16 $12.64 $176.44 Key Bank Page 34 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 586048 586048 586048 586048 586048 586048 586048 586048 249375 586048 586048 586048 586048 586048 586048 586048 586048 519424 519424 519424 249503 249371 586048 586048 586048 586048 12/7/2015 US BANK, 12/7/2015 12/7/2015 US BANK, 12/7/2015 12/7/2015 US BANK, 12/7/2015 12/7/2015 US BANK, 12/7/2015 12/7/2015 US BANK, 12/7/2015 12/7/2015 US BANK, 12/7/2015 12/7/2015 US BANK, 12/7/2015 12/7/2015 US BANK, 12/7/2015 12/15/2015 COSTCO /HSBC BUSINESS SC12/7/2015 12/7/2015 US BANK, 12/7/2015 12/7/2015 US BANK, 12/7/2015 12/7/2015 US BANK, 12/7/2015 12/7/2015 US BANK, 12/7/2015 12/7/2015 US BANK, 12/7/2015 12/7/2015 US BANK, 12/7/2015 12/7/2015 US BANK, 12/7/2015 12/7/2015 US BANK, 12/7/2015 12/8/2015 US BANK, 12/8/2015 12/8/2015 US BANK, 12/8/2015 12/8/2015 US BANK, 12/8/2015 12/15/2015 SHELTON, KIMBERLY 12/7/2015 12/15/2015 COMPLETE OFFICE, 12/7/2015 12/7/2015 US BANK, 12/7/2015 12/7/2015 US BANK, 12/7/2015 12/7/2015 US BANK, 12/7/2015 12/7/2015 US BANK, 12/7/2015 NOVEMBER 2015 CC- COUNCIL OFFICE LIGHT & COAT NOVEMBER 2015 CD -DEE DEE DEPARTURE RECOGNITI NOVEMBER 2015 CD -DEE DEE DEPARTURE RECOG. RE NOVEMBER 2015 PARKS - BRUNCH & MOVIE NOVEMBER 2015 PARKS - COMMENT BOX NOVEMBER 2015 PARKS -POWER SYSTEMS STRAPS NOVEMBER 2015 PARKS -ACTOR BOOKS NOVEMBER 2015 PARKS -TOUR ADMISSION NOVEMBER 2015 MO -PAPER PRODUCTS NOVEMBER 2015 CD -DEE DEE DEPARTURE RECOG. FL NOVEMBER 2015 CD -DEE DEE DEPARTURE RECOG. DE NOVEMBER 2015 MO- HALLOWEEN SUPPLIES ALL CITY NOVEMBER 2015 CC- COUNCIL OFFICE PHOTO FRAMES NOVEMBER 2015 CC -NOTE CARDS FOR MOORE NOVEMBER 2015 CC -SIDE TABLE FOR WORK AREA CL NOVEMBER 2015 PARKS - SPLASH CAFE POS SYSTEM NOVEMBER 2015 PARKS - SPLASH POS CARD READER NOVEMBER 2015 PKM- BATTERIES FOR SECURITY SYS NOVEMBER 2015 PKDBC -TV NOVEMBER 2015 PKDBC- CREDIT FOR TV SHELTON 2015 PARKS -REIMB PRIZES FOR GIVEAWA C1288434 -0 PW- OFFICE SUPPLIES NOVEMBER 2015 MO -PAPER PRODUCTS HALLOWFEST NOVEMBER 2015 MO- FLOWER ARRANGEMENT FUNERAL NOVEMBER 2015 MO- OFFICE SUPPLIES NOVEMBER 2015 PARKS - SAFECO FIELD TOUR 200 $108.65 $88.70 $ -26.28 $28.00 $18.49 $38.22 $83.50 $200.00 $17.18 $7.65 $19.68 $120.18 $87.58 $9.11 $29.20 $84.14 $217.91 $33.88 $173.56 $ -24.80 $100.89 $ -4.93 $17.24 $96.74 $7.92 $165.45 Key Bank Page 35 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 586048 586048 586048 586048 586048 586048 586048 586048 586048 586048 586048 586048 586048 586048 586048 586048 586048 586048 586048 586048 249561 249525 249544 249478 249478 249420 12/7/2015 US BANK, 12/7/2015 12/7/2015 US BANK, 12/7/2015 12/7/2015 US BANK, 12/7/2015 12/7/2015 US BANK, 12/7/2015 12/7/2015 US BANK, 12/7/2015 12/7/2015 US BANK, 12/7/2015 12/7/2015 US BANK, 12/7/2015 12/7/2015 US BANK, 12/7/2015 12/7/2015 US BANK, 12/7/2015 12/7/2015 US BANK, 12/7/2015 12/7/2015 US BANK, 12/7/2015 12/7/2015 US BANK, 12/7/2015 12/7/2015 US BANK, 12/7/2015 12/7/2015 US BANK, 12/7/2015 12/7/2015 US BANK, 12/7/2015 12/7/2015 US BANK, 12/7/2015 12/7/2015 US BANK, 12/7/2015 12/7/2015 US BANK, 12/7/2015 12/7/2015 US BANK, 12/7/2015 12/7/2015 US BANK, 12/7/2015 12/15/2015 XTREME GRAPHICS, 11/17/2015 12/15/2015 TACOMASCREW PRODUCTS 11/17/2015 12/15/2015 UNITED PARCEL SERVICE, 10/31/2015 12/15/2015 PETTY CASH - POLICE DEPT, 12/10/2015 12/15/2015 PETTY CASH - POLICE DEPT, 12/10/2015 12/15/2015 INTOXIMETERS INC, 9/25/2015 NOVEMBER 2015 PARKS - DINNER & MOVIE NOVEMBER 2015 PARKS - RETURN SUPPLIES NOVEMBER 2015 PARKS -PAINT SUPPLIES NOVEMBER 2015 PARKS -TABLE COVERS NOVEMBER 2015 PARKS - CAMP /PRESCHOOL SUPPLIES NOVEMBER 2015 PARKS -PAPER FOR HOLIDAY LETTER NOVEMBER 2015 PARKS - PRESCHOOL SUPPLIES NOVEMBER 2015 PARKS -DANCE COSTUMES NOVEMBER 2015 PARKS - PRESCHOOL SUPPLIES NOVEMBER 2015 PARKS - PRESCHOOL SUPPLIES NOVEMBER 2015 PARKS -SCENE SETTING JINGLE BEL NOVEMBER 2015 PARKS -CANDY CANES NOVEMBER 2015 PARKS - SNOWFLAKES DECORATIONS NOVEMBER 2015 PARKS -JBB DECORATIONS NOVEMBER 2015 PARKS - HOLIDAY CAMP CRAFTS NOVEMBER 2015 PARKS - HOLIDAY CAMP SUPPLIES NOVEMBER 2015 PARKS -JBB PRIZES NOVEMBER 2015 PARKS -PHOTO FRAMES NOVEMBER 2015 PARKS -WIGS COOKIES W/ MRS. CLA NOVEMBER 2015 PARKS - PRESCHOOL AUDIO CD 15 -1873 PKM -PARK RULE SIGNS AG10 -101- 15307817 PARKS -MAINT SUPPLIES 000OF8OF48445 PARKS - DOCUMENT DELIVERY SERVIC DECEMBER 2015 PD- SPONGES PURCHASED — DECEMBER 2015 PD- SUPPLIES FOR VOLUNTEER - 510825 PD -DRY GAS 201 $48.00 $- 170.45 $65.62 $43.84 $112.72 $55.41 $64.55 $147.87 $62.02 $44.76 $44.22 $106.85 $11.22 $80.48 $24.43 $137.88 $332.07 $37.99 $41.94 $14.20 $136.00 $28.95 $55.19 $14.21 $10.76 $217.37 Key Bank Page 36 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 249478 12/15/2015 PETTY CASH - POLICE DEPT, 12/10/2015 DECEMBER 2015 $64.58 PD- BATTERIES PURCHASED - 249478 12/15/2015 PETTY CASH - POLICE DEPT, 12/10/2015 DECEMBER 2015 $28.51 PD-SUPPLIES:BDU- 249371 12/15/2015 COMPLETE OFFICE, 11/18/2015 1293093 -0 $13.44 PARSK- OFFICE SUPPLIES 249371 12/15/2015 COMPLETE OFFICE, 11/18/2015 1293221 -0 $131.85 CHB- OFFICE SUPPLIES 249323 11/30/2015 XTREME GRAPHIX INC, 11/3/2015 15 -1785 $64.19 PKM -SIGNS 249232 11/30/2015 MORGAN SOUND, INC, 11/4/2015 MS184326 $120.00 IT -PD HDMI INSERT FOR EXTRON F 249232 11/30/2015 MORGAN SOUND, INC, 11/4/2015 MS184326 $13.28 IT- SHIPPING 249232 11/30/2015 MORGAN SOUND, INC, 11/4/2015 MS184326 $12.66 Sales Tax 249303 11/30/2015 UNITED PARCEL SERVICE, 10/24/2015 000OF8OF48435 $14.07 PARKS - DOCUMENT DELIVERY SERVIC 249272 11/30/2015 SAFEWAY STORE #1555, 10/26/2015 720026- 102615 -1555 $10.89 PARKS - PROGRAM SUPPLIES 249302 11/30/2015 UNITED GROCERS CASH & Ci1O/30/2015 108739 $7.37 PARKS - HALLOWEEN DANCE SUPPLIES 249275 11/30/2015 SHERWIN - WILLIAMS CO, 9/10/2015 5547 -3 $21.12 PARKS - FACILITIES PAINT SUPPLIE 249248 11/30/2015 PETTY CASH - FWCC, 11/23/2015 11/23/15 $27.66 PARKS - DOLLAR TREE - ITEMS FOR OTHER TRAVEL EXPENSE 249477 12/15/2015 PETTY CASH - FI, 12/14/2015 DECEMBER 2015 $16.00 PAEC -GAS FOR TRAVEL TO YAKIMA PARKINGITOLLS 249477 12/15/2015 PETTY CASH - FI, 12/14/2015 DECEMBER 2015 $46.00 PAEC - 4CULTURE MTG 249477 12/15/2015 PETTY CASH - FI, 12/14/2015 DECEMBER 2015 $21.00 PAEC- PARKING FEES 249477 12/15/2015 PETTY CASH - FI, 12/14/2015 DECEMBER 2015 $8.00 CD -KC HOUSING FINANCE MTG. 249477 12/15/2015 PETTY CASH - FI, 12/14/2015 DECEMBER 2015 $9.00 PW- PARKING KC PEC 249477 12/15/2015 PETTY CASH - FI, 12/14/2015 DECEMBER 2015 $15.00 PAEC- PARKING FEE 4CULTURE MG 249477 12/15/2015 PETTY CASH - FI, 12/14/2015 DECEMBER 2015 $18.00 CED- PARKING FEE /SEA SPORTS COM 249477 12/15/2015 PETTY CASH - FI, 12/14/2015 DECEMBER 2015 $11.00 PAEC- MEETING LMN ARCHITECTS 249477 12/15/2015 PETTY CASH - FI, 12/14/2015 DECEMBER 2015 $67.00 PW -METRO LONG RANGE 249195 11/30/2015 HOWELL, ADAM 11/23/2015 HOWELL 2015 $9.00 PD -COURT PARKING 586048 12/7/2015 US BANK, 12/7/2015 NOVEMBER 2015 $10.98 PARKS - PARKING 339658 12/8/2015 US BANK, 12/4/2015 NOVEMBER 2015 $ -20.15 PD- RENT -A -CAR TOLL DISPUTE CRE 202 $16.00 $419.64 Key Bank Page 37 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 586048 12/7/2015 US BANK, 12/7/2015 NOVEMBER 2015 $55.00 249364 12/15/2015 CITY OF FEDERAL WAY, 11/3/2015 CDED- PARKING FOR JOHNSON TRIP 519424 12/8/2015 US BANK, 12/8/2015 NOVEMBER 2015 $20.00 PD -ADV TRVL IAFSM ED CONF TUCK 249499 12/15/2015 MO- PARKING MTG KING COUNTY COU 12/10/2015 519424 12/8/2015 US BANK, 12/8/2015 NOVEMBER 2015 $18.00 PARKS -SR TRIP REIMB MO- PARKING MTG KING COUNTY COU 12/15/2015 249127 11/30/2015 BASSAGE, BRIAN 11/19/2015 BASSAGE 2015 $14.00 PARKS -ADV TRAVEL SR. TRIP FOOD PD- PARKING FOR COURT 249478 249197 11/30/2015 HURST, BRUCE 11/19/2015 HURST2015 $18.00 PD -COURT PARKING 249321 11/30/2015 WONG, NICHOLAS 11/18/2015 WONG 2015 $24.00 $675.00 PD -COURT PARKING 339658 12/8/2015 US BANK, 12/4/2015 NOVEMBER 2015 $2.75 CK# 1191 $765.82 PD -G2G TRAVEL TO REDMOND ICAC 339658 12/8/2015 US BANK, 12/4/2015 NOVEMBER 2015 $5.50 POLICE SERVICES - INTGOVT PD -G2G TRAVEL TO REDMOND ICAC 249366 12/15/2015 COFFEY, MICHAEL 12/2/2015 COFFEY 2015 $14.04 PD -REIMB PARKING FOR COURT 249127 11/30/2015 BASSAGE, BRIAN 11/10/2015 BASSAGE 2015 $12.00 PD -COURT PARKING 249262 11/30/2015 PURCELLA, ADRIENNE 11/11/2015 PURCELLA2015 $41.52 PD- PARKING AT SEA COURT PD - CLAIMS AUTO 249203 11/30/2015 JIM'SAUTO REFINISH /COLLIS11/15/2015 EAFDC519 $3,030.04 LAW -RM -PD 6214 DOOR /WINDOW DAM 249292 11/30/2015 SYSTEMS FOR PUBLIC SAFE711/16/2015 27907 $666.39 LAW- RM- PD6013 VS. LRG ROCK; RM 249435 12/15/2015 LARSEN SIGN CO., 11/13/2015 19677 $235.21 LAW -RM PD 6214 WRAP /LETTER REP PD - CLAIMS GL /PL 249549 12/15/2015 WA CITIES INSURANCE AUTH,12/1/2015 NOVEMBER 2015 $300.00 LAW -RM; DE LATORRE REIMB DED; 249549 12/15/2015 WA CITIES INSURANCEAUTH112 /1/2015 NOVEMBER 2015 $3,574.13 LAW -RM; DE LATORRE REIM DED; 1 249549 12/15/2015 WA CITIES INSURANCEAUTH,12 /1/2015 NOVEMBER 2015 $150.00 LAW -RM: SAVARE REIM DED; 11/12 249549 12/15/2015 WA CITIES INSURANCE AUTH,12/1/2015 NOVEMBER 2015 $161.00 LAW -RM; MARINOFF REIM DED; 11/ 203 $3,931.64 $4,185.13 $1,945.82 $367,273.77 PER DIEM MEALS 249364 12/15/2015 CITY OF FEDERAL WAY, 11/3/2015 CK# 1192 $280.00 PD -ADV TRVL IAFSM ED CONF TUCK 249499 12/15/2015 SCHMIDT, DAVID 12/10/2015 SCHMIDT 2015 $90.00 PARKS -SR TRIP REIMB 249417 12/15/2015 HUTCHINSON, KEVIN 12/10/2015 HUTCHINSON 2015 $90.00 PARKS -ADV TRAVEL SR. TRIP FOOD 249478 12/15/2015 PETTY CASH - POLICE DEPT, 12/10/2015 DECEMBER 2015 $45.00 PD- REIMBURSE:PER DIEM - 249364 12/15/2015 CITY OF FEDERAL WAY, 10/6/2015 CK# 1190 $675.00 PD -ADV TRVL IPTM TRAFFIC CRASH 249364 12/15/2015 CITY OF FEDERAL WAY, 10/22/2015 CK# 1191 $765.82 PD -ADV TRVL FORCE SCIENCE CERT POLICE SERVICES - INTGOVT 203 $3,931.64 $4,185.13 $1,945.82 $367,273.77 Key Bank Page 38 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 249429 12/15/2015 KING COUNTY FINANCE DIVI:11/17/2015 3001331 $10,889.27 PD -10/15 KING CO. PRISONER LOD 249501 12/15/2015 SCORE, 12/1/2015 SCORE $356,384.50 PD -12/15 SCORE PRISONER LODGIN POSTAGE /DELIVERY SERVICES 249544 12/15/2015 UNITED PARCEL SERVICE, 11/28/2015 000OF6588V485 $105.15 PD- DOCUMENT DELIVERY SERVICE 249544 12/15/2015 UNITED PARCEL SERVICE, 11/28/2015 000OF8OF48485 $3.31 PD- DOCUMENT DELIVERY SERVICE 519424 12/8/2015 US BANK, 12/8/2015 NOVEMBER 2015 $186.85 CD- PASSPORT MAILINGS 249544 12/15/2015 UNITED PARCEL SERVICE, 11/21/2015 000OF6588V475 $21.08 PD- DOCUMENT DELIVERY SERVICE 586048 12/7/2015 US BANK, 12/7/2015 NOVEMBER 2015 $32.96 PARKS - ADDITIONAL FEE FOR VACUU 586048 12/7/2015 US BANK, 12/7/2015 NOVEMBER 2015 $276.45 PARKS - SHIPPING POOL VACUUM 249248 11/30/2015 PETTY CASH - FWCC, 11/23/2015 11/23/15 $24.99 PARKS -US POST OFFICE, POSTAGE 249224 11/30/2015 MAILMEDIA DBA IMMEDIA, 10/16/2015 66510 $129.36 PAEC - POSTAGE GROUND BREAK FLYE 249303 11/30/2015 UNITED PARCEL SERVICE, 10/31/2015 000OF6588V445 $806.11 PD- DOCUMENT DELIVERY SERVICE 249251 11/30/2015 PITNEY BOWES PRESORT SV10/31/2015 4439610 $870.86 FI- POSTAGE 249251 11/30/2015 PITNEY BOWES PRESORT SV10/31/2015 4439610 $1,277.25 FI- POSTAGE PRESCRIPTION SERVICES - CLAIMS 26944 11/20/2015 GROUP HEALTH, 11/19/2015 SF00026944 $9,300.20 FI -GH OPTIONS 26943 11/20/2015 GROUP HEALTH, 11/20/2015 SF00026943 $442.65 FI -GH COOPERATIVE 27002 11/28/2015 GROUP HEALTH, 12/7/2015 SF00027002 $5,393.33 FI -GH OPTIONS 27001 11/28/2015 GROUP HEALTH, 11/27/2015 SF00027001 $11.10 FI -GH COOPERATIVE 815785 12/10/2015 GROUP HEALTH, 12/10/2015 SF00027119 $17,354.08 FI -GHO 219453 12/10/2015 GROUP HEALTH, 12/10/2015 SF00027118 $411.90 FI -GHC 27051 12/4/2015 GROUP HEALTH, 12/3/2015 SF00027051 $90.10 FI -GH COOPERATIVE 27052 12/4/2015 GROUP HEALTH, 12/3/2015 SF00027052 $6,136.43 FI -GH OPTIONS PRINTING /PHOTO SERVICES 249483 12/15/2015 PRINT SOLUTIONS, INC, 12/4/2015 62813 $804.24 SWM- FLYERS 249484 12/15/2015 PRINTERY COMMUNICATION:11 /24/2015 151325 $409.20 HR- BUSINESS CARDS 249401 12/15/2015 GOS PRINTING CORPORATIO11 /20/2015 85133 $143.18 PD- TRAFFIC INCIDENT PRINTING S 204 $3,734.37 $39,139.79 $16,127.80 Key Bank Page 39 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 249375 12/15/2015 COSTCO /HSBC BUSINESS SC12/7/2015 NOVEMBER 2015 $32.83 MO -PHOTO PRINTING SVC 249375 12/15/2015 COSTCO /HSBC BUSINESS SC12/7/2015 NOVEMBER 2015 $16.41 CC -WALL PHOTOS 249477 12/15/2015 PETTY CASH - Fl, 12/14/2015 DECEMBER 2015 $5.80 PW -SWM STEEL LAKE 249477 12/15/2015 PETTY CASH - Fl, 12/14/2015 DECEMBER 2015 $5.80 PW -SLAC QUARTERLY MTG 249236 11/30/2015 NEXSITE ONLINE SOLUTIONS11/16/2015 50657 $10,635.00 PARKS - PRINTER FOR 2016 WINTER 249236 11/30/2015 NEXSITE ONLINE SOLUTIONS11/16/2015 50657 $1,010.33 Sales Tax 249277 11/30/2015 SIR SPEEDY PRINTING #0905.11/12/2015 109271 $93.08 CD -DOOR HANGERS 249185 11/30/2015 GOS PRINTING CORPORATIO11/13/2015 85101 $108.70 PD- PRINTING SERVICES 249256 11/30/2015 PRINTERY COMMUNICATION;10 /26/2015 151224 $1,220.58 HR -BC MASTERS 249256 11/30/2015 PRINTERY COMMUNICATION;10 /26/2015 151192 $405.44 HR- BUSINESS CARDS 249224 11/30/2015 MAILMEDIA DBA IMMEDIA, 10/16/2015 66510 $489.02 PAEC - PRINGING GROUND BREAK FLY 249484 12/15/2015 PRINTERY COMMUNICATION;9 /29/2015 151092 $347.42 HR- BUSINESS CARDS 249463 12/15/2015 NEXSITE ONLINE SOLUTIONS11/18/2015 50660 $400.77 PARKS - DIGITAL GUIDE WINTER PROFESSIONAL SERVICES 249422 12/15/2015 JGMCDONALD AND ASSOC IA11 /23/2015 1898 $261.00 LAW -RM B.KIM INVEST, INV# 1898 249422 12/15/2015 JGMCDONALD AND ASSOC IA11 /23/2015 1898 $297.00 LAW -RM GREGG INVEST, INV# 1895 249422 12/15/2015 JGMCDONALD AND ASSOC IA11 /23/2015 1898 $117.00 LAW -RM NOVAK SNOW /SHOPBELL INV 249558 12/15/2015 WILDER, SAMANTHA 9/30/2015 WECFW65 $1,938.46 SWR- RECYCLING PROGRAM AG12 -001 249547 12/15/2015 VALLEY CITIES COUNSELING,10 /6/2015 3RD QTR 2015 $8,750.00 CD -CHILD & YOUTH MENTAL HEALTH 249391 12/15/2015 FEDERAL WAY SENIOR CENT110/14/2015 3RD QTR 2015 $4,750.00 CD /CS- SENIOR NUTRITION AG15 -07 249456 12/15/2015 MULTI - SERVICE CENTER, 10/16/2015 3RD QTR 2015 $2,418.69 CD /CS- EMERGENCY FEEDING PRG AG 249456 12/15/2015 MULTI - SERVICE CENTER, 10/16/2015 3RD QTR 2015 $7,748.75 CD /CS -FOOD & CLOTHING BANK - 249419 12/15/2015 INTERCOM LANGUAGE SVCS12/10/2015 15 -308 $120.00 LAW -GRIM CHONG PAK 5Z428107 TR 249460 12/15/2015 NATIONAL DEVELOPMENT CC10/30/2015 5915 $12,000.00 CD -PACC SECTION 108 LOAN APP - 249519 12/15/2015 SUMNER VETERINARY HOSPI10/25/2015 372008 $519.71 PD -K9 MEDICAL BILL 249429 12/15/2015 KING COUNTY FINANCE DIVIE10/31/2015 68519 -68530 $884.84 PWTR -10/15 DISC INVOICE TRFFC- 205 $640,199.17 Key Bank Page 40 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 249167 249155 249137 249235 249261 249171 249161 249288 249209 249199 249181 249285 249306 249117 249128 249161 249172 249259 249155 249137 249206 249191 249230 249163 249205 249315 11/30/2015 EMERGENCY FEEDING PROG10/1/2015 11/30/2015 COMMUNITIES IN SCHOOLS, 10/15/2015 11/30/2015 CATHOLIC COMMUNITY SER\�10/15/2015 11/30/2015 NAVIA BENEFIT SOLUTIONS, 9/30/2015 11/30/2015 PUGET SOUND TRAINING CEHO/15/2015 11/30/2015 FEDERAL WAY COMMUNITY, 10/15/2015 11/30/2015 EAGLE EYE CONSULTING EN110/15/2015 11/30/2015 STRINGFELLOW, MIGA 9/22/2015 11/30/2015 KING COUNTY BAR FOUNDAT10 /9/2015 11/30/2015 INSTITUTE FOR FAMILY, 10/12/2015 11/30/2015 FUSION, 10/12/2015 11/30/2015 ST. VINCENT DE PAUL SOCIE110/12/2015 11/30/2015 USSSA /SLO -PITCH SOFTBALI-9 /18/2015 11/30/2015 ADURO, INC, 10/1/2015 11/30/2015 BIRTH TO THREE DEVELOPM110 /8/2015 11/30/2015 EAGLE EYE CONSULTING ENl6/5/2014 11/30/2015 FEDERAL WAY HARMONY KIN10/25/2015 11/30/2015 PUBLIC HEALTH - SEATTLE AP10/20/2015 11/30/2015 COMMUNITIES IN SCHOOLS, 10/19/2015 11/30/2015 CATHOLIC COMMUNITY SER\�10/19/2015 11/30/2015 KIDZ LOVE SOCCER, 10/29/2015 11/30/2015 HABITAT FOR HUMANITY OF, 10/28/2015 11/30/2015 MILLS MEYERS SWARTLING F10/31/2015 11/30/2015 EARTHCORPS, 10/31/2015 11/30/2015 KENYON DISEND, PLLC, 10/31/2015 11/30/2015 WA. DEPT OF CORRECTIONS 10 /31/2015 3RD QTR 2015 CD- EMERGENCY FEEDING PROGRAM A 3RD QTR 2015 CD /CS- MENTORING PROGRAM AG15 -0 3RD QTR 2015 CD /CS- VOLUNTEER CHORE SVC AG15 10030390 HR -FLEX PLAN ADM SVCS AG12 -061 3RD QTR 2015 CD- EMPLOYMENT & TRAINING SERVI 3RD QTR 2015 CD -RENT ASSISTANCE & EMERGENCY 2015- FED -SEPT CD -PLANS REVIEW CONSULTANTAG1 09/22/15 MC- INTERPRETER SVC 3RD QTR 2015 CD -PRO BONO SERVICES AG15 -098 3RD QTR 2015 CD /CS- PARENTS & CHILDREN TOGET 3RD QTR 2015 CD- TRANSITIONAL HOUSING PROGRA 3RD QTR 2015 CD- EMERGENCY HUMAN SVC - GSL MENS STATE CDED- TEG- USSSA/GSL MEN'S E STA 6372 HR- WELLNESS PROG. SVC AG12 -128 3RD QTR 2015 CDCS- FAMILY SVC PRG AG15 -145 2014 - FED -MAY2 CD -PLANS REVIEW CONSULTANTAG1 10/25/15 PRCS - COMMUNITY APPRECIATION CO 68002 MO- FEDERAL WAY PUBLIC HEALTH C 3RD QTR 2015 CD /CS- SCHOOL OUTREACH COORDINA 3RD QTR 2015 CD /CS- EMERGENCY ASSISTANCE PRO 2015FA -F159 FWCC -YOUTH SOCCER SVC AG11 -163 H4H #1 CDHS- ACQUISITION OF SINGLE FAM 5321 -008M LAW -RM GLIMBERG VSWAT 10 -31 -15 5431 PKM -URBAN FORESTY SVCS AG13 -05 183457 LAW -LEGAL SVCS AG12 -032- 1015.3 -16- KCWC -HQ PD -10/15 WORK CREW AG10 -166 206 $1,250.00 $2,500.00 $2,250.00 $187.20 $1,234.32 $5,875.00 $2,699.10 $127.60 $750.00 $4,563.11 $3,750.00 $6,107.00 $3,000.00 $1,491.50 $4,750.00 $1,259.65 $1,600.00 $55,250.00 $2,500.00 $3,931.49 $3,045.00 $165,000.00 $722.75 $2,528.50 $787.50 $105.00 Key Bank Page 41 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 249216 249244 249244 249244 249221 249222 249139 249253 249124 249228 249250 249250 249250 249250 249250 249250 249250 249250 249250 249198 249226 249184 249200 249271 249152 249331 11/30/2015 LANGUAGE LINE SERVICES, 110/31/2015 11/30/2015 PATHWAYS COMMUNITY COR10/31/2015 11/30/2015 PATHWAYS COMMUNITY COR10/31/2015 11/30/2015 PATHWAYS COMMUNITY COR10/31/2015 11/30/2015 LORAX PARTNERS LLC, 11/1/2015 11/30/2015 M J DURKAN INC, 11/1/2015 11/30/2015 CENTERSTAGE THEATRE ARl11 /1/2015 11/30/2015 PRESTIGE DANCE STUDIO, 11/1/2015 11/30/2015 AMERICAN TRAFFIC SOLUTIC10/31/2015 11/30/2015 MICROFLEX, 11/4/2015 11/30/2015 PIERCE COUNTY SECURITY 1111/5/2015 11/30/2015 PIERCE COUNTY SECURITY 1111/5/2015 11/30/2015 PIERCE COUNTY SECURITY 1111/5/2015 11/30/2015 PIERCE COUNTY SECURITY 1111/5/2015 11/30/2015 PIERCE COUNTY SECURITY 1111/5/2015 11/30/2015 PIERCE COUNTY SECURITY 1111/5/2015 11/30/2015 PIERCE COUNTY SECURITY 1111/5/2015 11/30/2015 PIERCE COUNTY SECURITY 1111/5/2015 11/30/2015 PIERCE COUNTY SECURITY 1111/5/2015 11/30/2015 INSLEE, BEST, DOEZIER, 11/5/2015 11/30/2015 MAYBERRY, MITCHEL 11/4/2015 11/30/2015 GOLDEN WOOD, LLP, 11/5/2015 11/30/2015 INTERCOM LANGUAGE SVCS 11 /6/2015 11/30/2015 SAFAROVA- DOWNEY, ALMIRA11/7/2015 11/30/2015 CODE PUBLISHING COMPANN11 /9/2015 12/15/2015 ALARM CENTERS /CUSTOM S111/19/2015 3713698 PD- LANGUAGE SVCS OCTOBER 2015 A PD -10/15 JAIL ALTERNATIVES OCTOBER 2015 B PD -10/15 WORK CREW SCREENING OCTOBER 2015 C PD -10/15 ELECTRONIC LOCKDOWN FW -27 PW -PACC PROJECT MANAGEMENT AG# NOVEMBER 2015 MO- LOBBYIST SVC AG14 -145- NOVEMBER 2015 PARKS - THEATRE MANAG & OPERATIO 30 PRCS -DANCE INSTRUCTORAG14 -123 INV00020631 MC -10/15 RED LIGHT PHOTO AG #15 00022018 FI -TAX AUDIT PROGRAM 301437 PKM -PARK CLOSING /SECURITY AG11 301498 PKM -PARK CLOSING /SECURITY AG11 301542 PKM -PARK CLOSING /SECURITYAG11 301594 PKM -PARK CLOSING /SECURITYAG11 301595 PKM -PARK CLOSING /SECURITYAG11 301645 PKM -PARK CLOSING /SECURITYAG11 301647 PKM -PARK CLOSING /SECURITYAG11 301662 PKM -PARK CLOSING /SECURITYAG11 301715 PKM -PARK CLOSING /SECURITY AG11 364211 PWST -HOV PH V LEGAL SVC AG14 -1 MAYBERRY 2015 PRCS - MARTIAL ARTS CLASSES AG14 15 -12 MO- CONFLICT DEFENDER SVC 15 -265 MC- INTERPRETER SVC 11/17/15 MC- INTERPRETER SVC 51356 HRCK- CODIFICATION SERVICES 993858 PKM -ALARM MONITORING /SERVICE 207 $278.10 $2,533.60 $75.00 $696.00 $32,784.32 $5,166.66 $6,833.33 $50.40 $52,250.00 $300.00 $150.00 $150.00 $150.00 $300.00 $150.00 $175.00 $150.00 $150.00 $150.00 $19,055.21 $616.00 $4,945.00 $1,100.00 $110.00 $127.68 $120.00 Key Bank Page 42 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 249331 249331 249331 249320 249249 249249 249271 249180 249119 249231 249218 249316 249182 249271 249298 249231 249207 249500 249164 249200 249159 249270 248975 249495 249518 249407 12/15/2015 ALARM CENTERS /CUSTOM Sill /19/2015 12/15/2015 ALARM CENTERS /CUSTOM S111/19/2015 12/15/2015 ALARM CENTERS /CUSTOM Sill /19/2015 11/30/2015 WITTY SCIENTISTS LLC, 11/11/2015 11/30/2015 PHILIPS HEALTHCARE, 11/9/2015 11/30/2015 PHILIPS HEALTHCARE, 11/9/2015 11/30/2015 SAFAROVA- DOWNEY, ALMIRA11 /10/2015 11/30/2015 FULLER, MICHELLE M 11/10/2015 11/30/2015 AHO, SYLVIA FATIMA 11/10/2015 11/30/2015 MONTES DE OCA RICKS, MAF11/10/2015 11/30/2015 LIM,VANNARAS 11/20/2015 11/30/2015 WAHI, PRAN 11/20/2015 11/30/2015 GEBREMICHAEL, MERIAM 11/20/2015 11/30/2015 SAFAROVA- DOWNEY, ALMIRA11/20/2015 11/30/2015 TRINH, JAMES 11/20/2015 11/30/2015 MONTES DE OCA RICKS, MAF11/20/2015 11/30/2015 KIM, CHULJOON 11/20/2015 12/15/2015 SCHWISOW, KAREN 11/19/2015 11/30/2015 EDD, DALE 11/14/2015 11/30/2015 INTERCOM LANGUAGE SVCS 11 /20/2015 11/30/2015 DAVID A CLARK ARCHITECTS 11/20/2015 11/30/2015 RSH GROUP, 11/23/2015 11/16/2015 SHOOTING STARS, 11/6/2015 12/15/2015 SACK -ORY, JANICE M 11/19/2016 12/15/2015 SUMMIT LAW GROUP, 11/23/2015 12/15/2015 HAWKINS & CRAWFORD. PLL111/23/2015 993859 PKM -ALARM MONITORING /SERVICE 993860 PKM -ALARM MONITORING /SERVICE 993878 PKM -ALARM MONITORING /SERVICE NOVEMBER 2015 PARKS - SCIENCE LAB CLASS 931909778 PD- SUPPLIES:AED PROGRAM - 931909778 Sales Tax 11/10/15 MC- INTERPRETER SVC 11/10/15 MC- INTERPRETER SVC 11/10/15 MC- INTERPRETER SVC 11/10/15 MC- INTERPRETER SVC 11/20/15 MC- INTERPRETER SVCS 11/20/15 MC- INTERPRETER SVC 11/20/15 MC- INTERPRETER SVCS 11/20/15 MC- INTERPRETER SVC 11/20/15 MC- INTERPRETER SVC 11/20/15 MC- INTERPRETER SVC 11/20/15 MC- INTERPRETER SVC 49502 PRCS -THREE TREES YOGA LLC. PAY NOVEMBER 2015 PRCS- CPR/FIRST AID CLASSES AG1 15 -279 MC- INTERPRETER SVC 838 PRCS -TOWN SQUARE PARK MASTER P 10078 MO- CORPORATE HEADQUARTER /MAJOR OCTOBER 2015 FWCC - BASKETBALL TRNG SVC AG14- 49502 PRCS- INSTRUCTOR FOR MINDFUL LI 76728 LAW -LT. NEGOTIATION LEGAL SVC DECEMBER 2015 MO -XX /15 PUBLIC DEFENDER SVC A 208 $184.50 $79.50 $140.64 $127.00 $421.20 $40.01 $110.00 $130.00 $110.00 $165.00 $110.00 $100.00 $100.00 $110.00 $110.00 $137.50 $100.00 $2,078.00 $336.00 $2,396.25 $17,864.39 $10,000.00 $624.00 $2,078.00 $8,750.00 $31,850.00 Key Bank Page 43 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 249389 249471 249517 249458 249425 249451 249398 249415 249450 249491 586048 339658 249504 249423 519424 519424 249289 249231 249271 249451 249496 249408 249534 249461 249441 249362 12/15/2015 FEDERAL WAY LIONS, 11/23/2015 12/15/2015 PACIFIC BONSAI MUSEUM, 11/23/2015 12/15/2015 SUDDEN IMPACT GIRLS FAST11/23/2015 12/15/2015 MX180 LLC, 11/24/2015 12/15/2015 KIM, CHUL JOON 12/8/2015 12/15/2015 MONTES DE OCA RICKS, MAF12/8/2015 12/15/2015 G FORCE FITNESS LLC, 12/7/2015 12/15/2015 HUGHES, JOSHUA 12/7/2015 12/15/2015 MILES ABOVE FITNESS, 12/7/2015 12/15/2015 RASOR, EVA EDLA 12/7/2015 12/7/2015 US BANK, 12/7/2015 12/8/2015 US BANK, 12/4/2015 12/15/2015 SHOOTING STARS, 12/5/2015 12/15/2015 JOHNSON, STEPHEN G 11/20/2015 12/8/2015 US BANK, 12/8/2015 12/8/2015 US BANK, 12/8/2015 11/30/2015 SUMMIT LAW GROUP, 11/18/2015 11/30/2015 MONTES DE OCA RICKS, MAF11/17/2015 11/30/2015 SAFAROVA- DOWNEY, ALMIRA11/17/2015 12/15/2015 MONTES DE OCA RICKS, MAF11/24/2015 12/15/2015 SAFAROVA- DOWNEY, ALMIRA11/24/2015 12/15/2015 HDR ENGINEERING INC, 11/17/2015 12/15/2015 THUILLIER, JENNIFER 11/30/2015 12/15/2015 NAVIA BENEFIT SOLUTIONS, 11/30/2015 12/15/2015 LORAX PARTNERS LLC, 12/1/2015 12/15/2015 CHRISTIE LAW GROUP, LLC, 12/3/2015 TEG GRANT ED -TEF -LIONS CLUB SCHOLARSHIP TEG GRANT 2015 ED -TEG- ARTISANS CUP TOUR BUS TEG GRANT 2015 ED -TEG- SUDDEN IMPACT ASA INVIT 1021 PRCS- AEROBIC /BOOTCAMP FITNESS 12/08/15 MC- INTERPRETER SVC 12/08/15 MC- INTERPRETER SVC NOVEMBER 2015 FWCC- PERSONAL TRAINER SVC AG13 NOVEMBER 2015 FWCC - PERSONAL TRAINER SVC AG14 NOVEMBER 2015 PARKS - PERSONAL TRAINING — NOVEMBER 2015 FWCC - PERSONAL TRAINER SVC AG13 NOVEMBER 2015 PARKS - PROFESSIONAL LICENSING F NOVEMBER 2015 PD- EMERGENCY VET SVC NOVEMBER 2015 FWCC- BASKETBALL TRNG SVC AG14- NOVEMBER 2015 MO- CONFLICT DEFENDER AG12 -160 NOVEMBER 2015 HR- WELLNESS GIFT CARDS NOVEMBER 2015 HR- WELLNESS GIFT CARDS 76542 LAW -LT. NEGOTIATION LEGAL SVC 11/17/15 MC- INTERPRETER SVC 11/17/15 B MC- INTERPRETER SVC 11/24/15 MC- INTERPRETER SVC 11/24/15 MC- INTERPRETER SVC 00466280 -H PW -COM EST & GEO CON FOR FED W 201561 SWR- BROCHURES 10036321 HR -11/15 FLEX PLAN ADM SVCS AG FW -28 PW -PACC PROJECT MANAGEMENT AG# 6004 LAW -LEGAL SERVICES AG13 -009— 209 $1,000.00 $1,026.00 $3,500.00 $105.60 $100.00 $165.00 $2,155.00 $2,360.00 $1,315.00 $822.00 $795.00 $187.18 $1,027.20 $1,500.00 $1,625.00 $1,575.00 $289.75 $192.50 $110.00 $110.00 $110.00 $7,305.38 $320.00 $183.30 $34,174.13 $10,152.00 Key Bank Page 44 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 249362 12/15/2015 CHRISTIE LAW GROUP, LLC, 12/3/2015 6005 $3,257.50 LAW -LEGAL SERVICES AG13 -009- 249324 12/3/2015 HISTORICAL SOCIETY- FEDER12/2/2015 HD DONATION $10,000.00 CDED- DONATION 249455 12/15/2015 MULTICARE CENTERS OF, 12/1/2015 102802 $832.00 PD- MEDICAL EXAMS 249328 12/15/2015 ABOU -ZAKI, KAMAL 12/1/2015 12/1/15 $100.00 MC- INTERPRETER SVC 249342 12/15/2015 AVEDISYAN, RUBEN 12/1/2015 12/01/15 $110.00 MC- INTERPRETER SVCS 249438 12/15/2015 LIM,VANNARAS 12/1/2015 12/01/15 $110.00 MC- INTERPRETER SVCS 249451 12/15/2015 MONTES DE OCA RICKS, MAF12/1/2015 12/01/15 $192.50 MC- INTERPRETER SVC 249554 12/15/2015 WAHI, PRAN 12/1/2015 12/01/15 $100.00 MC- INTERPRETER SVC 249348 12/15/2015 BEERY ELSNER & HAMMOND 11/2/2015 12664 $300.00 LAW -CABLE FRANCHISE NEGOTIATIO 249348 12/15/2015 BEERY ELSNER & HAMMOND 11/2/2015 12664 $49.00 LAW -CABLE FRANCHISE NEGOTIATIO 249506 12/15/2015 SKCSRA- SOCCER REFEREES11 /9/2015 438 $2,530.00 PRCS- SOCCER REFEREES AG13 -122- 249381 12/15/2015 ECOLIGHTS NORTHWEST, 11/6/2015 160837 $83.58 PARKS -RECYC LIGHTS 249559 12/15/2015 WILLIAMS KASTNER, 11/13/2015 530353 - 526418 $3,206.63 LAW -RM - SABOTKA 11; RM -PW 571597 12/1/2015 GROUP HEALTH, 11/13/2015 DECEMBER 2015 $2,313.00 FI- GHCADMIN FEE 841780 12/1/2015 GROUP HEALTH, 11/13/2015 DECEMBER 2015 $20,261.46 FI -GHO ADM FEE 249508 12/15/2015 SOUND MONITORING LLC, 11/15/2015 1501231 $660.00 PARKS -2016 ANNUAL MONITORING F PUBLIC UTILITY SERVICES 249369 12/15/2015 COMCAST OF WASHINGTON 111/1/2015 8498 34 016 1554623 $49.23 PARKS -11/15 CABLE SVC PURCHASE OF RESALE ITEMS 249543 12/15/2015 UNITED GROCERS CASH & Ci11/30/2015 120429 $32.61 PARKS -JBB /CAFE RESALE 249375 12/15/2015 COSTCO /HSBC BUSINESS SC12/7/2015 NOVEMBER 2015 $690.36 PARKS -CAFE RESALE 249375 12/15/2015 COSTCO /HSBC BUSINESS SC12/7/2015 NOVEMBER 2015 $258.24 PARKS -CAFE RESALE 249375 12/15/2015 COSTCO /HSBC BUSINESS SC12/7/2015 NOVEMBER 2015 $255.81 PARKS -CAFE RESALE 249375 12/15/2015 COSTCO /HSBC BUSINESS SC12/7/2015 NOVEMBER 2015 $330.33 PARKS -CAFE RESALE 249375 12/15/2015 COSTCO /HSBC BUSINESS SC12/7/2015 NOVEMBER 2015 $353.86 PARKS -CAFE RESALE 249357 12/15/2015 CAFE FONTE COFFEE COMP/11/19/2015 219239 $164.04 FWCC -CAFE COFFEE SUPPLYAG14 -0 249302 11/30/2015 UNITED GROCERS CASH & Ci11/13/2015 113859 $7.72 PARKS - RESALE 210 $49.23 $3,182.62 Key Bank Page 45 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 249132 11/30/2015 CAFE FONTE COFFEE COMP/10/13/2015 217279 $48.24 FWCC -CAFE COFFEE SUPPLY AG14 -0 249125 11/30/2015 APPLIED INDUSTRIAL, 10/16/2015 7006340594 $993.17 PARKS - MASTERLOCKS 249357 12/15/2015 CAFE FONTE COFFEE COMP/11/23/2015 219470 $48.24 FWCC -CAFE COFFEE SUPPLY AG14 -0 PW - CLAIMS AUTO 249162 11/30/2015 EAGLE TIRE &AUTOMOTIVE (11/14/2015 1 -16071 $172.01 LAW -RM PW8242 MIRROR; RM -PW -SW PW - CLAIMS PROPERTY 249211 11/30/2015 KING COUNTY FINANCE DIVIE10/31/2015 68588 -68588 $1,432.47 LAW -RSD FW -1816 RISK PW INSPECTION FEES 249165 11/30/2015 ELKER, ROBERT 11/20/2015 15- 104471 $- 152.50 PW- INSPECTION FEE RENTAL CARS /GROUND TRANSPORT 249149 11/30/2015 CLARY, JOHN 11/12/2015 CLARY2015 $120.03 PD- RENTAL CAR FOR ADV TRAV 249477 12/15/2015 PETTY CASH - Fl, 12/14/2015 DECEMBER 2015 $8.50 CD -TRAIN TICKET FOR SEATTLE 249477 12/15/2015 PETTY CASH - Fl, 12/14/2015 DECEMBER 2015 $8.50 CD -TRAIN TICKET TO SEATTLE RENTAL OF FURNITURE /EQUIPMENT 519424 12/8/2015 US BANK, 12/8/2015 NOVEMBER 2015 $105.82 PKM -FIRE CABINET 249459 12/15/2015 NATIONAL CONSTRUCTION R11/12/2015 4298055 $129.21 PKM- STORAGE CONTAINER RENTAL 249335 12/15/2015 ANNA'S PARTY RENTALS, 8/15/2015 14685 $711.75 PARKS -PARTY EQUIPMENT 249326 12/15/2015 AABCO BARRICADE COMPAN10 /20/2015 100247 $167.28 PARKS - SAFETY SUPPLY RENTAL REPAIR & MAINT SUPPLIES 249525 12/15/2015 TACOMA SCREW PRODUCTS 10/7/2015 13000475 $106.85 PKM- MAINTENANCE HARDWAR 249394 12/15/2015 FLAGS A' FLYING LLC, 11/17/2015 68646 $171.59 PKM -FLAG 249372 12/15/2015 CONSOLIDATED ELECTRICAL11 /17/2015 8073 - 417980 $243.09 CHB- LIGHTING SUPPLIES 249385 12/15/2015 EWING IRRIGATION PRODUC-11/18/2015 670400 $57.48 PKM- TRANSFORMER 249387 12/15/2015 FASTENAL, 11/18/2015 WAFED131115 $59.54 PWST -TIES & CUTTING TOOL 249118 11/30/2015 AGRI SHOP INC, 11/10/2015 41468/1 $40.37 PKM -EQUIP MAINT SUPPLIES 249176 11/30/2015 FERGUSON ENTERPRISES, 11102015 3802645 $42.47 PKM- REPAIR /MAINTENANCE SUPPLIE 249252 11/30/2015 PLATT ELECTRIC SUPPLY, 10/16/2015 H909647 $657.00 PARKS - ELECTRICAL SUPPLIES 249252 11/30/2015 PLATT ELECTRIC SUPPLY, 10/29/2015 i013176 $184.09 PARKS - ELECTRICAL SUPPLIES 249187 11/30/2015 GRAINGER INC, 10/19/2015 9870829059 $83.65 PARKS - FACILITY MAINT SUPPLIES PASI $172.01 $1,432.47 $- 152.50 $137.03 $1,114.06 $8,589.15 Key Bank Page 46 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 249187 249240 249479 249469 249372 249403 249469 249393 249531 249469 519424 519424 249413 249413 249413 249413 249413 249413 249413 249413 249413 249375 249442 249442 249442 249442 11/30/2015 GRAINGER INC, 10/21/2015 11/30/2015 ORCA PACIFIC INC, 10/27/2015 12/15/2015 PLATT ELECTRIC SUPPLY, 11/12/2015 12/15/2015 ORCA PACIFIC INC, 11/13/2015 12/15/2015 CONSOLIDATED ELECTRICAL11 /24/2015 12/15/2015 GRAINGER INC, 11/5/2015 12/15/2015 ORCA PACIFIC INC, 11/6/2015 12/15/2015 FLAG FACTORY NORTHWEST11 /12/2015 12/15/2015 THE PART WORKS INC, 11/24/2015 12/15/2015 ORCA PACIFIC INC, 11/25/2015 12/8/2015 US BANK, 12/8/2015 12/8/2015 US BANK, 12/8/2015 12/15/2015 HOME DEPOT -DEPT 32- 2500712/8/2015 12/15/2015 HOME DEPOT -DEPT 32- 2500712/8/2015 12/15/2015 HOME DEPOT -DEPT 32- 2500712/8/2015 12/15/2015 HOME DEPOT -DEPT 32- 2500712/8/2015 12/15/2015 HOME DEPOT -DEPT 32- 2500712/8/2015 12/15/2015 HOME DEPOT -DEPT 32- 2500712/8/2015 12/15/2015 HOME DEPOT -DEPT 32- 2500712/8/2015 12/15/2015 HOME DEPOT -DEPT 32- 2500712/8/2015 12/15/2015 HOME DEPOT -DEPT 32- 2500712/8/2015 12/15/2015 COSTCO /HSBC BUSINESS SC12/7/2015 12/15/2015 LOWE'S HIW INC, 12/11/2015 12/15/2015 LOWE'S HIW INC, 12/11/2015 12/15/2015 LOWE'S HIW INC, 12/11/2015 12/15/2015 LOWE'S HIW INC, 12/11/2015 9872511622 PARKS - FACILITY MAINT SUPPLIES 18457 FWCC -POOL CHEMICAL SVC AG13 -00 H950919 PARKS - ELECTRICAL SUPPLIES 18664 FWCC -POOL CHEMICAL SVC AG13 -00 220 - 599471 PKM -GRY RECT BLANK COVER 9886201129 PARKS -MAINT SUPPLIES 18594 FWCC -POOL CHEMICAL SVC AG13 -00 1581017 PARKS -FLAGS FOR CITY FACILITIE 416744 PKM- FACILITY REPAIR SUPPLIES 18867 FWCC -POOL CHEMICAL SVC AG13 -00 NOVEMBER 2015 PKM- NOZZLES NOVEMBER 2015 CHB- CUBICLE KEYS NOVEMBER 2015 CHB -MAINT SUPPLIES NOVEMBER 2015 CHB- RETURN ITEM NOVEMBER 2015 CHB- DEICER NOVEMBER 2015 SWM- BLASTER LITHIUM GREASE NOVEMBER 2015 PKDBC -SUMP PUMP NOVEMBER 2015 PKM- MAINTENANCE SUPPLIES NOVEMBER 2015 SWM -WATER HOSE NOVEMBER 2015 CHB -DOOR MAINT SUPPLIES NOVEMBER 2015 PKDBC -MAINT SUPPLIES NOVEMBER 2015 PKDBC -MAINT SUPPLIES NOVEMBER 2015 CHB -WATER FAUCET NOVEMBER 2015 SWM -MAINT SUPPLIES NOVEMBER 2015 CHB- DEICER NOVEMBER 2015 SWM- TESTER PAN $320.72 $1,049.51 $626.44 $1,202.10 $2.74 $19.38 $687.39 $57.21 $307.69 $1,292.29 $344.00 $42.00 $55.62 $ -19.67 $27.37 $67.21 $190.11 $65.37 $81.18 $9.12 $65.06 $47.12 $11.41 $229.31 $21.68 $75.38 Key Bank Page 47 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 249442 12/15/2015 LOWE'S HIW INC, 12/11/2015 NOVEMBER 2015 $25.98 CHB -MAINT SUPPLIES 249442 12/15/2015 LOWE'S HIW INC, 12/11/2015 NOVEMBER 2015 $7.94 PKM -EYE BOLTS 249442 12/15/2015 LOWE'S HIW INC, 12/11/2015 NOVEMBER 2015 $10.99 PKM -PRO BRIGHT GALVANIZ 249477 12/15/2015 PETTY CASH - Fl, 12/14/2015 DECEMBER 2015 $20.37 PW /SWM CORNER PROTECTORS REPAIR PARTS 249442 12/15/2015 LOWE'S HIW INC, 12/11/2015 NOVEMBER 2015 $87.86 PARKS -MAINT SUPPLIES 519424 12/8/2015 US BANK, 12/8/2015 NOVEMBER 2015 $88.58 PKM- REPAIR PARTS FOR WASHING M 586048 12/7/2015 US BANK, 12/7/2015 NOVEMBER 2015 $245.00 PARKS - STAINLESS STEEL BENCH 519424 12/8/2015 US BANK, 12/8/2015 NOVEMBER 2015 $65.69 SWM -TOOL BOX 249327 12/15/2015 AARO INC DBATHE LOCK SH01/25/2015 0000006901 $93.63 FLT -REKEY LOCK 249403 12/15/2015 GRAINGER INC, 11/24/2015 9901816612 $112.68 PARKS -MAINT SUPPLIES 249365 12/15/2015 COASTWIDE SUPPLY DBA, 12/1/2015 NW2828562 $203.90 PARKS - FACILITY MAINT SUPPLIES 339658 12/8/2015 US BANK, 12/4/2015 NOVEMBER 2015 $30.44 PD- VEHICLE LOCK 339658 12/8/2015 US BANK, 12/4/2015 NOVEMBER 2015 $37.81 PD- BUNGEE CORD FOR VEHICLE 339658 12/8/2015 US BANK, 12/4/2015 NOVEMBER 2015 $74.05 PD- VEHICLE MAINT /REPAIR SUPPLI 249403 12/15/2015 GRAINGER INC, 11/6/2015 9887005982 $129.08 PARKS -MAINT SUPPLIES 249403 12/15/2015 GRAINGER INC, 11/5/2015 9886509703 $154.72 PARKS -MAINT SUPPLIES 249219 11/30/2015 LINCOLN AQUATICS, 10/19/2015 S1278486 $167.84 PARKS - VACUUM HOSE 249187 11/30/2015 GRAINGER INC, 10/19/2015 9870237139 $143.80 PARKS - FACILITY MAINT SUPPLIES 249252 11/30/2015 PLATT ELECTRIC SUPPLY, 10/28/2015 1001718 $337.50 PARKS - ELECTRICAL SUPPLIES 249542 12/15/2015 ULINE, 11/19/2015 72419518 $76.10 PARKS - PLASTIC EXIT SIGNS 249416 12/15/2015 HURLEY ENGINEERING COMF11/20/2015 38267 $2,218.88 PARKS - BOILER SUPPLIES 249435 12/15/2015 LARSEN SIGN CO., 11/23/2015 19701 $196.92 PD- VEHICLE MAINT TRAILER CRT 249416 12/15/2015 HURLEY ENGINEERING COMF10/30/2015 38161 $515.75 PARKS - BOILER SUPPLIES 249411 12/15/2015 HINSHAW'S MOTORCYCLE, 10/14/2015 96081775 $168.64 PD -SPARE PLASTIC GUARDS FOR MO REPAIRS AND MAINTENANCE 249533 12/15/2015 THERMO KING NORTHWEST 16/10/2015 2260165 $375.00 FLT - ELECTRONIC SVC 213 $5,148.87 $94,290.37 Key Bank Page 48 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 249528 12/15/2015 TERMINIX, 10/26/2015 349578826 $76.65 PARKS -PEST CONTROL 249467 12/15/2015 NRC ENVIRONMENTAL SVCS 10/30/2015 0058595 -IN $213.53 SWM -ON -CALL ENVIRONMENTAL RESP 249429 12/15/2015 KING COUNTY FINANCE DIVIE10/31/2015 68629 -68629 $8.00 PARKS -PKG STRPG 249470 12/15/2015 O'REILLYAUTO PARTS, 11/17/2015 3710 - 478499 $65.57 FLT -OIL 249476 12/15/2015 PETE'S TOWING SERVICE, 11/17/2015 386159 $180.68 FLT - VEHICLE TOW SVC 249435 12/15/2015 LARSEN SIGN CO., 11/17/2015 19682 $196.92 PD -VINYL REMOVAL 249397 12/15/2015 FREEWAY TRAILER SALES IN01/17/2015 134821 $6.55 FLT -TAIL LIGHT 249481 12/15/2015 POWERSPORTS NORTHWES -11 /18/2015 93721127 $608.44 PD- ELECTRICAL 249512 12/15/2015 SPARKS CAR CARE, 11/18/2015 39104 $230.76 PD -OIL/ BATTERY/ WIPERS/ ELECT 249338 12/15/2015 ARC IMAGING RESOURCES, 11/17/2015 A18600 $108.95 IT -OCE PLOTTER SYSTEM MAINTAG 249512 12/15/2015 SPARKS CAR CARE, 11/20/2015 39126 $40.57 PD -OIL CHANGE 249512 12/15/2015 SPARKS CAR CARE, 11/20/2015 39127 $249.14 PD -MAJOR SVC 249229 11/30/2015 MILES RESOURCES LLC, 11/16/2015 252406 $1,029.47 PKM- CONCRETE BLEND 249292 11/30/2015 SYSTEMS FOR PUBLIC SAFE711/16/2015 27748 $484.53 PD- ELECTRONIC SVC 249123 11/30/2015 AL'S TOWING, 11/16/2015 80100 $93.62 FLT - VEHICLE TOW SVC 249284 11/30/2015 SPARKS CAR CARE, 11/16/2015 39089 $39.64 PD -OIL CHANGE 249162 11/30/2015 EAGLE TIRE & AUTOMOTIVE (11/16/2015 1 -16123 $349.28 FLT -TUNE UP 249177 11/30/2015 FIELDTURF USA INC, 11/20/2015 638056 $3,148.13 PKM -FIELD TURF MAINT SAC & SAG 249177 11/30/2015 FIELDTURF USA INC, 11/20/2015 638057 $3,148.13 PKM -FIELD TURF MAINT SAC & SAG 249162 11/30/2015 EAGLE TIRE &AUTOMOTIVE (11/21/2015 1 -16223 $48.13 FLT -OIL CHANGE 249162 11/30/2015 EAGLE TIRE &AUTOMOTIVE (11/21/2015 1 -16228 $48.13 FLT -OIL CHANGE 249162 11/30/2015 EAGLE TIRE &AUTOMOTIVE (11/21/2015 1 -16229 $51.96 FLT -OIL CHANGE 249162 11/30/2015 EAGLE TIRE & AUTOMOTIVE (11/21/2015 1 -16230 $51.19 FLT -OIL CHANGE 249481 12/15/2015 POWERSPORTS NORTHWES -11 /19/2015 93721179 $518.40 PD- STARTER 249512 12/15/2015 SPARKS CAR CARE, 11/19/2015 39098 $423.67 PD -OIL/ ELECTRONIC/ BRAKES 249162 11/30/2015 EAGLE TIRE & AUTOMOTIVE (11/14/2015 1 -16103 $48.13 FLT -OIL CHANGE 184iC! Key Bank Page 49 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 249162 11/30/2015 EAGLE TIRE &AUTOMOTIVE (11/14/2015 1 -16108 $48.13 FLT -OIL CHANGE 249162 11/30/2015 EAGLE TIRE & AUTOMOTIVE (11/14/2015 1 -16038 $51.96 FLT -OIL CHANGE 249274 11/30/2015 SCARFF FORD, 11/13/2015 22005 $74.65 PD -OIL CHANGE 249284 11/30/2015 SPARKS CAR CARE, 11/13/2015 39080 $40.57 PD -OIL CHANGE 249193 11/30/2015 HINSHAW'S MOTORCYCLE, 11/10/2015 96084162 $2,062.43 PD -BODY WORK 249284 11/30/2015 SPARKS CAR CARE, 11/11/2015 39037 $1,382.30 PD- OIL /CLUTCH /ALIGN /ELEC /STEER 249284 11/30/2015 SPARKS CAR CARE, 11/12/2015 39074 $28.43 PD- ELECTRONIC 249202 11/30/2015 JGM TECHNICAL SERVICES 11`11/12/2015 1796 $1,561.85 CHB- LIGHTING SVCS 249284 11/30/2015 SPARKS CAR CARE, 11/10/2015 39041 $164.14 PD -OIL/ ELEC 249284 11/30/2015 SPARKS CAR CARE, 11/10/2015 39060 $400.51 PD -OIL/ TRANS/ WIPER BLADES 249227 11/30/2015 MCDONOUGH & SONS INC, 11/10/2015 204070 $318.42 PKM- PARKING LOT CLEANING AG13- 249292 11/30/2015 SYSTEMS FOR PUBLIC SAFE711/10/2015 27866 $94.65 PD -ELEC SVC 249308 11/30/2015 VADIS NORTHWEST, 10/30/2015 20757 $4,266.06 SWR- LITTER CONTROL PROG. AG14- 249308 11/30/2015 VADIS NORTHWEST, 10/30/2015 20757 $131.94 SWR- LITTER CONTROL PROG. AG14- 249140 11/30/2015 CERIUM NETWORKS INC, 10/31/2015 050297 $49.41 IT- PHONE/VOICE MAIL SYSTEM MAI 249140 11/30/2015 CERIUM NETWORKS INC, 10/31/2015 050297 $494.11 IT- PHONE/VOICE MAIL SYSTEM MAI 249140 11/30/2015 CERIUM NETWORKS INC, 10/31/2015 050297 $444.70 IT- PHONE/VOICE MAIL SYSTEM MAI 249169 11/30/2015 EVERSON'S ECONO -VAC INC,10/31/2015 076151 $251.85 PKM - VACTOR TRUCK TO CLEAN BASI 249169 11/30/2015 EVERSON'S ECONO -VAC INC,10/31/2015 076152 $2,893.43 SWM- INFRASTRUCTURE MAINTAG13- 249157 11/30/2015 CORLISS RESOURCES INC, 10/16/2015 492376 $225.10 PKM- CONCRETE SUPPLIES 249166 11/30/2015 EMERALD CITY FENCE RENT )9/15/2015 34868 $1,527.53 PKM -FENCE RENTAL 249242 11/30/2015 OSAKA GARDEN SERVICE, 11/2/2015 37354 $15,356.39 PWST -ROW LANDSCAPING SVC AG14- 249307 11/30/2015 UTILITIES UNDERGROUND, 10/31/2015 5100127 $327.66 SWM- LOCATING SVC AG13 -018- 249194 11/30/2015 HIS HANDS LAWN CARE & SE11/1/2015 5153 $1,274.12 FWCC- LANDSCAPE SERVICES AG15 -0 249296 11/30/2015 THUNDERING OAK ENTERPRI11 /9/2015 7995 $657.00 PKM -TREE REMOVAL 249296 11/30/2015 THUNDERING OAK ENTERPRI11 /9/2015 7996 $1,839.60 PKM -TREE REMOVAL 215 Key Bank Page 50 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 249169 11/30/2015 EVERSON'S ECONO -VAC INC,11/9/2015 249162 11/30/2015 EAGLE TIRE & AUTOMOTIVE (11/9/2015 249162 11/30/2015 EAGLE TIRE & AUTOMOTIVE (11/7/2015 249162 11/30/2015 EAGLE TIRE &AUTOMOTIVE (11/7/2015 249162 11/30/2015 EAGLE TIRE &AUTOMOTIVE (11/7/2015 249284 11/30/2015 SPARKS CAR CARE, 11/6/2015 249284 11/30/2015 SPARKS CAR CARE, 11/6/2015 249233 11/30/2015 MORRIS HANSEN ENTERPRIE11 /6/2015 249162 11/30/2015 EAGLE TIRE &AUTOMOTIVE (11/5/2015 249162 11/30/2015 EAGLE TIRE &AUTOMOTIVE (11/5/2015 249284 11/30/2015 SPARKS CAR CARE, 11/5/2015 249284 11/30/2015 SPARKS CAR CARE, 11/4/2015 249284 11/30/2015 SPARKS CAR CARE, 11/4/2015 249284 11/30/2015 SPARKS CAR CARE, 11/3/2015 249404 12/15/2015 GUARDIAN SECURITY, 11/5/2015 249557 12/15/2015 WESTERN EQUIPMENT DISTF11/2/2015 249470 12/15/2015 O'RE ILLY AUTO PARTS, 11/9/2015 249329 12/15/2015 ADVANCED PRO FITNESS REI11/16/2015 249535 12/15/2015 THUNDERING OAK ENTERPRI11 /16/2015 249373 12/15/2015 COPIERS NORTHWEST INC, 11/16/2015 249373 12/15/2015 COPIERS NORTHWEST INC, 11/16/2015 249373 12/15/2015 COPIERS NORTHWEST INC, 11/16/2015 249373 12/15/2015 COPIERS NORTHWEST INC, 11/16/2015 249373 12/15/2015 COPIERS NORTHWEST INC, 11/16/2015 249373 12/15/2015 COPIERS NORTHWEST INC, 11/16/2015 249512 12/15/2015 SPARKS CAR CARE. 12/4/2015 076153 $6,134.44 SWM- INFRASTRUCTURE MAINTAG13- 1 -16026 $89.67 FLT - CARBURATOR 1 -15995 $55.79 FLT -OIL CHANGE 1 -16003 $60.10 FLT -OIL CHANGE 1 -16006 $48.67 FLT -OIL CHANGE 39033 $39.64 PD -OIL CHANGE 39038 $557.88 PD- TRANSMISSION/ MAJOR SVC 47639 $160.00 CHB- REMOVE STAINING FROM FLOOR 1 -15903 $125.24 Sales Tax 1 -15903 $1,319.75 FLT - CARBURATOR /TIRES 39025 $43.47 PD -OIL CHANGE 39009 $276.28 PD -OIL/ TRANSMISSION 39014 $1,137.56 PD -OIL/ ALIGN/ TRANS 39006 $170.92 PD- OIL /ELEC 617982 $302.22 CHB -SVC LABOR 6- 791223.1 $576.07 FLT -MAJOR SVC 3710- 476846 $109.04 FLT - BATTERY 11161503L $197.10 FWCC- FITNESS EQUIP. SVC AG11 -1 8015 $1,806.75 PKM -TREE SERVICE AG11 -003 INV1293170 $102.14 IT -11/15 COPIERS /PRINTERS MAIN INV1293170 $51.07 IT -11/15 COPIERS /PRINTERS MAIN INV1293170 $1,378.89 IT -11/15 COPIERS /PRINTERS MAIN INV1293170 $1,276.75 IT -11/15 COPIERS /PRINTERS MAIN INV1293170 $561.77 IT -11/15 COPIERS /PRINTERS MAIN INV1293170 $1,736.38 IT -11/15 COPIERS /PRINTERS MAIN 39210 $43.47 PD -OIL CHANG 216 Key Bank Page 51 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 249536 249522 249512 249512 249512 249380 249380 249522 249512 249330 249512 249512 249535 249529 249470 249513 249522 249512 249512 249329 249435 249512 249412 249523 249522 249522 12/15/2015 TITUS -WILL FORD SLS INC, 11/30/2015 12/15/2015 SYSTEMS FOR PUBLIC SAFE712/3/2015 12/15/2015 SPARKS CAR CARE, 12/3/2015 12/15/2015 SPARKS CAR CARE, 12/3/2015 12/15/2015 SPARKS CAR CARE, 11/30/2015 12/15/2015 EAGLE TIRE & AUTOMOTIVE (12/2/2015 12/15/2015 EAGLE TIRE &AUTOMOTIVE (12/2/2015 12/15/2015 SYSTEMS FOR PUBLIC SAFEl12 /2/2015 12/15/2015 SPARKS CAR CARE, 12/2/2015 12/15/2015 ADVANCED SAFETY & FIRE S`11/25/2015 12/15/2015 SPARKS CAR CARE, 11/25/2015 12/15/2015 SPARKS CAR CARE, 11/25/2015 12/15/2015 THUNDERING OAK ENTERPRI11 /24/2015 12/15/2015 THE FAB SHOP LLC, 11/24/2015 12/15/2015 O'RE ILLY AUTO PARTS, 11/24/2015 12/15/2015 SPRAGUE PEST CONTROL, 11/24/2015 12/15/2015 SYSTEMS FOR PUBLIC SAFE711/24/2015 12/15/2015 SPARKS CAR CARE, 11/24/2015 12/15/2015 SPARKS CAR CARE, 11/24/2015 12/15/2015 ADVANCED PRO FITNESS REI11/30/2015 12/15/2015 LARSEN SIGN CO., 12/1/2015 12/15/2015 SPARKS CAR CARE, 12/1/2015 12/15/2015 HIS HANDS LAWN CARE & SE12/1/2015 12/15/2015 TACOMAABATEMENT CO LLC11/30/2015 12/15/2015 SYSTEMS FOR PUBLIC SAFE711/30/2015 12/15/2015 SYSTEMS FOR PUBLIC SAFE711/30/2015 FOCS970575 FLT - CARBURATOR 27968 PD- ELECTRONIC 39201 PD -OIL/ WIPERS 39202 PD -OIL/ TRANSMISSION 39178 PD- DIAGNOSTIC SVC 1 -16373 FLT -FLAT REPAIR 1 -16379 FLT - REFUND TOW BILL 27978 PD- ELECTRONIC 39183 PD-BATTERY/ALIGNMENT/HEATING 140771 PD- RECARGE EXTINGUISHER 39146 PD -MAJOR SVC/ BRAKE/ ALIGNMENT 39160 PD -OIL CHANGE 8025 PKM -TREE SERVICE AG11 -003 23353 PKM- REPAIR SQUARE TUBE 2509 - 101410 FLT - ELECTRICAL 2732390 PKDBC- FACILITIES PEST CONTROL 27963 PD- ELECTRICAL 39138 PD- OIL /ALIGNMENT 39142 PD -OIL CHANGE 11301503T FWCC- FITNESS EQUIP. SVC AG11 -1 19727 PD -BODY WORK 39185 PD- OIL /WIPERS 5312 FWCC- LANDSCAPE SERVICES AG15 -0 2639 PKDBC- REMOVE TILE 27822 PD -EQUIP ADD ON 27965 PD- ELECTRICAL PAN $1,253.14 $689.42 $66.21 $145.53 $32.85 $20.81 $- 183.96 $151.44 $493.93 $295.76 $971.60 $40.57 $1,172.75 $459.48 $304.39 $96.80 $195.05 $152.26 $37.99 $160.42 $371.96 $102.96 $1,274.12 $2,628.00 $4,979.83 $236.63 Key Bank Page 52 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 249522 249485 249380 249380 249380 249449 249380 249380 249413 249413 249512 249162 249162 249284 249243 249162 249134 519424 519424 249512 249380 249380 249380 249380 249442 249442 12/15/2015 SYSTEMS FOR PUBLIC SAFE711/30/2015 12/15/2015 PRO TOUCH AUTO INTERIOR 11/30/2015 12/15/2015 EAGLE TIRE & AUTOMOTIVE (11/28/2015 12/15/2015 EAGLE TIRE &AUTOMOTIVE (11/28/2015 12/15/2015 EAGLE TIRE & AUTOMOTIVE (11/28/2015 12/15/2015 MFCP, INC., 11/26/2015 12/15/2015 EAGLE TIRE &AUTOMOTIVE (11/27/2015 12/15/2015 EAGLE TIRE &AUTOMOTIVE (11/27/2015 12/15/2015 HOME DEPOT -DEPT 32- 2500712/8/2015 12/15/2015 HOME DEPOT -DEPT 32- 2500712/8/2015 12/15/2015 SPARKS CAR CARE, 12/9/2015 11/30/2015 EAGLE TIRE & AUTOMOTIVE (11/18/2015 11/30/2015 EAGLE TIRE &AUTOMOTIVE (11/18/2015 11/30/2015 SPARKS CAR CARE, 11/18/2015 11/30/2015 PACIFIC POWER PRODUCTS, 11/18/2015 11/30/2015 EAGLE TIRE &AUTOMOTIVE (11/17/2015 11/30/2015 CAR WASH ENTERPRISES, 11/19/2015 12/8/2015 US BANK, 12/8/2015 12/8/2015 US BANK, 12/8/2015 12/15/2015 SPARKS CAR CARE, 12/7/2015 12/15/2015 EAGLE TIRE &AUTOMOTIVE (12/5/2015 12/15/2015 EAGLE TIRE & AUTOMOTIVE (12/5/2015 12/15/2015 EAGLE TIRE & AUTOMOTIVE (12/5/2015 12/15/2015 EAGLE TIRE &AUTOMOTIVE (12/5/2015 12/15/2015 LOWE'S HIW INC, 12/11/2015 12/15/2015 LOWE'S HIW INC, 12/11/2015 27987 PD -ADD ON 29265 PD- VEHICLE CLEANING SVC 1 -16323 FLT -OIL CHANGE 1 -16327 FLT -OIL CHANGE 1 -16328 FLT -OIL CHANGE 6206866 FLT -HOSES 1 -16138 FLT-ELECTRICAL/TOWING 1 -16138 Sales Tax NOVEMBER 2015 PWST- HOLIDAY LIGHTS FOR ST. TR NOVEMBER 2015 PWST- HOLIDAY LIGHTS FOR ST. TR 39110 PD- WIPERS 1 -16129 FLT - ELECTRONIC SVC 1 -16169 FLT -OIL CHANGE 39086 PD -MAJOR SVC/ HEATING 6431132 -00 FLT -ELECT SVC 1 -16134 FLT -BODY WORK 3980 PD- VEHICLE CLEANING SVC NOVEMBER 2015 PKM -PUMP SEPTIC TANK NOVEMBER 2015 PKM- INSTALL NEW OUTLET BAFFLE 39220 PD- ELECTRIC/ ALIGNMENT/ STEERI 1 -16427 FLT -OIL CHANGE 1 -16430 FLT -OIL CHANGE 1 -16439 FLT -OIL CHANGE 1 -16445 FLT -OIL CHANGE NOVEMBER 2015 PWST -TIES FOR INSTALLING SWIM NOVEMBER 2015 PWST- HOLIDAY LIGHTS /SAND SALT 218 $3,700.82 $164.25 $55.79 $55.79 $55.79 $16.86 $1,060.25 $100.73 $21.88 $785.66 $30.62 $560.72 $51.96 $647.07 $401.54 $258.33 $65.00 $421.58 $191.63 $738.97 $51.96 $51.96 $61.25 $55.79 $58.47 $205.58 Key Bank Page 53 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 249431 12/15/2015 KING COUNTY RADIO, 11/21/2015 00441052 $121.55 IT -PD RADIO MAINT /REPAIR 249431 12/15/2015 KING COUNTY RADIO, 11/21/2015 00441254 $60.77 IT -PD RADIO MAINT /REPAIR 249431 12/15/2015 KING COUNTY RADIO, 11/21/2015 00441433 $64.61 IT -PD RADIO MAINT /REPAIR 249431 12/15/2015 KING COUNTY RADIO, 11/21/2015 00441515 $60.77 IT -PD RADIO MAINT /REPAIR 249431 12/15/2015 KING COUNTY RADIO, 11/21/2015 00441516 $60.77 IT -PD RADIO MAINT /REPAIR 249431 12/15/2015 KING COUNTY RADIO, 11/21/2015 00441517 $60.77 IT -PD RADIO MAINT /REPAIR 249135 11/30/2015 CASCADE MOBILE MIX, 11/26/2015 32929 $374.49 PKM- CONCRETE 249473 12/15/2015 PAPE MACHINERY INC, 11/22/2015 2330803 $399.13 FLT - ELECTRICAL 249522 12/15/2015 SYSTEMS FOR PUBLIC SAFEl11/23/2015 27923 $855.58 PD- ELECTRICAL 249512 12/15/2015 SPARKS CAR CARE, 11/23/2015 39134 $40.57 PD -OIL CHANGE RETAINAGE PAYABLE 249392 12/15/2015 FEDERAL WAY SIGN LLC, 12/8/2015 AG15 -052 RELEASE $4,070.26 PWST -S 320TH ST CITY ENTRANCE RETAINAGE PAYABLE - ESCROW 249368 12/15/2015 COLUMBIA STATE BANK, 12/10/2015 AG15 -153 RETAINAGE $- 22,702.70 PARKS -TOWN SQUARE PARK IMPROVE ROAD SVCS /PERMITS - INTGVT 249429 12/15/2015 KING COUNTY FINANCE DIVIE10/31/2015 68519 -68530 $8,874.46 PWTR -10/15 DISC INVOICE TRFFC- 249429 12/15/2015 KING COUNTY FINANCE DIVIE10/31/2015 68519 -68530 $235.95 PWTR -10/15 DISC INVOICE TRFFC- 249429 12/15/2015 KING COUNTY FINANCE DIVIE10/31/2015 68519 -68530 $117.99 PWTR -10/15 DISC INVOICE TRFFC- 249429 12/15/2015 KING COUNTY FINANCE DIVIE10/31/2015 68519 -68530 $1,835.94 PWTR -10/15 DISC INVOICE TRFFC- 249429 12/15/2015 KING COUNTY FINANCE DIVIE10/31/2015 68519 -68530 $39,990.39 PWTR -10/15 DISC INVOICE TRFFC- 249210 11/30/2015 KING COUNTY D.O.T., 11/4/2015 30009940 $4,130.75 PWST- COMMUTE TRIP REDUCTION PR 249552 12/15/2015 WA STATE DEPT OF TRANSPC11 /16/2015 RE- 313- ATB51116116 $122.88 PWST- PACIFIC HWY S PH5 LA07948 249211 11/30/2015 KING COUNTY FINANCE DIVIE11/30/2015 68707 -68751 $33,566.40 PWTR -10/30 BSC SIGN /MRKNGS MTN ROADWAYS 249229 11/30/2015 MILES RESOURCES LLC, 11/2/2015 2 $94,527.11 PW -S 304TH ST. AT 28TH AVE S SALARIES & WAGES 249156 11/30/2015 CONSTRUCTION TESTING LA110/16/2015 130808 $2,869.00 PWST -S 324TH ST PRESERVE PROJE 249156 11/30/2015 CONSTRUCTION TESTING LA110/16/2015 130809 $2,109.25 PWST -S 288TH PRESERVATION PROJ SALES TAX PAYABLE 219 $4,070.26 $- 22,702.70 $88,874.76 $94,527.11 $4,978.25 $7,358.17 Key Bank Page 54 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 214106 12/11/2015 WA STATE REVENUE DEPART12/11/2015 601 - 223 -5385 $7,322.42 FI -11/15 REMIT SALES TAX DBC 214106 12/11/2015 WA STATE REVENUE DEPART12/11/2015 601 - 223 -5385 $35.75 FI -11/15 REMIT SALES TAX SALES TAX PAYABLE - RECREAT 214106 12/11/2015 WA STATE REVENUE DEPART12/11/2015 601 - 223 -5385 $822.72 FI -11/15 REMIT SALES TAX 214106 12/11/2015 WA STATE REVENUE DEPART12/11/2015 601 - 223 -5385 $8,623.76 FI -11/15 REMIT SALES TAX -FWCC SBCC SURCHARGE 249553 12/15/2015 WA STATE -STATE REVENUES,12 /11/2015 NOVEMBER 2015 $135.00 FI -11/15 SBCC SURCHARGE FEES 249234 11/30/2015 MOSKOVA, BODIJAR S 11/19/2015 15- 104028 $4.50 CD- CANCEL REQUEST BY HOMEOWNER 249160 11/30/2015 DTL BUILDERS INC, 11/19/2015 15- 104531 $4.50 CD- CANCELLATION REQUEST BY OWN SCHOOL IMPACT FEES 249390 12/15/2015 FEDERAL WAY SCHOOL DISTI12/11/2015 SIF -NOV 2015 $15,513.00 FI- SCHOOL IMPACT FEES REMITTAN SEWER BILLINGS 249434 12/15/2015 LAKEHAVEN UTILITY DISTRIC11/4/2015 3461301 $5,070.20 PARKS -11/15 876 S 333RD ST #34 249215 11/30/2015 LAKEHAVEN UTILITY DISTRIC 11/4/2015 101002 $1,462.61 PKM -11/15 BROOKLAKE MAIN HALL 249215 11/30/2015 LAKEHAVEN UTILITY DISTRIC'11/4/2015 2913103 $433.02 PKM -11 /15 33325 8TH AVE S #291 249215 11/30/2015 LAKEHAVEN UTILITY DISTRIC11/4/2015 2926501 $87.71 PKM -11/15 33914 19TH AVE SW #2 249215 11/30/2015 LAKEHAVEN UTILITY DISTRIC 11 /4/2015 2926402 $86.22 PKM -MM/YY 33914 19TH AVE SW #2 249215 11/30/2015 LAKEHAVEN UTILITY DISTRIC 11 /4/2015 3075201 $271.87 PKM -11/15 1095 324TH ST S #307 249215 11/30/2015 LAKEHAVEN UTILITY DISTRIC 11 /4/2015 3075301 $32.62 PKM -11/15 1095 324TH ST S #307 249215 11/30/2015 LAKEHAVEN UTILITY DISTRIC11/4/2015 3075401 $227.32 PKM -11/15 1095 324TH ST S #307 249215 11/30/2015 LAKEHAVEN UTILITY DISTRIC11/4/2015 3405101 $24.82 PKM -11/15 600 S 333RD ST #3405 249434 12/15/2015 LAKEHAVEN UTILITY DISTRIC11/23/2015 1768602 $620.22 PKM -11/15 3200 DASH PT RD #176 249434 12/15/2015 LAKEHAVEN UTILITY DISTRIC11/23/2015 1014202 $50.82 PKM -11/15 312 DASH PT RD #1014 SMALLTOOLS -SHOP 249118 11/30/2015 AGRI SHOP INC, 11/13/2015 41505/1 $139.86 PWST- CHAINS FOR CHAINSAW 249403 12/15/2015 GRAINGER INC, 11/3/2015 9883910912 $51.04 PARKS -MAINT SUPPLIES 249413 12/15/2015 HOME DEPOT -DEPT 32- 2500712/8/2015 NOVEMBER 2015 $10.93 CHB- STRUCTO -CAST 249413 12/15/2015 HOME DEPOT -DEPT 32- 2500712/8/2015 NOVEMBER 2015 $857.53 PKM- MAINTENANCE SUPPLIES 220 $9,446.48 $144.00 $15,513.00 $8,367.43 $1,682.56 Key Bank Page 55 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 249413 12/15/2015 HOME DEPOT -DEPT 32- 2500712/8/2015 NOVEMBER 2015 $27.34 SWM -METAL CUTTING SAW 249442 12/15/2015 LOWE'S HIW INC, 12/11/2015 NOVEMBER 2015 $17.97 SWM - MONITERING SUPPLIES FOR JO 249442 12/15/2015 LOWE'S HIW INC, 12/11/2015 NOVEMBER 2015 $402.36 PKM -MAINT SUPPLIES 249442 12/15/2015 LOWE'S HIW INC, 12/11/2015 NOVEMBER 2015 $14.54 PWST- REPLACEMENT CUTTER 249442 12/15/2015 LOWE'S HIW INC, 12/11/2015 NOVEMBER 2015 $26.64 SWM- MONITORING SUPPLIES JOES C 249442 12/15/2015 LOWE'S HIW INC, 12/11/2015 NOVEMBER 2015 $ -2.18 SWM- RETURN MONITORING SUPPLIES 249442 12/15/2015 LOWE'S HIW INC, 12/11/2015 NOVEMBER 2015 $20.74 SWM- SUPPLIES FOR TRAILERS 249442 12/15/2015 LOWE'S HIW INC, 12/11/2015 NOVEMBER 2015 $35.27 SWM- SUPPLIES FOR TRAILERS 249442 12/15/2015 LOWE'S HIW INC, 12/11/2015 NOVEMBER 2015 $63.90 SWM- MONITORING SUPPLIES JOES C 249442 12/15/2015 LOWE'S HIW INC, 12/11/2015 NOVEMBER 2015 $16.62 PWST -WORK LIGHT FOR MAINT SHOP STATE GRANTS - WATPA 249045 11/17/2015 KING COUNTY PROS ECUTINC8 /13/2015 2015 -2017 WATPA $21,545.19 FI- 2015 -2017 WATPA FUNDING 248998 11/17/2015 CITY OF FEDERAL WAY, 9/4/2015 MS -3919 $9,327.79 FI -WATPA GRANT REIMBURSEMENT 249257 11/30/2015 PROSECUTING ATTORNEYS (9/21/2015 AUGUST 2015 $15,119.48 FI -08/15 WATPA FUNDING 249146 11/30/2015 CITY OF DES MOINES, 9/15/2015 6035 $1,277.05 FI -WATPA 249148 11/30/2015 CITY OF TUKWILA, 9/15/2015 MB -01964 $11,443.79 FI -08/15 WATPA CHARGES 249144 11/30/2015 CITY OF AUBURN, 9/9/2015 15- 028569 $11,290.17 FI -08/15 WATPA REIMBURSEMENT 249145 11/30/2015 CITY OF BONNEY LAKE, 9/10/2015 00002 $14,666.81 FI -08/15 THEFT TASK FORCE CHAR TAXES /ASS ESS M ENTS -I NTERGOVT 214106 12/11/2015 WA STATE REVENUE DEPART1 2 /11/2015 601- 223 -5385 $5,165.87 FI -11/15 REMIT SALES TAX DBC 214106 12/11/2015 WA STATE REVENUE DEPART12/11/2015 601- 223 -5385 $14,995.86 FI -11/15 REMIT SALES TAX SWM 214106 12/11/2015 WA STATE REVENUE DEPART12/11/2015 601- 223 -5385 $- 5,165.87 FI -11/15 REMIT SALES TAX DBC TIRES 249526 12/15/2015 TAC -SOUTH BOUND HONDA, 11/27/2015 2094542 $575.48 PD -TIRES 249334 12/15/2015 AMERICAN TIRE DISTRIBUTO111 /24/2015 S0681910451 $278.20 PD -2 NEW TIRES 249334 12/15/2015 AMERICAN TIRE DISTRIBUTO111/24/2015 S0681910519 $119.88 PD -NEW TIRE 249334 12/15/2015 AMERICAN TIRE DISTRIBUTO112 /2/2015 S0684965031 $239.77 PD -TWO TIRES 0141 $84,670.28 $14,995.86 $1,796.40 Key Bank Page 56 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 249162 11/30/2015 EAGLE TIRE &AUTOMOTIVE (11/5/2015 1 -15903 $532.54 FLT - CARBURATOR /TIRES 249162 11/30/2015 EAGLE TIRE & AUTOMOTIVE (11 /5/2015 1 -15903 $50.53 Sales Tax TOPSOIL 249115 11/30/2015 410 QUARRY LLC, 11/9/2015 24819 $69.01 PKM -FINE SAND 249220 11/30/2015 LLOYD ENTERPRISES INC, 10/28/2015 191346 $848.00 SWM- SUPPLIES FOR NATIVE PLANTI 249220 11/30/2015 LLOYD ENTERPRISES INC, 10/27/2015 191327 $772.05 PWST- PRO -GRO BLEND 249439 12/15/2015 LLOYD ENTERPRISES INC, 11/17/2015 191781 $933.84 PKM- MEDIUM BARK TRAFFIC INFRACTIONS 249428 12/15/2015 KIM'S RENTAL CAR, 10/23/2015 0991400110722 $149.00 MC- OVERPAYMENT 249278 11/30/2015 SIXT RENT CAR LLC, 11/12/2015 0991400113932 $153.00 MC- DUPLICATE PAYMENT 249142 11/30/2015 CHI, SOHN 11/12/2015 0991500212154 $29.00 MC- OVERPAYMENT OF INFRACTION TRANSPORTATION EQUIPMENT 249295 11/30/2015 THE LARSON AUTOMOTIVE G9/18/2015 0738475 $23,031.00 PD -2015 DODGE GRAND CARAVAN - 249121 11/30/2015 ALLYN, JOHN 10/17/2015 466584 $1,500.00 PD- WELDING FOR ALUMINUM TRAILE 249481 12/15/2015 POWERSPORTS NORTHWES -11 /17/2015 99931785 $26,656.00 PD -2015 HONDA POLICE PURSUIT - 249481 12/15/2015 POWERSPORTS NORTHWES -11 /17/2015 99931785 $2,212.45 Sales Tax 249481 12/15/2015 POWERSPORTS NORTHWES -11 /17/2015 99931786 $26,656.00 PD -2015 HONDA POLICE PURSUIT - 249481 12/15/2015 POWERSPORTS NORTHWES -11 /17/2015 99931786 $2,212.45 Sales Tax 249477 12/15/2015 PETTY CASH - Fl, 12/14/2015 DECEMBER 2015 $38.00 FI -TITLE FOR VEHICLE 249477 12/15/2015 PETTY CASH - Fl, 12/14/2015 DECEMBER 2015 $45.25 FI -FEE FOR MOTORCYCLE 249477 12/15/2015 PETTY CASH - Fl, 12/14/2015 DECEMBER 2015 $45.25 FI -FEE FOR MOTORCYCLE USE TAX PAYABLE 214106 12/11/2015 WA STATE REVENUE DEPART12/11/2015 601- 223 -5385 $1,006.03 FI -11/15 REMIT USE TAX WASTE DISPOSAL BILLINGS 519424 12/8/2015 US BANK, 12/8/2015 NOVEMBER 2015 $538.75 SWR- LITTER CONTROL DISPOSAL 519424 12/8/2015 US BANK, 12/8/2015 NOVEMBER 2015 $26.76 SWR- RESIDENTIAL GARBAGE AUDIT 249516 12/15/2015 STERICYCLE INC, 11/30/2015 3003241912 $11.14 PD -WASTE DISPOSAL FEES 249211 11/30/2015 KING COUNTY FINANCE DIVI:9/30/2015 46323 $77.20 PWST- 09/15 ALGONA TS -SOLID WAS 222 $2,622.90 $331.00 $82,396.40 $1,006.03 $3,821.51 Key Bank Page 57 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 249220 11/30/2015 LLOYD ENTERPRISES INC, 10/27/2015 191327 $280.60 PWST- PRO -GRO BLEND 249220 11/30/2015 LLOYD ENTERPRISES INC, 10/27/2015 191327 $100.50 PWST- PRO -GRO BLEND 249220 11/30/2015 LLOYD ENTERPRISES INC, 10/27/2015 191329 $1,802.50 SWM -DIRT FOR NATIVE PLANTINGS 249220 11/30/2015 LLOYD ENTERPRISES INC, 10/28/2015 191346 $792.88 SWM- SUPPLIES FOR NATIVE PLANTI 249120 11/30/2015 ALL BATTERY SALES & SERVI11/5/2015 886853 $103.70 SWR- RECYCLING BATTERIES 249211 11/30/2015 KING COUNTY FINANCE DIVIE10/31/2015 47323 $76.34 PWST- 10/15 ALGONATS -SOLID WAS 249287 11/30/2015 STERICYCLE INC, 10/31/2015 3003208384 $11.14 PD -LAB TESTS WATER BILLINGS 249175 11/30/2015 FEDERAL WAY PUBLIC SCHO(10/31/2015 AR10777 $1,849.27 PKM- 07/29- 09/29/15 SAG IRRIGAT 249215 11/30/2015 LAKEHAVEN UTILITY DISTRIC11 /4/2015 2922203 $12.82 PKM -11/15 33325 8TH AVE S #292 249215 11/30/2015 LAKEHAVEN UTILITY DISTRIC11/4/2015 2922503 $703.56 PKM -11/15 33325 8TH AVE S #292 249215 11/30/2015 LAKEHAVEN UTILITY DISTRIC11/4/2015 2926402 $213.92 PKM -11/15 33914 19TH AVE SW #2 249215 11/30/2015 LAKEHAVEN UTILITY DISTRIC 11 /4/2015 101103 $24.70 PKM -11/15 630 356TH ST #101103 249215 11/30/2015 LAKEHAVEN UTILITY DISTRIC'11/4/2015 2573402 $24.70 PKM -11/15 34800 14 PL SW #2573 249215 11/30/2015 LAKEHAVEN UTILITY DISTRIC11/4/2015 2865902 $24.82 PKM- 09/15 -11/15 729 356 ST S C 249215 11/30/2015 LAKEHAVEN UTILITY DISTRIC'11/4/2015 2913103 $460.56 PKM -11/15 33325 8TH AVE S #291 249215 11/30/2015 LAKEHAVEN UTILITY DISTRIC 11 /4/2015 101002 $1,051.74 PKM -11/15 BROOKLAKE MAIN HALL 249215 11/30/2015 LAKEHAVEN UTILITY DISTRIC 11/4/2015 99902 $210.90 PKM -11/15 411 348TH ST S #9990 249215 11/30/2015 LAKEHAVEN UTILITY DISTRIC11/4/2015 3499201 $326.54 PKM -11/15 2220 S 333RD ST #3499 249215 11/30/2015 LAKEHAVEN UTILITY DISTRIC11/4/2015 3266301 $24.70 PKM -11/15 1540 SW 356TH ST #326 249215 11/30/2015 LAKEHAVEN UTILITY DISTRIC 11/4/2015 3405101 $52.16 PKM -11/15 600 S 333RD ST #3405 249215 11/30/2015 LAKEHAVEN UTILITY DISTRIC11 /4/2015 3075401 $250.84 PKM -11/15 1095 324TH ST S #307 249215 11/30/2015 LAKEHAVEN UTILITY DISTRIC 11 /4/2015 3075301 $158.72 PKM -11/15 1095 324TH ST S #307 249215 11/30/2015 LAKEHAVEN UTILITY DISTRIC11/4/2015 2926501 $211.17 PKM -11/15 33914 19TH AVE SW #2 249215 11/30/2015 LAKEHAVEN UTILITY DISTRIC11/4/2015 2957001 $24.70 PKM -11/15 1095 324TH ST S #295 249215 11/30/2015 LAKEHAVEN UTILITY DISTRIC'11/4/2015 3050801 $8,913.60 PKM -11/15 1095 324TH ST S #305 223 $29,741.52 Key Bank Page 58 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 249215 11/30/2015 LAKEHAVEN UTILITY DISTRIC11/4/2015 3075201 $272.40 PKM -11/15 1095 324TH ST S #307 249215 11/30/2015 LAKEHAVEN UTILITY DISTRIC'11/10/2015 2798301 $78.48 PKM -11/15 32800 14TH PL SW #27 249215 11/30/2015 LAKEHAVEN UTILITY DISTRIC11/10/2015 2830801 $407.60 PKM -11/15 2700 340TH PL SW #28 249434 12/15/2015 LAKEHAVEN UTILITY DISTRIC11/19/2015 3059601 $24.70 PKM -11/15 3200 349TH ST S #305 249215 11/30/2015 LAKEHAVEN UTILITY DISTRIC11/16/2015 3610801 $3,616.12 SWM- 08/15- 10/06/15 1210 S 356T 249215 11/30/2015 LAKEHAVEN UTILITYDISTRIC11 /16/2015 2781401 $134.48 PKM -11/15 2501 349TH PL SW #27 249524 12/15/2015 TACOMA PUBLIC UTILITIES, 11/23/2015 100048250 $495.87 PKDBC -11/15 DASH PT. RD- 249524 12/15/2015 TACOMA PUBLIC UTILITIES, 11/23/2015 100048250 $244.23 PKDBC -11/15 DASH PT. RD- 249434 12/15/2015 LAKEHAVEN UTILITY DISTRIC11/23/2015 1014202 $117.52 PKM -11/15 312 DASH PT RD #1014 249434 12/15/2015 LAKEHAVEN UTILITY DISTRIC 11/23/2015 2592802 $168.52 PKM -11/15 1210 333 ST SW #2592 249434 12/15/2015 LAKEHAVEN UTILITY DISTRIC11/4/2015 3238401 $690.45 PWST -11/15 32001 PAC HWY S #32 249434 12/15/2015 LAKEHAVEN UTILITY DISTRIC11/4/2015 2961401 $24.70 PWST -11/15 34727 PAC HWY S #29 249434 12/15/2015 LAKEHAVEN UTILITY DISTRIC 11 /4/2015 3474201 $1,319.04 PARKS -11/15 876 S 333RD ST #34 249434 12/15/2015 LAKEHAVEN UTILITY DISTRIC 11 /4/2015 3474301 $12.82 PARKS -11/15 876 S 333RD ST #34 249434 12/15/2015 LAKEHAVEN UTILITY DISTRIC'11/4/2015 3513001 $346.84 PWST -11/15 33647 20TH AVE S #3 249434 12/15/2015 LAKEHAVEN UTILITY DISTRIC11/4/2015 3518001 $275.58 PWST -11/15 35205 PAC HWY #3518 249434 12/15/2015 LAKEHAVEN UTILITY DISTRIC11/4/2015 3541001 $824.40 PWST -11/15 930 348TH ST S #354 249434 12/15/2015 LAKEHAVEN UTILITY DISTRIC11/4/2015 3552401 $273.62 PWST -11/15 35503 PAC HWY S #35 249434 12/15/2015 LAKEHAVEN UTILITY DISTRIC11/4/2015 3563701 $293.24 PWST -11/15 101 S 348TH IP3 249434 12/15/2015 LAKEHAVEN UTILITY DISTRIC11/4/2015 3578601 $294.00 PWST -11/15 1283 S. 336TH ST. # 249434 12/15/2015 LAKEHAVEN UTILITY DISTRIC11/4/2015 3336201 $24.70 PWST -11/15 32409 PAC HWY S #33 249434 12/15/2015 LAKEHAVEN UTILITY DISTRIC11 /4/2015 3336301 $148.20 PWST -11/15 32402 PAC HWY S #33 249434 12/15/2015 LAKEHAVEN UTILITY DISTRIC11/4/2015 3383601 $1,498.32 PWST -11/15 33300 PAC HWY S #33 249434 12/15/2015 LAKEHAVEN UTILITY DISTRIC11/4/2015 3383701 $1,042.07 PWST -11/15 32500 PAC HWY S #33 249434 12/15/2015 LAKEHAVEN UTILITY DISTRIC'11/4/2015 3461301 $1,705.90 PARKS -11/15 876 S 333RD ST #34 249434 12/15/2015 LAKEHAVEN UTILITY DISTRIC'11/16/2015 3042401 $24.70 PWST -11/15 2500 336TH ST #3042 224 Key Bank Page 59 of 59 Check No. Date Vendor Invoice Date Invoice Description AmountGL Total 249434 12/15/2015 LAKEHAVEN UTILITY DISTRIC11/16/2015 3341801 $208.96 PWST -11/15 35826 16THAVE S #33 249434 12/15/2015 LAKEHAVEN UTILITY DISTRIC'11/16/2015 3341901 $159.96 PWST -11/15 1559 S 356TH ST #33 249434 12/15/2015 LAKEHAVEN UTILITY DISTRIC11/16/2015 3519201 $24.70 PWST -11/15 35601 21 STAVE #351 249434 12/15/2015 LAKEHAVEN UTILITY DISTRIC11/23/2015 2781501 $42.34 PKM -11/15 31200 DASH PT RD #27 249434 12/15/2015 LAKEHAVEN UTILITY DISTRIC11/23/2015 2906301 $407.64 PKM -11/15 312 DASH PT RD SW #2 WITNESS FEES /JUROR FEES 304734 12/1/2015 JURY /WITNESS FUND, 12/1/2015 DECEMBER 01, 2015 $139.90 MC- REPLENISH JURY FUND 122342 11/18/2015 JURY /WITNESS FUND, 11/18/2015 NOVEMBER 2015 $1,223.42 MC- REPLENISH JURY FUND Total $4,690,496.38 225 $1,363.32