[hereby .- I Sheriff or Chief Deputy Sheriff PUBLIC VOUCHER FOR PURCHASE AND VOUCHER Not De Lameniomeasury SERVICES OTHER THAN PERSONAL 1 RM 4-2000 1034-] I 8 i US. DEPARTMENT, BUREAU, OR ESTABLISHJVEENT AND LOCATION DATE VOUCHER PREPARED SCHEDULE NO. 1' CONTRACT NUIVIBER AND DATE PAID BY UNITED STATES MARSHALS SERVICE IGA 56?09-0031 310 NEW BERN AVENUE, SUITE 100 JAIL CODE: 4QQ RALEIGH, NORTH CAROLINA 27601 VENDOR: 566000278 J56 REQUISITION NUMBER AND DATE DATE INVOICE RECEIVED COUNTY JAIL PO BOX 9 DISCOUNT TERMS ADDRESS NC 28422 ACCOUNT NUMBER SHIPPED FROM TO WEIGHT GOVERNMENT 13! NUMBER NMER DATE OF ARTICLES OR SERVICES QUAN- UNIT PRICE AMOUNT AND DATE DELIVERY (Enter description. item number ry?commc: of ederai' .i'uppx?y TITY PER (n OF ORDER OR SERVICE schedule. and other information deemed necessary HOUSING FOR FEDERAL PRISONERS FOR THE OF SEE ATTACHE LIT 35'3"? $65.00 Day S'l 3405.00 [Use continuation (Payee must NOT use the space below) TOTAL 15? HOS. DD PAYMENTS APPROVED FOR EXCHANGE RATE DIFFERENCES EROVISIONA =$100 COMPLETE BY 2 rrm11ru_. 1 ?Nu? Ampunt veri?ed; correct for PROGRESS - - ADVANCE TITLE (Signature or initials) Pursuant to authority vested in me, I certify that this voucher is correct and proper for payment. (Dore) (Authorized erri?ai'ng Of?cer) 2 ACCOUNTING CLASSIFICATION 15 1020XD, 25801 CHECK NUMBER ON ACCOUNT OF US. TREASURY CHECK NUMBER ON (Norrie CASH DATE PAYEE I When stated in Foreign currency. insert name of currency 2 Ifthe ability to certify and authority to approve are combined in one person. one signature only is necessary; otherwise the approving of?cer will sing in the space provided. over his official title. 3 When a voucher is receipted in the name of a company or corporation, the name ofthe person writing the company or corporate name, as well as the capacity in which he signs. must appear. For example; "John Doe Company, per John Smith. Secretary", or "Treasurer", as the case may be. PER TITLE Previous edilion usahlc (790' Will it .1?l-?3?r7?l-lm PRIVACY ACT STATEMENT the information requested on this form is required under the provisions of31 USC 82b and SEC. for the purpose of disbursing Federal money, The information requested is to identify the particular creditor and the amounts to be paid. Failure to furnish this information will hinder discharge ofthe payment obligation. NSN THU-iin-?s-t-Jzor) Brunswick County Detention Center Supporting Details Report Date Range: 12/01/2018 to 12/31/2018 Contract Contract Days US Marshals ID: Inmate Name: Begin Date: End Date: Held: Amount BARR, ANDRE LIONEL 11/19/18 31 $2,015.00 CAPPS, ANTHONY RAY Jr . 11/13/18 31 $2,015.00 65176-056 CLEMONS, MICHAEL ROGER 11/30/18 12/03/18 2 $130.00 64065?056 COOK, MICHAEL HUNTER 10/1 8/ 18 31 $2,015.00 DORM, VICTOR EUGENE 09/28/18 31 $2,015.00 FRINK, MICHAEL MONTRAY 10/05/18 31 $2,015.00 445 92?0 13 GARZA, ANDRES 09/28/18 31 $2,015.00 GIBSON, CHRISTOPHER ALLEN 11/25/18 12/12/18 11 $715.00 64959-056 GRANT, KEVIN JUNIOR 09/28/18 31 $2,015.00 ROMAN NMN 12/07/18 12/12/18 5 $325.00 HINES, GARRY ORLANDO Jr 10/05/18 31 $2,015.00 64953-056 JONES, ANDRE DOMINIQUE 10/18/18 31 $2,015.00 64861-056 JOSWICK, ERIC WAYNE 10/18/18 31 $2,015.00 64842?056 JUDD, JAMES ARTHUR 11/06/18 12/12/18 11 $715.00 63234-056 MANGUM, BRANDON OWAN 10/05/18 31 $2,015.00 65040?056 MCALLISTER, SHAQUANDRA RENEE 11/06/18 3] $2,015.00 65209?056 MCCLAIN, LAVADIUS RAYSI-IAWN 11/06/18 31 $2,015.00 64911-056 MCCORMICK, RICHARD 0 11/06/18 31 $2,015.00 62785-056 MCKOY, ANTONIO KELVIN 10/05/ 18 31 $2,015.00 64864?056 MCKOY, DANIEL TREMELL 1 1/06/18 31 $2,015.00 MEJIAS, WILMER LUIS 10/05/18 31 $2,015.00 65101-056 NAVARRO, BRANDON RAUL 11/06/18 31 $2,015.00 13369-056 PARKER, DANNIE SIMON Jr 09/28/18 31 $2,015.00 ROBINSON, ANDRE DURON 12/21/17 31 $2,015.00 SIMPKINS, KEVIN NMN 11/30/18 12/03/18 2 $130.00 SIMS, TONY LEVERN 10/16/18 31 $2,015.00 SWEET, KYERIC TASHAUN 1 1/02/ 18 12/12/18 I 1 $715.00 64585-056 VAUGHN, JERAMIE ROSS 12/12/18 20 $1,300.00 18471-056 WALLACE, CHESTER FLETCHER 12/12/18 20 $1,300.00 54883?056 WASHINGTON, TERRANCE LEON 04/25/18 31 $2,015.00 WATSON, VICTOR DEMETRIUS 04/25/18 31 $2,015.00 65084-056 WHITE, KEVIN RAY 07/02/18 31 $2,015.00 17685-056 WHITFIELD, KENDELL 08/27/18 12/12/18 11 $715.00 Page 1 of 2 Print Date: 01/03/2019 15:53 Total Inmates During Period Total Inmates Received Total Inmates Released/Transferred Total Days Boarded For Period Total Cost Days $65.00 33 3 7 837 $54405.00 Page 2 of 2 Print Date: 01/03/2019 15:58