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Program Name Amount Invoiced Nurse Family Partnership Program (Benton-Franklin Health District) 16,191.39 $ Kennewick Club (Boys & Girls Club) 21,475.99 $ Prosser Teen Program Investment (Boys & Girls Club) 8,225.77 $ Step Up Program (Chaplaincy Health Care) 483.00 $ All in for Kids Program (Communities in Schools of Benton-Franklin) 11,876.39 $ Forge Youth Mentoring Tri-Cities (Forge Youth Mentoring) 3,661.32 $ Kiona-Benton Crime Prevention Program (Kiona-Benton City School District) 2,389.32 $ Human Trafficking Outreach & Intervention (Mirror Ministries) 4,726.24 $ Overnight Emergency Youth Shelter (My Friends Place/Safe Harbor) 15,036.08 $ Building Resilience Through Family Support Program (Partners for Early Learning) 9,091.59 $ Engagement Specialist (SARC & Juvenile Justice Center) 5,880.71 $ TOTAL INVOICED FOR OCTOBER 2020 82,846.41 $ Gang & Crime Prevention Initiative Expenditures October 2020 Expenditures Invoiced to Public Safety Sales Tax (PSST)
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2019-2020 PSST Invoice Totals (Report).xlsx - Benton County

Apr 21, 2023

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Page 1: 2019-2020 PSST Invoice Totals (Report).xlsx - Benton County

Program Name Amount Invoiced

Nurse Family Partnership Program (Benton-Franklin Health District) 16,191.39$

Kennewick Club (Boys & Girls Club) 21,475.99$

Prosser Teen Program Investment (Boys & Girls Club) 8,225.77$

Step Up Program (Chaplaincy Health Care) 483.00$

All in for Kids Program (Communities in Schools of Benton-Franklin) 11,876.39$

Forge Youth Mentoring Tri-Cities (Forge Youth Mentoring) 3,661.32$

Kiona-Benton Crime Prevention Program (Kiona-Benton City School District) 2,389.32$

Human Trafficking Outreach & Intervention (Mirror Ministries) 4,726.24$

Overnight Emergency Youth Shelter (My Friends Place/Safe Harbor) 15,036.08$

Building Resilience Through Family Support Program (Partners for Early Learning) 9,091.59$

Engagement Specialist (SARC & Juvenile Justice Center) 5,880.71$

TOTAL INVOICED FOR OCTOBER 2020 82,846.41$

Gang & Crime Prevention Initiative ExpendituresOctober 2020 Expenditures Invoiced to Public Safety Sales Tax (PSST)

Page 2: 2019-2020 PSST Invoice Totals (Report).xlsx - Benton County
Page 3: 2019-2020 PSST Invoice Totals (Report).xlsx - Benton County
Page 4: 2019-2020 PSST Invoice Totals (Report).xlsx - Benton County

Invoice

Invoice #

483

Bill To

Benton Countycc: Shyanne PalmusPO Box 190Prosser, WA 99350

PO Box 1322Pasco, WA 99301

Due Date

11/30/2020

Phone #

509-543-9980

Fax #

509-543-9981

Web Site

www.greatclubs.org

Total

Boys & Girls Clubs of Benton andFranklin Counties

Description Rate Amount

October 2020 Salary Expense - Kennewick 21,475.99 21,475.99

Tax ID#91-1673327

$21,475.99

Page 5: 2019-2020 PSST Invoice Totals (Report).xlsx - Benton County

Type Date Name Memo Class Amount

Accounts Receivable1200 · Accounts receivable

1250 · Grants ReceivableInvoice 10/31/2020 Benton County Kennewick:PST-Teen 21,475.99

Total 1250 · Grants Receivable 21,475.99

Total Accounts Receivable 21,475.99

3500 · Retained EarningsTotal 3500 · Retained Earnings

4200 · Grants4207 · PST GrantInvoice 10/31/2020 Benton County October 2020 Salary Expense -... Kennewick:PST-Teen (21,475.99)

Total 4207 · PST Grant (21,475.99)

Total 4200 · Grants (21,475.99)

6000 · Personnel Expenses6100 · Staff SalariesGeneral Journal 10/01/2020 Reverse of GJE JA 0920-01 -- Kennewick:PST-Teen (955.12)Paycheck 10/09/2020 Ace, Brian K Kennewick:PST-Teen 53.81Paycheck 10/09/2020 Adelmund, Julie K Kennewick:PST-Teen 31.69Paycheck 10/09/2020 Burns, Chandra Kennewick:PST-Teen 73.33Paycheck 10/09/2020 Chimal, Walter A Kennewick:PST-Teen 716.53Paycheck 10/09/2020 Chimal, Walter A Kennewick:PST-Teen 79.62Paycheck 10/09/2020 Mutton, Jessica Kennewick:PST-Teen 320.25Paycheck 10/09/2020 Willits, Facinet B Kennewick:PST-Teen 373.33Paycheck 10/09/2020 Contreras, Elizabeth N Kennewick:PST-Teen 632.00Paycheck 10/09/2020 Delgadillo, David Kennewick:PST-Teen 337.69Paycheck 10/09/2020 Bode, Jenel I Kennewick:PST-Teen 163.65Paycheck 10/09/2020 Kimsey, Jonathan RL Kennewick:PST-Teen 826.92Paycheck 10/09/2020 Kimsey, Jonathan RL Kennewick:PST-Teen 125.00Paycheck 10/19/2020 Chimal, Walter A Kennewick:PST-Teen 225.00Paycheck 10/19/2020 Contreras, Elizabeth N Kennewick:PST-Teen 150.00Paycheck 10/19/2020 Delgadillo, David Kennewick:PST-Teen 150.00Paycheck 10/19/2020 Kimsey, Jonathan RL Kennewick:PST-Teen 225.00Paycheck 10/19/2020 Mutton, Jessica Kennewick:PST-Teen 75.00Paycheck 10/19/2020 Willits, Facinet B Kennewick:PST-Teen 150.00Paycheck 10/23/2020 Ace, Brian K Kennewick:PST-Teen 107.63Paycheck 10/23/2020 Adelmund, Julie K Kennewick:PST-Teen 68.15Paycheck 10/23/2020 Burns, Chandra Kennewick:PST-Teen 153.25Paycheck 10/23/2020 Chimal, Walter A Kennewick:PST-Teen 1,656.00Paycheck 10/23/2020 Chimal, Walter A Kennewick:PST-Teen 152.86Paycheck 10/23/2020 Chimal, Walter A Kennewick:PST-Teen 500.00Paycheck 10/23/2020 Contreras, Elizabeth N Kennewick:PST-Teen 967.17Paycheck 10/23/2020 Contreras, Elizabeth N Kennewick:PST-Teen 84.44Paycheck 10/23/2020 Montelongo, Allexus A Kennewick:PST-Teen 68.73Paycheck 10/23/2020 Willits, Facinet B Kennewick:PST-Teen 726.75Paycheck 10/23/2020 Willits, Facinet B Kennewick:PST-Teen 55.90Paycheck 10/23/2020 Mutton, Jessica Kennewick:PST-Teen 508.50Paycheck 10/23/2020 Mutton, Jessica Kennewick:PST-Teen 33.00Paycheck 10/23/2020 Deen, Adrianne M Kennewick:PST-Teen 68.68Paycheck 10/23/2020 Bode, Jenel I Kennewick:PST-Teen 316.96Paycheck 10/23/2020 Bode, Jenel I Kennewick:PST-Teen 10.52Paycheck 10/23/2020 Delgadillo, David Kennewick:PST-Teen 376.31Paycheck 10/23/2020 Delgadillo, David Kennewick:PST-Teen 37.61Paycheck 10/23/2020 Kimsey, Jonathan RL Kennewick:PST-Teen 1,548.00Paycheck 10/23/2020 Kimsey, Jonathan RL Kennewick:PST-Teen 172.00Paycheck 10/23/2020 Kimsey, Jonathan RL Kennewick:PST-Teen 250.00Paycheck 10/23/2020 Kimsey, Jonathan RL Kennewick:PST-Teen 500.00Paycheck 10/23/2020 Kimsey, Jonathan RL Kennewick:PST-Teen 158.77General Journal 10/31/2020 Kennewick:PST-Teen 7,359.28

Total 6100 · Staff Salaries 19,634.21

6101 · Part Time - Sick TimePaycheck 10/09/2020 Mutton, Jessica Kennewick:PST-Teen 76.25

Total 6101 · Part Time - Sick Time 76.25

6200 · Social SecurityGeneral Journal 10/01/2020 Reverse of GJE JA 0920-02 -- Kennewick:PST-Teen (56.09)Paycheck 10/09/2020 Ace, Brian K Kennewick:PST-Teen 3.21Paycheck 10/09/2020 Adelmund, Julie K Kennewick:PST-Teen 1.96Paycheck 10/09/2020 Burns, Chandra Kennewick:PST-Teen 4.25Paycheck 10/09/2020 Chimal, Walter A Kennewick:PST-Teen 45.70

2:48 PM Boys & Girls Clubs of Benton and Franklin Counties

12/07/20 PST GL for SubmissionAs of October 31, 2020

Page 6: 2019-2020 PSST Invoice Totals (Report).xlsx - Benton County

Type Date Name Memo Class Amount

Paycheck 10/09/2020 Mutton, Jessica Kennewick:PST-Teen 24.58Paycheck 10/09/2020 Willits, Facinet B Kennewick:PST-Teen 23.15Paycheck 10/09/2020 Contreras, Elizabeth N Kennewick:PST-Teen 36.42Paycheck 10/09/2020 Delgadillo, David Kennewick:PST-Teen 20.94Paycheck 10/09/2020 Bode, Jenel I Kennewick:PST-Teen 10.15Paycheck 10/09/2020 Kimsey, Jonathan RL Kennewick:PST-Teen 54.90Paycheck 10/19/2020 Chimal, Walter A Kennewick:PST-Teen 13.95Paycheck 10/19/2020 Contreras, Elizabeth N Kennewick:PST-Teen 9.30Paycheck 10/19/2020 Delgadillo, David Kennewick:PST-Teen 9.30Paycheck 10/19/2020 Kimsey, Jonathan RL Kennewick:PST-Teen 13.95Paycheck 10/19/2020 Mutton, Jessica Kennewick:PST-Teen 4.65Paycheck 10/19/2020 Willits, Facinet B Kennewick:PST-Teen 9.30Paycheck 10/23/2020 Ace, Brian K Kennewick:PST-Teen 6.54Paycheck 10/23/2020 Adelmund, Julie K Kennewick:PST-Teen 4.23Paycheck 10/23/2020 Burns, Chandra Kennewick:PST-Teen 9.37Paycheck 10/23/2020 Chimal, Walter A Kennewick:PST-Teen 139.49Paycheck 10/23/2020 Contreras, Elizabeth N Kennewick:PST-Teen 62.44Paycheck 10/23/2020 Montelongo, Allexus A Kennewick:PST-Teen 4.26Paycheck 10/23/2020 Willits, Facinet B Kennewick:PST-Teen 48.52Paycheck 10/23/2020 Mutton, Jessica Kennewick:PST-Teen 33.57Paycheck 10/23/2020 Deen, Adrianne M Kennewick:PST-Teen 4.22Paycheck 10/23/2020 Bode, Jenel I Kennewick:PST-Teen 20.30Paycheck 10/23/2020 Delgadillo, David Kennewick:PST-Teen 25.66Paycheck 10/23/2020 Kimsey, Jonathan RL Kennewick:PST-Teen 158.86General Journal 10/31/2020 Kennewick:PST-Teen 445.72

Total 6200 · Social Security 1,192.80

6300 · MedicareGeneral Journal 10/01/2020 Reverse of GJE JA 0920-03 -- Kennewick:PST-Teen (13.12)Paycheck 10/09/2020 Ace, Brian K Kennewick:PST-Teen 0.75Paycheck 10/09/2020 Adelmund, Julie K Kennewick:PST-Teen 0.46Paycheck 10/09/2020 Burns, Chandra Kennewick:PST-Teen 0.99Paycheck 10/09/2020 Chimal, Walter A Kennewick:PST-Teen 10.69Paycheck 10/09/2020 Mutton, Jessica Kennewick:PST-Teen 5.75Paycheck 10/09/2020 Willits, Facinet B Kennewick:PST-Teen 5.41Paycheck 10/09/2020 Contreras, Elizabeth N Kennewick:PST-Teen 8.52Paycheck 10/09/2020 Delgadillo, David Kennewick:PST-Teen 4.90Paycheck 10/09/2020 Bode, Jenel I Kennewick:PST-Teen 2.38Paycheck 10/09/2020 Kimsey, Jonathan RL Kennewick:PST-Teen 12.84Paycheck 10/19/2020 Chimal, Walter A Kennewick:PST-Teen 3.27Paycheck 10/19/2020 Contreras, Elizabeth N Kennewick:PST-Teen 2.18Paycheck 10/19/2020 Delgadillo, David Kennewick:PST-Teen 2.17Paycheck 10/19/2020 Kimsey, Jonathan RL Kennewick:PST-Teen 3.26Paycheck 10/19/2020 Mutton, Jessica Kennewick:PST-Teen 1.08Paycheck 10/19/2020 Willits, Facinet B Kennewick:PST-Teen 2.18Paycheck 10/23/2020 Ace, Brian K Kennewick:PST-Teen 1.53Paycheck 10/23/2020 Adelmund, Julie K Kennewick:PST-Teen 0.99Paycheck 10/23/2020 Burns, Chandra Kennewick:PST-Teen 2.19Paycheck 10/23/2020 Chimal, Walter A Kennewick:PST-Teen 32.62Paycheck 10/23/2020 Contreras, Elizabeth N Kennewick:PST-Teen 14.60Paycheck 10/23/2020 Montelongo, Allexus A Kennewick:PST-Teen 1.00Paycheck 10/23/2020 Willits, Facinet B Kennewick:PST-Teen 11.34Paycheck 10/23/2020 Mutton, Jessica Kennewick:PST-Teen 7.86Paycheck 10/23/2020 Deen, Adrianne M Kennewick:PST-Teen 0.99Paycheck 10/23/2020 Bode, Jenel I Kennewick:PST-Teen 4.74Paycheck 10/23/2020 Delgadillo, David Kennewick:PST-Teen 6.00Paycheck 10/23/2020 Kimsey, Jonathan RL Kennewick:PST-Teen 37.15General Journal 10/31/2020 Kennewick:PST-Teen 104.26

Total 6300 · Medicare 278.98

6400 · L&IGeneral Journal 10/01/2020 Reverse of GJE JA 0920-04 -- Kennewick:PST-Teen (14.78)Paycheck 10/09/2020 Ace, Brian K Kennewick:PST-Teen 0.30Paycheck 10/09/2020 Adelmund, Julie K Kennewick:PST-Teen 0.30Paycheck 10/09/2020 Burns, Chandra Kennewick:PST-Teen 0.61Paycheck 10/09/2020 Chimal, Walter A Kennewick:PST-Teen 10.92Paycheck 10/09/2020 Mutton, Jessica Kennewick:PST-Teen 6.37Paycheck 10/09/2020 Willits, Facinet B Kennewick:PST-Teen 8.26Paycheck 10/09/2020 Contreras, Elizabeth N Kennewick:PST-Teen 11.98Paycheck 10/09/2020 Delgadillo, David Kennewick:PST-Teen 7.53Paycheck 10/09/2020 Bode, Jenel I Kennewick:PST-Teen 3.46Paycheck 10/09/2020 Kimsey, Jonathan RL Kennewick:PST-Teen 12.13Paycheck 10/19/2020 Chimal, Walter A Kennewick:PST-Teen 0.00Paycheck 10/19/2020 Contreras, Elizabeth N Kennewick:PST-Teen 0.00Paycheck 10/19/2020 Delgadillo, David Kennewick:PST-Teen 0.00Paycheck 10/19/2020 Kimsey, Jonathan RL Kennewick:PST-Teen 0.00Paycheck 10/19/2020 Mutton, Jessica Kennewick:PST-Teen 0.00

Page 2

Page 7: 2019-2020 PSST Invoice Totals (Report).xlsx - Benton County

Type Date Name Memo Class Amount

Paycheck 10/19/2020 Willits, Facinet B Kennewick:PST-Teen 0.00Paycheck 10/23/2020 Ace, Brian K Kennewick:PST-Teen 0.49Paycheck 10/23/2020 Adelmund, Julie K Kennewick:PST-Teen 0.25Paycheck 10/23/2020 Burns, Chandra Kennewick:PST-Teen 0.54Paycheck 10/23/2020 Chimal, Walter A Kennewick:PST-Teen 24.26Paycheck 10/23/2020 Contreras, Elizabeth N Kennewick:PST-Teen 17.84Paycheck 10/23/2020 Montelongo, Allexus A Kennewick:PST-Teen 1.49Paycheck 10/23/2020 Willits, Facinet B Kennewick:PST-Teen 15.47Paycheck 10/23/2020 Mutton, Jessica Kennewick:PST-Teen 9.91Paycheck 10/23/2020 Deen, Adrianne M Kennewick:PST-Teen 0.26Paycheck 10/23/2020 Bode, Jenel I Kennewick:PST-Teen 6.58Paycheck 10/23/2020 Delgadillo, David Kennewick:PST-Teen 5.40Paycheck 10/23/2020 Kimsey, Jonathan RL Kennewick:PST-Teen 21.84General Journal 10/31/2020 Kennewick:PST-Teen 113.42

Total 6400 · L&I 264.83

6500 · PensionGeneral Journal 10/31/2020 Kennewick:PST-Teen 0.00

Total 6500 · Pension 0.00

6901 · Paid Family Medical LeaveGeneral Journal 10/01/2020 Reverse of GJE JA 0920-06 -- Kennewick:PST-Teen (1.41)Paycheck 10/09/2020 Ace, Brian K Kennewick:PST-Teen 0.08Paycheck 10/09/2020 Adelmund, Julie K Kennewick:PST-Teen 0.05Paycheck 10/09/2020 Burns, Chandra Kennewick:PST-Teen 0.11Paycheck 10/09/2020 Chimal, Walter A Kennewick:PST-Teen 1.17Paycheck 10/09/2020 Mutton, Jessica Kennewick:PST-Teen 0.58Paycheck 10/09/2020 Willits, Facinet B Kennewick:PST-Teen 0.55Paycheck 10/09/2020 Contreras, Elizabeth N Kennewick:PST-Teen 0.93Paycheck 10/09/2020 Delgadillo, David Kennewick:PST-Teen 0.50Paycheck 10/09/2020 Bode, Jenel I Kennewick:PST-Teen 0.24Paycheck 10/09/2020 Kimsey, Jonathan RL Kennewick:PST-Teen 1.40Paycheck 10/19/2020 Chimal, Walter A Kennewick:PST-Teen 0.33Paycheck 10/19/2020 Contreras, Elizabeth N Kennewick:PST-Teen 0.22Paycheck 10/19/2020 Delgadillo, David Kennewick:PST-Teen 0.22Paycheck 10/19/2020 Kimsey, Jonathan RL Kennewick:PST-Teen 0.33Paycheck 10/19/2020 Mutton, Jessica Kennewick:PST-Teen 0.11Paycheck 10/19/2020 Willits, Facinet B Kennewick:PST-Teen 0.22Paycheck 10/23/2020 Ace, Brian K Kennewick:PST-Teen 0.16Paycheck 10/23/2020 Adelmund, Julie K Kennewick:PST-Teen 0.10Paycheck 10/23/2020 Burns, Chandra Kennewick:PST-Teen 0.22Paycheck 10/23/2020 Chimal, Walter A Kennewick:PST-Teen 3.39Paycheck 10/23/2020 Contreras, Elizabeth N Kennewick:PST-Teen 1.54Paycheck 10/23/2020 Montelongo, Allexus A Kennewick:PST-Teen 0.10Paycheck 10/23/2020 Willits, Facinet B Kennewick:PST-Teen 1.15Paycheck 10/23/2020 Mutton, Jessica Kennewick:PST-Teen 0.80Paycheck 10/23/2020 Deen, Adrianne M Kennewick:PST-Teen 0.10Paycheck 10/23/2020 Bode, Jenel I Kennewick:PST-Teen 0.48Paycheck 10/23/2020 Delgadillo, David Kennewick:PST-Teen 0.60Paycheck 10/23/2020 Kimsey, Jonathan RL Kennewick:PST-Teen 3.86General Journal 10/31/2020 Kennewick:PST-Teen 10.79

Total 6901 · Paid Family Medical Leave 28.92

Total 6000 · Personnel Expenses 21,475.99

7200 · Occupancy Expenses7207 · Telephone & telecommunicationsPaycheck 10/09/2020 Ace, Brian K Kennewick:PST-Teen 0.44Paycheck 10/09/2020 Adelmund, Julie K Kennewick:PST-Teen 0.44Paycheck 10/09/2020 Burns, Chandra Kennewick:PST-Teen 0.88Paycheck 10/09/2020 Kimsey, Jonathan RL Kennewick:PST-Teen 7.50Paycheck 10/23/2020 Ace, Brian K Kennewick:PST-Teen 0.44Paycheck 10/23/2020 Adelmund, Julie K Kennewick:PST-Teen 0.18Paycheck 10/23/2020 Burns, Chandra Kennewick:PST-Teen 0.39Paycheck 10/23/2020 Deen, Adrianne M Kennewick:PST-Teen 0.18Paycheck 10/23/2020 Kimsey, Jonathan RL Kennewick:PST-Teen 7.50

Total 7207 · Telephone & telecommunications 17.95

Total 7200 · Occupancy Expenses 17.95

TOTAL 21,493.94

Page 3

Page 8: 2019-2020 PSST Invoice Totals (Report).xlsx - Benton County

Oct 20

Ordinary Income/ExpenseIncome

4200 · Grants4207 · PST Grant 21,475.99

Total 4200 · Grants 21,475.99

Total Income 21,475.99

Gross Profit 21,475.99

Expense6000 · Personnel Expenses

6100 · Staff Salaries 19,634.21

6101 · Part Time - Sick Time 76.25

6200 · Social Security 1,192.80

6300 · Medicare 278.98

6400 · L&I 264.83

6500 · Pension 0.00

6901 · Paid Family Medical Leave 28.92

Total 6000 · Personnel Expenses 21,475.99

7200 · Occupancy Expenses7207 · Telephone & telecommunications 17.95

Total 7200 · Occupancy Expenses 17.95

Total Expense 21,493.94

Net Ordinary Income (17.95)

Net Income (17.95)

2:48 PM Boys & Girls Clubs of Benton and Franklin Counties

12/07/20 Profit & Loss YTD ComparisonKennewick PST

Page 9: 2019-2020 PSST Invoice Totals (Report).xlsx - Benton County

KENNEWICK CLUBHOUSE PROGRAM DATA & MEASURABLES: As of October 31, 2020.

October in the Teen Program

Teens have been the most eager to be back in the Club- more so than our grade school

youth. We have to limit the number of teens that can be in our teen center as to ensure safety

guidelines are adhered to and we also cannot let them stay all day as this further decreases the

number of kids that can be served daily. Even so, teens sign up quickly for academic support

daily and stay on task doing their work and meeting with staff to ensure that they are able to

continue attending. They are also quick to sign up to volunteer and help with community

events.

October at the Kennewick Clubhouse

Our academic success programming continues to be well attended and appreciated by

our Club members. Each weekday, we are able to serve 50 kids in a socially distanced and safe

MEASURABLES PROGRESS TO DATE

Enroll at least 75 teen members by 12/31/2020

121 active teen members enrolled as of Oct. 31st.

Enroll at least 200 grade school youth by 12/31/2020

253 active grade school members enrolled as of Oct. 31st.

Maintain an average daily attendance of at least 30 teens and 100 grade school youth per

day during school year program months.

Average daily attendance of teens in January: 33 Average daily attendance of grade school youth in

January: 68

Teen members attend the Club at least 2 days per week, on average, during school year and

elementary youth 3 days per week on average.

34 of teen members attended the Club 2 or more days each week on avg in January.

63 of grade school members attended the Club 3 or more days each week on avg in January.

50 teens will participate in special events or community outreach activities each year

8 teens participated in Second Harvest food distribution event in October.

Ensure 200 volunteer hours are completed by teens each calendar year

Teens spent 12 of hours volunteering at Second Harvest & Harvest Parties in October

Page 10: 2019-2020 PSST Invoice Totals (Report).xlsx - Benton County

environment. Additionally, we are able to ensure that these families receive proper resources.

We have dozens of meal boxes available in the entry way each day for families to take and

continue to feed our kids snack and meals. As important as academic support is, we have found

that the mentoring and emotional support is equally important. The kids are struggling during

this pandemic and though the Clubhouse is different than we’d like, it continues to bring some

normalcy and joy to our kids.

Club Impact Story

We were proud to partner with Second Harvest, the Kennewick Police Department, and

the Tyson foods to host a food distribution event not only for our Club families, but also for the

community. We assisted in giving out over 300 meal boxes. Our teens were able to assist with

the event and found joy in being part of something that was helping the community.

Additionally, our Clubhouse hosted a Harvest event where members were able to trick or treat

through the Clubhouse in a safe way. Like everything, the Club and Halloween looked different

this year, but being involved and having a sense of community greatly benefited our kids.

Page 11: 2019-2020 PSST Invoice Totals (Report).xlsx - Benton County
Page 12: 2019-2020 PSST Invoice Totals (Report).xlsx - Benton County

Invoice

Invoice #

482

Bill To

Benton Countycc: Shyanne PalmusPO Box 190Prosser, WA 99350

PO Box 1322Pasco, WA 99301

Due Date

11/30/2020

Phone #

509-543-9980

Fax #

509-543-9981

Web Site

www.greatclubs.org

Total

Boys & Girls Clubs of Benton andFranklin Counties

Description Rate Amount

October 2020 Salary Expense - Prosser 7,893.35 7,893.35October 2020 Benefit Expense - Prosser 226.52 226.52October 2020 Printing & Copying Expense -Prosser

70.70 70.70

October 2020 Utilties Expense - Prosser 20.50 20.50October 2020 Program Supplies and Food -Prosser

14.70 14.70

October 2020 Community Partner Appreciation 0.00 0.00

Tax ID#91-1673327

$8,225.77

Page 13: 2019-2020 PSST Invoice Totals (Report).xlsx - Benton County

Oct 20

Ordinary Income/ExpenseExpense

6000 · Personnel Expenses6100 · Staff Salaries 7,237.77

6200 · Social Security 439.43

6300 · Medicare 102.76

6400 · L&I 102.77

6500 · Pension 106.23

6600 · Medical Insurance 111.73

6700 · Long-Term Disability 7.53

6800 · Life Insurance 1.03

6901 · Paid Family Medical Leave 10.62

Total 6000 · Personnel Expenses 8,119.87

7000 · Non-personnel Expenses7003 · Printing & copying 70.70

Total 7000 · Non-personnel Expenses 70.70

7200 · Occupancy Expenses7207 · Telephone & telecommunications 20.50

Total 7200 · Occupancy Expenses 20.50

7400 · Program Expenses7411 · Teen Program Supplies 14.70

Total 7400 · Program Expenses 14.70

Total Expense 8,225.77

Net Ordinary Income (8,225.77)

Net Income (8,225.77)

2:45 PM Boys & Girls Clubs of Benton and Franklin Counties

12/07/20 Profit & Loss YTD ComparisonPST - TEEN

Page 14: 2019-2020 PSST Invoice Totals (Report).xlsx - Benton County

Type Date Name Memo Class Amount

Accounts Receivable1210 PR · Prosser ReceivablesTotal 1210 PR · Prosser Receivables

1200 · Accounts receivable

1250 · Grants ReceivableInvoice 10/31/2020 Benton County Prosser:PST-Teen 8,225.77

Total 1250 · Grants Receivable 8,225.77

Total Accounts Receivable 8,225.77

1300 · Undeposited FundsTotal 1300 · Undeposited Funds

3500 · Retained EarningsTotal 3500 · Retained Earnings

4600 · Prosser Income4602 · Grant Income

4602-P · PST GrantInvoice 10/31/2020 Benton County October 2020 Salary Expens... Prosser:PST-Teen (7,893.35)Invoice 10/31/2020 Benton County October 2020 Benefit Expen... Prosser:PST-Teen (226.52)Invoice 10/31/2020 Benton County October 2020 Printing & Cop... Prosser:PST-Teen (70.70)Invoice 10/31/2020 Benton County October 2020 Utilties Expens... Prosser:PST-Teen (20.50)Invoice 10/31/2020 Benton County October 2020 Program Supp... Prosser:PST-Teen (14.70)Invoice 10/31/2020 Benton County October 2020 Community Pa... Prosser:PST-Teen 0.00

Total 4602-P · PST Grant (8,225.77)

Total 4602 · Grant Income (8,225.77)

Total 4600 · Prosser Income (8,225.77)

6000 · Personnel Expenses6100 · Staff SalariesGeneral Journal 10/01/2020 Reverse of GJE JA 0920-01 -- Prosser:PST-Teen (418.70)Paycheck 10/09/2020 Ace, Brian K Prosser:PST-Teen 53.81Paycheck 10/09/2020 Adelmund, Julie K Prosser:PST-Teen 31.69Paycheck 10/09/2020 Brown, Dylan J Prosser:PST-Teen 132.60Paycheck 10/09/2020 Burns, Chandra Prosser:PST-Teen 73.33Paycheck 10/09/2020 Cisneros, Christopher J Prosser:PST-Teen 156.33Paycheck 10/09/2020 Hatch, Jake Prosser:PST-Teen 245.99Paycheck 10/09/2020 Fajardo, Alyssa Prosser:PST-Teen 561.54Paycheck 10/09/2020 Fajardo, Alyssa Prosser:PST-Teen 140.38Paycheck 10/23/2020 Ace, Brian K Prosser:PST-Teen 107.63Paycheck 10/23/2020 Adelmund, Julie K Prosser:PST-Teen 68.15Paycheck 10/23/2020 Adelmund, Julie K Prosser:PST-Teen 87.50Paycheck 10/23/2020 Brown, Dylan J Prosser:PST-Teen 273.15Paycheck 10/23/2020 Burns, Chandra Prosser:PST-Teen 153.25Paycheck 10/23/2020 Cisneros, Christopher J Prosser:PST-Teen 322.04Paycheck 10/23/2020 Fajardo, Alyssa Prosser:PST-Teen 1,503.65Paycheck 10/23/2020 Fajardo, Alyssa Prosser:PST-Teen 239.54Paycheck 10/23/2020 Hatch, Jake Prosser:PST-Teen 506.45General Journal 10/31/2020 Prosser:PST-Teen 2,999.44

Total 6100 · Staff Salaries 7,237.77

6200 · Social SecurityGeneral Journal 10/01/2020 Reverse of GJE JA 0920-02 -- Prosser:PST-Teen (24.90)Paycheck 10/09/2020 Ace, Brian K Prosser:PST-Teen 3.21Paycheck 10/09/2020 Adelmund, Julie K Prosser:PST-Teen 1.96Paycheck 10/09/2020 Brown, Dylan J Prosser:PST-Teen 7.76Paycheck 10/09/2020 Burns, Chandra Prosser:PST-Teen 4.25Paycheck 10/09/2020 Cisneros, Christopher J Prosser:PST-Teen 9.69Paycheck 10/09/2020 Hatch, Jake Prosser:PST-Teen 15.25Paycheck 10/09/2020 Fajardo, Alyssa Prosser:PST-Teen 40.89Paycheck 10/23/2020 Ace, Brian K Prosser:PST-Teen 6.54Paycheck 10/23/2020 Adelmund, Julie K Prosser:PST-Teen 9.65Paycheck 10/23/2020 Brown, Dylan J Prosser:PST-Teen 16.51

2:47 PM Boys & Girls Clubs of Benton and Franklin Counties

12/07/20 PST GL for SubmissionAs of October 31, 2020

Page 15: 2019-2020 PSST Invoice Totals (Report).xlsx - Benton County

Type Date Name Memo Class Amount

Paycheck 10/23/2020 Burns, Chandra Prosser:PST-Teen 9.37Paycheck 10/23/2020 Cisneros, Christopher J Prosser:PST-Teen 19.97Paycheck 10/23/2020 Fajardo, Alyssa Prosser:PST-Teen 105.44Paycheck 10/23/2020 Hatch, Jake Prosser:PST-Teen 31.40General Journal 10/31/2020 Prosser:PST-Teen 182.44

Total 6200 · Social Security 439.43

6300 · MedicareGeneral Journal 10/01/2020 Reverse of GJE JA 0920-03 -- Prosser:PST-Teen (5.82)Paycheck 10/09/2020 Ace, Brian K Prosser:PST-Teen 0.75Paycheck 10/09/2020 Adelmund, Julie K Prosser:PST-Teen 0.46Paycheck 10/09/2020 Brown, Dylan J Prosser:PST-Teen 1.81Paycheck 10/09/2020 Burns, Chandra Prosser:PST-Teen 0.99Paycheck 10/09/2020 Cisneros, Christopher J Prosser:PST-Teen 2.27Paycheck 10/09/2020 Hatch, Jake Prosser:PST-Teen 3.57Paycheck 10/09/2020 Fajardo, Alyssa Prosser:PST-Teen 9.56Paycheck 10/23/2020 Ace, Brian K Prosser:PST-Teen 1.53Paycheck 10/23/2020 Adelmund, Julie K Prosser:PST-Teen 2.26Paycheck 10/23/2020 Brown, Dylan J Prosser:PST-Teen 3.86Paycheck 10/23/2020 Burns, Chandra Prosser:PST-Teen 2.19Paycheck 10/23/2020 Cisneros, Christopher J Prosser:PST-Teen 4.67Paycheck 10/23/2020 Fajardo, Alyssa Prosser:PST-Teen 24.66Paycheck 10/23/2020 Hatch, Jake Prosser:PST-Teen 7.35General Journal 10/31/2020 Prosser:PST-Teen 42.65

Total 6300 · Medicare 102.76

6400 · L&IGeneral Journal 10/01/2020 Reverse of GJE JA 0920-04 -- Prosser:PST-Teen (6.10)Paycheck 10/09/2020 Ace, Brian K Prosser:PST-Teen 0.30Paycheck 10/09/2020 Adelmund, Julie K Prosser:PST-Teen 0.30Paycheck 10/09/2020 Brown, Dylan J Prosser:PST-Teen 2.12Paycheck 10/09/2020 Burns, Chandra Prosser:PST-Teen 0.61Paycheck 10/09/2020 Cisneros, Christopher J Prosser:PST-Teen 2.12Paycheck 10/09/2020 Hatch, Jake Prosser:PST-Teen 5.16Paycheck 10/09/2020 Fajardo, Alyssa Prosser:PST-Teen 9.71Paycheck 10/23/2020 Ace, Brian K Prosser:PST-Teen 0.49Paycheck 10/23/2020 Adelmund, Julie K Prosser:PST-Teen 0.57Paycheck 10/23/2020 Brown, Dylan J Prosser:PST-Teen 3.97Paycheck 10/23/2020 Burns, Chandra Prosser:PST-Teen 0.54Paycheck 10/23/2020 Cisneros, Christopher J Prosser:PST-Teen 3.57Paycheck 10/23/2020 Fajardo, Alyssa Prosser:PST-Teen 24.26Paycheck 10/23/2020 Hatch, Jake Prosser:PST-Teen 10.62General Journal 10/31/2020 Prosser:PST-Teen 44.53

Total 6400 · L&I 102.77

6500 · PensionGeneral Journal 10/01/2020 Reverse of GJE JA 0920-05 -- Prosser:PST-Teen (5.77)Liability Check 10/12/2020 Alerus Prosser:PST-Teen 19.24Liability Check 10/19/2020 Alerus Prosser:PST-Teen 4.73Liability Check 10/23/2020 Alerus Prosser:PST-Teen 48.23General Journal 10/31/2020 Prosser:PST-Teen 39.80

Total 6500 · Pension 106.23

6600 · Medical InsuranceLiability Check 10/01/2020 ASURIS NORTHWEST H... 10033171 Prosser:PST-Teen 88.98Check 10/10/2020 Dylan Brown - HSA Prosser:PST-Teen 22.75

Total 6600 · Medical Insurance 111.73

6700 · Long-Term DisabilityBill 10/01/2020 The Hartford Prosser:PST-Teen 7.53

Total 6700 · Long-Term Disability 7.53

6800 · Life InsuranceBill 10/01/2020 The Hartford Prosser:PST-Teen 1.03

Page 2

Page 16: 2019-2020 PSST Invoice Totals (Report).xlsx - Benton County

Type Date Name Memo Class Amount

Total 6800 · Life Insurance 1.03

6901 · Paid Family Medical LeaveGeneral Journal 10/01/2020 Reverse of GJE JA 0920-06 -- Prosser:PST-Teen (0.62)Paycheck 10/09/2020 Ace, Brian K Prosser:PST-Teen 0.08Paycheck 10/09/2020 Adelmund, Julie K Prosser:PST-Teen 0.05Paycheck 10/09/2020 Brown, Dylan J Prosser:PST-Teen 0.19Paycheck 10/09/2020 Burns, Chandra Prosser:PST-Teen 0.11Paycheck 10/09/2020 Cisneros, Christopher J Prosser:PST-Teen 0.23Paycheck 10/09/2020 Hatch, Jake Prosser:PST-Teen 0.36Paycheck 10/09/2020 Fajardo, Alyssa Prosser:PST-Teen 1.03Paycheck 10/23/2020 Ace, Brian K Prosser:PST-Teen 0.16Paycheck 10/23/2020 Adelmund, Julie K Prosser:PST-Teen 0.23Paycheck 10/23/2020 Brown, Dylan J Prosser:PST-Teen 0.40Paycheck 10/23/2020 Burns, Chandra Prosser:PST-Teen 0.22Paycheck 10/23/2020 Cisneros, Christopher J Prosser:PST-Teen 0.47Paycheck 10/23/2020 Fajardo, Alyssa Prosser:PST-Teen 2.56Paycheck 10/23/2020 Hatch, Jake Prosser:PST-Teen 0.74General Journal 10/31/2020 Prosser:PST-Teen 4.41

Total 6901 · Paid Family Medical Leave 10.62

Total 6000 · Personnel Expenses 8,119.87

7000 · Non-personnel Expenses7003 · Printing & copyingBill 10/19/2020 Great America Financial S... Prosser:PST-Teen 70.70

Total 7003 · Printing & copying 70.70

Total 7000 · Non-personnel Expenses 70.70

7200 · Occupancy Expenses7207 · Telephone & telecommunicationsPaycheck 10/09/2020 Ace, Brian K Prosser:PST-Teen 0.44Paycheck 10/09/2020 Adelmund, Julie K Prosser:PST-Teen 0.44Paycheck 10/09/2020 Burns, Chandra Prosser:PST-Teen 0.88Bill 10/10/2020 US Cellular Prosser:PST-Teen 17.50Paycheck 10/23/2020 Ace, Brian K Prosser:PST-Teen 0.44Paycheck 10/23/2020 Adelmund, Julie K Prosser:PST-Teen 0.41Paycheck 10/23/2020 Burns, Chandra Prosser:PST-Teen 0.39

Total 7207 · Telephone & telecommunications 20.50

Total 7200 · Occupancy Expenses 20.50

7400 · Program Expenses7411 · Teen Program SuppliesCredit Card Cha... 10/28/2020 prosser food snacks for teens Prosser:PST-Teen 14.70

Total 7411 · Teen Program Supplies 14.70

7408 · Youth of the Year ExpenseTotal 7408 · Youth of the Year Expense

Total 7400 · Program Expenses 14.70

7600 · Misc Expenses7612 · StewardshipTotal 7612 · Stewardship

Total 7600 · Misc Expenses

7700 · Capital7701 · Building ImprovementsTotal 7701 · Building Improvements

Total 7700 · Capital

TOTAL 8,225.77

Page 3

Page 17: 2019-2020 PSST Invoice Totals (Report).xlsx - Benton County

PROSSER CLUBHOUSE PROGRAM DATA & MEASURABLES: As of October 31, 2020.

October in the Teen Program

Our teen program is able to offer academic support to members and we are working to

increase enrollment. While our kids are eager to return to Club, the limited hours and location

poses a transportation challenge. We are working to overcome these challenges through

different service models and creative problem solving. We continue to do virtual check ins and

house visits to make sure our kids know that we are available to them and care about their

well-being. Additionally, now that the teen center is able to be open each week, we are growing

attendance and hope to see a significant increase in upcoming months.

October at the Prosser Clubhouse

Prosser Boys & Girls Club continues to be the contracted provider for child care for

essential employees and those in need of childcare. Our partnership with the Prosser School

MEASURABLES PROGRESS TO DATE

Maintain at least 75 teen members through 12/31/2020

65 active teen members enrolled as of Oct. 31st.

Maintain at least 75 grade school youth through 12/31/2020

57 active grade school members enrolled as of Oct. 31st.

Maintain an average daily attendance of at least 30 teens and 75 grade school youth per

day during school year program months.

Average daily attendance of teens in October: 18 Average daily attendance of grade school youth in

January: 25

Teen members attend the Club at least 2 days per week, on average, during school year and

elementary youth 3 days per week on average.

22 of teen members attended the Club 2 or more days each week on avg in October.

28 of grade school members attended the Club 3 or more days each week on avg in October.

50 teens will participate in special events or community outreach activities each year

8 teens participated in Second Harvest food distribution event in October.

Ensure 200 volunteer hours are completed by teens each calendar year

Teens spent 12 of hours volunteering at Second Harvest & Harvest Parties in October

Page 18: 2019-2020 PSST Invoice Totals (Report).xlsx - Benton County

District has strengthened and the district is providing some paraeducators to assist with remote

learning. This has been beneficial for our kids, as they receive more hands on, personal

assistance. This model of program delivery is different from our traditional Club offering and

safety guidelines are such that we have limited space, which means we must limit our

attendance. However, we are making a large impact on those kids we are serving each day.

Club Impact Story

Some of the biggest impact has been the amazing partnerships that have been built

during this pandemic with our community. As stated above, our partnership with the school

district is stronger, and the community continues to give back to Clubs in creative ways.

Downtown Prosser has been working to beautify the city with art. Our Clubs were a recipient of

some new artwork to add some love and joy in our community.

Page 19: 2019-2020 PSST Invoice Totals (Report).xlsx - Benton County

Bill to: Benton County Commissioners Date: 11/09/2020

Attn: Shyanne Palmus 7122 W Okanogan Place, Bldg A Kennewick WA 99336

Personnel Costs Date Description Quantity Rate Total

Teresa Avalos

10/2/2020 Direct 1.00 $86.00 $ 86.00

10/7/2020 Direct 1.00 $86.00 $ 86.00

10/19/2020 10/20/2020 10/27/2020

Indirect Direct Direct

1.50 $129.00 1.00 $86.00 1.00 $86.00

$ 129.00 $ 86.00 $ 86.00

SUBTOTAL $ 473.00 SUBTOTAL $ -

$ 10.00 $ -

Operating Costs Total $ 10.00 -

Please remit to: Total Amount Due: $ 483.00

Chaplaincy Health Care 1480 Fowler St Richland WA 99352

For questions regarding this invoice, you may contact Teresa Avalos (509) 783-7417 or by email [email protected]

Personnel Costs Total 473.00 $

Operating Costs

Invoice Date: 11-09-2020Invoice: OCT2020Vendor: 922590Resolution: 2018-788Trans Date: 12-04-2020$483.00

Page 20: 2019-2020 PSST Invoice Totals (Report).xlsx - Benton County

Progress Report

PROJECT SUMMARY

REPORT DATE PROJECT NAME PREPARED BY October 2020 Step-Up Teresa Avalos

STATUS SUMMARY

The groups continue to be suspended due to COVID. We continue to provide telehealth services to Step-UP clients.

-A. B. Successfully completed the program on October 2, 2020.

-C. R. She is scheduled to complete the program on November 19th.

-U.K. Is participating in the program with her mom and is staying non-violent. She is doing very well. Her mom indicates that she makes progress and learns skills from Step-Up each week. Her relationship with her mom is significantly improved.

We have three families who are enrolled in Step-Up but are waiting for groups to resume.

Families enrolled in October: 6

English Total Enrolled: 4

English Voluntary Enrolled: 1

Spanish Enrolled: 1

New Referrals Pending: None.

TOTAL BUDGET INVOICED (October 2020) REMAINING BUDGET

$42,008.00 $483.00 $40,970.00

Page 21: 2019-2020 PSST Invoice Totals (Report).xlsx - Benton County

Target behavior Measurable Goal Outcome

Number of new registered youth participants

25 newly registered participants in 2019-2020 5

Number of youth and families served 2019-2020

25 youth and 38 family members served in 2020

Total #youth, 8 family members: 12 1 Spanish speaking youth, 2 family

members; 7 English speaking youth, 10 family

members

Number of Psychological Assessments Completed 2019-2020

24 Completed assessments with appropriate referrals made in 2019 -2020

5

Incidents of defiance and disrespect for family members at home.

Upon graduation, reduced from daily to one/month

1, 1x/week 1, 2x/month

Incidents of police involvement.

Reduced from weekly to 0 in 4 month follow up for those youth completing a 11-week program

1

Incidents of truancy, running away, breaking curfew. 0

Gang activity, association and/or interaction 0

Incidents of incarceration 0 incidents of incarceration in 4- month follow up for those youth completing a 11-week program

0

Outreach $2,000.00 $00 $1,914.00

Printing and Supplies $800.00 $10.00 $ 590.00 Training Costs $6,000.00 $00 $6,000.00

SUBTOTAL (MONTHLY BILLED) TOTAL BUDGET $ 53525.50 $483.00

Teresa Avalos 11/19/2020

Page 22: 2019-2020 PSST Invoice Totals (Report).xlsx - Benton County

Employee Id 535

First Name Maria

Last Name Avalos

Date Hours Pay Code Worked Department Worked Task Code

10/02/2020 1.00 Therapists 250 - Behavioral Health/250244 - BH Step-Up Direct Client Svcs10/07/2020 1.00 Therapists 250 - Behavioral Health/250244 - BH Step-Up Direct Client Svcs10/19/2020 1.50 Therapists 250 - Behavioral Health/250245 - BH Step-Up Indirect Client Svcs10/20/2020 1.00 Therapists 250 - Behavioral Health/250244 - BH Step-Up Direct Client Svcs10/27/2020 1.00 Therapists 250 - Behavioral Health/250244 - BH Step-Up Direct Client Svcs

Total Hours 5.50

Company: Tri-Cities Chaplaincy (OM180006)

Filtered By: Employee Filter: Employees (1); Timesheet Dates: 10/01/2020-10/31/2020Date & Time: 11/10/2020 10:04a

Generated By: Samantha Sarmiento

Report: Summary Hours: Hours Detail ReportGrouped By: Employee Id; First Name; Last Name

Sorted By: Last Name Ascending

Page 23: 2019-2020 PSST Invoice Totals (Report).xlsx - Benton County

INVOICE

Communities In Schools of Benton-Franklin PO BOX 1310 Richland, WA 99352 DATE: OCT 2020

FOR: CIS Site Coordination Services

TO: Attn: Shyanne Palmus/Bobbie RomineBenton County Commissioners’ Office Kennewick, WA 99336

DESCRIPTION Actual Cost Contract (32%)

Pursuant to 2019-2020 budget pay schedule agreement (22 of 24) for services from OCT 1-31, 2020

6 Site Coordinator Salaries $30,030.01 $9,609.60 6 Site Coordinator Benefits $3,953.86 $1,265.24

6 Site Coordinator’s Programming Costs $2,860.32 $915.30 Agency Initial Training/Professional Development $0.00 $0.00

Agency Supplies/Activities $0.00 $0.00 Agency Dues/Subscriptions $0.00 $0.00

CPA Professional Fees $0.00 $0.00 Program Director & Program Manager Data Management/Verification $0.00 $0.00

Program Director & Program Manager Supervision/Evaluation $0.00 $0.00 Executive Director Salary $0.00 $0.00

Development Director Salary $0.00 $0.00 Mileage $269.52 $86.25TOTAL $37,113.71 $11,876.39

Make all checks payable to Communities In Schools of Benton-Franklin within 30 days. Detailed documentation for line items provided with invoice.

Thank you!

Resolution: 18-760 2019-438Vendor: 236541Inv: OCT202010-31-202011,876.39

Page 24: 2019-2020 PSST Invoice Totals (Report).xlsx - Benton County

The Lincoln National Life Insurance Company Page : 1 P .0. Box 0821

Carol Stream IL 60132--0821 800-423-2765

BILLING DETAIL

Attn: Angela Lunde Co1111Unities in Schools of Benton-Frankl i PO Box 1310 Richland WA 99352

Account# CISOBF-BL-1601069 Reference# 4131294932 DENT Policy# 000010038261 00000

Premium Due By: 10/01/2020

Bill Print Date: 9/19/2020 Coverage Period: 10/01/2020 - 10/31/2020

cunent Pre11iu11:

CERT NO. NAME DENTAL TOTAL

33.58 33.58 33.58 33.58 33.58 33.58 33.58 33.58 33.58 33.58 33.58 33.58 33.58 33.58 33.58 33.58 33.58 33.58 33.58 33.58 33.58 33.58 33.58 33.58 33.58 33.58 33.58 33.58 33.58 33.58 33.58 33.58 33.58 33.58 33.58 33.58 33.58 33.58 33.58 33.58 33.58 33.58 33.58 33.58 33.58 33.58 33.58 33.58

xxxxx3252 xxxxx4514 xxxxx:6709 xxxxx3729 xxxxx5484 xxxxx3701 xxxxx3424 xxxxx7226 xxxxx5554

xxxxx9179 xxxxx9200 xxxxx:5793 xxxxx4472 xxxxx9674

xxxxx6053 xxxxx3225 xxxxx0026 xxxxx9922 xxxxx4836 xxxxx3176 xxxxx1774 xxxxx2956 xxxxx1562 xxxxx8771 xxxxx5255 33.58 33.58

Totals 839.50 839.50

Total number of lives: 25

TOTAL CURRENT PREMIUM $839.50

20-OCT-2020

DENTAL-Dental. *TC-Tera Coverage

6 Site Coordinators Benefits ($33.58*6= $201.48)

Page 25: 2019-2020 PSST Invoice Totals (Report).xlsx - Benton County

Class ID:Class Description:

0001EMP ONLY ACTIVE

DATE OF BIRTH TYPE OF COVERAGE COVERED MEMBERS SUB TOTAL TOTAL RATE

GROUP NAMEGROUP NO.SUB-GROUP NO.BILLING PERIODINVOICE NO.BILL DUE DATE

COMMUNITIES IN SCHOOLS OF BENTON-FRANKLIN10030148000110/01/20-10/31/2020256000353810/01/2020

INVOICE/STATEMENT

Page 1528 EAST SPOKANE FALLS BOULEVARDSUITE 301SPOKANE WA 99202www.asuris.com

08/29/1988 SUBMEDICAL $515.3802/11/1978 SUBMEDICAL $515.3809/16/1991 SUBMEDICAL $515.3810/05/1993 SUBMEDICAL $515.3804/22/1962 SUBMEDICAL $515.3810/30/1989 SUBMEDICAL $515.3812/27/1990 SUBMEDICAL $515.3802/18/1995 SUBMEDICAL $515.3808/21/1981 SUBMEDICAL $515.3811/19/1987 SUBMEDICAL $515.3805/17/1988 SUBMEDICAL $515.3812/04/1964 SUBMEDICAL $515.3802/17/1978 SUBMEDICAL $515.3804/14/1995 SUBMEDICAL $515.3809/26/1984 SUBMEDICAL $515.3803/23/1994 SUBMEDICAL $515.3807/06/1993 SUBMEDICAL $515.3809/30/1973 SUBMEDICAL $515.3811/18/1989 SUBMEDICAL $515.3802/28/1977 SUBMEDICAL $515.3809/13/1979 SUBMEDICAL $515.3807/17/1987 SUBMEDICAL $515.3806/22/1974 SUBMEDICAL $515.3811/17/1992 SUBMEDICAL $515.3802/09/1997 SUBMEDICAL $515.38

$12,884.50ROSTER TOTAL

JCFD

[1,855] 2 of 3 B 4

[DM

-]

20200914B07

JCFD

1259 124456 Site Coordinators Benefits ($515.38*6 = $3092.28)

Page 26: 2019-2020 PSST Invoice Totals (Report).xlsx - Benton County

Payroll Journal Report

Report generated by

Date Range: 10/01/2020 - 10/31/2020 Payroll Journal Summary by Employee

Payroll period: 10/01/2020 - 10/15/2020 Pay day: 10/20/2020

Employee Name

Earnings Deductions/Contributions Employee Taxes

Employer Taxes Reimbursements Totals

Description Hours Rate Total Description Type Amount Description Amount Description Amount Description Amount

SC #1

Regular

87.67

$24.00

$2,104.01 Guideline Traditional 401(k)

Employee Deduction

$21.04

$223.48

Social Security

$130.45

Cell Phone Allowance (Covid-19 Support)

$22.50

Net Pay

$1,859.49

Gross

--

--

$2,104.01

Guideline Traditional 401(k)

Employer Contribution

$21.04

Medicare

$30.51

Reimbursements

$22.50

WA SUI $31.35 Check Amount $1,881.99 WA EAF $0.63 Employer Cost $2,350.53 WA Workers'

Comp Insurance

$10.04

Total $202.98

SC #2

Regular

72.00

$24.00

$1,728.00 Guideline Traditional 401(k)

Employee Deduction

$63.36

$342.11

Social Security

$130.95

Cell Phone Allowance (Covid-19 Support)

$22.50

Net Pay

$1,706.53

Sick

16.00

$24.00

$384.00

Guideline Traditional 401(k)

Employer Contribution

$63.36

Medicare

$30.63

Reimbursements

$22.50

Gross -- -- $2,112.00 WA SUI $31.47 Check Amount $1,729.03 WA EAF $0.63 Employer Cost $2,399.79 WA Workers'

Comp Insurance

$8.25

Total $201.93

SC #3

Regular

88.00

$24.60

$2,164.80 Guideline Traditional 401(k)

Employee Deduction

$64.94

$310.59

Social Security

$134.22

Cell Phone Allowance (Covid-19 Support)

$22.50

Net Pay

$1,789.27

Gross

--

--

$2,164.80

Guideline Traditional 401(k)

Employer Contribution

$64.94

Medicare

$31.39

Reimbursements

$22.50

WA SUI $32.26 Check Amount $1,811.77 WA EAF $0.65 Employer Cost $2,460.84 WA Workers'

Comp Insurance

$10.08

Total $208.60

SC#4 Regular

88.00

$22.73

$2,000.24

Guideline Traditional 401(k)

Employee Deduction

$64.92

$359.15

Social Security

$134.16

Cell Phone Allowance

$22.50

Net Pay

$1,739.81

Page 27: 2019-2020 PSST Invoice Totals (Report).xlsx - Benton County

Additional Earnings

--

--

$163.64

Guideline Traditional 401(k)

Employer Contribution

$64.92

Medicare

$31.38

Reimbursements

$22.50

Gross -- -- $2,163.88 WA SUI $32.24 Check Amount $1,762.31 WA EAF $0.65 Employer Cost $2,459.81 WA Workers'

Comp Insurance

$10.08

Total $208.51

SC#5 Regular

78.50

$24.00

$1,884.00

Guideline Traditional 401(k)

Employee Deduction

$41.67

$339.55

Social Security

$129.19

Cell Phone Allowance

$22.50

Net Pay

$1,702.42

Sick

1.50

$24.00

$36.00

Guideline Traditional 401(k)

Employer Contribution

$41.67

Medicare

$30.22

Reimbursements

$22.50

Additional Earnings

-- -- $163.64

WA SUI $31.05

Check Amount $1,724.92

Gross -- -- $2,083.64 WA EAF $0.63 Employer Cost $2,347.89 WA Workers'

Comp Insurance

$8.99

Total $200.08

SC#6

Regular

56.00

$21.00

$1,176.00

Guideline Traditional 401(k)

Employee Deduction

$16.80

$309.25

Social Security

$104.16

Cell Phone Allowance (Covid-19 Support)

$22.50

Net Pay

$1,353.95

Sick

24.00

$21.00

$504.00

Guideline Traditional 401(k)

Employer Contribution

$16.80

Medicare

$24.36

Reimbursements

$22.50

Gross -- -- $1,680.00 WA SUI $25.03 Check Amount $1,376.45 WA EAF $0.50 Employer Cost $1,879.76 WA Workers'

Comp Insurance

$6.41

Total $160.46

Payroll Totals

Regular

470.17

$23.52

$11,057.05

Guideline Traditional 401(k)

Employee Deduction

$272.73

$1,884.13

Social Security

$763.13

Cell Phone Allowance (Covid-19 Support)

$90.00

Net Pay

$10,151.47

Sick

41.50

$22.27

$924.00

Guideline Traditional 401(k)

Employer Contribution

$272.73

Medicare

$178.49

Cell Phone Allowance

$45.00

Reimbursements

$135.00

Additional Earnings

-- -- $327.28

WA SUI $183.40

Check Amount $10,286.47

Gross -- -- $12,308.33 WA EAF $3.69 Employer Cost $13,898.62 WA Workers'

Comp Insurance

$53.85

Total $1,182.56

Page 28: 2019-2020 PSST Invoice Totals (Report).xlsx - Benton County

Hazard Pay Payroll Pay day: 10/20/2020

Employee Name

Earnings Deductions/Contributions Employee Taxes

Employer Taxes Reimbursements Totals

Description Hours Rate Total Description Type Amount Description Amount Description Amount Description Amount SC #1

Additional Earnings

--

--

$1,000.00

Guideline Traditional 401(k)

Employee Deduction

$10.00

$79.03

Social Security

$62.00

Net Pay

$910.97

Gross

--

--

$1,000.00

Guideline Traditional 401(k)

Employer Contribution

$10.00

Medicare

$14.50

Check Amount

$910.97

WA SUI $14.90

Employer Cost

$1,101.70

WA EAF $0.30

Total $91.70

SC #2 Additional Earnings

--

--

$1,000.00

Guideline Traditional 401(k)

Employee Deduction

$30.00

$126.45

Social Security

$62.00

Net Pay

$843.55

Gross

--

--

$1,000.00

Guideline Traditional 401(k)

Employer Contribution

$30.00

Medicare

$14.50

Check Amount

$843.55

WA SUI $14.90

Employer Cost

$1,121.70

WA EAF $0.30

Total $91.70

SC #3 Additional Earnings

--

--

$1,000.00

Guideline Traditional 401(k)

Employee Deduction

$30.00

$90.61

Social Security

$62.00

Net Pay

$879.39

Gross

--

--

$1,000.00

Guideline Traditional 401(k)

Employer Contribution

$30.00

Medicare

$14.50

Check Amount

$879.39

WA SUI $14.90

Employer Cost

$1,121.70

WA EAF $0.30

Total $91.70

SC #4 Additional Earnings

--

--

$1,000.00

Guideline Traditional 401(k)

Employee Deduction

$30.00

$125.20

Social Security

$62.00

Net Pay

$844.80

Gross

--

--

$1,000.00

Guideline Traditional 401(k)

Employer Contribution

$30.00

Medicare

$14.50

Check Amount

$844.80

WA SUI $14.90

Employer Cost

$1,121.70

WA EAF $0.30

Total $91.70

SC #5 Additional Earnings

--

--

$1,000.00

Guideline Traditional 401(k)

Employee Deduction

$20.00

$127.45

Social Security

$62.00

Net Pay

$852.55

Page 29: 2019-2020 PSST Invoice Totals (Report).xlsx - Benton County

Gross

--

--

$1,000.00

Guideline Traditional 401(k)

Employer Contribution

$20.00

Medicare

$14.50

Check Amount

$852.55

WA SUI $14.90

Employer Cost

$1,111.70

WA EAF $0.30

Total $91.70

SC #6 Additional Earnings

--

--

$1,000.00

Guideline Traditional 401(k)

Employee Deduction

$10.00

$170.60

Social Security

$62.00

Net Pay

$819.40

Gross

--

--

$1,000.00

Guideline Traditional 401(k)

Employer Contribution

$10.00

Medicare

$14.50

Check Amount

$819.40

WA SUI $14.90

Employer Cost

$1,101.70

WA EAF $0.30

Total $91.70

Payroll Totals

Additional Earnings

--

--

$6,000.00

Guideline Traditional 401(k)

Employee Deduction

$130.00

$719.34

Social Security

$372.00

Net Pay

$5,150.66

Gross

--

--

$6,000.00

Guideline Traditional 401(k)

Employer Contribution

$130.00

Medicare

$87.00

Check Amount

$5,150.66

WA SUI $89.40

Employer Cost

$6,680.20

WA EAF $1.80

Total $550.20

Payroll period: 10/16/2020 - 10/31/2020 Pay day: 11/05/2020

Employee Name

Earnings Deductions/Contributions Employee Taxes

Employer Taxes Reimbursements Totals

Description Hours Rate Total Description Type Amount Description Amount Description Amount Description Amount

SC #1

Regular

68.00

$24.00

$1,632.00 Guideline Traditional 401(k)

Employee Deduction

$17.28

$276.65

Social Security

$107.14

Cell Phone Allowance (Covid-19 Support)

$22.50

Net Pay

$1,434.07

Sick

4.00

$24.00

$96.00

Guideline Traditional 401(k)

Employer Contribution

$17.28

Medicare

$25.06

Reimbursements

$22.50

Gross -- -- $1,728.00 WA SUI $25.75 Check Amount $1,456.57 WA EAF $0.52 Employer Cost $1,934.04 WA Workers'

Comp Insurance

$7.79

Total $166.26

Page 30: 2019-2020 PSST Invoice Totals (Report).xlsx - Benton County

SC #2

Regular

80.00

$24.00

$1,920.00

Guideline Traditional 401(k)

Employee Deduction

$57.60

$305.16

Social Security

$119.04

Cell Phone Allowance (Covid-19 Support)

$22.50

Net Pay

$1,557.24

Gross

--

--

$1,920.00

Guideline Traditional 401(k)

Employer Contribution

$57.60

Medicare

$27.84

Reimbursements

$22.50

WA SUI $28.61 Check Amount $1,579.74 WA EAF $0.58 Employer Cost $2,185.33 WA Workers'

Comp Insurance

$9.16

Total $185.23

SC #3 Regular

80.00

$24.60

$1,968.00

Guideline Traditional 401(k)

Employee Deduction

$59.04

$271.55

Social Security

$122.02

Cell Phone Allowance (Covid-19 Support)

$22.50

Net Pay

$1,637.41

Gross

--

--

$1,968.00

Guideline Traditional 401(k)

Employer Contribution

$59.04

Medicare

$28.53

Reimbursements

$22.50

WA SUI $29.32 Check Amount $1,659.91 WA EAF $0.59 Employer Cost $2,239.16 WA Workers'

Comp Insurance

$9.16

Total $189.62

SC #4 Regular

72.00

$22.73

$1,636.56

Guideline Traditional 401(k)

Employee Deduction

$59.46

$322.42

Social Security

$122.88

Cell Phone Allowance

$22.50

Net Pay

$1,600.16

Sick

8.00

$22.73

$181.84

Guideline Traditional 401(k)

Employer Contribution

$59.46

Medicare

$28.74

Reimbursements

$22.50

Additional Earnings

-- -- $163.64

WA SUI $29.53

Check Amount $1,622.66

Gross -- -- $1,982.04 WA EAF $0.59 Employer Cost $2,253.99 WA Workers'

Comp Insurance

$8.25

Total $189.99

SC #5 Regular

72.00

$24.00

$1,728.00

Guideline Traditional 401(k)

Employee Deduction

$45.51

$376.80

Social Security

$141.09

Cell Phone Allowance

$22.50

Net Pay

$1,853.33

Paid Time Off

16.00

$24.00

$384.00

Guideline Traditional 401(k)

Employer Contribution

$45.51

Medicare

$32.99

Reimbursements

$22.50

Additional Earnings

-- -- $163.64

WA SUI $33.91

Check Amount $1,875.83

Gross -- -- $2,275.64 WA EAF $0.68 Employer Cost $2,560.57

Page 31: 2019-2020 PSST Invoice Totals (Report).xlsx - Benton County

WA Workers' Comp Insurance

$8.25

Total $216.92

SC #6

Regular

88.00

$21.00

$1,848.00

Guideline Traditional 401(k)

Employee Deduction

$18.48

$344.84

Social Security

$114.57

Cell Phone Allowance (Covid-19 Support)

$22.50

Net Pay

$1,484.68

Gross

--

--

$1,848.00

Guideline Traditional 401(k)

Employer Contribution

$18.48

Medicare

$26.80

Reimbursements

$22.50

WA SUI $27.54 Check Amount $1,507.18 WA EAF $0.55 Employer Cost $2,068.52 WA Workers'

Comp Insurance

$10.08

Total $179.54

Payroll Totals

Regular

460.00

$23.33

$10,732.56

Guideline Traditional 401(k)

Employee Deduction

$257.37

$1,897.42

Social Security

$726.74

Cell Phone Allowance (Covid-19 Support)

$90.00

Net Pay

$9,566.89

Paid Time Off

16.00

$24.00

$384.00

Guideline Traditional 401(k)

Employer Contribution

$257.37

Medicare

$169.96

Cell Phone Allowance

$45.00

Reimbursements

$135.00

Sick 12.00 $23.15 $277.84 WA SUI $174.66 Check Amount $9,701.89 Additional

Earnings -- -- $327.28

WA EAF $3.51

Employer Cost $13,241.61

Gross

--

--

$11,721.68

WA Workers' Comp Insurance

$52.69

Total $1,127.56

Off Cycle Payroll Pay day: 11/05/2020

Employee Name

Earnings Deductions/Contributions Employee Taxes

Employer Taxes Reimbursements Totals

Description Hours Rate Total Description Type Amount Description Amount Description Amount Description Amount

Carrillo Gonzalez, Maria

Gross -- -- $0.00

$0.00 Total $0.00 Mileage $66.29 Reimbursements $66.29

Check Amount $66.29 Employer Cost $66.29 Creek, Ubaldina Gross -- -- $0.00 $0.00 Total $0.00 Mileage $91.64 Reimbursements $91.64

Check Amount $91.64 Employer Cost $91.64 Cruz-Montano, Vanesa

Gross -- -- $0.00

$0.00 Total $0.00 Mileage $18.50 Reimbursements $18.50

Check Amount $18.50 Employer Cost $18.50 Miranda, Athena Gross -- -- $0.00 $0.00 Total $0.00 Mileage $40.25 Reimbursements $40.25

Page 32: 2019-2020 PSST Invoice Totals (Report).xlsx - Benton County

Check Amount $40.25 Employer Cost $40.25 Strege, Amy Gross -- -- $0.00 $0.00 Total $0.00 Mileage $52.84 Reimbursements $52.84

Check Amount $52.84 Employer Cost $52.84 Payroll Totals Gross -- -- $0.00 $0.00 Total $0.00 Mileage $269.52 Reimbursements $269.52

Check Amount $269.52 Employer Cost $269.52

Page 33: 2019-2020 PSST Invoice Totals (Report).xlsx - Benton County

CISBF Mileage Reimbursement Form

Name: Vanesa Cruz-Montano

Date Event/Purpose To Miles Class

10/02/20 Food bank pick up and back to AM Amistad Food Bank 2.0 Service Delivery: Kennewick

10/07/20School supply drop off and back toAM Amistad Kennewick home 3.0 Service Delivery: Kennewick

10/09/201/2 work from home 1/2 work atschool Home Amistad 3.5 Service Delivery: Kennewick

10/09/20 Drop off school supplies Amistad Pasco Home 4.0 Service Delivery: Kennewick10/13/20 Pick up apples Amistad WA Elem. 4.4 Service Delivery: Kennewick

10/16/20Drop off Basic needs items back toAM AMistad Econolodge 4.0 Service Delivery: Kennewick

10/21/20 Drop off Basic needs items Amistad Kennewick Home 3.0 Service Delivery: Kennewick

10/27/20Safe Harbor pick up and back toAmistad Amistad Safe Harbor 8.0 Service Delivery: Kennewick

Total 31.9

31.9 X 0.58 18.50

X rate = Amount

Class Totals Total Mileage AmountManagement and General (M&G)(board,

general operating, reviews) 0.00

Service Delivery (SC GENERAL) 0.00

Service Delivery: Richland 0.00

Service Delivery: Kennewick 31.9 18.50

Service Delivery: Prosser 0.00

Service Delivery: Pasco 0.00

Community Partnership (raising

awareness) 0.00

Fundraising (mtng w/funders to make

ask, events, rotaries) 0.00

**Please list all mileage driven and calculate cost. You will be reimbursed up to $60 per month.

**By signing this form, I am also confirming I have current Automobile Insurance coverage for mileage reimbursement.

Signature:________________________ Date:_10/30/2020_____________

Approved:________________________ Date:______________

**Please list all mileage driven and calculate cost.  You will be reimbursed up to $60 per month.

Mileage Calculated at $0.51 per County reimbursement$16.27*0.32 = $5.21

Page 34: 2019-2020 PSST Invoice Totals (Report).xlsx - Benton County

Mileage Calculated at $0.51 per County reimbursement$46.46*0.32 = $14.87

Page 35: 2019-2020 PSST Invoice Totals (Report).xlsx - Benton County

CISBF Mileage Reimbursement FormName: Athena MirandaDate Event/Purpose From To Miles Class10/15/2020 Pick up supply bag Keeneland Ln. Southside Church 7.0 Service Delivery: Kennewick10/15/2020 Home visit/ Drop off Southside Church W. 10th Ave 7.7 Service Delivery: Kennewick10/15/2020 Meeting W. 10th Ave HMS 1.1 Service Delivery: Kennewick10/16/2020 Home visit/ Drop off Keeneland Ln. N. Everett Ave. 7.3 Service Delivery: Kennewick10/22/2020 Staff Deliveries Keeneland Ln. Eastgate Elementary 8.9 Service Delivery: SC General10/22/2020 Staff Deliveries Eastgate Amistad 2.3 Service Delivery: SC General10/22/2020 Staff Deliveries Amistad Phoenix 0.7 Service Delivery: SC General10/22/2020 Staff Deliveries Phoenix Legacy 2.8 Service Delivery: SC General10/22/2020 Staff Deliveries Legacy Fuerza 1.3 Service Delivery: SC General10/22/2020 Staff Deliveries Fuerza Bellerive Dr. 3.9 Service Delivery: SC General10/22/2020 Staff Deliveries Bellerive Dr. Curlew Ln. 9.5 Service Delivery: SC General10/28/2020 Home visit/ Drop off Keeneland Ln. N. Arthur St. 8.6 Service Delivery: Kennewick10/28/2020 Home visit/ Drop off N. Arthur St. W. Metaline Ave. 0.6 Service Delivery: Kennewick10/28/2020 Return home W. Metaline Ave. Keeneland Ln. 7.7 Service Delivery: Kennewick

Total 69.4

69.4 X 0.58 40.25

Miles X rate = Amount

Class Totals Total Mileage AmountManagement and General (M&G)(board,

general operating, reviews)

Service Delivery (SC GENERAL) 29.4 17.05Service Delivery: Richland

Service Delivery: Kennewick 40.0 23.20Service Delivery: Prosser

Service Delivery: PascoCommunity Partnership (raising

awareness)

**Please list all mileage driven and calculate cost. You will be reimbursed up to $120 per month.

Mileage Calculated at $0.51 per County reimbursement$35.39*0.32 = $11.33

Page 36: 2019-2020 PSST Invoice Totals (Report).xlsx - Benton County

CISBF Mileage Reimbursement FormName: Maria Guadalupe Carrillo GonzalezDate Event/Purpose To Miles Class10/1/2020 B2G Pick up Wa Elem. Pasco 2nd Harvest 27.7 Service Delivery: Kennewick

10/6/2020 Homework delivery IEP student WA Elem. 10th Ave 3 service delivery: Kennewick10/9/2020 Safe Harbor Check Pick up WA Elem. Safe Harbor 11.2 Service Delivery: Kennewick10/9/2020 Deliver Safe Harbor check WA Elem. Jean St. 2 service delivery: Kennewick

10/15/2020 B2G Pick up WA Elem. Pasco 2nd Harvest 27.7 service delivery: Kennewick10/9/2020 B2G Drop off WA Elem. 24th Ave 0.5 service delivery: Kennewick10/9/2020 B2G Drop off 24 ave Washington St 0.5 service delivery: Kennewick10/9/2020 B2G Drop off Washington St S Alder 0.5 service delivery: Kennewick10/9/2020 B2G Drop off S Alder S Everett 0.6 service delivery: Kennewick10/9/2020 B2G Drop off S everett w 10th Ave 0.7 service delivery: Kennewick10/9/2020 B2G Drop off w 10th ave 4th Ave 2 service delivery: Kennewick10/9/2020 B2G Drop off 4th ave PR SE 6 service delivery: Kennewick10/9/2020 B2G Drop off PR SE 27th ave 1.4 service delivery: Kennewick10/9/2020 B2G Drop off 27th ave e 5th 1.8 service delivery: Kennewick10/9/2020 B2G Drop off e 5th park st. Pasco 2.7 service delivery: Kennewick10/9/2020 Back to WA park st. Pasco WA Elem 4 Service Delivery: Kennewick

10/22/2020 Southside Church Wa Elem.Southside Church Richland 22 Service Delivery: Kennewick

51.0 X 0.58 66.29

X rate = Amount

Class Totals Total Mileage AmountManagement and General (M&G)(board,

general operating, reviews) 0.00

Service Delivery (SC GENERAL) 22.0 12.76Service Delivery: Richland 0.00

Service Delivery: Kennewick 92.3 53.53Service Delivery: Prosser 0.00

Service Delivery: Pasco 0.00

**Please list all mileage driven and calculate cost. You will be reimbursed up to $60 per month.

Mileage Calculated at $0.51 per County reimbursement$58.29*0.32 = $18.65

Page 37: 2019-2020 PSST Invoice Totals (Report).xlsx - Benton County

Community Partnership (raising awareness) 0.00

Fundraising (mtng w/funders to make ask, events, rotaries) 0.00

**Please list all mileage driven and calculate cost. You will be reimbursed up to $60 per month.**By signing this form, I am also confirming I have current Automobile Insurance coverage for mileage reimbursement.

Signature: Maria Guadalupe Carrillo Gonz Date: _10/30/2020__Approved:________________________ Date:______________

Page 38: 2019-2020 PSST Invoice Totals (Report).xlsx - Benton County

CISBF Mileage Reimbursement FormName: Uby CreekDate:Oct20 Event/Purpose From To Miles Class10/6/20 Home visits;Sandoval,Michel & Vega Kennewick Kennewick 8.0 Service Delivery: Kennewick10/7/20 Southside storage Kennewick Kennewick 15.0 Service Delivery: (SC General)10/8/20 Amistad mobile market Kennewick Kennewick 5.0 Service Delivery: (SC General)10/9/20 Home visit; Romeros Kennewick Kennewick 3.0 Service Delivery: Kennewick10/13/20 Home visits: Coria & Velic Kennewick Kennewick 8.0 Service Delivery: Kennewick10.16.20 Home visit: Mancias Kennewick Kennewick 3.0 Service Delivery: Kennewick10.16.20 Southside storage-snacks Kennewick Richland 22.0 Service Delivery: (SC General)10.19.20 CIS office-pu Amazon order Kennewick Richland 22.0 Service Delivery: (SC General)10.19.20 KSD office food boxes Kennewick Kennewick 5.0 Service Delivery: Kennewick10.19.20 Home visit: Amayas Kennewick Kennewick 3.0 Service Delivery: Kennewick10/20/20 Home visits: Romero, Farias & Hernandez Kennewick Kennewick 6.0 Service Delivery: Kennewick10.26.20 Home visits; Peralta, Jimenez & Alvarez Kennewick Kennewick 10.0 Service Delivery: Kennewick10.27.20 Southside storage Kennewick Richland 22.0 Service Delivery: (SC General) 10.27.19 Home visit: Garcia Kennewick Kennewick 4.0 Service Delivery: Kennewick10.29.20 Joely & Martha Bag pick up Kennewick Kennewick 22.0 Service Delivery: (SC General)

158.0

158.0 X 0.58 91.64

X rate = Amount

Class Totals Total Mileage AmountManagement and General (M&G)(board,

general operating, reviews) 0.00

Service Delivery (SC GENERAL) 112.0 64.96Service Delivery: Richland 0.00

Service Delivery: Kennewick 46.0 26.68Service Delivery: Prosser 0.00

Service Delivery: Pasco 0.00Community Partnership (raising

awareness) 0.00

**Please list all mileage driven and calculate cost. You will be reimbursed up to $60 per month.

Mileage Calculated at $0.51 per County reimbursement$80.58*0.32 = $25.79

Page 39: 2019-2020 PSST Invoice Totals (Report).xlsx - Benton County

Fundraising (mtng w/funders to make ask, events, rotaries) 0.00

**Please list all mileage driven and calculate cost. You will be reimbursed up to $60 per month.**By signing this form, I am also confirming I have current Automobile Insurance coverage for mileage reimbursement.

Signature:________________________ Date: 10/30/2020Approved:________________________ Date:______________

Page 40: 2019-2020 PSST Invoice Totals (Report).xlsx - Benton County

CISBF Site Coordination Programming Detail For:

Amistad (Kennewick)

Eastgate (Kennewick)

Marcus Whitman (Richland)

Jefferson (Richland)

Washington (Kennewick)

Highlands (Kennewick)

Page 41: 2019-2020 PSST Invoice Totals (Report).xlsx - Benton County

October 2020 CISBF Program Summary

1

Schoolwide Services (Tier 1 Supports) • 3052 (duplicated) students accessed school/district wide supports:

o Food assistance o Hygiene care bags o Community resource referrals o Family Engagement o School Supplies o COVID-19 Support o Technology/connectivity support

Case Managed Students

• 56 Case Managed students received: o 168 Tier 3 supports

Individual phone/text check-ins during school building closures Distance learning support Home visits/essential item deliveries Mental health/wellness supports Social-emotional support Advocacy Case Consultation

COVID-19 Change in Scope of Service

In response to school building closures in the wake of the COVID-19 pandemic, CISBF is now providing district-wide support to families in need of essential services such as food, household items, rental/utility assistance, technology support to remain engaged in learning, social-emotional support to student, and all other critical community resource connections. We are working closely with our districts and community partners to remove barriers to these vital supports while meeting the ever-growing needs of students and families.

SUCCESS STORIES:

Jefferson Elementary School: Distance learning wasn’t going very well for one of my case managed students and normally she is very engaged in learning and loves to share her work with school staff. Due to distance learning this student doesn’t have the opportunity to share her work and receive praise like she normally would. I was able to connect this student to a para for a weekly meeting to share what is going on with school and things going on outside school. This student lives in a home with other relatives and it can be very chaotic at times and she tends to feel left out. By helping to connect her to yet another adult she can meet with regularly, she has been striving in class and participating throughout the whole class period and turning in work. More importantly, this student feels seen and valued.

Washington Elementary School: During the transition between Long Distance Learning and Hybrid A/B schedules in the Kennewick School District, we Site Coordinators have been focused on reconnecting with families. Many times, our families have only one form of communication, and when that avenue is

Page 42: 2019-2020 PSST Invoice Totals (Report).xlsx - Benton County

2

compromised, we are left with few options. As students were opting out and enrolling into in-person school, I got to know a Spanish speaking family that was new to Washington Elementary. The student had an Individualized Education Plan (IEP) and needed to be tested by our specialist to be able to provide adequate schoolwork and support. The family had not made any contact with the school in any form. I, as a Site Coordinator I have the opportunity to make a home visit on behalf of the school. I quickly learned that the family was behind in their financial dues and had their cell phone cut off. Thanks to the partnership with Safe Harbor I was able to provide the family with a $500 check that paid the family’s past and current dues. This allowed the school to schedule a successful IEP meeting to better serve the student. Although the attempts may have seemed tedious and discouraging, I was able to create a positive relationship with the family that encouraged the family to choose in-person education. The student could take advantage of our specialists rather than to work solo in the online academy doing general work. I recently visited the student in his class and was happy to see him present and eager to learn. Thanks to our work in the community we are able to make a difference in the lives of our students and their families.

Page 43: 2019-2020 PSST Invoice Totals (Report).xlsx - Benton County

FORGE Youth MentoringP.O. Box 1422Richland, WA 99352Email: [email protected]: (509) 438-1918

To:

P.O. Box 190Prosser, WA 99350 DATE: October 31, 2020

ITEM DESCRIPTION AMOUNT

Website fees/upkeep 192.18

Executive Director Salary (40%) 2,612.00

Administrative Wages 853.36

Furniture/Copier/Printer/Supplies 3.78

Total 3,661.32$

Benton County PSST Grant

INVOICE

Vendor: 336549Resolution: 2018-831Inv: OCT2020Inv Date: 10-31-2020Inv Received: 11-18-20203661.32

Page 44: 2019-2020 PSST Invoice Totals (Report).xlsx - Benton County

Oct 20

Ordinary Income/ExpenseExpense

100 · Personnel110 · Executive Director Salary 2,412.03120 · Administrative Wages 784.00130 · Payroll Taxes

131 · SS Tax Expense 198.16132 · Medicare Tax Expense 46.34133 · WA State - UI Tax 8.78134 · WA State - EAF Tax 0.16135 · WA State - L&I Premium 15.89

Total 130 · Payroll Taxes 269.33

Total 100 · Personnel 3,465.36

500 · General Business530 · Office Supplies / Equipment

531 · Paper/ Printing/ Small Supplies 3.78

Total 530 · Office Supplies / Equipment 3.78

580 · Fees and Charges585 · Website Fees/ Maintenance 192.18

Total 580 · Fees and Charges 192.18

Total 500 · General Business 195.96

Total Expense 3,661.32

Net Ordinary Income -3,661.32

Net Income -3,661.32

9:07 PM FORGE Youth Mentoring

11/13/20 Benton County PSST Grant ExpensesAccrual Basis October 2020

Page 45: 2019-2020 PSST Invoice Totals (Report).xlsx - Benton County

Benton County PSST Grant

OCTOBER WRITTEN REPORT

“Those who reported having had a

mentoring relationship during adolescence

exhibited significantly better outcomes

within the domains of education and work,

mental health, problem behavior, and

health.” Rhodes and DuBois, 2008

Well, the difficulties of COVID continue to make

recruitment difficult, but also make our work that

much more vital to the emotional health of young

people.

We know that kids in our program are getting the

needed interaction with caring adults who will help

them overcome their fears and anxiety about this scary

pandemic.

We also know that the influence and example of the

mentor is helping these young people see the future

with open eyes and a much more hopeful perspective –

leading to understanding of challenges and

opportunities, critical thinking skills, and an attitude of

striving for the best.

THE IMPACT FROM PICKLEBALL AND FOODBANK

How do you build confidence and character in a young

person? Through time spent with a caring adult in fun

activities, talking together about life, and in serving

others. That is how Rick is helping his mentee, Ivan

grow into a strong young man.

Rick signed up with FORGE to help a young person

navigate the challenges of life. Little did he know that

COVID was going to be the first and greatest challenge.

But he’s done an amazing job helping Ivan, a quieter

young man, get out of his shell to experience new

things and learn

Each week they’ve been getting together, growing and

learning, and participating in a variety of fun

adventures. Ivan enjoyed playing pickleball for the first

time and both enjoyed getting their hands dirty helping

at the Foodbank.

Ivan is discovering that unselfish living brings great

confidence and joy, and he’s expanded his horizons,

experiencing activities that he would never have done

without his mentor. Thanks Rick for giving your time

and care!

YES, MORE THAN 5000 KIDS WANT MENTORS

A couple of years ago, in one of our informational

meetings, I had a gentleman ask if there was really a

need for mentors.

If we’re not careful, we can shrink from the world so

much that we don’t see the overwhelming realities of

those around us. The correct answer is YES – there’s a

MASSIVE need for positive adult role models.

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Over the last few years, school administration in

numerous cities shared that each of their school

counselors could easily send us 25-35 kids who not

only need but would love to have a mentor. So, out of

curiosity, I multiplied that number by the amount of

school counselors in our Tri-Cities service areas.

Incredibly, that totaled over 5000 kids.

Compare that to the number of mentors (20) we have

matched or are matching. There is a great need that

people don’t understand or aren’t interested in

addressing.

What if… more adults said YES to simply giving ONE

HOUR a week.

What if… more volunteers stepped up to help us

recruit, prepare, and support our mentor matches?

What if… we had donors giving to meet current needs

and help us expand our recruitment and launch

chapters in needy communities?

GROWING KIDS WITH EXPERIENCE PARTNERS

It makes a lot of sense that if kids get to spend time

next to seasoned and mature adults, they will discover

how to become one themselves. They will see and

hear how to make good decisions and will get to

“practice” following their example.

This is how we pass on our professions. We hire, train,

and coach them along until they are confident and

skilled enough to go out on their own.

Well, Experience Partners is the best of both worlds

and done in a simpler way. We’re just “getting their

feet wet” in a hobby or profession to show them how

they could get involved and inspire their dreaming

about that.

We are continuing to expand our list of adults who sign

up to become an Experience Partner and we’re excited

about the future for kids as the list grows and kids see

new opportunities ahead.

Vendor: 336549Resolution: 2018-831Inv: OCT2020Inv Date: 10-31-2020Inv Received: 11-

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USE OF SOCIAL MEDIA DURING COVID

We are trying to spread the word and connect with

potential participants through a variety of methods,

due to COVID regulations and limitations, but with the

loss of in-person recruitment and promotion, we’re

trying to use social media the best we can.

Here are some other images for our posting categories:

the need for and power of mentoring; the inspiring

words of mentees, parents and mentors; simplicity in

impacting younger generations; reasons to mentor;

and statistics on the impact of mentoring in our

community.

Here are some images created by staff and volunteers.

ZOOM TRAININGS AND ONLINE COURSES

We have been forced to do our INFO and training

courses via Zoom video meetings, but also have

potential participants viewing the info via our online

training courses. If they cannot attend a live meeting,

they can go to our Youtube channel to see the meeting

as they please.

GOALS/MEASUREMENTS: attached is our report

addressing each of our goals and current status.

REIMBURSEMENT REPORT: Our attached expense

report shows costs to achieving the reported work.

We thank you, for providing ongoing support to our

program. You are helping us serve many kids in the

Benton County area, creating greater futures and a

stronger community!

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Vendor: 520900Res: 2018-805Date of Inv: 11-06-2020Inv: 41$2373.48

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Vendor: 658305Resolution: 2018-806Invoice: 86$4015.14

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Safe Harbor Crisis Nursery1111 N. Grant Place AGREEMENT NO. 2018-895Kennewick, WA 99336 DATE 11/10/20509-783-5756 INVOICE NO. [email protected]

TOShyanne PalmusBenton County Commissioners Office7122 W Okanogan PlaceKennewick, WA [email protected]

DESCRIPTION TOTAL COSTS PERCENTAGE TOTAL BILLED

Safe Harbor Crisis Center Executive Director 3,656.90$ 34% 1,243.35$

My Friends Place Director 3,637.13$ 32% 1,163.88$

My Friends Place Case Manager 3,100.53$ 25% 775.13$

Shelter Staff 1 (Nights) 2,080.32$ 21% 436.87$

Shelter Staff 2 (Swing) 1,830.47$ 18% 329.48$

Shelter Staff 3 (Nights) 2,251.89$ 21% 472.90$

Shelter Staff 4 (Swing) 144.26$ 18% 25.97$

Shelter Staff 5 (Swing) 2,412.15$ 100% 2,412.15$

Shelter Staff 6 (Swing) 2,551.54$ 100% 2,551.54$

Shelter Staff 7 (Nights) 2,668.76$ 100% 2,668.76$

Shelter Staff 8 (Nights) 2,956.05$ 100% 2,956.05$

On-Call Staff 1 -$ 100% -$

On-Call Staff 2 -$ 100% -$

TOTAL $ 27,290.00 $ 15,036.08

Title: Executive Director

THANK YOU FOR YOUR BUSINESS!

Make all checks payable to Safe Harbor Crisis Nursery.

INVOICE

Recipient Certificate: I hereby certify under penalty of perjury that the items and totals listed herein are proper charges for the staff and program costs under the terms of the agreement 2018-895 with Benton County and that all services rendered have been provided without discrimination.

Signature: _____________________________________________________ Date: 11-10-2020

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Vendor: 800688 Resolution: 2018-895 Inv: OCT2020 Date: 11-10-2020 Transaction Date: 11-30-2020 $15036.08
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$15,036.08 $247,960.43 152,039.57

November 10, 2020

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Attendance by DaysServed Report

Safe Harbor Crisis (Benton)Veteran Status: All

Date Range: 10/01/2020 and 10/31/2020

Unique ID Client Name Start Date End Date Days Service

26ED75EBB Refused, 26ED75EBB 10/01/2020 10/31/2020 31 Night - Homeless Shelter:Night - Homeless Shelter

601D465AB Refused, 601D465AB 10/01/2020 10/31/2020 31 Night - Homeless Shelter:Night - Homeless Shelter

9AB7DFA49 Refused, 9AB7DFA49 10/01/2020 10/31/2020 31 Night - Homeless Shelter:Night - Homeless Shelter

ABD309335 Refused, ABD309335 10/01/2020 10/31/2020 31 Night - Homeless Shelter:Night - Homeless Shelter

C70CE2808 Refused, C70CE2808 10/01/2020 10/31/2020 31 Night - Homeless Shelter:Night - Homeless Shelter

E9D0CA626 Refused, E9D0CA626 10/01/2020 10/31/2020 31 Night - Homeless Shelter:Night - Homeless Shelter

F1F0E0E4C Refused, F1F0E0E4C 10/01/2020 10/31/2020 31 Night - Homeless Shelter:Night - Homeless Shelter

C33CB5541 Refused, C33CB5541 10/01/2020 10/26/2020 26 Night - Homeless Shelter:Night - Homeless Shelter

3F7A0DBA9 Refused, 3F7A0DBA9 10/10/2020 10/31/2020 22 Night - Homeless Shelter:Night - Homeless Shelter

239269B2D Refused, 239269B2D 10/16/2020 10/31/2020 16 Night - Homeless Shelter:Night - Homeless Shelter

66752422C Refused, 66752422C 10/01/2020 10/13/2020 13 Night - Homeless Shelter:Night - Homeless Shelter

CF6DEADFE Refused, CF6DEADFE 10/01/2020 10/13/2020 13 Night - Homeless Shelter:Night - Homeless Shelter

856DFF1E7 Refused, 856DFF1E7 10/01/2020 10/06/2020 6 Night - Homeless Shelter:Night - Homeless Shelter

0C2A87260 Refused, 0C2A87260 10/27/2020 10/31/2020 5 Night - Homeless Shelter:Night - Homeless Shelter

74FC4B487 Refused, 74FC4B487 10/01/2020 10/05/2020 5 Night - Homeless Shelter:Night - Homeless Shelter

Total : 15

Services

Night - Homeless Shelter: Night - Homeless Shelter

Mon Nov 2 11:24:40 AM 20201 / 1

Powered By

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Payroll Summary10/20/2020 - 10/20/2020

Date Name Net Amt Hours TaxesWithheld

TotalDeductions

TotalPay

EmployerTaxes

TotalCost

CheckNum

10/20/2020 Jose Alvarado $825.68 66 $131.32 $0.00 $957.00 $100.95 $1,057.95 DD10/20/2020 Antonio Cerda $954.47 82 $193.53 $0.00 $1,148.00 $122.23 $1,270.23 DD10/20/2020 Dalinda Cortez $957.02 81 $176.98 $0.00 $1,134.00 ($163.77) $970.23 DD10/20/2020 Gabe Esqueda $593.38 45 $59.12 $0.00 $652.50 $68.83 $721.33 DD10/20/2020 Ryan Lee $1,007.01 77 $109.49 $0.00 $1,116.50 $117.78 $1,234.28 DD10/20/2020 Alyssia Medina $118.68 9 $11.82 $0.00 $130.50 $13.76 $144.26 DD10/20/2020 Katavera L. Oetgen $1,030.76 81 $103.24 $0.00 $1,134.00 $120.75 $1,254.75 DD10/20/2020 Heather Shindehite $1,300.78 86.67 $289.22 $0.00 $1,590.00 $123.70 $1,713.70 DD10/20/2020 Sienna Skeels $1,140.57 86.67 $249.43 $0.00 $1,390.00 $108.15 $1,498.15 DD10/20/2020 Cassandra Whooley $937.31 78.5 $161.69 $0.00 $1,099.00 $117.01 $1,216.01 DD10/20/2020 Sara Harpster $1,534.95 86.67 $131.72 $0.00 $1,666.67 $129.66 $1,796.33 DD Totals $10,400.61 $779.51 $1,617.56 $0.00 $12,018.17 $859.05 $12,877.22

11/05/2020 - 11/05/2020

Date Name Net Amt Hours TaxesWithheld

TotalDeductions

TotalPay

EmployerTaxes

TotalCost

CheckNum

11/05/2020 Jose Alvarado $1,225.32 90 $235.68 $0.00 $1,461.00 $149.81 $1,610.81 DD11/05/2020 Antonio Cerda $967.36 72 $194.64 $0.00 $1,162.00 $119.31 $1,281.31 DD11/05/2020 Dalinda Cortez $842.45 67 $162.55 $0.00 $1,005.00 $105.09 $1,110.09 DD11/05/2020 Gabe Esqueda $882.98 62 $123.02 $0.00 $1,006.00 $103.14 $1,109.14 DD11/05/2020 Ryan Lee $970.20 64 $98.80 $0.00 $1,069.00 $108.87 $1,177.87 DD11/05/2020 Katavera L. Oetgen $1,411.03 95 $134.97 $0.00 $1,546.00 $155.30 $1,701.30 DD11/05/2020 Heather Shindehite $1,419.37 86.67 $316.11 $0.00 $1,735.48 $187.95 $1,923.43 DD11/05/2020 Sienna Skeels $1,153.70 86.67 $276.30 $0.00 $1,430.00 $172.38 $1,602.38 DD11/05/2020 Cassandra Whooley $824.17 55 $119.33 $0.00 $943.50 $92.38 $1,035.88 DD11/05/2020 Sara Harpster $1,508.08 86.67 $158.59 $0.00 $1,666.67 $193.90 $1,860.57 DD Totals $11,204.66 $765.01 $1,819.99 $0.00 $13,024.65 $1,388.13 $14,412.78

TOTAL MONTHLY

Name TOTAL COSTJose Alvarado $2,668.76 Antonio Cerda $2,551.54 Dalinda Cortez $2,080.32 Gabe Esqueda $1,830.47 Ryan Lee $2,412.15 Alyssia Medina $144.26 Katavera L. Oetgen $2,956.05 Heather Shindehite $3,637.13 Sienna Skeels $3,100.53 Cassandra Whooley $2,251.89 Sara Harpster $3,656.90 Totals $27,290.00

Safe Harbor

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Resolution: 18-736 20-551Vendor #: 717244Inv #20201001Amount: $9091.59

Transaction Date 12-18-2020

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October 2020

8949322019-247Inv 185880.71

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