HomeMy WebLinkAboutFinal Agenda Packet � '��'
CITY OF RENTON
FIREMEN'S PENSION BOARD
Regular Meeting
7th Floor-Mayor's Conference Room
Thursday,January 21, 2010
2:00 P.M.
1. CALL TO ORDER
2. APPROVAL OF MINUTES OF DECEMBER 17, 2009
3. CORRESPONDENCE
4. MONTHLYSTATEMENTTO DECEMBER 31, 2009
5. MONTHLY BILLS AND PENSION PAYMENTS
6. UNFINISHED BUSINESS
7. NEW BUSINESS
8. ADJOURNMENT
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MINUTES
FIREMEN'S PENSION BOARD
CITY OF RENTON
December 17, 2009
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 Mayor Denis Law at 2:00
p.m. in the Mayor's Conference room, 7th floor of Renton City Hall. In attendance were Board
members Denis Law, Ray Barilleaux, Bruce Phillips and Bonnie Walton, as well as Finance Department
Representative Jill Masunaga.
MINUTES APPROVAL
MOVED BY PHILLIPS, SECONDED BY BARILLEAUX, THE PENSION BOARD APPROVE THE MINUTES OF THE
NOVEMBER 19, 2009 MEETING. CARRIED.
CORRESPONDENCE
A memo from Fire Chief I. David Daniels was reviewed. He reported that an election was conducted and
Bruce Phillips was reelected to a two-year term as a Fire Department representative on the Renton
Firemen's Pension Board effective January 1, 2010 to December 31, 2011.
MONTHLY STATEMENT
The financial report as of November 30, 2009, was reviewed. Total cash/investment balance was
$4,375,599.98.
MONTHLY BILLS AND PENSION PAYMENTS
MOVED BY BARILLAUX, SECONDED BY PHILLIPS,TO APPROVE THE PENSION/MEDICAL PAYMENTS FOR
DECEMBER 2009, IN THE TOTAL AMOUNT OF $35,612.83 TO BE PAID FROM THE FIREMEN'S PENSION
FUND. CARRIED. It was noted that a payment of$500 to widow Cheryl Weiss was included for funeral
expense per RCW 41.18.140.
ADJOURNMENT
MOVED BY BARILLEAUX, SECONDED BY PHILLIPS,THE MEETING OF THE FIREMEN'S PENSION BOARD BE
ADJOURNED. CARRIED. Time: 2:06 p.m.
ka�t?'lt�,<,c '� WGf�--�
Bonnie Walton
Firemen's Pension Board Secretary
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CITY OF RENTON - FIREMEN'S PENSION FUND
CASH & INVESTMENT ACTIVITY REPORT
s,7J��� AS OF DECEMBER 31, 2009
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Fireman's Pension Fund Comparison of Cash and Investment Activitv
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■2009 ■2008
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BEGINNING CASH/INV BALANCE $4,375,599.98 $4,265,991.35 $3,895,540 $4,307,865.55 $4,694,232.48 $4,203,347
RECEIPTS:
Fire I�surence Premium Tax 0.00 106,622.90 90,000 0.00 85,949.42 75,000
Investment Interest 0.00 437,266.28 200,000 1,031.91 17,965.67 200,000
DISBURSEMENTS:
Fire Pension 35,571.71 443,617.54 500,000 40,549.89 512,262.83 552,400
Fire Pension Medical 952.40 12,835.48 20,000 1,527.22 9,572.61 20,000
Office/Operating Supplies 126.24 459.88 475 0.00 372.78 459
Actuarial/Firemen's Pens 8,000.00 11,200.00 10,000 0.00 0.00 0
Reimb General/Clerical&Acct 983.00 11,801.00 11,801 829.00 9,948.00 9,948
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CASH/State Investment Pool $1,460,754.75 $1,506,388.10 $727,571.09 $546,745.98
INVESTMENTS:
CD's&State Investment Pool 0.00 0.00 454,767.46 454,767.46
Federal National Mortgage Assn 99,555.84 99,555.84 99,555.84 99,555.84
Treasury Strips&Zero Coupon Bonds 2,767,916.83 2,767,916.83 2,984,096.96 3,206,796.27
Interest Receivable 1,739.21 1,739.21 0.00 0.00
Interest Accrued 0.00 0.00 0.00 0.00
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The State Investment Pool interest 03347% 0.3327�0 1.8183% 2.19039�
H:IFINANCE\FINPLAN\FIREPEN\1_Fire_Pension_2010.x1s\Dec09 draft Page 1 01/15/2010
� �
FIREMEN'S PENSION BOARD
PENSION/MEDICAL PAYMENTS FOR JANUARY, 2010
Recipient Pension Amt°- Medical < Total -
ANKENY, Charlie(Captain) $135.71 135.71
ASHURST,James(Assistant Chiefl $4,820.50 480.53 5,301.03
BARILLEAUX, Ray(Battalion Chief) - _
BEATTEAY, Karlen(Widow) $231.70 231.70
BERGMAN,Claudette(Widow) $154.09 154.09
CHRISTENSON, Chuck(Firefighter) $259.09 259.09
GEISSLER, Dick(Fire Chief) - _
GOODWIN, Charles(Captain) $4,231.00 558.13 4,789.13
GOODWIN, Donald(Firefighter) $1,018.60 1,018.60
HAWORTH,Constance(Widow) $2,910.13 2,910.13
HAWORTH,Jack(Firefighter) $3,191.50 - 3,191.50
HENRY,William,Jr. (Captain) $1,339.58 1,339.58
HURST,Gerald(Firefighter) $543.59 543.59
JONES, Evelyn M.(Widow) $250.62 250.62
LARSON,William(Firefighter) - _
LAVALLEY,Theodele(Captain) $360.94 360.94
MATTHEW,James(Deputy Chief) - _
MC LAUGHLIN,JACK(Battalion Chief) $1,002.95 1,002.95
NEWTON,Gary(Lieutenant) $273.45 273.45
NICHOLS, Gerald(Battalion Chief) $536.08 536.08
PARKS-ANDREASON,Arlene(Widow) $335.32 335.32
PARKS,1ohn(Firefighter) $3,312.50 - 3,312.50
PHILLIPS, Bruce H. (Deputy Chiefl $257.12 257.12
PRINGLE,Arthur(Captain) $481.28 481.28
PRINGLE,S.Joan(Widow) $2,500.14 2,500.14
RIGGLE,David E.(Firefighter D Step) $82.78 g2,7g
RUPPRECHT,Jim(Firefighter D Step) $117.72 117.72
SMITH, Leroy(Firefighter) $409.86 409.86
STROM, Doris(Widow) $3,191.50 3,191.50
TODD, Franklin (Firefighter) $469.71 469.71
TONDA, Lila Jean(Widow) $8.43 8.43
VACCA, Nick(Lieutenant) $311.71 311.71
WALLS,Camille(Widow) $145.64 145.64
WALLS, Mercedes(Widow) $115.77 115.77
WALSH, David(Firefighter) $1,065.19 1,065.19
WEISS,Chery)(Widow) $768.23 768.23
WILLIAMS,Alta(Widow) - _
WOOTEN, Marilyn E. (Widow) $239.28 239.28
����`� , 7'ii�i.�cperys�s�"�Pensiorrf Merl�r�l�,,,..�� �;;� „���;�$35;071.7,�. �_��� :� ..�'.:�
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Prior Year Pension/Medical Payments:
Total Pension Payments for January, 2009 41,526.62
Total Medical Bills Reimbursed in January, 2009 75.15
Total Expenses: Medical/Pension 41,601.77
4_SUMMARY 2010.XLS 01/15/2010
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FIREMEN'S PENSION BOARD
MEDICAL BILLS TO BE REIMBURSED IN JANUARY, 2010 PAYMENT
Page ` Name . ' Pharmac'/Medicai'Facili �Date Amount`ofBill
2 James Ashurst Safeway 12/21/09 153.20
2 James Ashurst Safeway 12/21/09 1326
2 James Ashurst Safeway 12/22/09 100.90
2 James Ashurst Safeway 12/29/09 6.69
2 James Ashurst Safeway 12/29/09 14.65
3 James Ashurst Safeway 01/05/10 86.39
3 James Ashurst Safeway 01/05/10 105.44
James Ashurst Safeway
480.53
5 Charles Goodwin Bartell Drugs 11/06/09 30.05
5 Charles Goodwin Bartell Drugs 11/16/09 9.8g
5 Charles Goodwin Bartell Drugs 11/25/09 194.36
5 Charles Goodwin Bartell Drugs 12/14/09 9.89
6 Charles Goodwin Bartell Drugs 12/18/09 27.79
6 Charles Goodwin Bartell Drugs 11/03/09 17.99
6 Charles Goodwin Bartell Drugs 12/01/09 26.02
7 Charles Goodwin Bartell Drugs 12/04/09 10.79
7 Charles Goodwin Bartell Drugs 12/04/09 202.57
7 Charles Goodwin Bartell Drugs 12/05/09 17.99
7 Charles Goodwin Bartell Drugs 12/17/09 10.79
558.13
Jack Haworth 0.00
John Parks 0.00
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SENDCLAIMTO: City of Renton
Finance Dept.-Fire Pension
1055 South Grady Way
Renton,WA 98057
U�'�Y ��
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CITY OF RENTON
FIREMEN'S PENSION BOARD
Pharmacy/Medical Claim Reimbursement Request
1) DATE JAI�UARY`= '1 1 2010
2) DISABILITY RETIREE'S NAME (print) a��q�� �,. �������,
3) ADDRESS 2 2 3 GARDEN AVE. N. #B RENTON WA. 9 8 0 5 7
4) DISABILITY AT TIME OF RETIREMENT HYPFRTFNST(�N N g p
5) DESCRIPTION OF CLAIM: (Supporting documentation must be attached.)
. (Effective 4/1/2008,pre-LEOFF rehrees may submit all prescription drug ezpenses for reimbursement,
whether or not related to the retirement disability,provided that the egpense is not covered by another
plan,source or insurance coverage. Supporting documentation for all must be attached.)
6) TOTAL AMOLTNT OF CLAIM: $ $4 8 0.5 3
Amount of total claim(above) that is related to the Retirement Disability: $ �.� . ��
7) I certify that I have not been ana will not be compensated by a�y other organizat�or.,
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 a.nd accurate to
the best of my knowledge, and that any charges other than prescription drug charges, are
related to my disability as determined at the time of my retirement from the Renton Fire
Department.
Signature: �
Note: Supporting documentation must be attached.
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�'����IACY ����'y�.�[ACY
( RENTON,WA 98055 RENTON,WA 98055
#1 (425)226-0325 # (425)226-0325
iaa eceipt- ease retam or tax or insurance icia eceip - ease re ain or ax or msurance
ASHURST,JAMES f425)255-6154 ASHURST,JAMES (425)255-6154
223 B GARDEN AVE N. 12/17 223 B GARDEN AVE N. 12/17
RENTON,WA 9.8055 „_� RENTON,WA 98055 .- ,
DR. GRAVES,DANIEL DR. GRAVES.DANIEL [RF] �
17900 TALBOT RD S LRF� 17900 TALBOT RD S
RENTON,WA 98055 RENTON,WA 98055
Rx:6719636 Dec 21, 2009 Safety Cap: YesA� ��6721082 Dec 21, 2009 Safety Cap: YesAF
PLAVIX 75MG TAB iB-M ) Qty:30 TAB METOPROL TAR 50MG TAB iTEVA)O.ty: 100 TAB
Ref:30000055639475 NDC:63653-1171-06 HS6►TL Ref:30000055639593 NDC:00093-0733-10 HSGITL
REGENCE BS WASHINGTON Cash Price: 207.99 REGENCE BS WASHINGTON Cash Price: 13.26
Amount Due: 5153.20 Amount Due: S 13.26
(I(I I)II II II IIIIII(I I I(I'IIIII � REF/LL YOURPRfSCR/PT/ONS IIII II II IIIII IIII�II)IIIII II II �Ef�SAfEWAY.CDM T/ONS
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00000068710 � 29002101326
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��1���:��VIACY SAFEWAY PHARMACY
�JJ RENTON,WA 98055 �� RENTON,WA 98 55REET
#1563 t425)226-0325 #1563 (425)226-0325
�aa eceipt- ease retam or tax or�nsurance Official Receipt-Please retain for tax or insurance
ASHURST,JAMES (425)255-6154 qSHURST,JAMES (425)255-6154
223 B GARDEN AVE N. �2���. 223 B GARDEN AVE N. 12/17
RENTON;WA 98055 •�^- RENTON,WA 98055
DR. GRAVES,DANIEL [RS] ` DR. GRAVES,DANIEL
17900 TALBOT RD S 17900 TALBOT RD S �NW�
RENTON,WA 98055 AskAF RENTON,WA 98055
Rx:6736819 Dec 22, 2009 Safety Cap: Yes �;6737093 Dec 29, 2009 Safety Cap: YesAF
PANTOPRAZOLE 40MG TAB (PRAS)Qty:30 TAB FUROSEMIDE 40MG TAB {RANB)Qty:30 TAB
Generic for:PROTONIX 40MG TAB Generic for:LASIX 40MG TAB
Ref:30000055790062 NDG:00008-0607-01 �KIPSH HSG►PSH
REGENCE BS WASHINGTON Cash Price: 134.99 Ref:30000056341017 NDC:633040625-10
Amount Due: 5100.90 REGENCE BS WASHINGTON Cash Price: 9.99
Amount Due: 56.69
II II(I II II II IIIIII I I(I I II II)(I �I�� REF�SAfEWAY.COM T10NS II I I II II II I(I IIII II III II')I I�I r� REf/�SAfEWAY.COM T/ONS
00000068710 � 29002100669 �
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SAFEWAY PHARMACY
�JJ 200 SOUTH 3RD STREET
RENTON,WA 98055
#'!563 t425)226-0325
Official Receipt-Please retain for tax or insurance
ASNURST,JAMES (425)255-6154
223 B GARDEN AVE N. 12/17
RENTON,WA 98055
DR. GRAUES,DANIEL [NW]
17900 TALBOT RD S
RENTON,WA 98055 AskAF .
Rx:6737092 .. Dec 29, 2009 Safety Cap: Y.es
NITROGLYCER 0.4MG SUB (GLEN) Qty: 100 TAB
Ref:30000�6338730 NDC:68462•0146•Ot HSGfPSH
REGENCE BS WASHINGTON Cash Price: 22.99
Amount Due: S 14.65
111!!I II Il1I1181IlIIlII fIIIII �ff@SA EwA�OM�ONS
29002101465
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`JJ RENTON.WA 96055 RENTON.WA 98055
#1563 (425)226-0325 #1 (425)226-0325
'Official Receipt-Please retain for tax or insurance Official Receipt- Please retain for tax or insurance
ASHURST,JAMES (425)255-6154 ASHURST,JAMES (425)255-6154
223 B GARDEN AVE N. �2/�7 223 B GARDEN AVE N. �2/�7
RENTON,WA 9.8055 __ RENTON,WA 98055 ., .
DR. GRAVES,DANIEL DR. GRAVES,DANIEL
17900 TALBOT RD S �R�� 17900 TALBOT RD S �RF�
RENTON,WA 98055 RENTON,WA 98055
Rx:6729169 Jan 05, 2010 Safety Cap: NokAF �;6729173 Jan 05, 2010 Safety Cap: NakAF
HUMULIN N VIA (LILL) Qty:20 ML HUMALOG 100U/ML INJ (LILL) Qty: 10 ML
Ref:3000�56921368 NDC:00002•8315•Ol HSGJTC Ref:30000�6921490 NDC:00002•7510•Ol �KffC
REGENCE BS WASHINGTON Cash Price: 93.98 REGENCE BS WASHINGTON Cash Price: 109.98
Amount Due: 586.39 Amount Due: 5105.44
� REfILL YOU@PRESCR/PT/ONS � REF/LL YO!I�PRESC/t/PT/ONS
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�rr SENDCLAIMTO: � City of Renton
Finance Dept.-Fire Pension
1055 South Grady Way
Renton,WA 98057
U��Y ��
. � '?- ,
'�,�'N���
CITY OF RENTON
FIREMEN'S PENSION BOARD
Pharmacy/Medical Claim Reimbursement Request
1) DATE c� o�� �
2) DiSABILITY RETIREE'S NAME (print) ���L�S f`t, C�-OD/��/�
3) ADDRESS ���`t a/{I I�d� /`t(/� N �. ��D� ��N�,t�� �C//-�-q�C��.G
4) DISABILITY AT TIME OF RETIREMENT �E11�i ��1�i 7`/D� �- �,�r��p,l,,
5) DESCRIl'TION OF CLAIM: (Supporting documentation must be attached.)
(Effective 4/1/2008,pre-LEOFF retirees may submit all prescription drug egpenses for reimbursement,
whether or not related to the retirement disability,provided that the expense is not covered by another
plan,source or insurance coverage. Supporting documentation for all must be attached.)
� � ��-���
6) TOTAL AMOLTNT OF CLAIM: $ �J��• �3
Amount of total claim (above) that is related to the Retirement Disability: $ ` • ��
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 determined at the time of my retirement from the Renton Fire
Department.
��y��`� �
Signature:
Note: Supporting documentation must be attached.
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Na,►�E: CHARLES GOODWIN
1414 MONROE AVE NE#306 ►�E� LES GOODWIN
1414 MONROE AVE NE#306
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BARTELL DRUGS PRICE_ $33.39
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WITH SR THE AMOUNT DUE- 30.05 n ���,
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BARTELL DRUGS#45
(425j 793-1015 BARTELL DRUGS#45
4700 NE 4TH STREET (425)793-1015
RENTON,WA 98059 4700 NE 4TH STREET
RENTON,WA 98059
THANK YOU
WE TRULY APPRECIATE YOUR BUSINESS:TO PROVIDE YOU THANK YOU
WITH THE BEST SEHVICE POSSIBLE PLEASE ORDERYOUR WE TRULY APPRECIATE YOUR BUS�NESS. TO PROVIDE YOU
REFILLS 24-48 HOURS IN ADVANCE � WffH THE BEST SERVICE POSSIBLE PLEASE ORDER YOUR
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BARTELL DRUGS#45 BARTELL DRUGS#45 q
(425)793-1015 (425)793-1015
47G0 NE 4TH STREET 4700 NE 4TH STREET
RENTON,WA 98059 RENTON,WA 98059
THANK YOU 'fHANK YOU
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1414 MONROE AVE NE#306
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00093- 135-0 00004886517401 �� ��
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BARTELL DRUGS PRICE_ $387.69
WITH NEW THE AMOUNT DUE 27.79
BARTELL DRUGS#45
(425)793-1015
4700 NE 4TH STREET '
RENTON,WA 98059
THANK YOU -
WE TRULY APPRECUITE YOUR BUSWESS.TO PAOVIDE YOU
WITH THE BEST SERVICE POSSIBLE PLEASE ORDER YOUR
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wn�+e: CHARLES GOODWIN wu�e: CHARLES GOODWIN
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(425)793-1015 • (425)793-1015
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RENTON,WA 98059 RENTON,WA 98059
TNANK YOU THpNK YOU ��fi
WE TFiULY APPRECIATE YOUR BUSINESS•'�'O PAOVIDE YOU y�TpULY APPRECIATE YOUR BUSINESS:TO PROVtDE YOU
WITH THE BEST SERVICE POSSIBLE PLEASE ORDER YOUR yJ�ry 7}{E BEST SERVICE POSSI6LE PLEASE ORDER YOUfl
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Wwhington'a Own Drugstorea EI L L � � �
� C 45- 527770 E oR. KATO �C 45-�07730 r�n Drnp�torew..���
oare: 12/04/09 N (425)255-9310 E °R. GRIFFITH,ALIDA
DATE: �yOJrIO9 R (425)89g-3123
�E: CHARLES GOODWIN ►�u►Me: CHARLES GOODWIN
1414 MONROE AVE NE#306 _ 1414 MONROE AVE NE#306
HYDROCODONE/APAP 5MG/500MG �, ZOLPIDEM 5MG TABLET(DRR)
00591-0349-05 00004789232201 �(��`7 J 55111-047&01
u / / 2717520038709
REFILL NO QUANTITY (jO.00 REFILL '1 QU�.��T,
BARTELL DRUGS PRICE_ $37.39 30.00 ����
BARTELL DRUGS PR�CE_ $19.99
WITH NEW THE AMOUNT DUE- 10.79 WITH SR THE AMOUNT DUE= 17.99
BARTELL DRUGS#45
(425)793-1015 BARTELL DRUGS#45
4700 NE 4TH STREET (425)793-1015
RENTON,WA 98059 4700 NE 4TH STREET
RENTON,WA 98059
THANK YOU
WE TRULY APPRECIATE YOUR BUSINESS. TO PROVIDE YOU THANK YOU
WITH THE BEST SERVICE POSSIBLE PLEASE ORDER YOUR WE TRULY APPRECIATE yOUfl BUSINESS. TO PROVIDE YOU
_ REFILLS 24-48 HOURS IN ADVANCE W�Tfi THE BEST SERVICE POSSIBLE pLEqSE ORDER YOUR
_ REFILLS 24-46 HOURS IN ApVANCE
BARTELL � - BARTELL � �
R� �i9whington's Own Dnsgatorer.�� ��i9eahington'e Omn Drugatotea�.�.�
45- 527771 E oR. 4(qT0 � C 45- 529808 E DR KqTO
nare: 12/04/09 N (425)255-9310 �ATE� 12/17/09 N
(425)255-9310
�E� CHARLES GOODWIN ►�u►Me: CHARLES GOODWIN
1414 MONROE AVE NE#306 1414 MONROE AVE NE#306
LIDODERM PATCHES 30CT HYDROCODONE/APAp 5MG/500MG
63481-0687-06 00004789226001 00591-0349-05 00004875774001
��u- NO QuanrriTr 30.00 REFILL NO Qunrrrirv 60.Q0
BARTELL DRUGS PRICE_ $224,5g �s7 BARTELL DRUGS PRICE_ $37.39
WITH NEW THE AMOUNT DUE- 202.57 � WITH NEW THE AMOUNT DUE- 10.79 /�'7�
BARTELL DRUGS#45 BARTELL DRUGS#45
(425)793-1015 (425)793-1015
4700 NE 4TH STREET 4700 NE 4TH STREET
RENTON, WA 98059 RENTON,WA 98059
THANK YOU THANK YOU
WE TRULY APPRECIATE yOUR BUSINESS. TO PROVIDE YOU WE TRULY APPRECIATE YOUR BUSINESS.TO PROVIDE YOU
WITH THE BEST SERVICE POSSIBLE PLEASE ORDER YOUR W�TI-1 THE BEST SERVICE POSSIBLE p(.E,qSE ORDEl�YOUR
L REFILLS 24-48 HOURS IN ADVANCE _ REFILLS 2448 HOURS IN ADVANCE
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