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Home My WebLink AboutFinal Agenda Packet ' b Noe lee CITY OF RENTON FIREMEN'S PENSION BOARD Regular Meeting 7th Floor-Mayor's Conference Room Thursday, March 19, 2009 2:00 P.M. 1. CALL TO ORDER 2. APPROVAL OF MINUTES OF FEBRUARY 19, 2009 3. CORRESPONDENCE 4. MONTHLY STATEMENT TO FEBRUARY 28, 2009 5. MONTHLY BILLS AND PENSION PAYMENTS 6. UNFINISHED BUSINESS 7. NEW BUSINESS 8. ADJOURNMENT Nov °goo MINUTES FIREMEN'S PENSION BOARD CITY OF RENTON February 19, 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 2:00 p.m. in the Mayor's office, 7th floor of Renton City Hall. In attendance were Board members Denis Law, Don Persson, Bruce Phillips, and Ray Barilleaux. Also in attendance: Jason Seth, Deputy City Clerk and acting Board Secretary, and Jill Masunago, Finance Department Representative. MINUTES APPROVAL MOVED BY BARILLEAUX, SECONDED BY PHILLIPS, THE PENSION BOARD APPROVE THE MINUTES OF THE JANUARY 15, 2009, MEETING. CARRIED. MONTHLY STATEMENT The final financial report as of December 31, 2008, was reviewed. Total cash/investment balance was $4,265,991.35. The financial report as of January 31, 2009 was reviewed. Total cash/investment balance was $4,430,477.95. Responding to Mr. Phillips' inquiry, Ms. Masunago stated that the last actuary was completed in 2007 and a new report is planned for later this year. Mr. Phillips also inquired about investments in the Federal National Mortgage Association. Ms. Masunago responded that she would prepare the information and present it at the next meeting. MONTHLY BILLS AND PENSION PAYMENTS MOVED BY PHILLIPS, SECONDED BY BARILLEAX, THE BOARD APPROVE THE PENSION/MEDICAL PAYMENTS FOR JANUARY 2009, IN THE TOTAL AMOUNT OF $46,811.76. CARRIED. UNFINISHED BUSINESS Mr. Phillips suggested sending the final financial report annually to all retirees. Ms. Masunago suggested waiting until the actuary was completed and including it with the report. Mayor Law requested that the City Clerk with the help of the Finance Department create a cover letter accentuating highlights of the Firemen's Pension Fund and mail it with the 2009 Actuary Report and the Final Financial Report for 2008 to all retirees as soon as the actuary report is available. (OVER) low *le ADJOURNMENT MOVED BY PERSSON, SECONDED BY PHILLIPS, THE MEETING OF THE FIREMEN'S PENSION BOARD BE ADJOURNED. CARRIED. Time: 2:09 p.m. 01 Ja.on Seth, Deputy City Clerk Acting Secretary, Firemen's Pension Board CITY OF RENTON - FIREMEN'S PENSION FUND CASH & INVESTMENT ACTIVITY REPORT AS OF FEBRUARY 28, 2009 Fireman's Pension Fund Comparison of Cash and Investment Activity 6 -- 0 2009 _._❑2009 02008 5 - f6 - 5 4 0 o IIii N 0 c 3 E 2 1 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 $4,223,401.58 $4,265,991.35 $3,895,540 $4,646,236.88 $4,694,232.48 $4,203,347 RECEIPTS: Fire Insurance Premium Tax 0.00 0.00 90,000 0.00 85,949.42 75,000 I Investment Interest 200,306.09 200,306.09 200,000 3,553.28 17,965.67 200,000 DISBURSEMENTS: Fire Pension 41,526.62 83,053.24 500,000 46,006.26 512,262.83 552,400 Fire Pension Medical 1,592.88 1,668.03 20,000 1,656.00 9,572.61 20,000 Office/Operating Supplies 0.00 0.00 475 0.00 372.78 459 Actuarial/Firemen's Pens 0.00 0.00 0 0.00 0.00 0 Reimb General/Clerical&Acct 983.00 1,971.00 11,801 829.00 9,948.00 9,948 ENDING CASH/INV BALANCE $4,379,605.17 $4,379,605.17 $3,653,264 $4,601,298.90 $4,265,991.35 $3,895,540 CURRENT PREVIOUS LAST YEAR LAST YEAR ACTIVITY: MONTH MONTH CURR MO PREV MO CASH $841,184.91 $892,057.69 $840,179.33 $885,117.31 INVESTMENTS: CD's&State Investment Pool 454,767.46 454,767.46 454,767.46 454,767.46 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 TOTAL CASH AND INVESTMENTS $4,379,605.17 $4,430,477.95 $4,601,298.90 $4,646,236.88 The State Investment Pool interest 10689% 1.2669% 3.7871% 4.3596% H:\FINANCE\FINPLAN\FIREPEN\1_Fire_Pension_2009.xls\Feb09 Page 1 03/13/2009 • Now Noy FIREMEN'S PENSION BOARD PENSION/MEDICAL PAYMENTS FOR MARCH, 2009 Recipient Pension Amt Medical i',.:Total ANKENY, Charlie(Captain) $311.31 311.31 ASHURST, James(Assistant Chief) $4,820.50 - 4,820.50 BANASKY, George(Captain) $1,200.19 1,200.19 BARILLEAUX, Ray(Battalion Chief) - - BEATTEAY, Karlen (Widow) $359.17 359.17 BERGMAN, Claudette(Widow) $281.74 281.74 CHRISTENSON, Chuck(Firefighter) $404.78 404.78 CONNELL, Robert(Captain) $901.63 901.63 GEISSLER, Dick(Fire Chief) $229.53 229.53 GOODWIN, Charles (Captain) $4,231.00 - 4,231.00 GOODWIN, Donald (Firefighter) $1,148.48 1,148.48 HAWORTH, Constance (Widow) $2,792.83 2,792.83 HAWORTH, Jack(Firefighter) $3,191.50 188.13 3,379.63 HENRY, William, Jr. (Captain) $1,502.96 1,502.96 HURST, Gerald (Firefighter) $664.91 664.91 JONES, Evelyn M. (Widow) $381.91 381.91 LARSON, William (Firefighter) $93.80 93.80 LAVALLEY, Theodele (Captain) $526.88 526.88 MATTHEW, James (Deputy Chief) - - MC LAUGHLIN, JACK(Battalion Chief) $1,202.72 1,202.72 NEWTON, Gary(Lieutenant) $423.76 423.76 NICHOLS, Gerald (Battalion Chief) $722.39 722.39 PARKS-ANDREASON, Arlene(Widow) $492.16 492.16 PARKS, John (Firefighter) $3,312.50 91.23 3,403.73 PHILLIPS, Bruce H. (Deputy Chief) $497.25 497.25 PRINGLE, Arthur(Captain) $644.66 644.66 PRINGLE, S. Joan (Widow) $2,399.37 2,399.37 RIGGLE, David E. (Firefighter D Step) $216.08 216.08 RUPPRECHT, Jim (Firefighter D Step) $249.52 249.52 SMITH, Leroy(Firefighter) $526.54 526.54 STROM, Karl (Firefighter) $3,191.50 - 3,191.50 TODD, Franklin (Firefighter) $583.82 583.82 TONDA, Lila Jean (Widow) $228.89 228.89 VACCA, Nick(Lieutenant) $452.60 452.60 WALLS, Camille(Widow) $281.43 281.43 WALLS, Mercedes (Widow) $345.21 345.21 WALSH, David (Firefighter) $1,193.07 1,193.07 WEISS, Larry(Battalion Chief) $969.70 969.70 WILLIAMS,Alta (Widow) $188.63 188.63 WOOTEN, Marilyn E. (Widow) $361.70 361.70 7otal'Expenses: Pension/Medical $41,526.62 4279.36 '' 1$41i8001)0 Prior Year Pension/Medical Payments: Total Pension Payments for March, 2008 46,006.26 Total Medical Bills Reimbursed in March, 2008 71.57 Total Expenses: Medical/Pension 46,077.83 4_SUMMARY 2009.XLS 03/13/2009 FIREMEN'S PENSION BOARD MEDICAL BILLS TO BE REIMBURSED IN MARCH, 2009 PAYMENT Page Name Pharmacy/Medical Facility Date Amount of Bill James Ashurst 0.00 Charles Goodwin 0.00 2 Jack Haworth Harbor Drug Co. 12/31/07 16.98 2 Jack Haworth Harbor Drug Co. 05/05/08 20.00 2 Jack Haworth Harbor Drug Co. 05/05/08 0.00 2 Jack Haworth Harbor Drug Co. 06/11/08 20.00 2 Jack Haworth Harbor Drug Co. 09/30/08 20.00 2 Jack Haworth Harbor Drug Co. 11/03/08 20.00 2 Jack Haworth Harbor Drug Co. 11/24/08 0.00 2 Jack Haworth Harbor Drug Co. 11/24/08 20.00 2 Jack Haworth Harbor Drug Co. 12/29/08 20.00 3 Jack Haworth Harbor Drug Co. 01/09/09 5.00 3 Jack Haworth Harbor Drug Co. 01/09/09 13.37 3 Jack Haworth Harbor Drug Co. 01/09/09 5.00 3 Jack Haworth Harbor Drug Co. 01/09/09 7.78 3 Jack Haworth Harbor Drug Co. 01/12/09 5.00 3 Jack Haworth Harbor Drug Co. 02/12/09 5.00 3 Jack Haworth Harbor Drug Co. 02/12/09 5.00 3 Jack Haworth Harbor Drug Co. 02/16/09 5.00 188.13 5 John Parks Olympic Drug 01/29/09 25.94 5 John Parks Olympic Drug 01/29/09 9.25 5 John Parks Olympic Drug 02/01/09 56.04 91.23 Karl Strom 0.00 TOTAL _ ... = 79.3¢; 3_2009 FP Medical.XLS Page 1 of 1 03/13/2009 SEND CLAIM TO: t City of Renton Tinance Dept. -Fire Pension 1055 South Grady Way Renton, WA 98057 01�Y 0 A 1V7- CITY OF RENTON FIREMEN'S PENSION BOARD Pharmacy/Medical Claim Reimbursement Request 1) DATE 02-11611 0� 2) DISABILITY RETIREE'S NAME (print) \7 V- t 0R( ' 3) ADDRESS 4) DISABILITY AT TIME OF RETIREMENT 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.) 6) TOTAL AMOUNT OF CLAIM: $ 188, ( 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. Signature: Note: Supporting documentation must be attached. 4 s Harbor Drug Co.Prescriptions Ti 316 8th St. �A Phone 360-532-3061 ft Harbor DrugCo.Pr. ,riptions Hoquiam,Wq 88550 Hr.Rx Refill(360)538-9978 316 8th SL P 360.532-3061 RX# 674656 N Hoquiam,WA 98550 24 Hr.Rx Re t (360)538-9978 RRIS, R , MD WARNING:State aFederal m.,ar,as tamcar.oe.,to aryperscnotherthan paberdro„w„om,a d HAWORTH,JACK 09/30/08 JR RX# 654248 R KONN, D., MD BOX 864,OCEAN SHORES,WA 98551 PROTONIX 40 MG JACK 12/31/07 DS HAWORTH, QTY#30 BOX 864,OCEAN SHORES,WA 98551 NDC#Generic For: PANTAPRAZOLE 400 MG 0841-81 WYETH ZOLPIDEM 10MG REF#08274667410103 QTY#30 NDC#00378-5310-05 MYLAN 12 REFILLS REF# 07365456275304 MHRX 5 REFILLS IpIIIIIiIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIiIIIiIIiI�IIIIIIiIiIIiIIIIIIIiIIIiIIIIIIIAY. $20.00 COPAY: $16.98 IIIIIIIuIII�IIIllllll�ll 111111111111 I111Illllll11111 111111111 111111 11111 (1 v., Harbor Drug Co.Prescriptions ill316 8th St. Phone 360-532-3061 Hoquiam,WA 98550 24 Hr.Rx Refill(360)538-9978 RECEIPT RX# 674656 R MORRIS, R , MD HAWORTH,JACK 11/03/08 DS 2 Harbor Drug Co.Prescriptions BOX 864,OCEAN SHORES,WA 98551 mai 316 Bth St. Phone 360.532-3061 PROTONIX 40 MG Hoquiam,WA 98550 24 Hr.Rx Refill(360)538-9978 QTY# 30 NDC#00008-0841-81 WYETH WARM&&WearR&Mkwpra e.m.raindugba"'.so,other than pdertbr",,la„"escrbe Generic For: PANTAPRAZOLE 40 MG RX# 664929 N MORRIS, R., MD REF#08308413883001 HAWORTH, JACK 05/05/08 DS 11 REFILLS BOX 864,OCEAN SHORES,WA 98551 MHRX PROTONIX 40 MG COPAY: $20.00 QTY#30 NDC#00008-0841-81 WYETH „ymuivii1141111IIIIMINHINI1IUIII1IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII REF#08126608085302 MAY REFILL ,t Harbor Drug Co.Prescriptions Ti 3168th St. MHRX — Phone 360-532-3061 Hoquiam,WA 98550 24 Hr.Rx Refill(360)538-9978 II N COPAY: $20.00 RX# 663065 R MORRIS, R., MD IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1 HAWORTH,JACK 11/24/08 DS BOX 864,OCEAN SHORES,WA 98551 OMEPRAZOLE ER 20 MG CAPS v Harbor Drug Co.Prescriptions QTY# 30 NDC#60505-0065-01 APOTEX vii 316 8th St. Phone 360-532.3061 REF# 08329446170103 Hoquiam,WA 98550 24 Hr.Rx Refill(360)53$-9978 WNiNNG:State a Federal law prohisks transfera+h.almg bany person othernha, tor prescrbed MAY REFILL RX# 664928 N MORRIS, R., MD MHRX HAWORTH,JACK 05/05/08 DSII I I II II II II II II I I II II III II II 11111 Ii. 0 II II II II BOX 864,OCEAN SHORES,WA 98551 TRIAMCINOLONE CR. 0.5% QTY#30 NDC#00168-0002-15 FOUGERA REF# 08126605056401 1t Harbor Drug MAY REFILL �� 3168th St, Co.Prescriptions --- Hoquiam,WA 98550 24 Hr.Rx Rion(360)538-9978 MHRX RX# 678209 N COPAY: $0.00 RUYLE, S, MD IIIIIIIII111111IIIl10IUll l IIIIIIIII111111IIIIIIIINIII III IIIIIIIIIIII111IIII BOX 864,OCEAN( HAWORTH,JACK 11/24/08 DS AZOPT % 10 ML SHORES,WA 98551 - QTY# 10 N DC#00065-0275-10 NESTLE Generic For:AZOpT 5ML RECEIPT REF# 08329453254503 vimennomonnammemigI NO REFILLS MHRX Harbor Drug Co.Prescription; COPAY: Hoquiam,31th St. Phone 360532.9 f IIIII�II111111IIIIpIIII1IIIIIIIIIIIIIIIIITull IIIIIIIM I1EIMIlillIBIS11110 00 WA 98550 24 Hr.Rx Refill(360)538.9978 WII�IIII 111111 llll f1 WARING:Slab>Fetlad b.polaraetramm drug bayperm a0vM paled Mstanpn:soCet RX# 664929 R MORRIS, R., MD ft Harbor Drug Co.Prescriptions HAWORTH, JACK 06/11/08 DS 316 8th St. Phone 360-532-3061 BOX 864,OCEAN SHORES,WA 98551 Hoquiam,WA 98550 24 Hr.Rx Refill(360)538-9978 PROTONIX 40 MG RX# 680249 N MORRIS, R , MD QTY#30 NDC#00008-0841-81 WYETH HAWORTHOC JACK 12/29/08 DS BOX 864,OCEAN SHORES,WA 98551 REF#08163447600601 PATANOL OPHTHALMIC SOL. 1% MAY REFILL QTY# 5 NDC#00065-0271-05 NESTLE MHRX REF# 08364465870103 COPAY: $20.00 NO REFILLS 1111110111111111111111111111111111111111111011 11110111M 111111 MHRX COPAY: $20.00 RECEIPT III IIIIIIIII IIIIIIII II II II II 1111111111110111111 172, ,t t Harbor Drug Co.Prescriptions New „vie Harbor Drug Co.Prescriptions fry 316 8th St. Phone 360-532-3061 316 8th St. Phone 360-532-3061 A.,. Hoquiam,WA 98550 24 Hr.Rx Refill(360)538-9978 Hoquiam,WA 98550 24 Hr.Rx Refill(360)538-9978 RX# 661391 R KONN, D , MD RX# 665430 R KONN, D., MD HAWORTH,JACK 01/12/09 DS HAWORTH,JACK 01/09/09 JR BOX 864,OCEAN SHORES,WA 98551 BOX 864,OCEAN SHORES,WA 98551 ISOSORBI MON ER 30MG.-ETHEX LOVASTATIN 20MG PUREPAC QTY# 15 NDC#58177-0222-04 ETHEX QTY# 30 NDC#00228-2634-50 ACTAV REF#WQFTWRM REF# 3MNRE3R 1 REFILLS 3 REFILLS COMC COMC COPAY: $5.00 COPAY: $5.00 III IIIlilllllllllllllllllllllllllllllllilllllll INI 11�1111111111III IIII'iii II1 IIII IIII 11111111111111111 III Harbor Drug Co.Prescriptions `' 316 8th St. Phone 360-532-3061 = Hoquiam,WA 98550 24 Hr.Rx Refill(360)538-9978 A.Harbor/drug Co.Prescriptions f RX# 677524 R MORRIS, R., MD 3168th St. Phone360-532-3061 HAWORTH,JACK 01/09/09 JR Hoquiam,WA98550 24 Hr.Rx Refill(360)538-9978 BOX 864,OCEAN SHORES,WA 98551 RX# 665430 R KONN, D, MD AMIODARONE HCI 200MG HAWORTH,JACK 02/12/09 DS QTY# 30 NDC#13107-0056-05 AUROBINDI BOX 864,OCEAN SHORES,WA 98551 Generic For AMIODARONE 200 MG LOVASTATIN 20MG PUREPAC REF# 3MNRFFQ QTY# 30 NDC#00228-2634-50 ACTAV 4 REFILLS COMC REF# 3PNNNDX COPAY: $13.37 2 REFILLS 111113111111101 11 111 11 111 II II1II 11 111 111 1111 COMCCOPAY: VIII 111111IIIIIIIIIIIIi II 1111 II I111IIIIIIIIIII1111111111III 1110 1.4% Harbor Drug Co.Proscriptions 316 8th St. Phone 360-532-3061 Hoquiam,WA 98550 24 Hr.Rx Refill(360)538-9978 RX# 673318 R MORRIS, R., MD 2' Harbor Drug Co.Prescriptions HAWORTH,JACK 01/09/09 JR ,`1' 3168th St. Phone 360-532-3061 BOX 864,OCEAN SHORES,WA 98551 Hoquiam,WA 98550 24 Hr.Rx Refill(360)538-9978 AMLODIPINE 5 MG RX# 673318 R MORRIS, R., MD QTY# 30 NDC#64679-0422-02 WOCKHARI HAWORTH,JACK 02/12209 DS BOX 864,OCEAN SHORES,WA 98551 REF# 3MNRFQ9 AMLODIPINE 5 MG 3 REFILLS QTY# ?0 NDC#64679-0422-02 WOCKHAR COMC COPAY: $5.00 I REF# 3PNNNHI I1lllllllll 11 ill II I II 11 11 11111 1111111 II it 11111 in 111 11 2 REFILLS COMC COPAY: $5.00 Harbor Drug Co.Prescriptions 1II1II1I1I1II1II11IIIIIIIII II11II1IIII111111I1111111II1I11I1I1111111I1 II11I 11 i 316 6th St. Phoe 360-532-3061 jji Hoquiam,WA 98550 24 Hr.Rx Refill(360)538-9978 RX# 661966 R MORRIS, R., MD } HAWORTH,JACK 01/09/09 JR L. Harbor Drug Co.Prescriptions BOX 864,OCEAN SHORES,WA 98551 fr 316 8th St. Phone 360-532-3061 FUROSEMIDE 20 MG QTY# 60 NDC#00054-4297-31 ROXANE t RX# H663065sasR 24 Hr.Rx Refill(360)538-9978 MORRIS, R., MD HAWORTH,JACK REF# 3MNRHN3 BOX 864,OCEAN SHORES,WA 98551 02/16/09 DS NO REFILLS OMEPRAZOLE ER 20 MG CAPS COMC QTY#30 NDC#60505-0065-01 APOTEX COPAY: $7.78 REF# 3PRMPKN IN 111111 1101 011 1 11 II III II 1111ill III II II 1 111111111 111 MAY REFILL COMC 11111111111111111111111111111111111111111I1111111111111111111111111111111111111 $500 11111111111111 p/kis&-3 ' SEND CLAIM TO: 'r00City of Renton Finance Dept.-Fire Pension 1055 South Grady Way Renton, WA 98057 CJY 0 A • ANT°� CITY OF RENTON FIREMEN'S PENSION BOARD Pharmacy/Medical Claim Reimbursement Request 1) DATE pi ' d ✓ L d©9 2) DISABILITY RETIREE'S NAME (print) LJ O)f1-14, �... F'i z .5 3) ADDRESS /3c),_) Pi % 4---o Uj. 4. M-3� 4) DISABILITY AT TIME OF J ETIREMENT S 1( a d� R12IQX 4/4 �eYs f-�lµ�7 �1- f`��Yr1r . itd yi r 're.biems 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.) in it xjcrorn Of 4- A e 1 P.rohlen0 6) TOTAL AMOUNT OF CLAIM: $ /`, L3 Amount of total claim(above)that is related to the Retirement Disability: $ , � -5 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: 44A, 'ZY46P,of Note: Supp ting documentation must be attached. 4411110 *NtiIOW Value the amilin 'O' �' g • DRUG RECEIPT FOR 124415th Ave.,Longview,WA 98632 Ph.(360)423-3360 SAVE OR TAX RECO DSCE Rx# 839587 For JOHN PARKS 1.29.09 CRN:A3094297780331 1335 3RD AVE#109 LONGVIEW,WA 98632 (360) 577-6684 LACTULOSE SOL 10GMI15 $ DR.44NIX: 0060 RICHARDS,JOHN E3-1378-58 ZHA COPAY: $25.94 111111 III III III II II SII II I 1011 11 11 11 1 11 11 I I I II Price laws "Y e�PIQ� RECEIPT FOR 124415th Ave.,Longview,WA 98632 Ph.(360)423-3360 SAVE OR TAX RECORDS INSURANCE Rx# C846626 For JOHN PARKS 1-29.09 CRN:A8094296068751 1335 3RD AVE#109 LONGVIEW,WA 98632 (360) 577-6684 ZOLPIDEM TAB 10MG *** $ 30 NDC: 60505-2605-08 RICHARDS,JOHNE DR. ZHA COPAY: $9.25 IIOII 11I 11111111111111 01011 II I1 II II I I I II I II Price Value at the smiling•e' RECEIPT I�`, - Dn. SAVE FOR INSURANCE 1244 15th Ave.,Longview,WA 98632 Ph.(360)423-3360 OR TAX RECORDS R. 854528RN:A59943239,9391For JOHNPARKS 9 2.01.09 1335 3R0 AVE LONGVIEW,WA 98632 (360) 577.6684 MIRTAZAPINE SOLTAB 45MG #30 NDC: 65862-0023-06 DR. RICHARDS,JOHN E ZHA COPAY: $56.04 MH II IIIMIII IIH I II II IHII I1 11 11 1111 II I I II Price ��cs