Okaloosa County BOCC — October 7, 2014 — FY 2013 Uncollectable Accounts

Board of County Commissioners State of Florida PUBLIC WORKS DEPARTMENT Solid Waste Office 1759 S. Ferdon Blvd. Crestview, FL 32536 December 20, 2013 Ms. Nita Hosfelt Collection Bureau Medical Accounts Administration P.O. Box 4127 Fort Walton Beach, FL 32549 Dear Ms. Hosfelt: Enclosed you will find documentation for two accounts for which Okaloosa County Solid Waste would like to request collection assistance. For your convenience, I have listed the account address information below. Cash Customer Name Contact Number Address Amount Solid Waste Haulers, LLC (850) 259-5293 4 Laguna Street, #201 $12,185.96 Owners: Todd Schweizer Brenda Will Ft. Walton Beach, FL 32545 Joshua Schweizer Vince Czarnecki (850) 543-5171 62 Martissa Rd $ 37.85 Pensacola, FL 32503 Please refer all questions regarding the above accounts to Ann Halbert in our Solid Waste office at (850) 423-4825. IfI can be of further assistance please do not hesitate to call (850) 689-5772, Thank you for your time and efforts. Sincerely, John Hofstad, /\| Public Works Director Enclosures JH/ah 1759 S. Ferdon Blvd, Crestview, FL 32536 Office.(850) 689-5774 @ Fax (850) 689-5786 . Medical Accounts © ‘min Collection Bureau . PO Box 4127 Ft. Walton Beach, FL 32549 PHONE: (850) 862-2154 FAX: (850) 864-1780 _ Client Acknowledgement Report 4/8/2014 Public Works Department Ann Halbert 1759 S Ferdon Blvd Solid Waste Office Crestview, FI. 32536 AccountNo. Name Client Invi: SubmissionDate Amount 2210194 Czarnecki Vince 01/08/2014 $37.85 2210193 Solid Waste Haulers ; 01/08/2014 $12,185.96 Accounts: 2 Amount: $12,223.81 We gratefully acknowledge the attached account listing. These accounts are now being processed by our staff. If you have any questions, please give us a call. If because of an error, it becomes necessary to cancel any account, we will process your request as soon as possible. However, we will not cancel any account that we have received a promise of payment on without our full commission. Thank you for allowing us to serve you collections needs. Collection Bureau State of Florida . RECEIVED Board of County Commissioners JUL 3-1 RECO wy fil kat a. = Solid Waste Department Acknowledgement of Balance Due ’ Date: Y/acli2 Weighmaster’s Initials: d i) Ticket Number: _[ 255 89 Amount Due: A? B53 Amount Paid: po Balance Due: 37.85: Name: \); nce CZarneclee Address: 62 Mardis ‘ ph Er Welter Beet FL 3548 Phone: SU 3 5S /7/ Cell Phone: Driver’s License #: C 682 ~Y2L- 2¢- “Rol- O VEHICLE License Plate Number: CL tf 7 ro R G- State: Fl a a Clos Make: for 2- Model: _/ 7-330 Year. /999 CUSTOMER ACKNOWLEDGEMENT | acknowledge that payment is owed to Okaloosa County Solid Waste Office for services rendered. | also understand that failure to pay by the end of the business day will make this obligation delinquent and subject to further action. | Vis Cad Lael Signature Date RETURN FORM TO CUSTOMER AFTER PAYMENT RECEIVED ALONG WITH A COPY OF SOLID WASTE TICKET. $ Balance Due Paid Customer Initials Date Leave this section blank until payment received. 1759 S, Ferdon Blvd, Crestview, FL 32536 Office (850) 689-5772 © Fax (850) 689-5786 \. (SITE | TICKET te _ ee l “WEIGHMASTER - oe — WEIGHMASTER i ' Scott Wolf i i WRIGHT LANDFILL 03 | 125589 671 N. BEAL EXTENSION Dare iN woe - a = —-- --] -ORT WALTON BEACH, FL 32548 [Le PS SI - SEIIEEE MORE SEE 07/26/13 O7/26/13 14:57 { i 1 100000 CASH CUSTOMER BLUFORDTRL | Customer Od Mt Pay Scale 1 Gross Wt. 13340 LB Inbound - Cash ticket Scale 1 Tare Wt. 11480 LB _Net Weight 1860 LB mi! nm = _! ary ar DESCRIPTION, BATE Jf FE 0.93 TON Yard Waste '40.70 : : 0.00 37.85 1.00 EACH PER LOAD RES FEE i 5.00 : 5,00 ! 0.00 . 5,00 1.00 EACH PER LOAD CREDIT |-5.00 ; 5.00 | 0.00 : -5.00 | | | | i i : | | : | . 1 Sh = —- wo ee Po a _ Dperating hrs 7AM to 3:30PM Monday - Friday/7AM to 12PM Sat C ° This is to certify that this load does not contain any C Ledbor ga Puck jazardous materials. AWall TO REORDER CONTACT CAROLISA SOFTWARE ivitn 700-6767 SIGNATURE _. Okaloosa County Solid Waste 1759 South Ferdon Bvld. Crestview, Fl. 32536 (850) 689-5772 SOLID WASTE HAULERS Brenda Will 4 LAGUNA ST STE 201 FORT WALTON BEACH FL 32548-3627 06/30/14 fezaust rele dt fe 4 Je -oft sch pled a Make checks payable to Board of County Commissioners Balance due by August 20, 2014 Printed 08/01/14 07/31/14 12185.96 Balance Forward Current charges excluding fees Current fees Total balance due by Lolleet ol A ont gloat 463 12185. 96 -00 00 12185. 96