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HomeMy WebLinkAboutFinal Agenda PacketCITY OF RENTON FIREMEN'S PENSION BOARD Regular Meeting 7th Floor -Mayor's Conference Room Thursday, July 21, 2011 2:00 P.M. 1. CALL TO ORDER 2. APPROVAL OF MINUTES OF JUNE 16, 2011 3. CORRESPONDENCE a. Cost of Living Increase - Widows 4. MONTHLY STATEMENT TO JUNE 30, 2011 5. MONTHLY BILLS AND PENSION PAYMENTS 6. UNFINISHED BUSINESS ��►1 ��d1:i�I.�Ii•1�.�.� 8. ADJOURNMENT �w.+' `'rw' MINUTES FIREMEN'S PENSION BOARD CITY OF RENTON June 16, 2011 Denis Law, Mayor Don Persson, Council Finance Committee Chair Bonnie Walton, City Clerk Ray Barilleaux, Fire Department Representative Bruce Phillips, Fire Department Representative Chuck Christensen, Fire Department Alternate The regular meeting of the Firemen's Pension Board was called to order by Acting Chairman Don Persson at 2:00 p.m. in the Mayor's Conference room, 7th floor of Renton City Hall. In attendance were Board members Don Persson, Ray Barilleaux, Bruce Phillips, and Bonnie Walton. Also present: lill Masunaga, Finance Dept. representative. MINUTES APPROVAL MOVED BY BARILLEAUX, SECONDED BY PHILLIPS, THE PENSION BOARD APPROVE THE MINUTES OF THE MAY 19, 2011 MEETING. CARRIED. CORRESPONDENCE Bonnie Walton reported receipt of the annual Fire Insurance Premiums Revenue Distribution report from the Washington Office of the State Treasure. The City's share of the 5/31/11 distribution, based on Renton having 130 paid firefighters at the end of December 2010, is $114,601.73. MONTHLY STATEMENT The financial report as of May 31, 2011, was reviewed. Total cash/investment balance was $4,167,163.46. MONTHLY BILLS AND PENSION PAYMENTS MOVED BY PHILL.IPS, SECONDED BY BARILLEAUX,TO APPROVE THE PENSION/MEDICAL PAYMENTS FOR JUNE 2011, IN THE TOTAL AMOUNT OF $22,781.85, TO BE PAID FROM THE FIREMEN'S PENSION FUND. CARRIED. NEW BUSINESS The recent celebration of Charles Goodwin's 96th birthday was reported. Of those receiving Firemen's Pension benefits from the City, Mr. Goodwin is the only pre-LEOFF retiree still living. ADJOURNMENT MOVED BY BARILLEAUX, SECONDED BY PHILLIPS, THE MEETING OF THE FIREMEN'S PENSION BOARD BE ADJOURNED. CARRIED. Time: 2:13 p.m. ��, ,� G�.22ton, Bonnie I. Walton Firemen's Pension Board Member & Secretary � � EXECUTIVE DEPARTMENT p o c��.of ,�. ���0� '�-� City Clerk Office �LL�-J: M E M O R A N D U M DATE: July 14, 2011 TO: Members, Firemen's Pension Board FROM: � Bonnie Walton, City Clerk/Board Secretary & Member SUBJECT: Cost of Living Increase Payable July 2011 -Widows Washington State Law (RCW 41.18.104) requires that the Firemen's Pension Board meet each year for the purpose of adjusting benefit allowances for widows of firemen pensioned prior to the LEOFF Act (March 1970). The Board must determine benefits according to the increase in the Consumer Price Index for the previous calendar year for the Seattie, Washington, area as compiled by the Bureau of Labor Statistics of the United States Department of Labor. The Bureau has updated its form for this year and has reported a 0.3% annual increase in the CFI percentage for All Urban Consumers in the Seattle area for 2010. A copy of the report is attached. RCW 41.16.145 requires a minimum increase of 2% annually, regardless of the Consumer Price Index. Therefore I recommend that the Board adopt a 2% increase, effective July 1, 2011, and paid July 31, 2011. cc: Iwen Wang, FIS Administrator h:\cityclerk\002 city clerk official\pension firemens\memo-col adj widows 2010+.doc . . , Westein Information Office,90 7th St.,Suite 14-100,San Francisco,CA 94103 � Infonnation Statt'(415) 625-2270/Fax(415)625-2351 SEATTLE-TACOMA-BREMERTON 05/11/11 Consumer Price Index,Ail Items, 1982-84=100 for Ali Urban Consumers(CPI-U) SEMIANNUAL 1ST 2ND ANNUAL YEAR JAN FEB MARCH APRIL MAY JUNE JULY AUG SEPT OCT NOV DEC HALF HALF AVERAGE �gg2 137.8 140.2 139.0 1993 141.9 143.9 142.9 1994 146.4 149.2 147.8 1995 151.2 153.3 152.3 1996 155.6 159.4 157.5 �997 165.0 161.9 164.1 163.0 1998 166.5 166.4 167.5 168.5 169.3 169.4 166.6 168.9 167.7 1999 170.6 172.2 172.7 173.4 174.7 174.4 171.6 174.0 172.8 2000 176.1 177.8 179.2 180.3 182.1 181.5 177.3 181.1 179.2 � 2001 184.0 184.2 186.3 186.8 187.9 186.1 184.4 186.9 185.7 2002 187.6 188.8 189.4 190.3 190.9 190.0 188.3 190.3 189.3 2003 191.3 192.3 191.7 194.4 193.7 191.0 191.6 193.1 192.3 2004 193.5 194.3 195.3 194.6 196.5 195.1 194.0 195.4 194.7 2005 197.6 201.3 199.8 199.9 203.3 200.9 1992 201.3 200.2 2006 203.6 207.4 208.2 209.6 209.8 209.3 205.8 209.5 207.6 2007 211.704 215.767 215.510 215.978 218.427 218.966 213.810 217.502 215.656 2008 221.728 223.196 228.068 227.745 225.915 222.580 223.569 225.869 224.719 2009 224.737 225.918 227.257 227.138 226.277 225.596 225.580 226.475 226.028 2010 226.085 226.513 226.118 227.645 227.251 226.862 226.195 227.190 226.693 2011 229.482 231.314 Table of over-the-year percent increases. An entry for Feb.2006 indicates the percentage increase from Feb.2005 to Feb.2006. 1993 3.0 2.6 2.8 1994 3.2 3.7 3.4 1995 3.3 2.7 3.0 1996 2.9 4.0 3.4 � 1997 4.0 2.9 3.5 1998 2.7 2.9 2.9 2.9 1999 2.5 3.5 3.1 2.9 3.2 3.0 3.0 3.0 3.0 2000 3.2 3.3 3.8 4.0 4.2 4.1 3.3 4.1 3.7 2001 4.5 3.6 4.0 3.6 3.2 2.5 4.0 3.2 3.6 2002 2.0 2.5 1,7 1.9 1.6 2,1 2.1 1.8 1.9 2003 2.0 1.9 1.2 2.2 1.5 0.5 1.8 1.5 1.6 2004 1.2 1.0 1.9 0.1 1.4 2.1 1.3 1.2 1.2 2005 2.1 3.6 2.3 2.7 3.5 3.0 2.7 3.0 2.8 2006 3.0 3.0 4.2 4.9 3.2 4.2 3.3 4.1 3.7 2007 4.0 4.0 3.5 3.0 4.1 4.6 3.9 3.8 3.9 2008 4.7 3.4 5.8 5.4 3.4 1.7 4.6 3.8 4.2 2009 1.4 1.2 -0.4 -0.3 0.2 . 1.4 0.9 0.3 0.6 2010 0.6 0.3 -0.5 0.2 0.4 0.6 0.3 0.3 0.3 2011 1.5 2.1 +nrr► v�►+ CITY OF RENTON - FIREMEN'S PENSION FUND CASH & INVESTMENT ACTIVITY REPORT AS OF JUNE 30, 2011 Fireman's Pension Fund Comparison of Cash and Investment Activitv s ■2011 ❑2010 5 � �o 0 4 � 0 c 3 0 � 2 1 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec CURRENT ' 2011 2011 LASTYEAR 2010 ,2010 ACTIVITY: MONTH ' YTD BUDGET CURR MO ACTUAL ADJBUDGET BEGINNING CASH/INV BALANCE $4,167,614.30 $4,286,248.18 $3,895,540 $4,289,123.35 $4,332,817.48 $3,895,540 RECEIPTS: Fire Insurance Premium Tax 114,601.73 114,601.73 100,000 0.00 112,686.00 100,000 Investmentinterest" 982.84 3,400.64 200,000 1,424.92 206,044.57 200,000 DISBURSEMENTS: Fire Pension 22,781.85 142,643.76 525,000 29,848.89 359,681.47 525,000 Fire Pension Medical 0.00 1,189.77 25,000 57.56 5,149.19 25,000 Office/Operating Supplies 0.00 0.00 475 0.00 469.21 475 Actuarial/Firemen's Pens 0.00 0.00 0 0.00 0.00 0 Reimb General/Clerical 8�Acct 0.00 0.00 0 0.00 0.00 0 ENDING CASH/INV BALANCE $4,260,417.02 $4,260,417A2 $3,645,065 $4,260,641.82 $4,286,248.18 $3,645,065 CURRENT PREVIOUS LAST YEAR LAST YEAR ACTIVITY: MONTH MONTH CURR MO PREV MO CASH/State Investment Pool $1,550,963.25 $1,458,119.53 $1,381,309.26 $1,411,031.83 INVESTMENTS: Federal National Mortgage Assn 99,555.84 99,555.84 99,555.84 99,555.84 Treasury Strips&Zero Coupon Bonds 2,606,098.10 2,606,098.10 2,767,916.83 2,767,916.83 Interest Receivable 3,799.83 3,840.83 11,859.89 9,213.94 TOTAL CASH AND INVESTMENTS $4,260,417,02 $4,167,614.30 $4,260,641:82 $4;287,718.44 The State Investment Pool interest 0.1583% 0.1394% 0.3014% 0.2709% H:\FINANCE\FINPLAN\FIREPEN\1_Fire_Pension_2011.x1s\Jun11 Page 1 07/15/2011 � � FIREMEN'S PENSION BOARD PENSION/MEDICAL PAYMENTS FOR 1ULY,2011 ����'"��`���:�����.ry��Recipient��'������� * � ' � 'rv;, � ��Pension°'Amt �;�Medical�..,x -�.� ;Total,�..,�-_�.: , �. ., ,. ANKENY,Charlie(Captain) $127.61 127.61 BARILLEAUX, Ray(Battalion Chief) - _ BEATTEAY, Karlen(Widow) $226.83 226.83 BER6MAN,Claudette(Widow) $148.67 148.67 CHRISTENSON,Chuck(Firefighter) $253.70 253.70 GEISSLER, Dick(Fire Chief) - _ GOODWIN,Charles(Captain) $4,273.00 1,259.44 5,532.44 GOODWIN, Donald(Firefighter) $1,021.74 1,021.74 * HAWORTH,Constance(Widow) $3,027.70 3,027.70 HAWORTH,Jack(Firefighter)deceased 01/14/2011 - - HENRY,William,Jr.(Captain) $1,343.97 1,343.97 HURST,Gerald(Firefighter) $542.46 542.46 JONES, Evelyn M.(Widow) $246.16 246.16 LARSON,William(Firefighter) - _ LAVALLEY,Theodele(Captain) $355.59 355.59 MATTHEW,James(Deputy Chief) - _ MC LAUGHLIN,IACK(Battalion Chiefl $1,001.63 1,001.63 NEWTON,Gary(Lieutenant) $268.07 268.07 NICHOLS,Gerald(Battalion Chief) $530.92 530.92 PARKS-ANDREASON,Arlene(Widow) $330.09 330.09 PHILLIPS, Bruce H.(Deputy Chie� $246.21 246.21 PRINGLE,Arthur(Captain) $477.17 477.17 * PRINGLE,S.Joan(Widow) $2,601.14 2,601.14 RIGGLE, David E.(Firefighter D Step) $76.25 76.25 RUPPRECHT,Jim(Firefighter D Step) $111.62 111.62 SMITH, Leroy(Firefighter) $407.57 407.57 * STROM, Doris(Widow) $3,320.44 3,320.44 TODD, Franklin(Firefighter) $468.15 468.15 TONDA, Lila Jean(Widow) - - VACCA, Nick(Lieutenant) $307.01 307.01 WALLS,Camille(Widowj $139.90 139.90 WALLS, Mercedes(Widow) $104.07 104.07 WEISS,Cheryl (Widow) $764.51 764.51 WILLIAMS,Alta(Widow) - - WOOTEN, Marilyn E.(Widow) $235.15 235.15 _ o a �. nse �2'�i$�a. ..�Nlerlical' ; . � 22;957':33�_,,. �� i�Z59�4� ;$24�16:�7�' * Received a 2.0%CPI increase effective July 1 per RCW 41.16.145. Prior Year Pension/Medical Payments: Total Pension Payments for July,2010 30,020.92 Total Medical Bills Reimbursed in July, 2010 0.00 Total Expenses: Medical/Pension 30,020.92 4_SUMMAftY 2011.XLS 07l15l2011 � � FIREMEN'S PENSION BOARD MEDICAL BILLS TO BE REIMBURSED IN JULY,2011 PAYMENT �Pa"'� ���k=;�����%Name�� �;����� -"'�Pharmac /Medical Facili ":`_' �r�� Date�.�°� �=Amou`nt of Biil.': Charles Goodwin Bartell Drugs 03/18/11 91.35 Charles Goodwin Bartell Drugs 03/19/11 17.99 Charles Goodwin Bartell Drugs 04/01/11 226.63 Charles Goodwin Bartell Drugs 04/09/11 17.99 Charles Goodwin Bartell Drugs 04/11/11 17.00 Charles Goodwin Bartell Drugs 05/02/11 17.99 Charles Goodwin Bartell Drugs 05/18/11 350.88 Charles Goodwin Bartell Drugs 05/23/11 47.49 Charles Goodwin Bartell Drugs 06/06/11 15.29 Charies Goodwin Bartell Drugs 06/06/11 365.48 Charles Goodwin Bartell Drugs 06/18/11 91.35 Charles Goodwin 1,259.44 .. , ., . .. . .,._ . ,�,� . � _ . , _ �� .. __� ;_�-�,., '. � _ � � ._ - � � � � ������� � 3_2011 FP Medical.XLS Page 1 of 1 07l1512011 � � SENDCLAIMTO: City of Renton Finance Dept.�Fire Pension 1055 Sfluth Grady Way Renton,`VA 98057 US�Y �� 4 g � � "�,�'N��� CITY OF RENTON FIREMEN'S PENSION BOA.RD Phannacy/Medical Claim Reimbursement Request � 1) DATE F� � �� 2) DISABILITY RETIREE'S NAME -' (print) �},��LC� C�"Ol�./�Cc�l o'L/ 3) ADDRESS i�/����t�J/�d� �/� Jf,' � -Tl����1G� GU� �Z�(�S� ���� � ,. 4) DISABILITY AT TIME OF RETIREMENT �� -���1��,�9L �/�: 5) DESCRIPTION OF CLAIM: (Supporting documentation must be attached.) (Effective 4/1/2008,pre-LEOFF retirees may submit all prescription drug expenses for reimbursement, whether or not related to the retirement disability,provided that the expense is not covered by another plan,source or insurance co era Supporting documentation for all must be attached.) � G�d�����`-�' �`-� b) TOTAL AMOUNT OF CLAIM: $ ��� �/ —�' � — r-� y L� Amount of total claun (above) that is related to the Retirement Disability: $ 1 ri � `� � 7) I certify that I have not been and will not be compensated by any other organization, insurance carrier or Medicare for the above-mentioned claim for reimbursement other than the City of Renton. I further certify that the above statements are complete and accurate to the best of my knowledge, and that any charges other than prescription drug charges, are related to my disability as deternuned at the time of my retirement from the Renton Fire Department. �/i � - Signature: � �����'�""``-`- Note: Supporting documentation must be attached. ,-� _ � � .�/� --�. �� � � , � ;� . g�-� � 1 1 ,�,-�%�' ���'� '�� � �-- t j�'�� �����,� � ����� � -�d���.�����- , , �..�.�'����,, � � ��►.�'���� � � rww�+�+M+e��w;#'Qaki�rgtuh'a fAcPu f}rm�aFarrs.�•�••��••••��• rww�.w�w�+�wwuww�3Yuakisgtoh�e i3zv��treegslorca.w..�.�.�.we 4700 NE 4TH STREET RENTON,WA 98059 4700 NE 4TH STREET RENTON,WA 98059 (425)793-1015 (425)793-1015 CHARLES GOODWIN DOB:06/02/XXX CHARLES GOODWIN DOB:O6/02/XXX 1414 MONROE AVE NE#306,RENTON,WA 9605E 741A MONROE AVE NE tt306,RENTON,WA 98056 RX#Q59039a045 R DR.G.LORCH RX#C 0596132-045 R DR.A.GRIFFfTH FILL DATE: 03/18/20y1 (425)251-5110 FILL JATE: 03/19/2011 (425)899-3123 CARVEDILOL 6.25MG TABS ZOLPIDEM TARTRATE 5MG TABS NDC#00093-Oi35-05 Refilfs Remaining: 1.00 NDC#13668-0007-10 Refilis Remaining: 2.00 REF# 14156194654659 Qty Dispensed: 180 REF# t4164698784659 Qty Dispensed: 30 BARTELL DRUGS PRICE_$99.29 BARTELL DRUGS PRICE_$19.99 WITH SR YOU PAY $ 91.35 WITH SR YOU PAY $ 17.99 CALL YOUR DOCTOR FOR MEDICAL ADVICE ABOUT SIDE EFFECTS. CALL YOUR DOCTOR FOR MEDICAL ADVICE ABOUT SIDE EFFECTS. YOU MAY REPORT SIDE EFFECTS TO THE FDA AT 1-80Q-FDA-1088. YOU MAY REPORT SIDE EFFECTS TO THE FDA AT 1-800-FDA-1088. � �' J.�� =� !j �� ��; �.�.�'�"����, � '� � �.�►.�'�`��� � " Mw*wwr�w�w33'aahi�rgtaa`a[Arq�I?ree,�atan�s...+...��,�..nwre ' �,�*i4'uahi�tnr�'s((3t��1?ree�aturca.��"""'"""b 4700 NE 4TH STREET RENTON,WA 98059 j (425)793-1015 j 4700 NE 4TH STREET RENTON,WA 98059 CHARLES GOODWIN DOB:06/02/)CXX (425)793-1015 1414MONROEAVENE�3D6,RENTON,w,a9soss- CHARLES GOODWIN DOB:O6IOZIXXX RX#Q56Q599-045 R DR.G.LORCH 1414 MONROE AVE NE#306,RENTON,WA 98056- FILL DATE: 04/01/2011 (425)251-5110 RX#C 0596132-045 R DR.A.GRIFFITH FILL DATE:04/09/20i1 (425)$s9-3123 AGGRENOX 25-200MG CP12 ZOLPIDEM TARTRATE 5MG TABS NDC#OQ597-0001-60 Refills Remaining: 2.00 Refills Remaining: 1.00 REF# 13921032881409 Qty Dispensed: 60 NDC#13668-0007-�0 Q Dis ensed: 30 BARTELL DRUGS PRICE_$243.69 . REF#. 14471489824659 �' P WfTH SR YOU PAY $226.63 BARTELL DRUGS PRICE_$�9•g9 CALL YOUR DOCTOR FOR MEDICAL ADVICE ABOUT SIDE EFFECTS. W�TH SR YOU PAY $ 17-99 YOU MAY REPORT SIDE EFFECTS TO THE FDA AT 1-800-FDA-1088. CALL YOUR DOCTOR FOR MEDICAL ADVICE ABOUT SIDE EFFECTS. YOU MAY REPORT SIDE EFFECTS TO THE FDA AT 1-800-FDA-1088. ,�,�' I l. `1 j � -� --; �: �.,� � �s� �� f--`.� ; �c�f, I --- � � {�� ���P / � � ,� � ,� r � `�, ����� � ���1 � . � �c �'� ! ��� � � � .(y�/fn � r / ,� � /; �� �����_ � `'� � f ��.�'���� � � �.�.�'���� � ' r�www�wrrww+�iYnaki�cgfbh's f3ron?�resgafurna.w......rw..+Mb ���,3�'aa7sirrgto�i'8 f3ow�l?reegafw�ra.�....w�w..�.wb 4700 NE 4TH STREET RENTON,WA 98059 47D0 NE 4TH STREET RENTON,WA 98Q59 (425)793-1015 (425}793-1015 CHARLES GOODWIN DOB:O6/02/XXX CHARLES GOODWIN DOB:O6/02/XXX 1514 MONROE AVE NE�306,RENTON,WA 98056 1414 MONROE AVE NE#306,RENTON,WA 98056 RX#0608494045 N DR.E.CHEN RX#C 0596132-045 R DR.A.GRIFFITH FILL DATE: 04/11/2011 (425)251-5110 FILL DATE: 05/02/2011 (425)899-3123 ALLOPURINOL 10dMG TABS ZOLPIDEM TARTRATE 5MG TABS NDC#00603-21'15-32 Refilfs Remaining: 3.00 NDG#i3o68-0007-10 Reiilts �ema^�ng: NO REF#14500881244659 Qty Dispensed: 90 REF#9617546143559 Qty Dispensed: 30 BARTELL DRUGS PRICE_$18.89 BARTELL DRUGS PRICE_$19.89 WITH SR YOU PAY $ 17.00 WITH SR YOU PAY $ 17:99 CALL YOUR DOCTOR FOR MEDICAL ADVICE ABOUT SIDE EFFECT; CALL YOUR DOCTOR FOR MEDICAL ADVICE ABOUT SIDE EFFECTS. YOU MAY REPORT SIDE EFFECTS TO THE FDA AT 1-800-FDA-108° YOU MAY REPORT SIDE EFFECTS TO THE FDA AT 1-800-FDA-1088. ��' � � �Z� � !% 7�> ,. B�i.RTELL � ` ��RTELL � ` � 0 4700 NE 4TH STREET RE�fTON,WA 98059 4700 NE 4TH STREET RENTON,WR 98Q59 (425)793-1015 (425)793-1015 D06:o6/02/XXX CHARLES GOODWIN DOB:osl02/XXX CHARLES GOODWiN 1414 MONROE AVE NE#306,RENTON,WA 9805E �4�4MONROEAVENE#306,RENTON,WA98056- DR.A.GRIFFITH RX#C 0613801-045 N DR.A.GRIFFITH RX#061380Q045 N (425)899-3123 FI LL DATE: 05/23/2011 (425) 899-3123 FILL DATE: 05/18/2011 ZpLpIDEM TARTRATE 5MG TABS CARBIDOPA-LEVODOPA25-100MG TABS N�c# �ssss-000�-io Retills Remaining: 3.00 NDC#62756-0518-13 Refills Remaining: 3.00 �EF# 9555406982509 Qty Dispensed: 90 Qty Dispensed: 540 REF#8772504498709 BARTELL DRUGS PRICE_$52.19 BARTELL DRUGS PRICE_$37729 W(TH SR YOU PAY $ 47.49 WITH SR YOU PAY $350.88 CALL YOUR DOCTOR FOR MEDICAL ADVICE ABOUT SIDE EFFECTS. CALL YOUR DOCTOR FOR MEDICAL ADVICE ABOUT SIDE EFFECT; YOU MAY REPORT SIDE EFFECTS TO THE FDA AT 1-800-FDA-1088. YOU MAY REPORT SIDE EFFECTS TO THE FDA AT 1-800-FDA-108E � "�S� . �� ?` `r � c� '- _-;_,�,-.`�; r-��.�� .� `� � �-�,�� P���- �' �, � � ` �/�f� ,t �� /���� W - `,�J� �/�/� r L�t���t�� � 'j � ^ � � � r�C �''�Ly� � ��?��� � ��c� ',, ��.����� � � �nw�niYuahirr�toh'a[3ivla I1ru�atarna�����^�4 4700 NE 4TH STREET RENTON,WA 98059 (425)793-1015 CHARLES GDODWIRf DOB:06/02/XXX 1414 MONROE AVE NE K306,RENTON,WA 98056 � n��1 RX#Q587114045 R DR.G.KATO ,/ ;�-'� FILL DATE: 06/06/2011 (425)255-s310 ; �� `; ' LISINOPRIL 5MG TABS NDC#00603-4210-32 Refills Remaining: NO REF# 10015164123559 Qty Dispensed: 100 BARTELL DRUGS PRICE_$16.99 WITH SR YOU PAY $ 15.29 CALL YOUR DOCTOR FOR MEDICAL ADVICE ABOUT SIDE EFFECTS. YOU MAY REPORT SIDE EFFECTS TO THE FDA AT 1-800-FDA-1088. ��.����� � � ���vahiis�tGh�a f3[q�I}rt2�g*a�arrs��.wa � 4700 NE 4TH STREET RENTON,WA 98059 (425)793-1015 CHARLES �GOODWIN DOB:O6/02/XXX 1414 MONROE AVE NE k306,RENTON,WA 98056 RX#0616607-045 N DR.E.CHEN % �� FILL DATE: 06/06/2011 (425)251-5110 � � ��5 AGGRENOX 25-200MG CP12 E � NDC#OQ597-0001-60 Refilis Remaining: 3.00 REF#, 9703920452509 Qty Dispensed: 90 BARTELL DRUGS PRICE_$392.95 WITH SR YOU PAY $ 365.48 CALL YOUR DOCTOR FOR MEDICAL ADVICE ABOUT SfDE EFFECTS. YOU MAY REPORT SIDE EFFECTS TO THE FDA AT 1-800-FDA-1088. BARTELL � � o 4700 NE 4TH STREET RENTON,WA 98059 (425)793-1015 CHARLES GOODWIN DOB:O6/0?JXXX 1414 MONROE AVE NE 7k306,RENTON,WA 98056- ,� - RX#0590390-045 R DR.G.LORCH '�� '��7 � ;L� � R �"' FILL DATE: 06/18/2011 (425)251-5110 �r� �,�( . L CARVEDILOL 6.25MG TABS � ,�,. .> �.% ..,, NDC#00093-0135-05 Refilis Remaining: NO T �G''�,�� � t, ' REF#98186049425Q9 Qty Dispensed: 180 ,� `'��'�-` � _,/'/, � �-' BARTELL DRUGS PRICE_$99.29 � '� ` U � WITH SR YOU PAY $ 91.35 �`' y CALL YOUR DOCTOR FOR MEDICAL ADVICE ABOUT SIDE EFFECTS. ��' i r�� `1� .-% YOU MAY REPORT SIDE EFFECTS TO THE FDA AT 1-800-FDA-1088. � ���� !