i]RDER NCI. c147c CLAIMS AND ACCCIUNTS Cln this the 18th day of J+_+ne 199;x, came on to be considered the vario+_es Claims and Acco+_~nts against Fiery Co+_~nty and the var~io+_~s Commissioners' ~'recinct, which claims and acco+_ints approved for payment o+_~t of General for X7.3, 449. 9~, J+_~r^y for 31:i~.41, Road and Bridge Additional Registration Fee for ~7, 41~. 11, Road and Fridge for X96, 34:. 8°,, Ca+_~nty Law Library for $1,9~4.4~'~, Traffic Safety F=+_~nd for^ ~i,.?,48.50, J+_~venile Intensive F'rogr^am State Aid F+_ind for^ $SE~. ~~, 8E~-State F=+_+nded-:16th District Probation for ~878.~4 and A7-State F+_inded - Community Corrections for ~~, ~b~. ~~. Upon motion made by Commissioner Holekamp, seconded by Commissioner Lehman, the Co+_~rt unanieously approved by a vote of 4-0-0, to pay said Claims and Acco+_tnts and to incl+_tde the Indigent Health Gare Pills for, $1c, 957. S6, and $iL, 16~. 4E~. u A T E: 0 5/ 20 / 93 DAILY 1,N.A, CHECK N E v i ~ T E ~ ~~i~ ~ h~ K t Y ~~ F i t F u 3 =, ; ~ , FR[UAY .MAY 26, 1993 -, NEC T H raUM=!Fr, 272 CNE£K CHECK I~~~ I '~ NURBEk DATE CLAW NO 54(" 5E'f Nd Fw - ai nrcc L~LAtw~wT ~ PAY Tfl CHE.C~ A~lD1iNT ¢s~eaaraaerarrsrrrrrrsursuuurrruovrrrum orrurr:araaesnxeaoucsor uc¢¢xacesre¢m¢aa¢sarxaasracssraxeaoae_r_¢.r :ar.ezar:-¢cacr.~ ~•~ ~uNO: TPA-D024 GkOUP: TPA-0024 KERB COUNTY ~~~ ~ CHECK GRpUP 024 KEA CDI~NTY ~,` 2152 05/28/93 ~NUAL OTHER VD[D Un ,a 2153 05/28/93 LINE UP _ zee v C~ I P C H E C K ~~ ,~~~~ Op 2154 05/28/93 Y(ltICHEP PAYMENT N1LL CU;INTRV RADIOLOGY , 9 14 ~~ ~ I 2151 05/28/93 Oil H R P Y NT N G Ph AR r d~a4 , -~ o~ I ~ ` 2.156 215fi 05128193 05128/9 Y~lti£HER PAYMENT ANESTkESIA ASSOCIATES ~„ 1pT,2k 2158 3 DS126193 tt`~UCMER PAYMENT ~C1lICNER P W P NAU ME3. T»OxAS 7~8k 2159 2160 05/28/93 05/28/93 A w wT VOuCH~F PAYMtNT A AMO PNY5ICTANZ SfiRUTC~ FAMIIY PRACTICE ASSJCIATE 6+9 yp X37.60 " i [161 05/28/93 VOUCHER PAYMENT SCHEIM~R HU. JAME`+ J _ 40x..27 2162 03/2dJ93 VU~LCHER PAYMENT ~UCN€R PAYMENT S[~ P=TFRSO^~ MfN H[•SPiiAI ~lENIS BO. {NAflLES E 1~ ~~~ nr 155.b6 " ° 21 b3 pS128/93 V~bU£NETt ~PAYMEtiT -GOER{t~A k0y MiCMAEL E 9fi«82 ~. 1164 05126193 ~pUCNER PAYMENT DEi ANFY Mn t~ t;nrronN S ~ 1165 05/Z8/93 _~_ YUuCHER PAYMENT , WELLS HD, JAHES i) ~x ,~ , ~~!~~{~ np 2~, 2166 05/28/93 VOUCHER PAYMENT tlOYCE MU. Tit , 87 '° 7 2F, = 2167 05/28/93 ~ ~ R P F '~ }r' r' f" Ai , °~ ~ 2158 2169 05/28!93 0512819 ~luGN~R PAYMENT ~ NITCHFLLMU. ROBERT E ~ ~~: ~ 1Qq;11 n.~ . ~ QtNE~t PAYMENT FERRELf.MD. >;ATH(rk1NE ,. ~;3~.Yi1 , ' , 95 ,, .`I' ,~ ., ~~ •~~~~~ ®m® Ry-Ron Inc. THfRD PARTI ADliltiISTRAT0R T. P. A., 11lC. DATE 45/28!93 PROVIDER VOUg1ER LISTING PACE 1 ~PU063) FOR PROVIDER: 74-173376f NILI COUIlTR1t RADIIK.OGY FOR GROUP: TP8-0424 KERB GOUi1TY SEWENCE ln0: 13b PATIEitt CtR111 II~lD2RED I~IIEREB TOTAL CLAi11ART DEP. t10. 1~. FR011 TO giAR6E PAID R FULLER E 146893 9300244342 04!15/93 04!15!93 32.55 9.14 CROUP TOTAI: 32.55 9.14 PROVIDER TOTAL: 32.55 9.14 ®m®~ Ry-Ron Inc. THIRD PARTY AD'~11NISTRATOR T. P. A., INC. DATE 05/?8193 PR~IIDER VOUCHER LISTING PAGE 1 1PV043) fQR PRQViDER: 74-05371750 H E B PHARMACY 8089 fOR 6R~: TPX-0024 KERR COUNTY SEQUENCE f1O: 137 PATIENT CLRIM INCURRED COVERER TO1Al CLAIMANT DEP. i10. N0. FROM TO CNAR6E PAID J LO{fREY E 21b920 9300072014 Q4/Ot/93 Q4l01/93 45. b4 45.64 J NCCARRELL F 291154 9340114210 03125!93 43!25/93 11.26 11.28 GROUP TOTAL: 62.92 b2.92 PR~tIDER TOTAL: 62.92 b2.92 ®m®~ Ry-Ron Inc. THIRD PAKT1' AD'~i1NISTRATOR T. P. A., INC. DATE 0/28/4'! PROVIDER UOUCRER LISTIM6 PAGE i tPV043) FOR PROVIDER: 74-2418288 ANESTHESIA ASSOCIATES FOR 6ROtN': TPR-0024 KERB COUNT4 SEQUENCE tN?: 138 PAIIENT CLAIM INCURRED COVERED TOTAL CLAIMANT DEF. NO. 1i0. FROM TO CNAR6E PAID eaannn:en:.ns. ~snnnno= noeoo=_ .oseseoec.e..eae=_ ecna.:==axese:~ =_sseeaaaeeaeesooc A ROPBAL E 046702 9300112202 OS/12J93 05/i2/93 i80.OD 107.24 6RlN1P TOTAL: 180.Q0 107.24 PROVIDER TOTAL: 180.OD 101.24 ®m ®~ Ry-Ron Inc. THIRD P.ARTti' AD!~ifhISTRATOR T. P. A., INC. DATE OS/28/93 PROVIDER UOUCiIER LISTING PAGE 1 tPV003) FOR PROVIDER: 74-Z456i13 NAU MD. THOMAS FOR GROIR: TPX-bb24 KERR COINITY SEWENCE NO: 139 PATIENT CLAIp INCIDtRED COVERED TOTAL CLAIMANT DEP. N0. N0. FROM TO CHARGE PAID J MCCARRELL E 9300114211 04108!93 Q4J0$/93 130.00 19.81 GROUP TOTAL: 130.00 19.81 PROVIDER TOTAL: 138.00 79.81 ®m® Ry-Ron Inc. THIRD PARTY ADMINISTRATOR T. P. A., INC. DATE 05/28/93 PROVIDER VOUCHER LISTING PACE 1 tPV003) FOR PROVIDER: 74-24523b7 ALA110 PHYSICIANS SERVICE fOR CROUP: TPft-0024 NERR !YBAI E 137415 9304212203 Q4/20/93 05/61/93 2350.00 931.56 TOTAL: 2350.00 937.60 PROVIDER TOTAL: 2354.OD 937.b0 ~m®~ Ry-Ron Inc. THIRD PARTY' ADMINISTRATOR T. P. A., INC. DATE OS128/93 PROVIDER VOIN3iER LISTIi16 PACE 1 tPV0031 FOR PROVIDER: 76-0195702 SCItEINER MD, JAMES J FOR CROtP: TPK-4024 KERB CQUKTY SEQUENCE MO: 142 PATIENT CLAIM IRgIRRED COHERED TOTAL CLAIAANT DEP. N0. NO. FROM TO CNAR6E PAID =-=-=--= =-=-==--== =-==--====-= =-==-==--=-======-=-==--=====s=========_==_ ====_==- R RANON E C93C304159 9300242743 03!26!93 03!26/93 213.00 76.05 R RANON E C43C100113 9300242704 03/06!93 03/1bl93 663.40 33Z.2Z GROUP iOTAI: $76.00 408.27 PROVIDER TOTAL: 876.00 408. Z7 ®m®~ Ry-Ron Inc. THIRD PARTY ADh11N1STRATOR T. P. A., INC. DATE 05/28/93 PRWIDER VOUCFIER LISTiN6 PACE 1 tf00031 FOR PROVIDER: 74-2557820 SID PETERSON ITEM NOSPiTA1 FOR 6ROlB': TP8-0024 KERR COUNTY SEQUEIM:E NO ~ 143 PATIEIlT CLAIM INCURRED C~IEREB TOTAL CLAIMANT OEP. N0. M0. FROM TO CNAR6E PAID arsasseseaaesssse-ee----ass==a-- e--arse-easee--aassezeaces-ss..ee oaasasea-sue==a--eze- M BENDY E 322094 9300244201 02/08/93 Q2lOS/93 51.50 5i .50 E CULP E 548512 9300186b11 04/17!93 04!18/93 85.65 85.65 D DANZ E 531740 93004b1219 04/30/93 04/30/93 48.50 48.50 N DUNNAM E 531829 9344061526 04/13/93 04/13/93 141.50 141.50 6 FLORA E b88011 9300068922 04/14/93 04/27/93 81.5D 81.54 R Fi~IFR F 3696$9 9300244301 04/15/93 04h 5/93 223.81 223.81 R KEILER E 222828 9300071120 41/31/93 02/09/93 7213.35 1659.60 R KELLER E 553111 9300071721 03/tb/43 04/30/93 t23b.37 1236.37 R KING E 535511 9300069309 04/16/93 04/15/93 69.70 b9.70 R KING E 535511 9300069310 04/17/93 04/17/93 Z7.QD 27.00 S LANE E 552604 9300202504 44/25/93 44/25/93 iib.65 116.65 J LOWREY F 555195 9300012015 45/04/93 05/04/93 48. SD 48.50 3 LOf1REY E 555195 9300072016 04/13/93 04/13/93 13.00 73.00 3 LORREY E 555195 930007?017 04/22/93 04/22/93 463.90 312.54 D MEDRANO F 3b8303 9300217009 02145!93 02125/93 235b.40 235b.40 J TAYLOR E 242895 9344243302 43/09/43 03/12/93 3276.1D 2190.17 J TAYI~t E 349369 9340243303 43/31/93 04!30!93 984.65 984.65 68010' TOTA1: 16498.08 10307.00 PROOIDER TOTAL: 16498.08 10307.00 Om®~ Ry-Ron Inc. THIRD PARTY ADRIINISTRATOR T. P. A., INC. DATE OS/Z8/93 PROVIDER VOUCHER LISTING PACE 1 iPV403~ FOR PROVIDER: 14-2196500 LEIiIS MD, CHARLES f FOR GROUP: TP%-0024 NERR COUNTY SEQUENCE NO: t 44 PATIENT CLAIM INCURRED COVERE! TOTAL CLAIMANT DEP. NO. NO. FROM i0 CHARGE PAID R CHERRY E 145751 9300228802 44/22/93 44/22/93 t12.OD 85.14 E C011IALES E 144891 9300072413 04/16/93 Q4/tb/93 27.04 2b.81 C HURLDUTT E 134132 9300228902 41/29/93 03/73/93 145.44 43.60 GROUP TOTAL: 284.04 155. bb PROVIDER TOTAL: 284.OD 155.6b ®m®~ Ry-Ron Inc. "~ THIRD PARTY ADRIINISTRAT0R T. P. A., INC. DATE 05/28/93 PROVIDER VOUpiER LISTING PAGE 1 ~PU003) FOR PROVIDER: 14-253922 6UERRA MD, MICNAEt E FOR 68O1P: TPS-0024 IO:RR COURY SEQUENCE N0: 195 PATIENT CLAIM ItD COVEREB TOTAL CLAIMANT DEP. NO. N0. FROM TO CHARGE PAID R KING E 93000b931t 04!22193 05/Ob/93 454.44 97.82 6ROEIP TOTAL: 150.00 97.82 PROVIDER TOTAL: 1S0.OD 97.SZ ®m ®~ Ry-Ron Inc. THIRD PARTY ADMINISTRATOR T. P. A., INC. DATE 05/28!93 PRQIIIDER VOUCHER LISTING PACE 1 IPV003) FOR PROOIDER: 14-1138370 DELANEY MD, R 6ORD011 FOR 6ROIA': TP%-0024 NERR COUNTY SEQUENCE N0: 146 PATIENT CLAIM INCURREII COVERED TOTAL CLAIMANT DEP. N0. 110. FROM TO CHARGE PAID A LOIANO E 00105396 93000694!1 12/29/92 12/29/92 35.00 19.35 D NEDRANO E 6860 9300211010 05105/93 05/05/93 35.OD 19.35 R PEREZ E 00106850 9300133108 04/19!93 04/19/93 35.Q0 19.35 6R~ TOTAL: 105.00 58.03 PROVIDER TOTAL: 105.00 58.05 ®m®~ Ry-Ron Inc. THIRD PART1 ADM1IINISTRATOR T. P. A., INC. DATE OS/28J93 PROVIDER VOUCHER LISTING PAGE 1 tPV003) FOR PROVIDER: 74-l918b43 YE!!S MD, JAMES D FOR 6ROtB': TPX-0024 KERB COUNRY SEQl1ENCf NO: 147 PATIENT CLAIM INCURRED COVERED TOTAL CLAIMANT DEP. N0. N0. FR~I TO CN1~6E PAID 6 FLORA E FL~tA000 9300068423 84120!93 84/24/43 26.00 26.00 GROUP TOTAL: 2b.08 2b.00 PRWIDER TOTAL: 26.00 26.00 ®m®~ Ry-Ron Inc. _. THIRD PARTY ADM1IINISTRATOR T. P. A., INC. DATE 05/28/93 PROVIDER VOUCHER LISTING PAGE 1 SPV003) Fit PROVIDER: 74-t648t75 ROYCE MD, T R FOR 6ROtlP: TPR-0029 KERB COIINiY SEQUENCE IKI: 198 PATIENT CLAIM iNC1giRED COVERED TOTAL CLAIMANT DEP. N0. NO. FROM TO CHARGE PAID E 60NZALES E 9300072412 04/23/43 04/23/93 26.8] 26.87 GROUP TOTAL: 26.87 26.81 PROVIDER TOTAL: 26.87 26.87 ®m~ Ry-Ron Inc. THIRD PARTY ADMINISTRATOR i. P. A., INC. DATE 05/28/93 PROVIDER UOUCi{ER LISTING PAGE 1 {P{1003) FOR ~{OVIDER: 74-2580712 FLAMERS MD, BARRY N FOR GROIP: TPR-0024 KERB COOiRY SEQUENCE NO: 149 PATIENT CLAIM INCUiM{ED COVERED TOTAL CLAIMANT DEP. N0. N0. FROM TO CNARGE PAID n.eeaeaa.oeeeeee:=e-.ea.oea.exe.e..n.~z:=eee.. ea.aeen.esaaaa~e:~~ .e.se. _~s== R RAMON E 93065641 9300242702 03/1W93 04/09/93 78.00 21.78 6ROlA' TOTAL: 78.00 21.76 PROVIDER TOTAL: 78.00 21.18 ®m~ Ry-Ron Inc. THIRD PARTY ADIb11NISTRATOR T. P. A., INC. HATE OS/28/43 PROVIDER UOUCNER LISTiN6 PA6f 1 1PV003} FOR PRO'UIDER: 14-2371724 MITCNFLL MH, RtiBERT E FOR GROUP= TPX-0024 KERR EOIRITY SEQUENCE N0: i50 PATIENT CLAIM II~RREO COVERER TOTAL CLAIMANT DEP. N0. N0. FRO01 i0 CHARGE PAID S LANE f 5404 9300202505 44/22/93 04/22/93 40.85 40.85 R PIEPER E 5827 9300002319 04/19!93 04/19!93 97.57 bB.Zb GROUP TOTAL: 138.42 104.11 PROVIDER 30TA1: 138.4? 109.11 • ®~~ Ry-Ron Inc. THIRD PARTY ADMINISTRATOR T. P. A., INC. DATE OS/Z8/93 PROYInER YO{N~IER LISTING PACE 1 IP1003~ FOR PROUDER: X45-282+1 fERRft.l M, KATHERINE FOR CROtP: TPx-0024 KERB COUITY sEp~NCE No: 1s1 PATIFNf CLAIM IIIt~tRED COpEREI TDTA! CLAIHANi DEP. N0. N0. FROM TO CDINiCE PAID sssszssxsxssxszssxsxsssxss_rxsxszsxssz~asss=xsssmsxxx~-~xssss xsassaxss xszssssxxa R KEtIER E KELROD769 9300071722 04/16/93 04/16/93 3S.D4 Zb.81 L NICNOLS E 9300228703 44/20/93 04/24/93 35.00 26.87 D SANCHEZ E 9304460915 04/19/93 44/19/93 35.04 26.81 61t01~ TOTAI: tOS.04 80.61 PROffIDER TOTAL: 103.04 8O.b1 „_--_ _ . T P. A , INC. OATS. obi04i93 DA i i.'i i HEI;ri RE6I STER BY GRDUP FRIDAY JUNE 4, 1993 t ^ REGISTER NUMBER 276 .~ PArE. 8 CHECK CHECK CHECK NUMBER DATE CIAiM NO SOC SEC NO EMPLOYEE CLAIMANT PAY TO RMOUNT ~r A'~t4i=RaY iRRA 'G,SS'xx ^x x;,ac3~ac--Ass-S-s:[xss-ax-"Ass-C-xsxasxx~ss~:A'tZMi A'Allifla/#w;iWFaAR71Y1esiiaaGm.'{mrma116i~atillllilmta~l9atRtIDaneemlR.-.fx~AS-~. ~. FUND. TPY-0021 GROUP: IFX-0024 KERR COUNIY fHff.K !:ROMP. M1?4 KFRR f.OIINTY ~~ 2170 06104/93 MANUAL OTHER VOID ,Q4 !. IILriNwy, o p M1flnP,,; 2172 06/04/93 VOUCHER PAYMENT SID PETERSON MEM HOSPITAL 12,762.46 7i ~~ 12,762.46 , ~, F, . ~,. ~ ,. NNkk;;. ~m~ Ry-Ron Inc. _._ THIRD PARTt' ADR1INISTRATOR i. P. A., INC. DATE 06!04193 PR~tIDER OOUCMER LISTI116 PACE 1 (PU003) FOR PROVIDER: 74-2557828 SID PETERSON MEM HOSPITAL FOR CRiR11P: iP8-0024 NERR EDIMTV SEQt1EMCE 110: 5 PATIEtIT CIADf INI~AtRED t3R1EREt TOTAL CLAIMANT DEP. N0. ND. FROM TO CHARGE PAID .asaa~seesa=~=a~_~_easaae:z_c=~..aaseae:xsaaa=__~axaazs~ssa..azarz~asseaxs~saesxxxmaa N MIRIKE E 224606 9308!60110 09/02/92 09112!92 9615.55 b449.6t J TAYLOR E 242$95 9300243301 03/18/93 03/25/93 6312.85 6312.89 GROUP TOTAL: 15928.44 127bZ.46 PROUIBER TOTAL: 15928.4D 11762.46