ORDER NO. 29731
BUDGET AMENDMENT
LATE BILL
INDIGENT HEALTH CARE
Came to be heard this the 12th day of June, 2006, with a motion made by
Commissioner Williams, seconded by Commissioner Baldwin, the Court
unanimously approved by vote of 3-0-0 to transfer the following expense
codes and issue hand check in the amount of $281.91 to Vericlaims, Inc. for
June 5, 2006 Fee on Paid Claims:
Expense Code Description
50-641-486 Third Party Administration
50-641-200 Eligible Expenses
Amendment
I ncreasel()Decrease
+ $1,053.75
- ($1,053.75)
COURT ORDER ~~ ~3
# 1
(06/12/06)
1
BUDGET AMENDMENT REQUEST FORM
3-0-~
DEPARTMENT NAME: INDIGENT HEALTH CARE

CURRENT CURRENT
EXPENSE CODE LINE ITEM DESCRIPTION BUDGET EXPENSE	UNEXPENDED
BUDGET
BALANCE		REQUESTED
AMENDMENT
INCREASE/QDECREASE
50-641-486	Third Pa Administration	$25,781.35	$1,053.75	$0.00	+	$1,053.75
5041-200	Eli ible Ex enses	$735,218.65	$23,416.68	$133,969.26		($1,053.75)
						
						
						
						
						
						
						
						
May 31, 2006
DATE
7,
FOR AUDITOR'S OFFICE USE ONLY
LATE BILL FOR
(06112/061
WILL NEED A HANDCHECK
2741
VENDOR #
PAID TO:
AMOUNT:
EXPENSE CODE:
DESCRIPTION:
INVOICE #
VERICLAIMS, INC.
50-641 X86
VERICLAIMS:6/2/06 Claims paid
INV. NUMBER 6/2/06 Claims
INV. DATE: 05/10/06
RCVD DATE: 05/10/06
DUE DATE: 06/12/06
VERIFICATION
DATE
FPCM : iJE~4{CL-~-IMS FW: N`J. 28144~F'~FB4 Mao- 1~'2F7E~*i ~l.'~.: 4?Fht P2
VeriClairrrs, Inc
207 Meadowgrove
Houston, Texas 77037-4303
5-10-06
Kerr Caunty Auditor's Office
Attention: Mindy ~Ifiams
700 Main Street
Kerrville, Texas 78028
Indigent Health Care
s)b/022006 Claims Payments $17,151.58'" 4.5°~0
Please remit as address shown above. Thank you.
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$7rl.sa
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---------------------------------
----------------------------------
FORAUDITOR'S OFFICE USE ONLY
----------------------------------
----------------------------------
LATE BILL FOR (OB/12/OB)
2741
VENDOR #
PAID TO:
AMOUNT:
EXPENSE CODE:
DESCRIPTION:
INVOICE #
WILL NEED A HANDCHECK
VERICLAIMS, INC.
$281.91
50-841 X86
VERICLAIMS:B/5/O6 Claims paid
INV. NUMBER	6/5/06 Claims
INV. DATE:	05/16/06
RCVD DATE:	05/16/06
DUE DATE:	06/12/06
VERIFICATION DATE
FRC'M ~+E~LA'23'75
r HY, N0. 2914458AE^4
V~ri~iaims, Inc
207 Meadowgrove
Houston, Texas 77037-4303
5-16-06
Kerr County Auditor's Office
Attention: Mindy Williams
700 Main Street
Kerrville, Texas 78028
Indigent Health Care
06/05/2006 Claims Payments $ 6,264,70° 4.5%
Please remit w address shaven above. Thank you,
May. ~'2c ~w6 10: 25FiM F2
~~7~1
$281.91
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