DRUFR ND. X1411--A CLAIMS AIVU AGGDUIVTS Dn this the 11th day of May 1993, came on to be considered the vario~_is Claims and Acca~_ints against Kerr Co~_tnty and the vario~_is Commissioners' precincts, which claims and acco~_-nts approved for-• payment a~.~t of Gener-•al for X84, 499. ~~~, J~_-ry for ~41~.~~, Road and Pr^idge Add itianai Registration Fee for X11,346.79, Fir-•e Pr-~atectian for' ~4, 166.67, Raad and Fridge for X39, X78. 63, Co~_~nty Law Library for ~1, 713. ~~, 1=~~_ibl is Library far X17, 8~6. ~_C, Tr°affie Safety F~_ind far ~`4. 5~, J~_ivenile Intensive Program- State Aid F~_ind far ~L7.~'S, Tndigent Health Care far X511.89, :.16th Distr-•ict F'robatian F~_~nd 85 for ~1, SV~~. ~~, 86 State Funded 16th District probation far ~_',~~8.8~, and State Fi_inded Camm~_~nity Correct ions far ~4, c~~. ~~. Upon motion made by Comm i ss i aner-• Lehman, the of 4-0-0, to pay said Cl 39468 for X95. ~~, #39~:~i~ and to incl~_~de Tndigent ~~'., 56~. ~~. Commissioner Lackey, seconded by Ca~_tr°t unanimously approved by a vote aims and Acca~_mts excl~_~ding Invoice # for ~ 139. ~~, and #3951 ~ f ar-~ ~4~. ~~ Health Care Pills for X3,389.64 and UFrE: U4/i?/93 h 1 L r Cn T. ~.' b.. ILA. ~ E ' _ _ - ~ r, [ C i, ~~ , T ~E E I~ ~ ;. ~( E r ra(c: 7 ~h F~IUAY AYI~1L 2 ~. 1iv3 ~ri~r3f~, iE4 »t (;I'.~Tra~ ~~ CHECK CHECK ,....,,, - NuMBEN GATE CLAIM ti0 SOC S (NO EMPL Y E C , M41i7 pp • (I±ECK ,, amasan~zncemmxameaacoaaac~mesrmvA; nnri,nl zaeztrmcsmac max ai~eztnc~tnan rxsrraac:est aaaeizs:aimr.cazu~~r~ss-~^ese ee r,sr:sac: nmaco~a-yea ca:.amc err anr. . ruNO: iPX-UG24 GkOUP: TPA-0024 KERk COUwTY t K GI;`~OUAs 024 Kraik CpUtvTY .114 44/23/93 M ~'v~~ l OTMEH VUI(f Z1ZU 04J"[3/93 LIiJE UP ~ n^ -~_._ __ 2121 U4/23/93 ~~ V ( [ I; (H ~ (K x: ECG 2122 04/23/93 VO~CMEF PAYMENT ~PECk MC. fFeC 42, 1y „ v0. 'CH_F PnYrFr.l ,~ E ;; PHA~~+aCY ap~c ~s ,~ 2.224 04123193 V(~JCNE6 PAhMEN3 ' ' '340 PEfEi'St1N MgM MOSPIT~L 3, 322,Cf3 2125 4#t23~93 Y CMIf~ FA'LMEN 1 KOCAY M0. PAuI M ~x3~~ ~** 6 4/ l9~ V CIiER PAYMf~il ~ >Jiti6HT i~Gr 1:')Uri A~ . ~~ vO U~HcF PAYrFnI ~~ITCnfLL rid, Fl,~_NT E ~~~ --`~' ' 3,389.64 ,a **--Check voided -sheets return for wrrection• Pa t should have been for 77.66. „, @@--C7~eck voided -Previously paid on 4/2/93-C3c.# 2095 1 _ ~~ ~B--Check voided- Previously paid on 9/2/93-Ck.# 2097 ~,~ ~„ N J ~m~ Ry-Ron Inc. THIRD PARTY 4D'~1fN1 DATE Q4l23l93 FOR PROVIDER= 74-2174129 FOR GROUP: TPK-0024 SEQUENCE !~~ 2b 3TRATOR T. P. A., INC. PROVIDER VOUCHER LISTING PAGE 1 iPV003) SPECK MD, FRED KERR COlDITY PATIENT ClAiff INCURRED COVERER TOTAL CI.AINANT DEP. N0. NO. FR011 TO CHARGE PAID 6 FLORA E 688031 9300068920 OZ/15193 02!23!93 10.00 42.19 CROUP TOTAL : 70.00 42.19 PROVIDER tOTAI: 70.00 +12.19 ®m~ Ry-Ron Inc. THIRD PARTY' AD111NISTRATOR T. P. A., IIN:. DATE 04lZ3l93 PROVIDER VOUCHER IISTINC PAGE 1 tPV0031 FOR PROVIDER: 74-05311750 R E B PHARMACY #084 FOR CRAP: TPS-0024 1(ERR COUNTY SEQUENCE N0: 21 RATIENT CLAIM INCURRED COVERED TOTAL CLAIMAKT DEP. NO. NO. FROM TO CNARfiE PAID D FRAIIER E 274437 9300112045 12/23/92 12123/42 17.71 17.71 A OMTIVEROS E 275225 4304186710 11/13/42 11/13/92 1.bb 7.bb CROUP TOTAL: 25.37 25.37 PROVIDER TOTAt: 25.37 23.37 ~m® Ry-Ron Inc. THIRD PARTt ADti11Nl' DATE 04/23193 FOR PROVIDFR: 74-2557820 FOR : TPS-0024 SEQtIFNCE NO: 28 iTRATOR T. P. A., INC. PROVIDER VOUCHER LISTIi(C PACE 1 (PV003f SID PETERSON MEM HOSPITAL KERR COUNTY PATIENT CLAM{ INCURRED COQERED TOTAL CLAIMANT DE P. N0. i(0. FRO11 10 CHARGE PAID ------------------------------- D DANZ E 531740 9300061216 01/26/93 02/28/93 51.00 51.00 L FASTERDAY E 368618 9300213702 02/22/93 02/22!93 128.25 116.39 C FLORR E 688031 9300068920 42/15193 02123!93 Z1.7s 21.75 N MONTISO E 9300179304 05/29/92 03/01/93 1419.40 1419.44 R PEREZ E 368768 9300133105 03102193 03/02/93 48.50 44.09 K PIPKIN ' E 549017 9340202605 02/11/93 03/44/93 ibb9.25 1669.23 CROUP TOTAL: 3338.15 3322.08 PROVIDER TOTAL: 3338.15 3322.08 ~ T.P.A. DATE : 0 4/ 2 8/ 9 3 DAILY CHECK R E G I S T E R 6 1 GROUP PAGE : 2 6 "`, MEDNESDAY APRIL [8. 199? AEGISTEB_NWIyEk ?66 _ ;~~ CHECK CHECK ~ CHECK NUMBER DATE [LAtN NO SOC S_F[ Nn EMPInYFF ~I1IANr PAY_TO AM7111iT ____ azaaze~oatscaaenmsas~eae~atraaososrsrsassasnn aaz nsr~:•aasssxcsnesssva~s•n~aoe~aaaaaasaa~a~.ese~s~auis~aaa~su~a~ateu~usaurea: alp' FllND: TP%-0024 GROUP: TpX-0024 KERN COUN.~__ __ __ CHECK GROUPa 024 KERB COUNTY 7177 04J2gJ9; NANUA! O THER ~OIO _.00__..-___._._______ 2126 04/28/93 LINE UP *~ V O I D C H E C K ~* .00 2129 04/28/93 YOUCHEA PAYMENT HILL COUNTRY RADIOL06Y 212.84 2130 44L28/93 VQL[yER PAYNFNI H f A P}LRH CA Y /ORS. SL.?S ~~ 2131 04!28/93 YOUCHEA PAYMENT SPEIGHTS Mp. JAMES M 3f.01 . 2132 04/28/93 VOUCHER PAYMENT ALANO PHYSICIANS SERVICE 282.71 2133 A4/28/93 _ VOUCHER PAYNFNI St0 PETERSON YFM HOSPiT_ A~_,. _ t,~C„SS ___, 2134 04/28/93 VOUCHER PAYNFNI UELANEY MD. R GOROUN 125.15 y 2135 04/28/93 VOUCHER PAYNFNI rILL CO DIAG IMAGING 162.31 2136 04/28/93 VDDCHEB Q1yYMENT YELLS n0, iAKE$_D_ 4.41-___T ~~ 2137 04/28/93 YQUCHEF PAYNFNI fERREIL MD. KATHERINE 21.87 2,560.50 -- - - - ~ „' - ~ -- ..~ ~ x ., ~'- ~ °', r~ „~ I ~ ` ----- „~ . ~ ~~ ,. r ,~ m ® Ry-Ron Inc. I~HIRD P,aRTY aDa1ItiIS'TRA"I'OR T. P. A., INC. DATE 04/28/93 PROVIDER UOIICNER LISTING PRGE 1 (PU403f i0R PROVIDER: 74-1733761 HILL COUNTR4 RADIOi.OGY f OR 6ROID3: TPN-0024 KERR COlD1TY SEQUENCE N0: 138 PATIENT CLAIM INCURRED COVERED TOTAL CLAIMAKT DEP. IND. NO. FROlS TO CHARGE PAID D MARSHALL E 127921 9300103413 10/15/92 10/20/92 210.00 106.96 S MORGAM E 134431 9300061101 11/11/92 01/29/93 81.64 31.18 A MOORS E 137984 9300159320 11/41/92 11/03/92 31.00 18.27 L 01TMERS E i0b5$6 930415900b 10/13/92 01/lb/93 60.85 27.40 K PIPKIN E 140335 9300202607 03/13/93 03/13/93 13.95 9.14 D SANCNEZ E 101038 9300064914 01!23/93 01/23/93 29.80 19.89 6ROE1P TOTAL: 427.20 212.84 PROVIDER TOTAL: 427.20 212.84 .~©® Rv-Ron Inc. I~HIRD PaRTY aDa11ti1STR,aT0R T. P. A., INC. DATE 04/28/43 PROVIDER VOUCHER LISTING PAGE 1 tPV0031 FOR PROVIDER= 74-0537i75C R E B PHARMACY If089 FOR 6R~: TPlt-0029 KERR COUNTY SEQUENCE 1FD: 139 PATIENT CLAIM INCURRED COVERED TOTAL CLAIMANT DEP. 110. NO. FROM TO CNAR6E PAID J LORREY E 216617 9300072013 03!17193 03/17/93 14.bi 14.6# N PIPKIN E 290141 9300202b46 03/ib/93 03/1b/93 12.85 12.85 6 SMITN E Z$386i 9300178608 43/15/93 03/1S/93 12.85 12.85 A 5MITH E 290116 9300202702 03!15193 43/15/93 13.94 13.94 GROUP TOTAL: 54.25 54.29 PROVIDER TOTAL: 54.25 54.25 ®m® Rv-Ron Inc. rHIRU P.aRTt' aD111ti1' DRTE 04/28/93 FOR PROVIDER: 74-2248445 fOR ~tOUP: TPX-0024 SEQUENCE f10: 140 >TR.aTOR T. P. R., ING. PROVIDER VOUCHER LI5TIMG PR6E 1 iPV003) SPEI6NTS ftD, ,1AMES W NERR COUNTY PATIENT CLAIM INCURRED COVEREB TOTAL CLAItlANT DEP. l~. NO. FRtH) TO CHARGE PAID D SAMCNEZ E 000911015 9300060913 03/26/93 D3/2b/93 30.OQ 36.01 6ROtA' TOTAL: 30.00 36.01 PROVIDER TOTAL: 30.OD 3b.01 ~©® Rv-Ron Inc. ~' I~HIRD PaRTl' AD`11NISTRATOR T. P. A., ING. DATF 04/28/93 PROVIDER VOUCHER LISTING PAGE 1 (PV003f F~ PROVIDER: 74-?452367 ALAMO PH4SICIANS SERVICE fOR 6RO1A': TPX-0024 KERB CO@ITY SEQUENCE NO: 141 PATIENT CLAIM INCURRED COVERER TOTAL CLAIMANT DEP. N0. ~. FROK TO CNARBE PAID 6 CARTFR E 00203137 9300178705 12/06/92 12/06/92 160.00 69. b0 ~ DANZ E 0020772b 93000612!8 12/29/92 02!28/93 148.00 82.17 R KING E 00208281 9300069308 03/11/93 03/11/93 90.00 47.57 S NORGAN E 0020b057 9300061108 01/29/93 01/29/93 90.00 41.57 L NICti0l5 E 00209024 9300228701 43/24/93 03/24!93 58.00 35.20 GROUP TOTAL: S4b.00 182.71 PROVIDER TOTAL: 34b.00 282.71 ©~ Ry-Ron Inc. HlRU PAKTti' aDRlltil~ DATF 04/28/93 Fact PROVIDER: 74-2557820 FOtt 6R~: TPX-0024 SE~)ENCE N0: 142 iTRATOR T. P. a., INC. PROVIDER VOUCNER IISTIN6 PAGE 1 {PV043) SID PftERSON tfEN NOSPITAL KERR COUNTY PATIENT CLAIM INCURRED COVEREB TOTAL CLAIlEANT DEP. N0. NO. FROM TO CNARGE PAID -ss=es-exssssssssx-sx setsress.-ss es-_..s.ssss-:-:=.sa-sss-ns.essas s=sssass-ssos-ssa=ss R CNERR4 E 323499 9300228801 04/Q5/93 04/65/93 10b.15 96.50 6 FLORA E b8$031 9304068911 03/08/93 03/08/93 21.75 21.75 C NURLDUTT E 554382 930422890f 03/30/93 03!30/93 89.50 89.50 R KING E 535511 9300469308 43!11193 03/11/93 247.75 297.75 S LANE E 552bQ4 9346202543 03/67/93 Q3/07i93 9$.5D 48.50 J LOIIRE1t E 555195 9304472012 43118!93 64/07/93 47.54 47.50 J NCCARRFLL E 553182 9306114209 63/24!93 03!24!43 201.15 201.15 L NICNOLS E 553557 9304228702 03!22!93 03/?5193 547.3D 507.30 R PEREI E 5540b8 930013310b 03/25/43 04/05/93 175.]5 175.15 R PIFPER F 555214 9300002317 04!07/93 64/07/93 66.75 6b.75 K PIPKIN E 146335 9304202607 03!13193 03113!93 131.5D 131.50 6 SNITN E 359574 9304178b09 03/24/93 03/24193 17.OD 1?.00 6RDUP TDTAL: 1660.64 1656.95 PROVIDER TDTAL: tb60.64 1b50.95 ~©® Rv-Ron Inc. Tt11RD P-1RTl' aD~11tifSTRATOR T. P. A., IMt:. DRTE Q4/28/43 PROVIDER VOUCHER tISTIN6 PR6f 1 tPV003) FOR PROUIDER~ ]~-3738310 DEtAME9 MD, R 60RDOM FOR 6R4UP: TPK-0024 KERB t3T11MTY SEQUEItCE l10~ 143 PATIEitT CtAIl1 IkCtDtRED txIVEREB TOTAL CLAIIIA#tT DEP. MO. i~. FREgt TO CNAR6f PAID D DAtt1 E 0410b856 9300061217 44/07/93 04/07/93 50.OD 35.20 D MEDRflttfl E 0000034b 9300217002 03/17/93 04/14/93 105.OD 58.05 R PERE2 E 4010b850 9304133106 43/25/43 04/05/93 31.9D 31.90 t4i0UP TOTAL 186.9D 125.35 PROVIDER TOTAL 18b.9D 125.15 ~m® Rv-Ron Inc. THIRD PARTY ADti111r1~ DATE 84/28/93 FOR PROVIDER: 74-ZZ51897 Fit 6'ROIH': TPS-8024 SEQUENCE N0: 144 >TRATOR T. P. A., INC. PROVIDER UQIICHER LISTING PACE 1 tPV8831 HILL CO DIAL IMACIN6 NERR COtHIT4 PATIENT CLAIri INCURRED COVERED TOTAL CLAIMANT DEP. N0. N0. FREES i0 CNARSE PAID D riARSNALt E 127921 93ES8183413 10/15!92 10/20/92 287.80 162.31 GROEH' TOTAL: 287.80 1b2.31 PRt)aIDER TOTAL: 287.80 162.31 ~m® Rv-Ron Inc. ~~ "THIRD P.ARTl AD!~11tilSTRAT0R T. P. A., IEIG. DATE 04/Z8/93 PROVIDER VOVCNER LISTING PAGE 1 tPV003) FOR PROVIDER: 79-1918643 IIFLLS MD, JAMES 0 FOR GROVE': TAX-0024 KERB COUNTY SEQUENCE !~: 145 PATIENT CLAIff IE1CflRRED COVERED TOTAL CLAIMANT DEP. N0. !~. FROM TO CHARGE PAID C AALIKY E 11ALIKC00 9300015319 i2/Z$/92 12!28/92 21.00 9.41 GROUP TOTAL: Z1.Q0 9.41 PROVIDER TOTAL: Zf.OD 9.41 ~~® Rv-Ron Inc. I~HIRQ P;~RTY ADM111ti1STRA"TOR T. P. a., INC. DATE 04/28!93 PROVIDER VOlK51ER tISTIN6 PRCE 1 SPVO03) FOR PROVIDER: 48-95-2824 FERREtt MD, KATNERIRf FOR GROUP: iPx-0029 KERB COINlTY SEQUEIN:E IDD: 14b PATIENT CLAIf1 INClAtRED COVERED TOTAL CLAIMANT DEP. MO. N0. FROM TA CNARSE PAID aasseetasaeeaecosoeeasae:eeeeeeeeeaesaaaesesaoeaxr-eoeeeaaasaaaa-.aasaaseesxaaasaeaen J LONRfY E 9300072012 03/18!43 04/07!43 35.00 2b.87 CROUP TOTAI: 35.00 26.87 PROVIDER TOTAI: 35.00 26.87