controller of california, state of california ......el dorado county treasurer placerville, ca 95667...
TRANSCRIPT
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
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:
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
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:
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
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:
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
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:
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
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:
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
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:
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
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:
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
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
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
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:
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
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:
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
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:
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
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 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
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 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
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
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
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:
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
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
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
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
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
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 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
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:
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
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 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
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 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
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
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