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HomeMy WebLinkAboutDocumentation_Regular_Tab 06_07/11/2013 VILLAGE CLERK'S OFFICE AGENDA ITEM TRANSMITTAL FORM M Date: Meeting Type: Regular Ordinance #: 07/11/13 Consent Agenda: Yes Resolution #: 11-13 Originating Department: Finance AGENDA ITEM TITLE: (Wording form the SUBJECT line of your staff report) Authorizing the write-off of uncollectable EMS transport fees in General Fund as described in Exhibit "A". Appropriating Fund Balance to fund Fire Department Bad Debt Expense $77,503.59 BUDGET / FINANCIAL IMPACT: Account #: 001-192-549.397 Amount of this item $77,503.59 Current Budgeted Amount Available: Amount Remaining after item: N/A N/A Budget Transfer Required: No Appropriate Fund Balance: Yes EXECUTIVE SUMMARY OF MAJOR ISSUES: (This is a snap shot description of the agenda item) Authorize the write-off of uncollectable EMS transport fees in General Fund as described in Exhibit " A". A ppropriating Fund Balance to fund Fire Department Bad Debt Expense. APPROVALS: SIGNATURE: Department Head Finance Director f s Reviewed for Financial Sufficiency � � `'�� ( � '��f �%''✓ / No Financial Impact ❑ �� ,r Attorney: (for legal sufficiency) Village Manager: Submit for Council Discussion: � � � ,��; Approve Item: ❑ ,�� ���" f / �'' � i Deny Item: � " I� SPECIAL INSTRUCTIONS FOR CLERK: (if you wish to have agreements signed, be sure to include the number of copies you want signed and place "Sign Here" sticker on them) Form Amended: RESOLUTION NO. 11-13 A RESOLUTION OF THE VILLAGE COUNCIL OF THE VILLAGE OF TEQUESTA, PALM BEACH COUNTY, FLORIDA, AUTHORIZING THE WRITE-OFF OF UNCOLLECTIBLE EMS TRANSPORT FEES RECORDED IN GENERAL FUND #001 OF THE VILLAGE OF TEQUESTA AND AS IDENTIFIED IN "EXHIBIT A"; APPROPRIATING FUND BALANCE TO FUND BAD DEBT EXPENSE AND AUTHORIZING THE VILLAGE MANAGER TO PROCEED ON BEHALF OF THE VILLAGE PROVIDING FOR SEVERABILITY; PROVIDING AN EFFECTIVE DATE; AND FOR OTHER PURPOSES. WHEREAS, the Village of Tequesta has attempted collection of EMS Transportation Fees totaling $77,503.59, as listed on the attached "Exhibit A" as generated by the Fire Department's EMS Software to be discharged by Village Council action; WHEREAS, collection efforts on these accounts, with service dates from 2001 forward, have been unsuccessful and need to be discharged by Village Council action; WHEREAS, the balance in the Allowance for Uncollectible account is not adequate to write-off these accounts and the Village needs to appropriate an additional $77,503.59 of Fund Balance to fund the 2013 Budget - Fire Department Bad Debt expense; WHEREAS, the write off of the uncollectible accounts listed in Exhibit A is authorized solely to facilitate the keeping of the books of account of the Village, and under no circumstances shall any such write-off be de�med to constitute a relinquishment or abandonment by the Village of any such account or claim, and nothing shall be deemed or construed to prevent the Village from collecting or enforcing payment of any such account or claim at any time; NOW, THEREFORE, BE IT ORDAINED BY THE VILLAGE COUNCIL OF THE VILLAGE OF TEQUESTA, PALM BEACH COUNTY, FLORIDA, AS FOLLOWS: Section 1 The Village Council hereby adopts Resolution #11-13 authorizing the write-off of uncollectible EMS Transportation Fee accounts listed in "Exhibit A" to facilitate the keeping of the books of account of the Village and the appropriation of additional Fund Balance to fund Bad Debt Expense. MEMORANDUM TO: JODY FORSYTHE, FINANCE DIRECTOR CC: CHIEF JAMES WEINAND FROM: MARY SPEIGL SUBJECT: EMS UNCOLLECTIBLE DEBT DATE: 6/27/2013 Attached are the uncollectible debt reports for the upcoming Council meeting per your request. We have used the patient account numbers in place of the patient names for compliance with HIPAA rules and regulations. Should the Finance Department need verification; we can furnish it to you alone but it cannot be public information. The attachments are detailed listings of the uncollectible debt by financial classes as follows: Deceased: $ 5,658.80 Returned Mail: $ 11,319.18 Medicaid & other Government write-offs: $ 3,694.74 Miscellaneous: Transient, In-Patient Status/JMC, Capitated $ 2,288.31 Code Enforcement: $ 54,542.56 TOTAL $ 77,503.59 Racanati, Tatiana From: Speigl, Mary Sent: Friday, June 28, 2013 10:53 AM To: Racanati, Tatiana Subject: RE: EMS uncollectable It's anything that I have tried over and over the get pymt from and been unsuccessful. CFiaracter is zvtw you are w6ien no one is watc(zing.....,7ohn Zl/ooten 9Kary SpeigC 7equesta Fire 2�scue �Pfione: 561-768-0557 Fa.Z 561-768-0693 .�Ee Ls Ka �aoQ cuPu� giue.� u.p cuPcat Pce carc nat Peep �ac tPcact �uPcicPc Fie can aat Ca�e. �a�ne�s £P.�iott Florida has a v°ery broad public records la�n•. Most �vricCen conmleinications to or from state or local officials regardiug state or local Uusiness are cousidered to be public records aild will be made availaUle to the public and the media upon request Therefore, your email message is subject to disclosw�e. From: Racanati, Tatiana Sent: Friday, June 28, 2013 10:29 AM To: Speigl, Mary Subject: EMS uncollectable Mary, Can you explain what falls under Code Enforcement amounts to be written off. I know it is the code in EMS software however we do not sent anything to Code enforcement for collections so it would be better to define it differently in the memo to avoid unnecessary questions. Thank you, -Tatiana. 1 Village of Tequesta EXHIBIT 'A' Accounts Receivable to be Written-Off Selected By: Dates of Service Through 2011 FINANCIAL CLASS: Deceased Type of Debt Current Balance Owed Department Fund # Account # Patient Acct # Dates of Service Write-off Reason for Write-off EMS Transport Fire 001-000-115.210 001926 10/23/2005 $365.00 Uncollectible EMS Transport Fire 001-000-115.211 001964 10/3/2011 $561.88 Uncollectible EMS Transport Fire 001-000-115.212 002080 3/4/2006 y74.57 Uncollectible EMS Transport Fire 001-000-115.213 002600 7/17/2007 $378.00 Uncollectible EMS Transport Fire 001-000-115.214 003317 5/29/2009 $86.40 Uncollectible EMS Transport Fire 001-000-115.215 003376 7/27/09,2/9/2011 $920.75 Uncollectible EMS Transport Fire 001-000-115.216 003432 10/5/2009 $229.85 Uncollectible EMS Transport Fire 001-000-115.217 003461 2/11/11 -2/17/2011 $188.14 Uncollectible EMS Transport Fire 001-000-115.218 003500 8/4/2011 $197.50 Uncollectible EMS Transport Fire 001-000-115.219 003588 3/11/2010 $646.75 Uncollectible EMS Transport Fire 001-000-115.220 003704 7/31/2010 $150.00 Uncollectible EMS Transport Fire 001-000-115.221 003741 9/12/2010 $73.41 Uncollectible EMS Transport Fire 001-000-115.222 003762 10/8/2010 $464.00 Uncollectible EMS Transport Fire 001-000-115.223 003877 1/15/2011 $643.85 Uncollectible EMS Transport Fire 001-000-115.224 004082 9/27/2011 $74.85 Uncollectible EMS Transport Fire 001-000-115.225 004157 10/28/2011 $453.85 Uncollectible EMS Transport Fire 001-000-115.226 004193 11/24/2011 $150.00 Uncollectible TOTAL $5,658.80 i Village of Tequesta EXHIBIT 'A' Accounts Receivable to be Written-Off Selected By: Dates of Service Through 2011 FINANCIAL CLASS: Returned Mail Tvpe of Debt Current Balance Owed Deuartment Fund # Account # Patient Acct # Dates of Service Write-off Reason for Write-off EMS Transport Fire 001-000-115.210 002301 5/10/10 - 1/1/2010 911.33 Uncollectible EMS Transport Fire 001-000-115.211 002818 2/18/08, 3/7/2009 1,552.36 Uncollectible EMS Transport Fire 001-000-115.212 002878 3/28/08, 8/27/2010 877.00 Uncollectible EMS Transport Fire 001-000-115.213 003011-3012 8/8/2008 433.75 Uncollectible EMS Transport Fire 001-000-115.214 003516 1/28/2011 456.75 Uncollectible EMS Transport Fire 001-000-115.215 003687-003687 7/3/2010 543.75 Uncollectible EMS Transport Fire 001-000-115.216 003732 9/7/2010 536.50 Uncollectible EMS Transport Fire 001-000-115.217 003757 10/3/2010 456.75 Uncollectible EMS Transport Fire 001-000-115.218 003798 11/19/2010 471.25 Uncollectible EMS Transport Fire 001-000-115.219 003823 12/3/2010 456.75 Uncollectible EMS Transport Fire 001-000-115.220 003852 12/27/2010 471.25 Uncollectible EMS Transport Fire 001-000-115.221 003925 3/1/11 - 6/27/2011 1,370.25 Uncollectible EMS Transport Fire 001-000-115.223 003965 3/27/2011 456.75 Uncollectible EMS Transport Fire 001-000-115.224 004051 6/27/2011 238.36 Uncollectible EMS Transport Fire 001-000-115.225 004067 7/22/2011 479.95 Uncollectible EMS Transport Fire 001-000-115.226 004096 8/18/2011 589.43 Uncollectible EMS Transport Fire 001-000-115.227 004145 10/13/2011 90.45 Uncollectible EMS Transport Fire 001-000-115.228 004204 12/1/2011 461.10 Uncollectible EMS Transport Fire 001-000-115.229 004227 12/27/2011 465.45 Uncollectible TOTALS 11,319.18 Village of Tequesta EXHIBIT 'A' Accounts Receivable to be Written-Off Selected By: Dates of Service Through 2011 FINANCIAL CLASS: Medicaid & Other Government Write-offs Tvqe of Debt Current Balance Owed Deoartment Fund # Account # Patient Acct # Dates of Service Write-off Reason for Write-off EMS Transport Fire 001-000-115.210 003691 - 003692 7/19/2010 41.85 Uncollectible EMSTransport Fire 001-000-115.211 003795 1�/16/2010 282.48 Uncollectible EMS Transport Fire 001-000-115.212 003865 12/31/2010 456.75 Uncollectible EMS Transport Fire 001-000-115.213 003911 9/4/2011 917.85 Uncollectible EMSTransport Fire 001-000-115.214 003961 3/28/20�1 456.75 Uncollectible EMS Transport Fire 001-000-115215 003986 4/15/2011 458.20 Uncollectible EMSTransport Fire 001-000-115.216 004070 7/27/20�1 451.68 Uncollectible EMS Transport Fire 001-000-115.221 000597 5/16/08 - 08/14/09 313.17 Uncollectible EMS Transport Fire 001-000-115.222 002871 3/11/08 210.12 Uncollectible EMS Transport Fire 001-000-115.210 000457 2/23/2010 $1.44 Uncollectible EMS Transport Fire 001-000-115.211 000491 6/10/2010 51.72 Uncollectible EMS Transport Fire 001-000-115.212 000496 2/15/2010 $2.42 Uncollectible EMS Transport Fire 001-000-115.213 001233 1/18/2010 $1.69 Uncollectible EMS Transport Fire 001-000-115.214 001474 3/10/2010 $1.44 Uncollectible EMS Transport Fire 001-000-115.215 001633 4/10/10 - 5/29/10 $5.14 Uncollectible EMS Transport Fire 001-000-115.216 001638 6/12/2010 $1.44 Uncollectible EMS Transport Fire 001-000-115.217 001821 1/19/10, 4/6/10 $3.64 Uncollectible EMS Transport Fire 001-000-115.218 001917 5/18/2010 $1.44 Uncollectible EMS Transport Fire 001-000-115.220 002380 5/26/2010 $1.82 Uncollectible EMS Transport Fire 001-000-115.221 002565 6/2/2010 $1.69 Uncollectible EMS Transport Fire 001-000-115.222 002690 5/14/2010 $1.82 Uncollectible EMS Transport Fire 001-000-115.223 002693 1/17/2010 $1.44 Uncollectible EMS Transport Fire 001-000-115.224 002702 5/29/2010 $1.69 Uncollectible EMS Transport Fire 001-000-115.225 ��282$ 5/12/2010 $1.69 Uncollectible EMS Transport Fire 001-000-115.226 002902 2/19/2010 $1.69 Uncollectible EMS Transport Fire 001-000-115.227 002979 4/18/2010 $1.69 Uncollectible EMS Transport Fire 001-000-115.228 003204 5/24/2010 $1.57 Uncollectible EMS Transport Fire 001-000-115.229 003354 2/13/2010 �1.44 Uncollectible EMS Transport Fire 001-000-115.230 003383 1/21/2010 $1.69 Uncollectible EMS Transport Fire 001-000-115.231 003405 2/8/2010 $1.44 Uncollectible EMS Transport Fire 001-000-115.232 003444 1/21/2010 $1.69 Uncollectible EMS Transport Fire 001-000-115.233 003453 4/26/2010 $1.72 Uncollectible EMS Transport Fire 001-000-115.234 003480 5/17/2010 $1.87 Uncollectible EMS Transport Fire 001-000-115.235 003515 1/23/2010 $1.69 Uncollectible EMS Transport Fire 001-000-115.236 003524 1/16/2010 $1.69 Uncollectible EMS Transport Fire 001-000-115.237 003531 1/19/2010 $1.87 Uncollectible EMS Transport Fire 001-000-115.238 003540 1/20/2010 $1.57 Uncollectible EMS Transport Fire 001-000-115.239 003543 1/28/2010 $1.87 Uncollectible EMS Transport Fire 001-000-115.240 003548 2/3/2010 $1.89 Uncollectible EMS Transport Fire 001-000-115.241 003552 2/3/2010 $1.76 Uncollectible EMS Transport Fire 001-000-115.242 003558 2/10/2010 $1.57 Uncollectible EMS Transport Fire 001-000-115.243 003559 2/13/2010 $1.69 Uncollectible , EMS Transport Fire 001-000-115.244 003561 2/14/2010 51.44 Uncollectible EMS Transport Fire 001-000-115.245 003563 2/16/2010 $1.70 Uncollectible EMS Transport Fire 001-000-115.246 003579 3/6/2010 $1.44 Uncollectible EMS Transport Fire 001-000-115.247 003580 3/6/2010 $1.49 Uncollectible EMS Transport Fire 001-000-115.248 003586 3/10/2010 $1.69 Uncollectible EMS Transport Fire 001-000-115.249 003600 4/4/2010 $2.42 Uncollectible EMS Transport Fire 001-000-115.250 003604 3/2/2010 $1.87 Uncollectible EMS Transport Fire 001-000-115.251 003606 4/15/2010 $3.13 Uncollectible EMS Transport Fire 001-000-115.252 003609 3/29/10, 4/22/10 $3.44 Uncollectible EMS Transport Fire 001-000-115.253 003611 4/4/2010 $1.69 Uncollectible EMS Transport Fire 001-000-115.254 0036�8 4/19/2010 �1.69 Uncollectible EMS Transport Fire 001-000-115.255 003628 4/23/10, 5/1/10 $3.13 Uncollectible EMS Transport Fire 001-000-115.256 003633 4/29/2010 $1.69 Uncoilectible EMS Transport Fire 001-000-115.257 003636 5/3/2010 $1.85 Uncollectible EMS Transport Fire 001-000-115.258 003641 4/20/2010 $1.44 Uncollectible EMS Transport Fire 001-000-115.259 003642 5/9/2010 $1.69 Uncoliectible EMS Transport Fire 001-000-115.260 003643 5/15/2010 $1.44 Uncollectible EMS Transport Fire 001-000-115.261 003644 5/18/2010 $1.44 Uncollectible EMS Transport Fire 001-000-115.262 003655 6/4/2010 $1.44 Uncollectible EMS Transport Fire 001-000-115.263 003664 6/10/2010 $1.69 Uncollectible EMS Transport Fire 001-000-115.264 3111 1/9/2010 $1.69 Uncollectible EMS Transport Fire 001-000-115.265 3314 11/16/2010 $3.60 Uncollectible EMS Transport Fire 001-000-115.266 003665 6/21/2010 $1.87 Uncollectible TOTAL $3,694.74 Village of Tequesta EXHIBIT 'A' Accounts Receivable to be Written-Off Selecfed By: Dates of Service Through 2011 FINANCIAL CLASS: Transient, Capitated (Worker Comp), JMC, Bankrupt, Tvqe of Debt Current Balance Owed Department Fund # Account # Patient Acct # Dates of Service Write-off Reason for Write-off EMS Transport Fire 001-000-115.210 003931 3/4/2011 $456.75 Uncollectible Transient EMS Transport Fire 001-000-115.211 003939 3/12/2011 $464.00 Uncollectible Transient EMS Transport Fire 001-000-115.212 004015 5/8/2011 $456.75 Uncollectible Transient EMS Transport Fire 001-000-115.218 003818 12/2/2010 $0.03 Uncollectible Self-Pay EMS Transport Fire 001-000-115.219 002587 10/9/2010 456.75 Uncollectible JMC EMS Transport Fire 001-000-115.220 6 � 8 8/S/09 - 5/24/10 375.17 Uncollectible JMC EMS Transport Fire 001-000-115.219 002330 10/28/2006 $75.60 Uncollectible Bankrupt EMS Transport Fire 001-000-115.223 003724 8/13/2010 326 Uncollectible Capitated TOTAL 2,288.31 Village of Tequesta EXHIBIT 'A' Accounts Receivable to be Written-Off Selecfed By: Dates of Service: Through 2011 FINANCIAL CLASS: Code Enforcement Tvpe of Debt Current Balance Owed Deqartment Fund # Accou�t # Patient Acct # Dates of Service Write-off Reason for Write-off EMS Transport Fire 001-000-115.210 000068 7/1/09, 7/3/09 $200.00 Uncollectible EMS Transport Fire 001-000-115.211 000414 8/26/2001 $222.50 Uncollectible EMS Transport Fire 001-000-115.212 000565 6/5/10, 6/23/11 $70.14 Uncollectible EMS Transport Fire 001-000-115.213 000731 5/13/2010 �25.00 Uncollectible EMS Transport Fire 001-000-115.214 001053 2/14/2010 $456.75 Uncollectible EMS Transport Fire 001-000-115.215 001076 9/14/2010 $456.75 Uncollectible EMS Transport Fire 001-000-115.216 001180 11/4/2003 $340.00 Uncollectible EMS Transport Fire 001-000-115.217 001415 10/21/2007 $391.00 Uncollectible EMS Transport Fire 001-000-115.218 001839 4/13/2011 COLLECTI $88.86 Uncollectible EMS Transport Fire 001-000-115.219 001878 2/4/2010 $456.75 Uncollectible EMS Transport Fire 001-000-115.220 002221 11/13/08 - 12/8/08 $399.81 Uncollectible EMS Transport Fire 001-000-115.221 002356 11/14/2006 $384.50 Uncollectible EMS Transport Fire 001-000-115.222 002402 1/4/2007 $404.00 Uncollectible EMS Transport Fire 001-000-115.223 002455 2/27/2007 $391.00 Uncollectible EMS Transport Fire 001-000-115.224 002457 2/12/2010 $456.75 Uncollectible EMS Transport Fire 001-000-115.225 002689 11/14/2007 $384.50 Uncollectible EMS Transport Fire 001-000-115.226 2694 3/3/2009 $36.67 Uncollectible EMS Transport Fire 001-000-115.227 002703 12/2/2007 $551.20 Uncollectible EMS Transport Fire 001-000-115.228 002712 12/7/2007 $378.00 Uncollectible EMS Transport Fire 001-000-115.229 002733 12/25/2007 $508.00 Uncollectible EMS Transport Fire 001-000-115.230 002738 12/30/07 - 12/8/09 �1,718.25 Uncollectible EMS Transport Fire 001-000-115.231 002774 1/28/2008 $391.00 Uncollectible EMS Transport Fire 001-000-115.232 002834 3/1/2005 $413.50 Uncollectible EMS Transport Fire 001-000-115.233 002836 3/5/2008 $420.25 Uncollectible EMS Transport Fire 001-000-115.234 002882 4/2/2008 �10.93 Uncollectible EMS Transport Fire 001-000-115.235 002927 5/19/2008 $514.75 Uncollectible EMS Transport Fire 001-000-115.236 002929 5/18/2008 �420.25 Uncollectible EMS Transport Fire 001-000-115.237 002930 5/6/2008 $420.25 Uncollectible EMS Transport Fire 001-000-115.238 002933 5/5/2008 $413.50 Uncollectible EMS Transport Fire 001-000-115.239 002935 5/25/2008 $420.25 Uncollectible EMS Transport Fire 001-000-115.240 002936-2937 6/3/08, 10/31/09 $998.50 Uncollectible EMS Transport Fire 001-000-115.241 002938 6/3/2008 �541.75 Uncollectible EMS Transport Fire 001-000-115.242 002950 6/12/2008 $254.95 Uncollectible EMS Transport Fire 001-000-115.243 002964 6/18/2008 $420.25 Uncollectible EMS Transport Fire 001-000-115.244 002984-2985 7/8/2008 $10.00 Uncollectible EMS Transport Fire 001-000-115.245 002987 7/10/2008 $100.00 Uncollectible EMS Transport Fire 001-000-115.246 002995 7/30/2008 $321.97 Uncollectible EMS Transport Fire 001-000-115.247 003005-3006 8/7/2008 $454.00 Uncollectible EMS Transport Fire 001-000-115.248 003007 8/1/2008 $246.54 Uncollectible EMS Transport Fire 001-000-115.249 003009 8/9/2008 $420.25 Uncollectible EMS Transport Fire 001-000-115.250 003020 8/20/2008 $420.25 Uncollectible EMS Transport Fire 001-000-115.251 003023 8/25/2008 $99.54 Uncollectible EMS Transport Fire 001-000-115.252 003025 8/26/2008 $380.14 Uncollectible EMS Transport Fire 001-000-115.253 003028 8/28/2008 $467.50 Uncollectible EMS Transport Fire 001-000-115.254 003045 9/8/2008 $81.54 Uncollectible EMS Transport Fire 001-000-115.255 003065 10/2/08, 9/25/09 $570.19 Uncollectible EMS Transport Fire 001-000-115.256 003069 10/3/2008 $420.25 Uncollectible EMS Transport Fire 001-000-115.257 003079 10/26/2008 $420.25 Uncollectible EMS Transport Fire 001-000-115.258 003085 10/23/2008 $420.25 Uncollectible EMS Transport Fire 001-000-115.259 003116 11/21/2008 $81.54 Uncollectible EMS Transport Fire 001-000-115260 003117-3118 11/22/2008 $581J5 Uncollectible EMS Transport Fire 001-000-115.261 003125 12/5/2008 $417.00 Uncollectible EMS Transport Fire 001-000-115.262 003134 12/15/2008 �94.09 Uncollectible EMS Transport Fire 001-000-115.263 003169 1/11/2009 $227.05 Uncollectible EMS Transport Fire 001-000-115.264 003179 1/21/2009 $440.50 Uncollectible EMS Transport Fire 001-000-115.265 003220 2/25/2009 $84.05 Uncollectible EMS Transport Fire 001-000-115.266 003221 2/26/2009 $508.00 Uncollectible EMS Transport Fire 001-000-115.267 003242 3/16/2009 $456.75 Uncollectible EMS Transport Fire 001-000-115.268 003248 3/22/2009 $100.00 Uncollectible EMS Transport Fire 001-000-115.269 003254 3/25/2009 $464.00 Uncollectible EMS Transport Fire 001-000-115.270 003280 4/10/2009 $73.41 Uncollectible EMS Transport Fire 001-000-115.271 003282 4/17/2009 $86.40 Uncoliectible EMS Transport Fire 001-000-115.272 003324-3325 5/30/2009 $456.75 Uncollectible EMS Transport Fire 001-000-115.273 003344 6/21l09, 9/29/09 $191.81 Uncollectible EMS Transport Fire 001-000-115.274 003349 6/26/2009 $456.75 Uncollectible EMS Transport Fire 001-000-115.275 003350 6/28/09, 10/11/09 $259.80 Uncoilectible EMS Transport Fire 001-000-115.276 003356 7/3/2009 $464.00 Uncollectible EMS Transport Fire 001-000-115.277 003362 7/10/2009 $86.40 Uncollectible EMS Transport Fire 001-000-115.278 003377 7/31/2009 $445.08 Uncollectible EMS Transport Fire 001-000-115.279 003397 8/2/2009 $456.75 Uncollectible EMS Transport Fire 001-000-115.280 003409 8/31/2009 $456.75 Uncollectible EMS Transport Fire 001-000-115.281 003416 9/19/2009 $91.35 Uncollectible EMS Transport Fire 001-000-115.282 003420 9/26/09 - 11/24/09 $332.33 Uncollectible EMS Transport Fire 001-000-115.283 003433 10/11/2009 $456.75 Uncollectible EMS Transport Fire 001-000-115.284 003442 10/16l2009 $456.75 Uncollectible EMS Transport Fire 001-000-115.285 003443 10/26/2009 $86.40 Uncollectible EMS Transport Fire 001-000-115.286 003456 11/8/2009 $456.75 Uncollectible EMS Transport Fire 001-000-115.287 003462-3463 11/17/2009 $456.75 Uncollectible EMS Transport Fire 001-000-115.288 003466 11/15/2009 $456.75 Uncollectible EMS Transport Fire 001-000-115.289 003474 11/19/2009 $24.72 Uncollectible EMS Transport Fire 001-000-115.290 003485 12/2/09 - 8/29/10 $1,560.25 Uncollectible EMS Transport Fire 001-000-115.291 003492 12/11/2009 $96.02 Uncollectible EMS Transport Fire 001-000-115.292 003532 1/20/2010 $456.75 Uncollectibie EMS Transport Fire 001-000-115.293 003533 1/21/2010 $456.75 Uncollectible EMS Transport Fire 001-000-115.294 003549 2/2/2010 $456.75 Uncollectible EMS Transport Fire 001-000-115.295 003562 2/14/10 - 7/5/12 $152.76 Uncollectible EMS Transport Fire 001-000-115.296 003566 2/20/2010 $456.75 Uncollectible EMS Transport Fire 001-000-115.297 003574-3573 2/28/2010 $456.75 Uncoliectible EMS Transport Fire 001-000-115.298 003625 4/25/10 - 3/13/11 $216.41 Uncollectible EMS Transport Fire 001-000-115.299 003635 5/21l2010 $456.75 Uncollectible EMS Transport Fire 001-000-115.300 003639 5/7/2010 $456.75 Uncoilectible EMS Transport Fire 001-000-115.301 003640 5/18/2010 $206.75 Uncollectible EMS Transport Fire 001-000-115.302 003647 5/4/2010 $456.75 Uncollectible EMS Transport Fire 001-000-115.303 003675 6/28/2010 $410.45 Uncollectible EMS Transport Fire 001-000-115.304 003682 7/1/2010 $150:00 Uncollectibie EMS Transport Fire 001-000-115.305 003684 7/9/2010 $456.75 Uncollectible EMS Transport Fire 001-000-115.306 003705 7/4/2010 $456.75 Uncollectible EMS Transport Fire 001-000-115.307 003709 8/11/2010 $500.25 Uncollectible EMS Transport Fire 001-000-115.308 003710 8/16/2010 $456.75 Uncollectible EMS Transport Fire 001-000-115.309 003743 9/17/2010 $260.73 Uncollectible EMS Transport Fire 001-000-115.310 003744 9/21/2010 $456.75 Uncollectible EMS Transport Fire 001-000-115.311 003746 9/23/2010 $464.00 Uncollectible EMS Transport Fire 001-000-115.312 003753 8/28/2010 $396.75 Uncollectible EMS Transport Fire 001-000-115.313 003755-3756 10/3/2010 $256.75 Uncollectible EMS Transport Fire 001-000-115.314 003758 10/4/2010 $225.17 Uncollectible EMS Transport Fire 001-000-115.315 003768 10/17/2010 $456.75 Uncollectible EMS Transport Fire 001-000-115.316 003777 10/27/2010 $441.75 Uncollectible EMS Transport Fire 001-000-115.317 003782-3781 11/21/2010 $456.75 Uncollectible EMS Transport Fire 001-000-115.318 003786 11/9/2010 $456.75 Uncollectible EMS Transport Fire 001-000-115.319 003797 11/19/2010 $301.29 Uncollectible EMS Transport Fire 001-000-115.320 003802 11/20/10 - 2/18/11 $442.95 Uncollectible EMS Transport Fire 001-000-115.321 003811 11/17/2010 $456.75 Uncollectibie EMS Transport Fire 001-000-115.322 003847 12/23/2010 $91.35 Uncollectible EMS Transport Fire 001-000-115.323 003883 1/20/2011 $458.20 Uncollectible EMS Transport Fire 001-000-115.324 003915 2/14/2011 $456.75 Uncollectible EMS Transport Fire 001-000-115.325 003924 2/26/11, 3/7/11 $1,029.50 Uncollectible EMS Transport Fire 001-000-115.326 003930 3/3/2011 $449.50 Uncollectible EMS Transport Fire 001-000-115.327 003954 3/20/2011 $464.00 Uncollectible EMS Transport Fire 001-000-115.328 003957 3/24/2011 $464.00 Uncollectible EMS Transport Fire 001-000-115.329 003964 3/11/2011 $456.75 Uncollectible EMS Transport Fire 001-000-115.330 003967 3/31/2011 $469.08 Uncollectible EMS Transport Fire 001-000-115.331 003968 4/4/11, 4/16/11 $925.83 Uncollectible EMS Transport Fire 001-000-115.332 003973 4/7/2011 $457.48 Uncollectible EMS Transport Fire 001-000-115.333 003978 4/10/2011 $471.25 Uncollectible EMS Transport Fire 001-000-115.334 003992 4/19/2011 $456.75 Uncollectible EMS Transport Fire 001-000-115.335 003996 4/23/2011, 5/3/11 $914.95 Uncollectible EMS Transport Fire 001-000-115.336 004023 5/19/2011 5461.10 Uncollectible EMS Transport Fire 001-000-115.337 004029 5/27/2011 $456.75 Uncollectible EMS Transport Fire 001-000-115.338 004035-4034 6/6/2011 $460.38 Uncollectible EMS Transport Fire 001-000-115.339 004036-4037 5/12/2011 $587.25 Uncollectible EMS Transport Fire 001-000-115.340 004047 5/29/2011 $87.49 Uncollectible EMS Transport Fire 001-000-115.341 004068 7/26/2011 $50.00 Uncollectible EMS Transport Fire 001-000-115.342 004069 7/22/2011 $456.75 Uncollectible EMS Transport Fire 001-000-115.343 004086 8/9/11, 8/10/11 $91.64 Uncollectible EMS Transport Fire 001-000-115.344 004113 9/11/2011 $464.73 Uncollectible EMS Transport Fire 001-000-115.345 004116 9/14/2011 �456.75 Uncollectible EMS Transport Fire 001-000-115.346 004119 9/21/2011 $125.26 Uncollectible EMS Transport Fire 001-000-115.347 004133 9/28/2011 Collections 5463.28 Uncollectible EMS Transport Fire 001-000-115.348 004135 9/29/2011 $458.20 Uncollectible EMS Transport Fire 001-000-115.349 4089-4090 8/13/2011 Collections $466.90 Uncollectible TOTAL $54,542.56