CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA ......EL DORADO COUNTY TREASURER PLACERVILLE, CA 95667...
Transcript of CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA ......EL DORADO COUNTY TREASURER PLACERVILLE, CA 95667...
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
1221 OAK ST
ALAMEDA COUNTY TREASURER
OAKLAND, CA 94612
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 2,832,642.03
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$2,832,642.03Gross Claim
$2,832,642.03Net Claim / Payment Amount
YTD Amount: $20,916,896.91
Page 1 of 59
For assistance, please call: John Bodolay at (916) 323-2154
Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
PO BOX 217
ALPINE COUNTY TREASURER
MARKLEEVILLE, CA 96120
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 72,214.45
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$72,214.45Gross Claim
$72,214.45Net Claim / Payment Amount
YTD Amount: $533,248.55
Page 2 of 59
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CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
810 COURT ST
AMADOR COUNTY TREASURER
JACKSON, CA 95642
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 129,989.82
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$129,989.82Gross Claim
$129,989.82Net Claim / Payment Amount
YTD Amount: $959,875.48
Page 3 of 59
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CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
2081 CENTER STREET
BERKELEY CITY TREASURER
BERKELEY, CA 94704
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 240,009.40
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$240,009.40Gross Claim
$240,009.40Net Claim / Payment Amount
YTD Amount: $1,772,286.02
Page 4 of 59
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Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
25 COUNTY CENTER DR
BUTTE COUNTY TREASURER
OROVILLE, CA 95965
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 463,305.02
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$463,305.02Gross Claim
$463,305.02Net Claim / Payment Amount
YTD Amount: $3,421,153.56
Page 5 of 59
For assistance, please call: John Bodolay at (916) 323-2154
Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
GOVERNMENT CENTER
CALAVERAS COUNTY TREASURER
SAN ANDREAS, CA 95249
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 140,555.68
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$140,555.68Gross Claim
$140,555.68Net Claim / Payment Amount
YTD Amount: $1,037,896.31
Page 6 of 59
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Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
546 JAY ST
COLUSA COUNTY TREASURER
COLUSA, CA 95932
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 117,044.75
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$117,044.75Gross Claim
$117,044.75Net Claim / Payment Amount
YTD Amount: $864,286.07
Page 7 of 59
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Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
625 COURT ST RM 102
CONTRA COSTA COUNTY TREASURER
MARTINEZ, CA 94553
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 1,799,382.87
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$1,799,382.87Gross Claim
$1,799,382.87Net Claim / Payment Amount
YTD Amount: $13,287,067.56
Page 8 of 59
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Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
981 H ST STE 150
DEL NORTE COUNTY TREASURER
CRESCENT CITY, CA 95531
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 123,200.59
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$123,200.59Gross Claim
$123,200.59Net Claim / Payment Amount
YTD Amount: $909,742.20
Page 9 of 59
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Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
360 FAIR LN
EL DORADO COUNTY TREASURER
PLACERVILLE, CA 95667
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 322,001.93
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$322,001.93Gross Claim
$322,001.93Net Claim / Payment Amount
YTD Amount: $2,377,738.20
Page 10 of 59
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Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
PO BOX 1406
FRESNO COUNTY TREASURER
SACRAMENTO, CA 95812
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 1,948,352.45
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$1,948,352.45Gross Claim
$1,948,352.45Net Claim / Payment Amount
YTD Amount: $14,387,094.05
Page 11 of 59
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Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
516 WEST SYCAMORE STREET
GLENN COUNTY TREASURER
WILLOWS, CA 95988
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 123,866.45
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$123,866.45Gross Claim
$123,866.45Net Claim / Payment Amount
YTD Amount: $914,659.06
Page 12 of 59
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Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
825 FIFTH ST RM 125
HUMBOLDT COUNTY TREASURER
EUREKA, CA 95501
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 285,748.63
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$285,748.63Gross Claim
$285,748.63Net Claim / Payment Amount
YTD Amount: $2,110,035.26
Page 13 of 59
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Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
940 WEST MAIN ST
IMPERIAL COUNTY TREASURER
EL CENTRO, CA 92243 2863
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 393,664.54
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$393,664.54Gross Claim
$393,664.54Net Claim / Payment Amount
YTD Amount: $2,906,911.80
Page 14 of 59
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Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
PO BOX O
INYO COUNTY TREASURER
INDEPENDENCE, CA 93526
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 83,544.35
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$83,544.35Gross Claim
$83,544.35Net Claim / Payment Amount
YTD Amount: $616,911.21
Page 15 of 59
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Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
PO BOX 981240
KERN COUNTY TREASURER
SACRAMENTO, CA 95798 1240
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 1,681,509.95
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$1,681,509.95Gross Claim
$1,681,509.95Net Claim / Payment Amount
YTD Amount: $12,416,666.10
Page 16 of 59
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Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
PO BOX 1406
KINGS COUNTY TREASURER
SACRAMENTO, CA 95812 1406
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 330,797.45
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$330,797.45Gross Claim
$330,797.45Net Claim / Payment Amount
YTD Amount: $2,442,686.38
Page 17 of 59
For assistance, please call: John Bodolay at (916) 323-2154
Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
255 NORTH FORBES ST RM 215
LAKE COUNTY TREASURER
LAKEPORT, CA 95453
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 163,888.47
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$163,888.47Gross Claim
$163,888.47Net Claim / Payment Amount
YTD Amount: $1,210,191.10
Page 18 of 59
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Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
COUNTY COURTHOUSE RM 103
LASSEN COUNTY TREASURER
SUSANVILLE, CA 96130
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 123,395.36
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$123,395.36Gross Claim
$123,395.36Net Claim / Payment Amount
YTD Amount: $911,180.42
Page 19 of 59
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Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
PO BOX 1859
LOS ANGELES COUNTY TREASURER
SACRAMENTO, CA 95812
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 22,617,795.24
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$22,617,795.24Gross Claim
$22,617,795.24Net Claim / Payment Amount
YTD Amount: $167,015,134.96
Page 20 of 59
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Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
PO BOX 1859
C/O BANK OF AMERICA
MADERA COUNTY TREASURER
SACRAMENTO, CA 95812 1859
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 346,463.75
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$346,463.75Gross Claim
$346,463.75Net Claim / Payment Amount
YTD Amount: $2,558,370.03
Page 21 of 59
For assistance, please call: John Bodolay at (916) 323-2154
Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
CIVIC CENTER
PO BOX 4220
MARIN COUNTY TREASURER
SAN RAFAEL, CA 94913
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 448,848.51
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$448,848.51Gross Claim
$448,848.51Net Claim / Payment Amount
YTD Amount: $3,314,403.29
Page 22 of 59
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Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
PO BOX 36
MARIPOSA COUNTY TREASURER
MARIPOSA, CA 95338
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 84,185.67
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$84,185.67Gross Claim
$84,185.67Net Claim / Payment Amount
YTD Amount: $621,646.84
Page 23 of 59
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Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
501 LOW GAP RD 1060
MENDOCINO COUNTY TREASURER
UKIAH, CA 95482
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 199,386.44
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$199,386.44Gross Claim
$199,386.44Net Claim / Payment Amount
YTD Amount: $1,472,316.53
Page 24 of 59
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Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
PO BOX 981311
MERCED COUNTY TREASURER
WEST SACRAMENTO, CA 95798 1311
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 582,956.21
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$582,956.21Gross Claim
$582,956.21Net Claim / Payment Amount
YTD Amount: $4,304,686.14
Page 25 of 59
For assistance, please call: John Bodolay at (916) 323-2154
Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
204 COURT ST RM 101
MODOC COUNTY TREASURER
ALTURAS, CA 96101
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 78,508.84
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$78,508.84Gross Claim
$78,508.84Net Claim / Payment Amount
YTD Amount: $579,727.81
Page 26 of 59
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Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
PO BOX 495
MONO COUNTY TREASURER
BRIDGEPORT, CA 93517
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 81,879.31
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$81,879.31Gross Claim
$81,879.31Net Claim / Payment Amount
YTD Amount: $604,616.14
Page 27 of 59
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Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
PO BOX 1406
MONTEREY COUNTY TREASURER
SACRAMENTO, CA 95812 1406
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 928,510.24
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$928,510.24Gross Claim
$928,510.24Net Claim / Payment Amount
YTD Amount: $6,856,338.60
Page 28 of 59
For assistance, please call: John Bodolay at (916) 323-2154
Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
1195 THIRD ST RM 108
NAPA COUNTY TREASURER
NAPA, CA 94559 3035
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 266,744.32
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$266,744.32Gross Claim
$266,744.32Net Claim / Payment Amount
YTD Amount: $1,969,702.99
Page 29 of 59
For assistance, please call: John Bodolay at (916) 323-2154
Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
PO BOX 128
NEVADA COUNTY TREASURER
NEVADA CITY, CA 95959
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 218,325.03
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$218,325.03Gross Claim
$218,325.03Net Claim / Payment Amount
YTD Amount: $1,612,163.54
Page 30 of 59
For assistance, please call: John Bodolay at (916) 323-2154
Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
PO BOX 981024
ORANGE COUNTY TREASURER
WEST SACRAMENTO, CA 95798 1024
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 6,436,215.27
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$6,436,215.27Gross Claim
$6,436,215.27Net Claim / Payment Amount
YTD Amount: $47,526,531.65
Page 31 of 59
For assistance, please call: John Bodolay at (916) 323-2154
Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
2976 Richardson Dr.
PLACER COUNTY TREASURER
Auburn, CA 95603
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 540,611.20
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$540,611.20Gross Claim
$540,611.20Net Claim / Payment Amount
YTD Amount: $3,992,000.62
Page 32 of 59
For assistance, please call: John Bodolay at (916) 323-2154
Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
PO BOX 176
PLUMAS COUNTY TREASURER
QUINCY, CA 95971
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 113,413.80
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$113,413.80Gross Claim
$113,413.80Net Claim / Payment Amount
YTD Amount: $837,474.27
Page 33 of 59
For assistance, please call: John Bodolay at (916) 323-2154
Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
PO BOX 4035
C/O UNION BANK OF CA ST GOV
RIVERSIDE COUNTY TREASURER
SACRAMENTO, CA 95812 4035
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 4,128,243.40
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$4,128,243.40Gross Claim
$4,128,243.40Net Claim / Payment Amount
YTD Amount: $30,483,923.01
Page 34 of 59
For assistance, please call: John Bodolay at (916) 323-2154
Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
PO BOX 980264
SACRAMENTO COUNTY TREASURER
WEST SACRAMENTO, CA 95798 0264
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 2,544,497.58
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$2,544,497.58Gross Claim
$2,544,497.58Net Claim / Payment Amount
YTD Amount: $18,789,170.31
Page 35 of 59
For assistance, please call: John Bodolay at (916) 323-2154
Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
440 FIFTH ST RM 107
COURTHOUSE
SAN BENITO COUNTY TREASURER
HOLLISTER, CA 95023
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 158,276.56
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$158,276.56Gross Claim
$158,276.56Net Claim / Payment Amount
YTD Amount: $1,168,751.47
Page 36 of 59
For assistance, please call: John Bodolay at (916) 323-2154
Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
PO BOX 1859
SAN BERNARDINO CO TREASURER
SACRAMENTO, CA 95812
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 4,178,392.66
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$4,178,392.66Gross Claim
$4,178,392.66Net Claim / Payment Amount
YTD Amount: $30,854,236.95
Page 37 of 59
For assistance, please call: John Bodolay at (916) 323-2154
Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
PO BOX 980304
SAN DIEGO COUNTY TREASURER
WEST SACRAMENTO, CA 95798 0304
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 6,489,004.21
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$6,489,004.21Gross Claim
$6,489,004.21Net Claim / Payment Amount
YTD Amount: $47,916,337.65
Page 38 of 59
For assistance, please call: John Bodolay at (916) 323-2154
Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
PO BOX 2920
SAN FRANCISCO COUNTY TREASURER
SACRAMENTO, CA 95814 2920
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 1,470,039.07
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$1,470,039.07Gross Claim
$1,470,039.07Net Claim / Payment Amount
YTD Amount: $10,855,115.25
Page 39 of 59
For assistance, please call: John Bodolay at (916) 323-2154
Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
PO BOX 981355
SAN JOAQUIN COUNTY TREASURER
WEST SACRAMENTO, CA 95798 1355
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 1,337,491.12
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$1,337,491.12Gross Claim
$1,337,491.12Net Claim / Payment Amount
YTD Amount: $9,876,349.91
Page 40 of 59
For assistance, please call: John Bodolay at (916) 323-2154
Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
PO BOX 1149
SAN LUIS OBISPO COUNTY TREASURER
SAN LUIS OBISPO, CA 93406
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 539,490.88
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$539,490.88Gross Claim
$539,490.88Net Claim / Payment Amount
YTD Amount: $3,983,727.90
Page 41 of 59
For assistance, please call: John Bodolay at (916) 323-2154
Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
PO BOX 4035
C/O UNION BANK ST GOVT DEPT
SAN MATEO COUNTY TREASURER
Sacramento, CA 95812
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 1,291,922.91
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$1,291,922.91Gross Claim
$1,291,922.91Net Claim / Payment Amount
YTD Amount: $9,539,863.51
Page 42 of 59
For assistance, please call: John Bodolay at (916) 323-2154
Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
PO BOX 579
SANTA BARBARA COUNTY TREASURER
SANTA BARBARA, CA 93102
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 919,608.62
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$919,608.62Gross Claim
$919,608.62Net Claim / Payment Amount
YTD Amount: $6,790,606.99
Page 43 of 59
For assistance, please call: John Bodolay at (916) 323-2154
Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
PO BOX 1406
SANTA CLARA CO TREASURER
SACRAMENTO, CA 95812
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 3,639,372.87
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$3,639,372.87Gross Claim
$3,639,372.87Net Claim / Payment Amount
YTD Amount: $26,873,987.68
Page 44 of 59
For assistance, please call: John Bodolay at (916) 323-2154
Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
PO BOX 1817
SANTA CRUZ COUNTY TREASURER
SANTA CRUZ, CA 95061
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 584,442.32
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$584,442.32Gross Claim
$584,442.32Net Claim / Payment Amount
YTD Amount: $4,315,659.92
Page 45 of 59
For assistance, please call: John Bodolay at (916) 323-2154
Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
PO BOX 1859
SHASTA COUNTY TREASURER
SACRAMENTO, CA 95812 1859
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 384,365.47
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$384,365.47Gross Claim
$384,365.47Net Claim / Payment Amount
YTD Amount: $2,838,245.28
Page 46 of 59
For assistance, please call: John Bodolay at (916) 323-2154
Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
PO BOX 376
SIERRA COUNTY TREASURER
DOWNIEVILLE, CA 95936 0376
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 73,774.20
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$73,774.20Gross Claim
$73,774.20Net Claim / Payment Amount
YTD Amount: $544,766.07
Page 47 of 59
For assistance, please call: John Bodolay at (916) 323-2154
Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
311 FOURTH ST RM 104
SISKIYOU COUNTY TREASURER
YREKA, CA 96097
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 137,128.21
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$137,128.21Gross Claim
$137,128.21Net Claim / Payment Amount
YTD Amount: $1,012,587.04
Page 48 of 59
For assistance, please call: John Bodolay at (916) 323-2154
Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
675 TEXAS ST STE 1900
SOLANO COUNTY T TC
FAIRFIELD, CA 94533 6337
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 801,411.09
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$801,411.09Gross Claim
$801,411.09Net Claim / Payment Amount
YTD Amount: $5,917,808.50
Page 49 of 59
For assistance, please call: John Bodolay at (916) 323-2154
Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
PO BOX 1204
SONOMA COUNTY TREASURER
SACRAMENTO, CA 95812 1204
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 900,467.35
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$900,467.35Gross Claim
$900,467.35Net Claim / Payment Amount
YTD Amount: $6,649,263.30
Page 50 of 59
For assistance, please call: John Bodolay at (916) 323-2154
Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
PO BOX 3052
STANISLAUS COUNTY TREASURER
MODESTO, CA 95353 3052
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 1,020,622.09
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$1,020,622.09Gross Claim
$1,020,622.09Net Claim / Payment Amount
YTD Amount: $7,536,514.22
Page 51 of 59
For assistance, please call: John Bodolay at (916) 323-2154
Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
PO BOX 546
SUTTER COUNTY TREASURER
YUBA CITY, CA 95992
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 378,501.79
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$378,501.79Gross Claim
$378,501.79Net Claim / Payment Amount
YTD Amount: $1,790,818.81
Page 52 of 59
For assistance, please call: John Bodolay at (916) 323-2154
Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
PO BOX 1150
TEHAMA COUNTY TREASURER
RED BLUFF, CA 96080
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 158,860.87
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$158,860.87Gross Claim
$158,860.87Net Claim / Payment Amount
YTD Amount: $1,173,066.16
Page 53 of 59
For assistance, please call: John Bodolay at (916) 323-2154
Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
2008 N GAREY AVENUE
TRI CITY MENTAL HEALTH
POMONA, CA 91767
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 441,393.42
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$441,393.42Gross Claim
$441,393.42Net Claim / Payment Amount
YTD Amount: $3,259,353.14
Page 54 of 59
For assistance, please call: John Bodolay at (916) 323-2154
Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
PO BOX 1297
TRINITY CO TREASURER
WEAVERVILLE, CA 96093 1297
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 81,570.53
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$81,570.53Gross Claim
$81,570.53Net Claim / Payment Amount
YTD Amount: $602,336.03
Page 55 of 59
For assistance, please call: John Bodolay at (916) 323-2154
Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
221 SOUTH MOONEY BL
COUNTY CIVIC CENTER RM 103E
TULARE COUNTY TREASURER
VISALIA, CA 93291
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 966,347.04
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$966,347.04Gross Claim
$966,347.04Net Claim / Payment Amount
YTD Amount: $7,135,734.44
Page 56 of 59
For assistance, please call: John Bodolay at (916) 323-2154
Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
2 SOUTH GREEN ST
TUOLUMNE COUNTY TREASURER
SONORA, CA 95370
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 151,811.95
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$151,811.95Gross Claim
$151,811.95Net Claim / Payment Amount
YTD Amount: $1,121,015.24
Page 57 of 59
For assistance, please call: John Bodolay at (916) 323-2154
Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
PO BOX 980307
C/O WELLS FARGO BANK
VENTURA COUNTY TREASURER
WEST SACRAMENTO, CA 95798 0307
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 1,648,497.27
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$1,648,497.27Gross Claim
$1,648,497.27Net Claim / Payment Amount
YTD Amount: $12,172,892.66
Page 58 of 59
For assistance, please call: John Bodolay at (916) 323-2154
Remittance Advice - EFT
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
10/15/2012
CLAIM SCHEDULE NUMBER:
PAYMENT ISSUE DATE:
PO BOX 1995
YOLO COUNTY TREASURER
WOODLAND, CA 95695
Financial_Activity
1200051A
Fiscal Year: 2012
Payment Calculations:
Mental health Services apportionment amount for current period 430,210.79
Mental Health Services Fund apportionment per AB1467
09/01/2012 09/30/2012Collection Period: To
Allocation of the Mental Health Services Fund apportionment funds per Welfare and Institutions Code Section
5891(c)
Additional Description:
$430,210.79Gross Claim
$430,210.79Net Claim / Payment Amount
YTD Amount: $3,176,777.94
Page 59 of 59
For assistance, please call: John Bodolay at (916) 323-2154
Remittance Advice - EFT