Exhibit G 2019 Other Cost Invoices and Payments...2019 Other Cost Invoices and Payments Page 7 Check...
Transcript of Exhibit G 2019 Other Cost Invoices and Payments...2019 Other Cost Invoices and Payments Page 7 Check...
Black Hills Power, Inc. d/b/a Black Hills Energy 2019 Other Cost Invoices and Payments
Exhibit G
Page 1
Dept 8624
}}evergy
Remit To:
Wells Fargo Misc Account PO Box 871681 Kansas City MO 64187 -1681 United States
Bill To:
Black Hills Energy 409 Deadwood Ave PO Box 1400 Rapid City SD 57709 United States
INVOICE
For billing questions, please call 816-556-2200
I Line Description
Annual LOIS Subscription - January I, 2020 through December 31, 2020
Wire/ACH Instructions
Bank: ABA NO: Account: Addenda:
UMB Bank 101000695 9871675815 MISAR, BLKHE00614
Invoice No: Invoice Date: Page:
Customer No: Payment Terms: Due Date:
Dept# __ k'.....!!~-+---WO #----'-~~~u..<:::..___ Acct # __ -..L-"""=-,-."i='---Resou rce # _ __._/...,_={e __ _ Approve: ____ .,..,,.. __ Date: 1~.JJ--19
/'10 jt)()
To assure proper credit, please
MS-003772 12/6/19
1 of 1
BLKHE00614 N30 DAYS
1/5/20
Return REMITTANCE COPY with your payment. Make Checks Payable to Evergy
Amount j
5,500.00
Subtotal: 5,500.00
AMOUNT DUE: 5,500.00 USO
• A 1.5% monthly Interest Charge will be assessed on amounts past due
Internal Use Only
Black Hills Power, Inc. d/b/a Black Hills Energy 2019 Other Cost Invoices and Payments
Page 2
Check Date: Dec/20/2019 Supplier Number: 0000076256
Invoice Number Invoice Date EVERGY METRO Dec/06/20 I 9 INC
Check Number Date
0000710802 Dec/20/2019
BLACK HILLS POWER INC POBOX8106 RAPID CITY SD 57709
Voucher ID 00155439
Gross Amount Discount Taken 5,500.00 0.00
Total Gross Amount Total Discounts
$5,500.00
Date Dec/20/2019
WELLS FARGO
115 HOSPITAL DRIVE VAN WERT OH 45891
$0.00
Pay ****FIVE THOUSAND FIVE HUNDRED AND XX/100 DOLLAR "'***
To The Order Of
EVERGY METRO INC PO BOX 219330 KANSAS CITY MO 64121-9330
Check No: 0000710802
Late Charge Paid Amount 0.00 5,500.00
Total Late Charge Total Paid Amount
$0.00
0000710802
56-382/412
9600117262
Pay Amount $5,500.00***
$5,500.00
Black Hills Power, Inc. d/b/a Black Hills Energy 2019 Other Cost Invoices and Payments
Page 3
October 15, 2019
Black Hills Energy Attn: Mutch Usera PO Box 1400 Rapid City, SD 57709
RUSHMORE REGION
730 East Watertown Street Rapid City, SD 57701
Dept 8624 Vendor 62062
Expense reimbursement request for attending Colorado EDCC meeting, October 2019
Airfare Airport parking Baggage check Hotel
INVOICE
$530.60 40.00 30.00
626.35
TOTAL $1,226.95
Please make check payable to: 'I;; West River Foundation for Economic & Community
Development PO Box 218 Sturgis, SD 57785
Black Hills Power, Inc. d/b/a Black Hills Energy 2019 Other Cost Invoices and Payments
Page 4
Pat Kurtenbach
From: Sent To:
United Airlines, Inc.<[email protected]> Friday, August 30, 2019 9:39 AM Pat Kurtenbach
Subject: Your United reservation for Denver, CO, US (DEN) is processing
Add [email protected] to your address book. See instructions.
U N I T E D • • Fr.day. Aug,15: ~o. 2018
Thank you for choosing United I 10 We're processing your reservation and will send you an eTicket Itinerary and Receipt email once completed. This process usually takes less than an hour, but in rare cases it could take longer. If you don't receive an eTicket Itinerary and Receipt email within 24 hours, please call the United Customer Contact Center
Confirmation number:
N229Q9
Purchase summary 1 senior (65+) Taxes and fees Additional services Preferred seats RAP to DEN Patricia Kurtenbach
Total
9~~dJ! ~~ _pa~~~"!!: .!~30.~0_!~~·~'!<.' ~~ 11 !
Trip summary
Tue. Oct 08, 2019
1
Rapid City, SD, US (RAP) to Denver, CO, US (DEN)
$455.82 $62.78 I
$12.00 !
··· ~
Black Hills Power, Inc. d/b/a Black Hills Energy 2019 Other Cost Invoices and Payments
Page 5
UNITEDII.
Baggage uocument 8161S40637726
Ticket NL1mber
8162410269118
Confirmation : N2Z9Q9
Description Ffrst Bag Fee
Baggage Receipt Issue Date: 11 OC-T 2019 DEN ATO
Qty
1
Total Baggage Fees: USO $30.00 Excess Baggace Terms and Conditions; - All excess baggage is subject to space availability. - Receipt for payment must be presented at bac check. - For, ref~nds or adiustments . see a United reo~esPnt~tive.
Rapid City Regional Airport
RECEIPT ~
I I : A STAR ALLIANCE ME:MBl:aR ,(:~
I I
Meth-I;! of Payment
Visa l<XlOCXXXXXXXX2811 I I
cardlJctlder Name
PAT ii. KURTENBACH I
I carr :·1er UA I
I I I
Routing
OEN - RAP
AGENT REFERENCE, GG £SC BAG
Black Hills Power, Inc. d/b/a Black Hills Energy 2019 Other Cost Invoices and Payments
Page 6
Julio Usera United States
I Date
10-08-19 Deposit
10-08-19 room rate
10-08-19 Taxes
10-08-19 PIF/PIFTax
10-08-19 Resort Fee
10-09-19 room rate
10-09-19 Taxes
10-09-19 PIF/PIF Tax
10-09-19 Resort Fee
10-10-19 room rate
10-10-19 Ta>ees
10-10-19 PIF/PIFTax
10-10-19 Resort Fee
10-11-19 Visa
Guest Signature:
~ 'CHEYE-N-NE ,MO-UN.TAlN' . . QOJ.-QlttJ)O ·&:e~Q-fr . ...
.\ 0~••1..t: a .. 1•s.~~1
Cheyenne Mountain Colorado Springs, A Dolce Resort 3225 Broadmoor Valley Road
Colorado Springs, Colorado 80906 Tel: 719.538.4000 Fax: 719.538.4880
Folio No. 68215 AIR Number Group Code Company Wyndham Rewards : Invoice No.
O..cription
XXXXXXXXXXXX2811
Total
Balance
Thank you for staying with us. It was our pleasure to serve you.
10-11-19
Room No. 363 Arrival 10-08-19 Departure 10-11-19 Conf. No. 84074EC( Rate Code HPLOC2 Page No. 1 of 1
I Chargee Credits
184.78
164.25
16.84
3.69
24.00
160.50
16.45
3.62
24.00
168.00
17.22
3.78
24.00
441.57
G;) 626.35
0.00
Black Hills Power, Inc. d/b/a Black Hills Energy 2019 Other Cost Invoices and Payments
Page 7
Check Date: Nov/13/2019 Supplier Number: 0000062062
Invoice Number Invoice Date Voucher ID Gross Amount Discount Taken
101519122695- Oct/I 5/2019 00152296 1,226.95 0.00 BJCED
WEST RIVER FOUNDATION FOR ECONOMIC & COMMUNITY DEVELOPMENT
Check Number Date Total Gross Amount Total Discounts
0000710422 Nov/13/2019
BLACK HILLS POWER INC PO BOX8106 RAPID CITY SD 57709
$1,226.95
Date Nov/13/2019
WELLS FARGO
115 HOSPITAL DRIVE VAN WERT OH 45891
$0.00
Pay ****ONE THOUSAND TWO HUNDRED TWENTY-SIX AND 95/100 DOLLAR****
To The Order or BLACK HILLS COMMUNITY ECONOMIC DEVELOPME
DEVELOPMENT INC 2885 DICKSON DR POBOX218 STURGIS SD 57785
Check No: 0000710422
Late Charee Paid Amount 0.00 1,226.95
Total Late Charge Total Paid Amount
$0.00
0000710422
56-382/412
9600117262
Pay Amount $1,226.95***
$1,226.95
Black Hills Power, Inc. d/b/a Black Hills Energy 2019 Other Cost Invoices and Payments
Page 8
Vendtw '71/;, 15
v-ltl;J ,g -~I-· l I 3-cJ7-lq ~
Black Hills Special Services Cooperative Invoice Ca,:eer-Leaming Center of the Black Hills Date Invoice# 730 East Watertown St.
2/28/2019 178869 Rapid City, SD 57701
Bill To Ship To
Black Hills Energy PO Box 1400 Rapid City, SD 57709
P.O. Number Terms
Quantity
Rep Ship
2/28/2019
Description
Donation for Community Education Booklet
Thank you for your business!
Via
If you have any questions concerning this invoice please call Gloria Pluimer at (605) 394-5120
Dept #~~ ~.,_,~-,.~ WO # -1-~,__.,..ai-,---.....,:;;;.,.._ Acct #-~-~.,....-Resource #-..... ~---Approve:_-.-""""'-'-"---Date:
F.0.8. Project
Price Each Amount
1,250.00 1,250.00
Total $1 ,250.00
Black Hills Power, Inc. d/b/a Black Hills Energy 2019 Other Cost Invoices and Payments
Page 9
Sponsorship Agreement
Sponsor Name
Mailing Address
City/State/Zip
r Black Hills Energy
! PO Box 1400
r Rapid City, s6, 57709
Authorizing Contact f Mutch Usera
Phone / 6 05-4.84 -1476 -
,- ---Other Contact none
i Phone 1
email m utch. [email protected],
·We choose to become a Sponsor for Community Education of the Black Hills program. Please check an option:
r
r
$2500 per year: Fall 2018 & Winter/Spring 2019 editions; 110,000 booklets; full color logo on front and back cover
$1250 per edition: Fall 2018 edition only; 55,000 booklets; full color logo on front and back cover
$1250 per edition: Winter/Spring 2019 edition only; 55,000 booklets; full color logo on front and back cover
Sponsorship payment option, please check:
r Invoice in one billing
Invoice twice: Choose two months/year for billing i September and march
r Invoice me in this manner ,
I permissio~ g-r;nb!d by ·Mutch·~; ~oi~ me1 -8/17/18
Signature of Authorizing Contact Date
Questions: Tammy Sellars, 394-5120, email [email protected] Live :and Leam Community Education of the Black Hills 730 E Watertown §t Rapid City SD 57701
Black Hills Power, Inc. d/b/a Black Hills Energy 2019 Other Cost Invoices and Payments
Page 10
Check Date: Apr/01/2019 Supplier Number: 0000071695
Invoice Number Invoice Date Voucher ID Gross Amount Discount Taken
178869 Feb/28/2019 00141066 1,250.00 0.00
Check Number Date Total Gross Amount Total Discounts
0000707752 Apr/01/2019
BLACK HILLS POWER INC POBOX8106 RAPID CITY SD 57709
$1,250.00
Date Apr/01/2019
WELLS FARGO
115 HOSPITAL DRIVE VAN WERT OH 45891
Pay **•*ONE THOUSAND TWO HUNDRED FIFTY AND XX/100 DOLLAR**•*
To The Order Of
BLACK HILLS SPECIAL SERVICES COOP 730 E WATERTOWN ST RAPID CITY SD 57701
$0.00
Check No: 0000707752
Late Charee Paid Amount 0.00 1,250.00
Total Late Charge Total Paid Amount
$0.00
0000707752
56-382/412
9600117262
Pay Amount $1,250.00***
$1,250.00
Black Hills Power, Inc. d/b/a Black Hills Energy 2019 Other Cost Invoices and Payments
Page 11
I
I
I
i..,..flF Lj- , , I I 9-IR- 19
Dept8624
Bl k H ••l S . / S . C t· Vendor 71695 ac 1, s pec,a erv1ces oopera 1ve Invoice Career Leaming Center of the Black Hills 730 East Watertown St. Rapid City, SD 57701
Date
9/4/2019
Invoice#
178921
Bill To Ship To
Black Hills Energy PO Box 1400 Rapid City, SD 57709
P.O. Number Terms ,
Quantity
Rep Ship
9/4/2019
Description
Donation for Community Education Booklet
Thank you for your business!
Via
If you have any questions concerning this invoice please call Gloria Pluimer at (605) 394-5120
Dept# ___ .....,. __ _
WO #_--'~~---Acct. # __ --1-...i.~""'--Resource #_..,.....,. ___ _ Approve: ______ _
Date:
F.0.8. Project
Price Each Amount
1,250.00 1,250.00
Total $1,250.00
Black Hills Power, Inc. d/b/a Black Hills Energy 2019 Other Cost Invoices and Payments
Page 12
Sponsorship Agreement
Sponsor Name
Mailing Address
City/State/Zip
Authorizing Contact
r
Phone j 605-484-1476
Other Contact l none
Phone
Black Hills Energy
PO Box 1400
- -Rapid City, SD, 57709
Mutch Usera
email [email protected]•
email l
We choose to become a Sponsor for Community Education of the Black Hills program. Please check an option:
$2500 per year: Fall 2019& Winter/Spring 2020 editions; 110,000 booklets; full color logo on front and back cover
$1250 per edition: Fall 2019 edition only; 55,000 booklets; full color logo on front and back cover
Sponsorship payment option, please check:
Invoice in one billing
Invoice twice: Choose two months/year for billing J Sept 2019 and January 2020
Invoice me in this manner
- --- ·· -- -, Mutch Use ra July 5, 2019 via email , Signature of Authorizing Contact Date
Questions: Tammy Sellars, 394-5120, email [email protected] .net . , . ' . . . -.
Black Hills Power, Inc. d/b/a Black Hills Energy 2019 Other Cost Invoices and Payments
Page 13
Check Date: Sep/11/2019 Supplier Number: 0000071695
Invoice Number Invoice Date Voucher ID Gross Amount Discount Taken
178921 Sep/04/201 9 00149786 1,250.00 0.00
Check Number Date Total Gross Amount Total Discounts
0000709718 Sep/11/2019
BLACK HILLS POWER INC POBOX8106 RAPID CITY SD 57709
$1,250.00
Date Sep/11/2019
WELLS FARGO
115 HOSPITAL DRIVE VAN WERT OH 45891
Pay ****ONE THOUSAND TWO HUNDRED FIFTY AND XX/100 DOLLAR **u
To The Order Of
BLACK HILLS SPECIAL SERVICES COOP PO BOX218 STURGIS SD 57785
$0.00
CheckNo:0000709718
Late Char~e Paid Amount 0.00 1,250.00
Total Late Charge Total Paid Amount
$0.00
0000709718
56-382/412
9600117262
Pay Amount $1,250.00***
$1,250.00
Black Hills Power, Inc. d/b/a Black Hills Energy 2019 Other Cost Invoices and Payments
Page 14
Site Location Partnership 6021 Morriss Road, Suite 107 Flower Mound, TX 75028 Phone: 972-874-7483 Fax: 972-692-0384
BILL TO:
Black Hills Energy Attn: Mutch Usera P.O. Box 1400 Rapid City, SD 57709
1# 74478
18624
1
DESCRIPTION
Comprehensive Standard Program
L,L-hJ_, ~ t II) f·-~~ ')
if -
e.~~o~ Dtvt=t.01J1A.&r1
~ M~h-"J S.vt1 tL5 . i1A Please remit payment to :
SITE LOCATION PARTNERSHIP 6021 MORRISS ROAD, SUITE 107
FLOWER MOUND, TX 75028
INVOICE
INVOICE: 3751 DATE: 01/04/19
DUE DATE: UPON RECEIPT
,ept #_,,...~-.,:;~'"--WO #....!.f..;;;0,__.w.j,...-...---Acct # __ """"'.....iiiiii--••: Resource, ... ....,,~..,..-•-•
I Approve:~~iJ-a---Date:
AMOUNT
$9,975.00
TOTAL DUE: $9,975.00
PLEASE USE OUR OVERNIGHT ACCOUNT FOR PAYMENT DELIVERY:
FEDEX - 378954657
THANK YOU FOR YOUR BUSINESS!
Black Hills Power, Inc. d/b/a Black Hills Energy 2019 Other Cost Invoices and Payments
Page 15
BLACK HILLS POWER INC POBOX8106 RAPID CITY, SD 57709
SITE LOCATION PARTNERSHIP LLC 602 I MORRISS RD STE I 07 FLOWER MOUND, TX 75028 United States
Payment Date: Jan/22/2019
Invoice Number Invoice Date Voucher ID
3751 Jan/04/2019 00137585
Sunnlier Number
Advice
-Pa ~ent~ount Jan/22/2019 $9 ,975 .00 0000030209
Reference: 0000030209
Gross Amount Discounts Late Char2es Paid Amount
9,975.00 0.00 0.00 9,975.00
Name BankChar2e Transfer Cost Cd 0000074478 SITE LOCATION PARTNERSHIP LLC $0.00 Reference Date Total Gross Amt Total Discounts Total Late Chari:es Total Paid Amt
0000030209 Jan/22/20 I 9 $9,975.00 $0.00 $0.00 $9,975.00