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HomeMy WebLinkAboutFinal Agenda Packet +err woe CITY OF RENTON FIREMEN'S PENSION BOARD Regular Meeting 7th Floor-Mayor's Conference Room Thursday, October 15,2009 2:00 P.M. 1. CALL TO ORDER 2. APPROVAL OF MINUTES OF SEPTEMBER 17, 2009 3. CORRESPONDENCE 4. MONTHLY STATEMENT TO SEPTEMBER 30, 2009 5. MONTHLY BILLS AND PENSION PAYMENTS 6. UNFINISHED BUSINESS 7. NEW BUSINESS 8. ADJOURNMENT Nrop, Nue MINUTES FIREMEN'S PENSION BOARD CITY OF RENTON September 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 Chairman Denis Law at 10:30 a.m. in the Mayor's office, 7th floor of Renton City Hall. In attendance were Board members Denis Law, Don Persson, and Bruce Phillips. Also in attendance: Jason Seth,Deputy City Clerk and acting Board Secretary, and Jill Masunago, Finance Department Representative. MINUTES APPROVAL MOVED BY PHILLIPS, SECONDED BY PERSSON, THE PENSION BOARD APPROVE THE MINUTES OF THE AUGUST 20, 2009,MEETING. CARRIED. MONTHLY STATEMENT The final financial report as of August 31, 2009, was reviewed. Total cash/investment balance was $4,258,347.97. MONTHLY BILLS AND PENSION PAYMENTS MOVED BY PHILLIPS, SECONDED BY PERSSON, THE BOARD APPROVE THE PENSION/MEDICAL PAYMENTS FOR SEPTEMBER 2009, IN THE TOTAL AMOUNT OF $43,116.08. CARRIED. ADJOURNMENT MOVED BY PERSSON, SECONDED BY PHILLIPS, THE MEETING OF THE FIREMEN'S PENSION BOARD BE ADJOURNED. CARRIED. Time: 10:31 a.m. i2 3(7 ' Jason Seth, Deputy City Clerk Acting Secretary, Firemen's Pension Board CITY OF RENTON - FIREMEN'S PENSION FUND CASH & INVESTMENT ACTIVITY REPORT AS OF SEPTEMBER 30, 2009 Fireman's Pension Fund Comparison of Cash and Investment Activity 6 02009 02008 5 1 : ffl ; 2 1 I —� !'tt II I Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec CURRENT 2009 2009 LAST YEAR 2008 2008 ACTIVITY: MONTH YTD BUDGET CURR MO ACTUAL ADJ BUDGET BEGINNING CASH/INV BALANCE $4,258,347.97 $4,265,991.35 $3,895,540 $4,525,895.10 $4,694,232.48 $4,203,347 RECEIPTS: Fire Insurance Premium Tax 0.00 106,622.90 90,000 0.00 85,949.42 75,000 Investment Interest 209.56 209,385.31 200,000 607.11 17,965.67 200,000 DISBURSEMENTS: Fire Pension 35,071.71 337,902.41 500,000 43,102.86 512,262.83 552,400 Fire Pension Medical 35.43 9,577.76 20,000 0.00 9,572.61 20,000 Office/Operating Supplies 113.65 113.65 475 0.00 372.78 459 Actuarial/Firemen's Pens 0.00 3,200.00 0 0.00 0.00 0 Reimb General/Clerical&Acct 983.00 8,852.00 11,801 829.00 9,948.00 9,948 ENDING CASH/INV BALANCE $4,222,353.74 $4,222,353.74 $3,653,264 $4,482,570.35 $4,265,991.35 $3,895,540 CURRENT PREVIOUS LAST YEAR LAST YEAR ACTIVITY: MONTH MONTH CURR MO PREV MO CASH/State Investment Pool $1,138,700.94 $719,927.71 $632,126.97 $675,451.72 INVESTMENTS: CD's&State Investment Pool 0.00 454,767.46 454,767.46 454,767.46 Federal National Mortgage Assn 99,555.84 99,555.84 99,555.84 99,555.84 Treasury Strips&Zero Coupon Bonds 2,984,096.96 2,984,096.96 3,206,796.27 3,206,796.27 INTEREST ACCRUED 0.00 0.00 89,323.81 0.00 TOTAL CASH AND INVESTMENTS $4,222,353.74 $4,258,347.97 $4,482,570.35 $4,436,571.29 The State Investment Pool interest 0.4703% 0.5686% 2.3892% 2.3328% H:\FINANCE\FINPLAN\FIREPEN\1_Fire_Pension_2009.xls\Sep09 Page 1 10/09/2009 • FIREMEN'S PENSION BOARD PENSION/MEDICAL PAYMENTS FOR OCTOBER, 2009 Recipient Pension'Amt Medical.:: ° Total ANKENY, Charlie (Captain) $135.71 135.71 ASHURST, James (Assistant Chief) $4,820.50 526.35 5,346.85 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) $4,231.00 725.59 4,956.59 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, John (Firefighter) $3,312.50 - 3,312.50 PHILLIPS, Bruce H. (Deputy Chief) $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 82.78 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, Larry(Battalion Chief) $768.23 768.23 WILLIAMS,Alta (Widow) - - WOOTEN, Marilyn E. (Widow) $239.28 239.28 ,,`*, ,:Total-Expenses'?Pension/Medical : " °$35;07.1':71: : $'1,25t.9*.: $36,323.65` Prior Year Pension/Medical Payments: Total Pension Payments for October, 2008 41,452.86 Total Medical Bills Reimbursed in October, 2008 145.05 Total Expenses: Medical/Pension 41,597.91 4_SUMMARY 2009.XLS 10/09/2009 FIREMEN'S PENSION BOARD MEDICAL BILLS TO BE REIMBURSED IN OCTOBER, 2009 PAYMENT Page Name Pharmacy/Medical Facility -::Y Date yov .°Amount of Bill 2 James Ashurst Safeway 08/13/09 102.15 2 James Ashurst Safeway 08/13/09 147.40 2 James Ashurst Safeway 09/08/09 102.15 2 James Ashurst Safeway 09/08/09 13.26 2 James Ashurst Safeway 09/08/09 147.40 2 James Ashurst Safeway 09/20/09 13.99 526.35 4 Charles Goodwin Bartell Drugs 07/30/09 17.99 4 Charles Goodwin Bartell Drugs 08/07/09 9.89 4 Charles Goodwin Bartell Drugs 08/07/09 142.32 4 Charles Goodwin Safeway 08/10/09 13.90 5 Charles Goodwin Safeway 08/10/09 85.49 5 Charles Goodwin Bartell Drugs 08/20/09 38.51 5 Charles Goodwin Bartell Drugs 08/13/09 122.99 5 Charles Goodwin Bartell Drugs 08/22/09 201.71 6 Charles Goodwin Minkler's Green Earth 08/25/09 9 6 Charles Goodwin Bartell Drugs 09/18/09 17.99 6 Charles Goodwin Bartell Drugs 09/08/09 9.89 6 Charles Goodwin Bartell Drugs 09/21/09 201.80 725.59 Jack Haworth 0.00 John Parks 0.00 TOTAL - - 1,269.33- 3_2009 FP Medical.XLS Page 1 of 1 10/09/2009 SEND CLAIM TO: *1"1 City of Renton Finance Dept.-Fire Pension 1055 South Grady Way Renton, WA 98057 - NT°� CITY OF RENTON FIREMEN'S PENSION BOARD Pharmacy/Medical Claim Reimbursement Request 1) DATE SEPT. 25 2009 2) DISABILITY RETIREE'S NAME (print) JAMES F. ASHURST 3) ADDRESS 223 GARDEN AVE_ N_ #R RENTON WA. 98057 4) DISABILITY AT TIME OF RETIREMENT HYPERTENSION 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 coverage. Supporting documentation for all must be attached.) fIGH BLOOD PRESSURE 6) TOTAL AMOUNT OF CLAIM: $ 526. 35 Amount of total claim (above) that is related to the Retirement Disability: $ 526. 35 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. Signature: :t ,,,utiNote: Suppng documentation must be attached. is) 1AEF1MACY0IIMACY RENTON,WA 98055 CS) MOIATRENTON,WA 98055 #1563 (425)226-0325 #1563 (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. 1 2/1 7 223 B GARDEN AVE N. 1 2/1 7 RENTON,WA 98055 RENTON,WA 98055 DR. GRAVES,DANIEL [RF] DR. GRAVES,DANIEL [RF] 17900 TALBOT RDS 17900 TALBOT RD S RENTON,WA 98055AskAF RENTON,WA 98055 AskAF Rx:6727733 Aug 13, 2009 Safety Cap: Yes Rx:6719636 Aug 13, 2009 Safety Cap: Yes PANTOPRAZOLE 40MG TAB (PRAS)Qty:30 TAB PLAVIX 75MG TAB (B-M ) Qty:30 TAB Generic for:PROTONIX 40MG TAB BBAITC BBAITC Ref:30000043958757 NDC:00008-0607-01 Ref:30000043958816 NDC:63653.1171.06 REGENCE BS WASHINGTON Cash Price: 134.49 REGENCE BS WASHINGTON Cash Price: 201.99 Amount Due: $102.15 Amount Due: $147.40 11111111111111111111 Rx REFILL [d SAFEWAY.COM PRESCRIPTIONS 1111111111111111111111111111 I R x R Ef@ SAfEWAYCOM T/0 00000068710 00000068710 ANAWAIDNiiiimAcy AMMATAMPAcY RENTON,WA 98055 RENTON,WA 98055 #1 (425)226-0325 #(10 (425)226-0325 Official tieceipt -riease retain tor tax or insurance Official Heceipt- i-lease retain tor tax or insurance ASHURST,JAMES (425)255-6154 ASHURST,JAMES (425)255-6154 223 B GARDEN AVE N. 1 2/1 7 223 B GARDEN AVE N. 1 2/1 7 RENTON,WA 98055 RENTON,WA 98055 DR. GRAVES,DANIEL [RF] DR. GRAVES,DANIEL [RF] 17900 TALBOT RDS 17900 TALBOT RD S RENTON,WA 98055 AskAF RENTON,WA 98055 AskAF Rx:6727733 Sep 08, 2009 Safety Cap: Yes Rx:6721082 Sep 08, 2009 Safety Cap: Yes PANTOPRAZOLE 40MG TAB (PRAS) Qty:30 TAB METOPROL TAR 50MG TAB (TEVA)Qty: 100 TAB Generic for:PROTONIX 40MG TAB HSGITC HSGITC Ref:30000046069370 NDC:00008-0607-01 Ref:30000046069231 NDC:00093-0733-10 REGENCE BS WASHINGTON Cash Price: 134.49 REGENCE BS WASHINGTON Cash Price: 13.26 Amount Due: $102.15 Amount Due: $13.26 11111111 Nil 11111111111 [� REFILL @ SAFEWAY.COM PRESCRIPTIONS ill1M111111111111 1111 Ef[R SAfEWARY.COM TIONS 00000068710 t7 29002101326 20tJt501!'I1 DANimACYriciMIRMIDPAMOutcY RENTON,WA 98055 RENTON,WA 98055 #(510 (425)226-0325 # W (425)226-0325 Official Receipt- Please retain tor 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. 12/17 223 B GARDEN AVE N. 12/17 RENTON,WA 98055 RENTON,WA 98055 DR. GRAVES,DANIEL [RF] DR. GRAVES,DANIEL [RF] 17900 TALBOT RD S 17900 TALBOT RD S RENTON,WA 98055 RENTON,WA 98055 AskAF Rx:6722768 Sep20, 2009 SafetyCap: Yes Rx:6719636 Sep 08, 2009 Safety Cap: Yes PLAVIX 75MG TAB (B-M ) Qty:30 TAB FUROSEMIDE 40MG TAB (RANB)Qty: 100 TAB Ref:30000046069299 NDC:63653-1171-06 HSGITC Ref:30000047143095 NDC:63304-0625.10 HAI REGENCE BS WASHINGTON Cash Price: 201.99 REGENCE BS WASHINGTON Cash Price: 13.99 Amount Due: $147.40 Amount Due: $13.99 II II 1111 IIIN 11111111H REFILL YOUR PRESCRIPTIONS —� gi SAFEWAY.COM 011111111111111111110 REFILL PRESCRIPTIONS�SAfEWARCOM 00000068710o T -29002101399 T ^' T ^^ SEND CLAIM TO: 4409 City of Renton Finance Dept.-Fire Pension 1055 South Grady Way Renton, WA 98057 OS‘cY �vt A iko "Pk,NT°� CITY OF RENTON FIREMEN'S PENSION BOARD Pharmacy/Medical Claim Reimbursement Request 1) DATE /7 / 2) DISABILITY RETIREE'S NAME (print) OW LC--S �oc (. ) ) 3) ADDRESS /q,7 )4� ,H.., /t/� (0 T2fot1d (C, 9g 4) DISABILITY AT TIME OF RETIREMENTikatitieek 's - /' / i �I 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 planJ,, 'urce or insurance coverage. Supporting documentation for all must be attached.) 6) TOTAL AMOUNT OF CLAIM: $ 7-Cc Si —5r Amount of total claim (above) that is related to the Retirement Disability: $ / . g 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. Signature: — / Note: Supporting documentation must be attached. Pkv z • 0?A 0? Nasue lea,dijiudtiCt Fef- ca'9-k-c, BARTELL DRUGS RX# 488 .04.Ihug.to,ri�.�, BARTELL DRUGS DATE: 08/07/09 R DR. LORCH,GERALD wa.h.agton.own Drugstore. (425)251-5110 RX# C45- 507730 E DR. GRIFFITH,ALIDA NAME: CHARLES GOODWIN DATE: 07/30/09 N (425)899-3123 1414 MONROE AVE NE#306 NAME: CHARLES GOODWIN ALLOPURINOL 100MG TABLET(*q/ 1414 MON:• AVE NE#306 00603-2115-32 5405236194659 ZOLPI OEM 51 G TABLET(DRR) REFILL 55111-0. 8-01 . 10035284387096161 1 QUANTITY 30.00 BARTELL DRUGS PRICE_ $10.99 REFILL 5 QUANTITY 30.00 WITH SR THE AMOUNT DUE- 9.89 BARTELL DRUGS PRICE= $19.99 — WITH SR THE AMOUNT DUE:L.7.1BARTELL DRUGS#45 (425)793-1015 BARTELL DRUGS#45 4700 NE 4TH STREET (425)793-1015 RENTON,WA 98059 4700 NE 4TH STREET THANK YOU RENTON,WA 98059 WE TRULY APPRECIATE YOUR BUSINESS. TO PROVIDE YOU WITH THE BEST SERVICE POSSIBLE PLEASE ORDER YOUR THANK YOU - REFILLS 24-48 HOURS IN ADVANCE n TRULY APPRECIATE YOUR BUSINESS. TO PROVIDE YOU WITH THE BEST SERVICE POSSIBLE PLEASE ORDER YOUR REFILLS 24-48 HOURS IN ADVANCE BARTELL DRUGS �Wa.hington.oam Drugstore. RX# 45- 508468 E DR. BORROMEO-WES DATE: 08/07/09 N (425)899-3123 NAME: CHARLES GOODWIN 1414 MONROE AVE NE#306 t•),- CARBIDOPA/LEVODOP G/100M SAFE '/AY 00093-0293-01 5405 3894659 NOBODY DOES , ITER FOR LESS REFILL 3 QUANT 540.00 YOUR FRIENDLY RENTON SAFEWAY BARTELL DRUGS PRICE_ $142.32 GEN MERCHANDISE l BARTELL DRUGS#45 DEPEND UNDERWEAR 13.99 T (425)793-1015 ResPrice 15.49 CardSav 1 .50 4700 NE 4TH STREET PHARMACY RENTON,WA 98059 4RX NON-TAX ITEM 85.49 THANK YOU **** TAX 1 .33 BAL 100.81 WE TRULY APPRECIATE YOUR BUSINESS. TO PROVI' VF `r^ X ,•01' ''X X X X X X 17 9 6 "081 0.81 WITH THE BEST SERVICE POSSIBLE PLEASE ORDE, REFILLS 24-48 HOURS IN ADVANCE CHI 0 0 T011, AVINGS 1 .50 1/0"/ i NI1 R OF ITEMS '61276 2 / 8/10/09 16:6 468 29 0061 6176sow r • . bmx s ---T : / , 940? 11"hIljli-e- laft-t*Ii'.11-A41- , N.,0,0 win ' C/M- I-E.5 A-. 001.) SAFEWAY PHARMACY BARTELL DRUGS 4300 NE 4TH STREET1.10 -i9mhingtan.omaDru,tam, ERENTON,WA 98059 Rxar 45-492856 E DR.gFCA►TO #1468 (425)235 6251 DATE: 08/20/09 R (425)255-9310 Official Receipt- Please retain for tax or insurance NAME: CHARLES GOODWIN 1414 MONROE AVE NE#306 CGOODWIN,CHARLES (425)255-7782 (JS-,4141 1414 MONROE AVE NE#306 06/15 D • TRAMADOL 50MG TABLET(*APX) RENTON,WA 98056 60505-0171-08 DR. PLUNKETT,RICHARD [NW] 5555014234659 ,.#5/ 2005 NW SAMMAMISH RDI REFILL ISSAQUAH,WA 98027 AskAF NO QUANTITY 60.00 Rx:6729190 Aug 10, 2009 Safety Cap: No BARTELL DRUGS PRICE= LEVAQUIN 500MG TAB (MCNE)Qty: 5 TAB $42.79 Ref:00001802960701 NDC:00045 Amount1525.50 PNNIKDK WITH SR THE AMOUNT DUE- 38.51 SAFEWAY CLUB CARD RX Cash Price: 94.99 BARTELL DRUGS#45 Amount Due: $85.49 (425)793-1015 4700 NE 4TH STREET llI II II II I II IIII II I 111111111i��REFILL YOUR PRESCRIPTIONS RENTON,WA 98059 @ SAFI'AY.COM WE TRULY APPRECIS. TO PROVIDE YOU 29002108549 a I EASE ORDER YOUR THANK YOU ATE YOUR BUSINES TAKE ONE TABLET BY MOUTH ONE TIME DAIL WITH THE BEST SERVICE POSSIBLE PL 1 ! REFILLS 24-48 HOURS IN ADVANCE Refills: 0 w I 1-Drink plenty of fluids ta while on this medication y 2-Finish all medication. at o Take on schedule. I BARTELL DRUGS ••••••001Waahingtaa'a Own Drugrfaea.�� 114V.:11113041111 14 :1111304 Rxx 45-491232 E DR. LORCH,GERALD DATE: 08/22/09 R (425)251-5110 DRUG S NAME: CHARLES GOODWIN Coal Creek Village 1414MONROE AVE NE#306 Store 425-644-4414 RX 425-644-4416 AGGRENOX CAP 200/25 Order your digital prints online 00597-0001-60 5584660514659 4x6 prints 19 cents each www.bartelldrugs.com REFILL NO QUANTITY 60.00 BARTELL DRUGS PRICE= $216.89 Ux/ . 7 ' FX Mira 1 ax Laxative 8.3oz 1 /9 WITH SR THE AMOUNT DUE:$201.71, QTY 1 BARTELL DRUGS#45 4110082073 AT 12.99 12.99 T (425)793-10154700 NE 4TH tt�� I Subtotal 12.99 RENTON,WA 9859T fke � TOT 1.22 THANK YOU TOTAL 14.22 WE TRULY APPRECIATE YOUR BUSINESS. TO PROVIDE YOU WITH THE BEST SERVICE POSSIBLE PLEASE ORDER YOUR DEBIT CARD RECVD -14.22 REFILLS 24-48 HOURS IN ADVANCE ixer.?"7"fb XXXXXXXXXXXX0274 EXP: **/** °fa- 99;. /'/// • aftz6;h4-1.1 71 a eA04/ Nario "4.1 Zud-ot/ 71A-c- �, / A e .eid BARTELL DRUGS Washi on'a Own Drugstore.�� Rxa C45- 507730 E DR. GRIFFITH,ALIDA DATE: 09/18/09 R (425) 899-3123 NAME: CHARLES GOODWIN 1414 MONROE AVE NE#306 M I NK L ER ' S ZOLPIDEM SMG TABLET(DRR) GREEN EARTH "(1St"' 551110478-01 6014439614659 DATE 06/25/2009 TUE TIME 09:33 ,,// REFILL 4 QUANTITY 30.00 1 GROCERY Fs $7.79 �/ TOTAL $7.79 'III/ BARTELL DRUGS PRICE= $19.99 i1 CASH $20.09 WITH SR THE AMOUNT DUE:$17.99 CHANGE $12.30 * ORDER# 0129 * BARTELL DRUGS#45 EMPLOYEE1 NO.016529 REG 01 (425)793-1015 4700 NE 4TH STREET THANK YOU! RENTON,WA 98059 THANK YOU WE TRULY APPRECIATE YOUR BUSINESS.TO PROVIDE YOU WITH THE BEST SERVICE POSSIBLE PLEASE ORDER YOUR L REFILLS 2448 HOURS IN ADVANCE 1:Y41:4031/Aid - • —Washingt. 's Own D :stores. I BARTELL DRUGS Foul 45- 51591: E DR LORCH,GERALD Wuhington's Own svg.toress. DATE: 09/21/09 N (425)251-5110 Rx# 45-488364 E DR. LORCH,GERALD NAME: CHARLES GOODWIN DATE: 09/08/09 R (425) 251-5110 1414 MONROE AVE NE#306 NAME: CHARLES GOODWIN AGGRENOX CAP 200/25 1414 MONROE AVE NE#306 00597-0001-60 5215380967609 ALLOP -INOL 100MG TABLET(*Q/ REFILL 006,- 1493601778709 2 QUANTITY 60.00 BARTELL DRUGS PRICE= $216.99 016 I REFILL NO QUANTITY 30.00 WITH SR THE AMOUNT DUE 4201.80 BARTELL DRUGS PRICE= $10.99 I BARTELL DRUGS#45 WITH SR THE AMOUNT DUE= 9.89 (425)793-1015 BARTELL DRUGS#45 4700 NE 4TH STREET (425)793-1015 RENTON,WA 98059 4700 NE 4TH STREET THANK YOU RENTON,WA 98059 WE TRULY APPRECIATE YOUR BUSINESS. TO PROVIDE YOU WITH THE BEST SERVICE POSSIBLE PLEASE ORDER YOUR THANK YOU _ REFILLS 24-48 HOURS IN ADVANCE WE TRULY APPRECIATE YOUR BUSINESS.TO PROVIDE YOU WITH THE BEST SERVICE POSSIBLE PLEASE ORDER YOUR REFILLS 24-48 HOURS IN ADVANCE L Tkieto Gna